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Postural Orthostatic Tachycardia Syndrome (POTS)

How Chinese medicine differentiates POTS into the 6 patterns you'll actually meet in practice, and the points for each. Distinct from this site's general Palpitations page β€” only half the patterns overlap, and all six here are framed specifically around the standing-triggered symptom. Acupuncture only β€” no herbs.

POTS needs a formal cardiology/autonomic workup β€” acupuncture may only ever be used alongside that diagnosis and care, never in place of it. Sudden fainting needs emergency evaluation.
General Acupuncture Points

Acupuncture points traditionally used for POTS β€” 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.
HE-7Calms the Mind and opens the Mind’s orifices. Nourishes Heart-Blood.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heart Qi and Yin Deficiency

Clinical manifestations: Palpitations worse when standing, shortness of breath on exertion, dry mouth with little desire to drink, night sweats, restlessness and difficulty falling asleep.
Tongue: Red or pale-red, thin and cracked, scanty or peeled coating. Pulse: Fine, rapid, often knotted or intermittent, especially weak at the left Cun.
Treatment principle: Nourish Heart-Qi and Yin to steady the pulse and calm the palpitations.
Note: Confirmed absent again: no deck on this site names a combined Heart-Qi-and-Yin-Deficiency category on its own.

2. Heart Blood Deficiency View full pattern →

Clinical manifestations: Palpitations worse when standing, dizziness or light-headedness, a pale complexion and nail beds, insomnia with vivid dreaming, poor memory and being easily startled.
Tongue: Pale, possibly thin, thin white coating. Pulse: Fine and weak, maybe slightly choppy.
Treatment principle: Nourish Heart-Blood and calm the mind by strengthening the Spleen's Blood-generating capacity.

3. Heart Qi Deficiency View full pattern →

Clinical manifestations: Palpitations worse when standing, shortness of breath on exertion, spontaneous daytime sweating, fatigue and lack of stamina, a pale complexion, mild anxiety.
Tongue: Pale, puffy, thin white coat, possible midline crack toward the tip. Pulse: Empty, weak, especially at the left Cun.
Treatment principle: Tonify Heart-Qi and nourish Blood to anchor the spirit and address the fatigue.

4. Disharmony between Heart and Kidneys View full pattern →

Clinical manifestations: Palpitations worse when standing, heat in the palms soles and chest, night sweats, sore lower back and knees, restlessness and insomnia, tinnitus.
Tongue: Red, thin with a redder tip, little or no coating, possible midline crack. Pulse: Fine and rapid, weaker at the rear positions.
Treatment principle: Nourish Heart and Kidney Yin, clear deficiency-fire, and calm the spirit.

5. Heart Yang Deficiency View full pattern →

Clinical manifestations: Cold hands and feet, palpitations that worsen with minimal activity, a bright pale complexion, feeling cold and disliking cold environments, chest stuffiness, extreme fatigue.
Tongue: Pale, puffy, tender with teeth marks, white slippery coating. Pulse: Deep, weak, most feeble at the left Cun, may be knotted.
Treatment principle: Warm and tonify Heart-Yang to restore the propelling force and warm the body.

6. Heart Blood Stagnation View full pattern →

Clinical manifestations: Stabbing chest pain in one spot, purple or dark lips and nails, irregular or pounding palpitations, pain that may radiate to the shoulder or arm.
Tongue: Purple or dark-red with stasis spots and distended sublingual veins, thin white coat. Pulse: Choppy or knotted, especially at the left Cun.
Treatment principle: Move Blood, dissolve stasis, and open the chest to relieve the fixed stabbing pain.
Related conditions

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