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Upper Back Pain

How Chinese medicine differentiates upper back pain — distinct from Low Back Pain, Neck Pain and Shoulder Stiffness already covered — the five patterns you'll actually meet in practice, and the points for each. 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. Upper back pain with chest pain, breathing difficulty, or arm weakness needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for upper back pain — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-17Invigorates Blood. Cools Blood-Heat.
G.B.-21Removes obstructions from the channel; relieves shoulder/upper-back tension.
L.I.-4Expels exterior Wind. Regulates Defensive Qi.
LR-3Subdues Liver-Yang, clears Interior Wind, regulates Liver-Qi.
BL-23Tonifies Kidney-Yang, nourishes Kidney-Yin.
DU-4Tonifies Kidney-Yang, warms the Gate of Life, expels Cold.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
KI-3Tonifies Kidney-Yin and Yang, strengthens the Kidney's receiving of Qi.
DU-14Clears Wind-Heat, releases the exterior.
L.I.-11Clears Heat, cools Blood, drains Heat and resolves Dampness.
SP-9Regulates the Spleen, resolves Dampness.
SP-6Tonifies Spleen and Stomach, resolves Dampness, benefits urination.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain in the upper back, pain worsens with pressure and at night, irritability or emotional tension.
Tongue: Dark purple body with stasis spots, distended sublingual veins. Pulse: Wiry and choppy, like a taut guitar string scraping bamboo.
Treatment principle: Invigorate Blood and dispel stasis, unblock the channels, move Qi and alleviate pain.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the well-established stasis-spot-tongue marker.

2. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Dull, cold aching pain in the upper back, improves with warmth and rest, feeling of cold in back and limbs, frequent nighttime urination, fatigue and low energy.
Tongue: Pale, puffy, tender body with teeth marks, wet white coating. Pulse: Deep, slow, and weak.
Treatment principle: Tonify Kidney-Yang, warm and transform Qi, warm the Ming Men fire.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

3. Painful Obstruction Due to Damp-Heat in Channels

Clinical manifestations: Burning pain in the upper back, heavy aching sensation, redness and swelling over the painful area, worse with warmth or humid weather, thirst and dark scanty urine.
Tongue: Red body with a yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Heat and dry Dampness, clear Damp-Heat from the channels.
Note: no moxa. This is a joint-localized Damp-Heat Bi-syndrome with no organ marker, the same joint-localized gap noted for Sinew Contracture in this same batch — no pattern link is given here; points still link fine individually.

4. Kidney-Yin Deficiency View full pattern →

Clinical manifestations: Dull, burning ache worsening at night, dry mouth and throat, night sweats, heat sensation in palms/soles/chest, dizziness, tinnitus, lower back soreness.
Tongue: Red, thin body with little or no coating, dry surface. Pulse: Fine and rapid.
Treatment principle: Nourish Kidney-Yin, supplement Liver and Spleen Yin, benefit Essence and fill marrow.
Note: no moxa given the Yin deficiency. Direct exact-name match with this site's own Kidney-Yin-deficiency slide.

5. Spleen Deficiency With Dampness

Clinical manifestations: Heavy, sore, distending upper back pain, improves with warmth and gentle pressure, loose stools or diarrhea, poor appetite and fatigue, abdominal bloating, drowsiness after meals.
Tongue: Pale, swollen body with teeth marks and a white greasy coating. Pulse: Soggy and slow, soft and lacking force.
Treatment principle: Tonify Qi, strengthen the Spleen, drain Dampness.
Note: moxa applicable on SP-6. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over this batch (Lipoma, Chronic Venous Insufficiency) — no pattern link is given here; points still link fine individually.
Related conditions

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