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Tendency to Gain Weight or Retain Water

How Chinese medicine differentiates a constitutional tendency to gain weight or retain water into the four patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Edema and Obesity pages. 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. Rapid or unexplained weight gain needs medical evaluation to rule out a hormonal or other medical cause before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for a tendency to gain weight or retain water — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Tonifies the Original Qi.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
KI-7Tonifies the Kidneys. Resolves Dampness. Opens the Water Passages of the Lower Burner and resolves oedema.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency With Dampness

Clinical manifestations: Heaviness in the body and limbs, abdominal bloating worse after eating, loose or unformed stools, fatigue, puffy face and limbs (especially in the morning), drowsiness after meals, bland taste with no thirst.
Tongue: Pale, swollen with teeth marks and white greasy coating. Pulse: Soggy and slowed-down, soft and lacking force, especially at the right wrist position.
Treatment principle: Tonifies Spleen-Qi, strengthens the Spleen, drains Dampness.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

2. Damp-Phlegm

Clinical manifestations: Pronounced heaviness in the body and limbs, copious white phlegm easily coughed up, brain fog or muzzy-headedness, bland taste without thirst, chest and upper abdominal stuffiness, dizziness.
Tongue: Pale, swollen body with scalloped teeth marks, thick white greasy coating appearing oily with a wet surface. Pulse: Slippery, may be soggy in the right middle position.
Treatment principle: Dries Dampness and transforms Phlegm, regulates Qi and harmonizes the Middle Burner.
Note: no moxa. This site has no plain body-wide Damp-Phlegm slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

3. Kidney Yang Deficiency With Water Overflowing View full pattern →

Clinical manifestations: Swelling of the legs and ankles worsening with prolonged standing, coldness especially in the lower back and limbs, scanty clear urination, soreness and weakness of the lower back, abdominal bloating and loose stools, waterlogged weight gain.
Tongue: Pale, puffy, and teeth-marked with white slippery coating, surface appears excessively wet. Pulse: Deep, slow, and weak, especially faint at the rear (Kidney) position.
Treatment principle: Warms Yang and disperses Cold, promotes urination and drains Dampness, transforms water-Dampness.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency-Water-overflowing slide.

4. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Bloating and fullness in the upper abdomen, sticky incomplete bowel movements, bitter or sticky taste in the mouth, heavy feeling in the body and limbs, thirst with little desire to drink.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating especially at center and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Heat and drains Dampness, regulates Qi and harmonizes the Middle Burner.
Note: no moxa. Matched to this site's own Damp-Heat-invading-the-Spleen slide.
Related conditions

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