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Threatened Miscarriage

How Chinese medicine differentiates threatened miscarriage, the five patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs, and only from a practitioner experienced with pregnancy-safe point selection.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Any bleeding or cramping in pregnancy needs prompt medical evaluation. Acupuncture points here are used gently and only alongside that medical care, never as a substitute for it.
General Acupuncture Points

Acupuncture points traditionally used for threatened miscarriage — 6 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Tonifies the Kidneys and nourishes Kidney-Essence, strengthens the Uterus.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
Ren-4Nourishes Blood and Yin. Strengthens the Kidneys and Uterus.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
SP-6Strengthens the Spleen, nourishes Blood and Yin, regulates the uterus.
L.I.-11Clears Heat and cools Blood.
Ren-6Tonifies Qi and Yang, raises sinking Qi.
BL-17Invigorates Blood, tonifies Qi and Blood.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Qi Not Firm View full pattern →

Clinical manifestations: Light, dull-colored spotting; a sore, weak lower back; a dragging, sinking sensation in the lower abdomen; frequent urination, especially at night; fatigue and lack of strength.
Tongue: Pale, slightly puffy body, thin white coat, possible tooth marks. Pulse: Deep, weak, fine, most noticeably weak at the rear positions.
Treatment principle: Tonify the Kidneys, calm the fetus, nourish Blood.
Note: gentle, shallow needling only, no strong stimulation; moxa applicable. Direct match with Kidney-Qi not Firm.

2. Heat in the Uterus Blood

Clinical manifestations: Bright red or deep red, sticky spotting; a feeling of heat in the lower abdomen; restlessness and irritability; thirst with a desire for cold drinks; a dry mouth and dark urine.
Tongue: Red body with a red tip, possible prickles, thin yellow coat, tends to be dry. Pulse: Rapid, often wiry or slippery.
Treatment principle: Nourish Yin, clear Heat, cool the Blood.
Note: gentle needling only, no moxa. No deck on this site has a Uterus-specific Heat-in-the-Blood category, so no pattern link is given here.

3. Qi and Blood Deficiency

Clinical manifestations: Pale, thin vaginal bleeding; profound fatigue and weakness; a pale complexion and lips; dizziness or lightheadedness; poor appetite.
Tongue: Pale body, may be thin or show teeth marks, thin white coating. Pulse: Fine and weak, especially at the right Guan position.
Treatment principle: Tonify Qi and Blood, tonify the Stomach and Spleen.
Note: gentle needling; moxa applicable on the Tonify points. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

4. Blood Stagnation View full pattern →

Clinical manifestations: Dark, clotted vaginal spotting; fixed, stabbing lower abdominal pain, worse with pressure or at night; a history of physical trauma or injury.
Tongue: Purple or dusky body with stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorate Blood and dispel stasis, warm the channels.
Note: gentle needling only, no moxa. Matches Liver-Blood stasis — a purple, dusky tongue with stasis spots and fixed stabbing pain are the same discoloration markers named there.

5. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Dull, dark vaginal spotting; a cold lower back and knees; frequent urination, especially at night; a feeling of cold in the lower abdomen; fatigue and low energy.
Tongue: Pale, puffy, tender body with teeth marks and wet white coating. Pulse: Deep, slow, weak, especially at the Chi position.
Treatment principle: Tonify Kidney-Yang and warm the Gate of Life, expel Cold.
Note: gentle needling; moxa applicable. Direct match with Kidney-Yang deficiency.
Related conditions

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