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Tingling

How Chinese medicine differentiates tingling (paresthesia) into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Peripheral Neuropathy and Hand Numbness 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. Sudden tingling on one side of the body, or with weakness or slurred speech, needs urgent medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for tingling — 11 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-6Strengthens the Spleen. Nourishes Blood and Yin.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
BL-17Invigorates Blood. Cools Blood. Nourishes Blood.
DU-20Raises Yang. Benefits the Brain and the sense organs.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
L.I.-4Removes obstructions from the channel. Stops pain.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
G.B.-34Promotes the smooth flow of Liver-Qi. Benefits the sinews. Removes obstruction from the channel.
G.B.-20Expels exterior and interior Wind. Subdues Liver-Yang.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Deficiency

Clinical manifestations: Mild tingling or prickling in the limbs, persistent fatigue and general weakness, pale lips and nail beds, dizziness or lightheadedness, poor appetite.
Tongue: Pale body, may be thin with teeth marks, thin white coating. Pulse: Fine and weak, especially at the right Guan position.
Treatment principle: Restore nourishment to peripheral nerves by tonifying both Qi and Blood.
Note: moxa applicable on ST-36/REN-6. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

2. Blood Deficiency

Clinical manifestations: Tingling or numbness in the hands and feet, often worse at rest, pale complexion, lips, and nail beds, dizziness or lightheadedness, scanty menstrual flow with pale blood, heart palpitations.
Tongue: Pale, thin body with thin white coating. Pulse: Fine, weak, and possibly choppy.
Treatment principle: Rebuild Blood's material foundation to restore peripheral nourishment and sensation.
Note: no moxa. This site has no organ-nonspecific Blood-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

3. Qi Deficiency

Clinical manifestations: Tingling worsens with activity, persistent fatigue and weakness, shortness of breath on mild exertion, spontaneous sweating without effort.
Tongue: Pale, puffy, tender body with teeth marks and thin white coating. Pulse: Empty or weak, soft and yielding, especially at the right Guan position.
Treatment principle: Restore the driving force of circulation to the undernourished limb periphery.
Note: moxa applicable on ST-36/REN-6. This site has no organ-nonspecific Qi-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

4. Blood Stagnation View full pattern →

Clinical manifestations: Tingling in a fixed, unchanging location, worsens at night or when resting, accompanied by sharp stabbing pain in the same area, dark or purplish lips, nails, or facial complexion, history of trauma or surgery in the tingling area.
Tongue: Dark purple body with possible stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorate circulation and break up stagnant blockages.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the established discoloration-marker rule.

5. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Heavy or numb sensation in the limbs, joint stiffness and swelling that feels firm, worsens in damp or rainy weather, chest tightness or excessive mucus.
Tongue: Purple body with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery if Phlegm predominates.
Treatment principle: Transform Phlegm-Dampness obstruction and restore channel patency.
Note: no moxa. This site has no Phlegm-in-the-channels/joints/muscles slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

6. Painful Obstruction With Wind-Cold-Damp

Clinical manifestations: Aching joint and muscle pain, tingling worsens in cold, damp, rainy weather, heaviness or sensation of weight in the limbs, joint stiffness with limited range of motion, pain relieved by warmth and gentle movement.
Tongue: Pale, slightly swollen body with teeth marks, white greasy coating, moist surface. Pulse: Wiry and tight, or soggy and slow.
Treatment principle: External Wind, Cold, and Dampness invade the body and lodge in the channels, muscles, and joints, obstructing Qi and Blood circulation.
Note: moxa applicable given the Cold-Damp signs. This site has no organ-nonspecific Wind-Cold-Damp Bi-syndrome slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.
Related conditions

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