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Sick Sinus Syndrome

How Chinese medicine differentiates sick sinus syndrome into the six patterns you'll actually meet in practice, and the points for each. Supportive care alongside cardiology management, not a substitute for it. 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. Sick sinus syndrome can cause fainting episodes and sometimes needs a pacemaker; acupuncture here is supportive of the underlying pattern, not a substitute for cardiology evaluation and treatment.
General Acupuncture Points

Acupuncture points traditionally used for sick sinus syndrome (supportive, alongside cardiology care) — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-8Rescues Yang. Strengthens the Spleen. Tonifies Original Qi.
REN-4Nourishes Blood and Yin. Strengthens the Uterus and regulates menstruation.
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
HE-7Calms the Mind and opens the Mind's orifices. Nourishes Heart-Blood.
BL-15Calms the Mind. Nourishes the Heart. Clears Heat. Regulates Heart-Qi and invigorates Blood.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
SP-9Regulates the Spleen. Resolves Dampness.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
LR-3Subdues Liver-Yang. Extinguishes interior Wind.
LR-2Drains Liver-Fire and subdues Liver-Yang. Extinguishes interior Wind.
KI-3Tonifies the Kidneys (both Yin and Yang). Strengthens the lower back and knees.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heart Yang Deficiency View full pattern →

Clinical manifestations: Palpitations worsening with exertion, cold hands and feet with aversion to cold, chest stuffiness or mild pain, pale puffy face, deep weak slow pulse with possible skipped beats.
Tongue: Pale, puffy, tender with teeth marks and white slippery coating. Pulse: Deep, weak, slow, possibly knotted.
Treatment principle: Warm and restore Heart Yang.
Note: moxa applicable throughout (REN-8 with moxa/salt). Direct exact-name match with this site's own Heart-Yang-deficiency slide.

2. Heart Qi Deficiency View full pattern →

Clinical manifestations: Palpitations with uncomfortable heartbeat awareness, shortness of breath with light activity, spontaneous sweating without exertion, severe fatigue and lack of stamina, pale dull complexion with reluctance to speak.
Tongue: Pale, soft, slightly puffy with thin white coat, possible midline crack. Pulse: Empty — soft and large on light touch but vanishes under pressure, especially weak at the left Cun position.
Treatment principle: Tonify Heart Qi to strengthen the pulse.
Note: moxa applicable on ST-36. Direct exact-name match with this site's own Heart-Qi-deficiency slide.

3. Heart Blood Deficiency View full pattern →

Clinical manifestations: Palpitations with racing or skipped beats, dizziness especially when standing, pale dull complexion with pale lips, insomnia with vivid dreaming, poor memory and forgetfulness.
Tongue: Pale body, possibly thin, thin white coating. Pulse: Fine and weak, possibly slightly choppy.
Treatment principle: Nourish Heart Blood to provide the material foundation for a steady rhythm.
Note: no moxa. Direct exact-name match with this site's own Heart-Blood-deficiency slide.

4. Spleen Deficiency With Dampness

Clinical manifestations: Heavy oppressive chest sensation, bloating and fullness after eating, loose unformed stools, heaviness of the body and limbs, poor appetite, sticky or greasy taste, drowsiness especially after meals.
Tongue: Pale and swollen with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, often with a slippery quality.
Treatment principle: Strengthen the Spleen and dry Dampness to clear Phlegm obstruction.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

5. Liver Qi Stagnation Transforming Into Heat View full pattern →

Clinical manifestations: Irritability and explosive anger, bitter taste, distending or burning rib-side pain, red face and eyes, restlessness and agitation.
Tongue: Red body with redder sides, yellow coating. Pulse: Wiry and rapid.
Treatment principle: Disperse stagnant Liver Qi and clear rising Heat.
Note: no moxa. Direct exact-name match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

6. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Lower back and knee soreness and weakness, poor memory and mental fogginess, premature greying or hair loss, dizziness and tinnitus, frequent nighttime urination.
Tongue: Pale, thin body with little or no coating, possible fine cracks. Pulse: Fine, deep, especially weak at both rear positions.
Treatment principle: Nourish Kidney Essence to restore the body's deepest reserves.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-Essence-deficiency slide.
Related conditions

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