Logout 📊 Admin
🏠 Home

Pericarditis

How Chinese medicine differentiates pericarditis into the six patterns described for it, and the points for each. Supportive reading only — see the note below. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Pericarditis is a medical condition that needs a doctor's diagnosis and treatment. Sharp chest pain, fever, breathlessness or inability to lie flat is an emergency. Acupuncture here is at most a supportive adjunct alongside medical care.
General Acupuncture Points

Acupuncture points traditionally used for pericarditis — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
P-6Opens the chest and moves Qi and Blood. Calms the Mind. Moves Liver-Qi.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
BL-15Calms the Mind. Nourishes the Heart. Stimulates the Brain.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heat in the Pericardium View full pattern →

Clinical manifestations: High fever worse at night; sharp chest pain worse with breathing or lying flat; delirium; cold hands and feet despite fever.
Tongue: Crimson, stiff or shortened, dry yellow coat. Pulse: Fine and rapid.
Treatment principle: Cools the Nutritive level, resolves heat toxin and vents Heat outward.
Note: no moxa. Acute — medical emergency care first.

2. Phlegm-Fluids in the Chest and Hypochondrium View full pattern →

Clinical manifestations: Oppressive chest pain worse with coughing or movement; unable to lie flat; fullness on one side; cough with white phlegm.
Tongue: Pale, swollen, white slippery or greasy coat. Pulse: Deep and wiry.
Treatment principle: Warms Yang, transforms fluid retention, strengthens the Spleen and resolves Dampness.
Note: moxa is appropriate. Linked to this site's own Phlegm-Fluids-obstructing-the-Lungs slide, the closest match.

3. Pericardium Blood Stagnation View full pattern →

Clinical manifestations: Stabbing pain in a fixed location, may radiate to the left shoulder or inner arm; purple lips and dark nails; palpitations with chest tightness; insomnia.
Tongue: Purple or dusky with stasis spots, distended sublingual veins. Pulse: Choppy at the left front position, possibly wiry or knotted.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and relieves pain.
Note: no moxa.

4. Qi and Yin Deficiency

Clinical manifestations: Dull, mild chest ache; low-grade afternoon fever; palpitations worse with exertion; night sweats; warm palms and soles; dry mouth; fatigue.
Tongue: Red, thin or absent coat, dry. Pulse: Fine, weak, often rapid.
Treatment principle: Nourishes Yin and Blood, tonifies Qi and unblocks Yang.
Note: no moxa (Yin deficiency with heat signs). No combined Qi-and-Yin-deficiency slide exists — no pattern link is given here.

5. Heart and Spleen Qi and Blood Deficiency View full pattern →

Clinical manifestations: Pale or yellowish complexion; poor appetite with bloating; loose stools; palpitations worse with exertion; insomnia with much dreaming; dizziness; forgetfulness.
Tongue: Pale, puffy, tender, tooth-marked, thin white coat. Pulse: Fine and weak; the left front position especially empty.
Treatment principle: Tonifies Qi, nourishes Blood and strengthens the Spleen.
Note: moxa is appropriate. Linked to the closest slide (Spleen- and Heart-Blood deficiency); it names Blood only, so treat as a partial match.

6. Collapse of Yang View full pattern →

Clinical manifestations: MEDICAL EMERGENCY. Ice-cold limbs (past the elbows and knees); profuse cold clammy sweating; ashen complexion; blue-purple lips and nails; unable to lie flat; apathy or loss of consciousness.
Tongue: Pale, moist, flaccid, thin white slippery coat. Pulse: Minute, barely perceptible.
Treatment principle: Rescues collapsing Yang, tonifies Qi and arrests sweating.
Note: Call emergency services first; moxa on all points is a supportive measure only. Linked to this site's own Heart-Yang-Collapse slide.
Related conditions

Spot an error, or have more to add? Send it to admin on WhatsApp and it'll be corrected/added here.