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Watery and Thin Sweat (Cold Sweat)

How Chinese medicine differentiates cold, watery sweat — distinct from Hyperhidrosis and Night Sweats already covered — the four 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. Sudden cold sweat with chest pain, fainting, or confusion is a medical emergency and needs immediate evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for cold, watery sweat — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Moxibustion tonifies Kidney-Yang, strengthens the lower back.
REN-4Moxibustion warms foundational Yang, consolidates Qi to stop sweating.
HT-7Tonifies Heart-Qi and Yang, calms palpitations.
P-6Strengthens Heart-Yang, secures the exterior.
ST-36Tonifies Qi and Yang, supports the Heart's warming function.
REN-6Tonifies original Qi to secure the exterior.
SP-6Strengthens Spleen-Qi to support fluid metabolism.
LU-7Releases the exterior and harmonizes Wei-Qi to stop cold sweating.
L.I.-4Releases the exterior and consolidates sweat.
DU-14Regulates Yang and Wei-Qi to strengthen the body's surface.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Cold sweat feeling cool and watery, soreness and cold pain in the lower back and knees, frequent urination especially at night, feeling cold all over worse in the lower body.
Tongue: Pale, puffy, tender body with teeth marks and a wet white coating. Pulse: Deep, slow and weak, especially at rear position.
Treatment principle: Warm and tonify Kidney-Yang to restore the body's ability to warm and secure fluids, rekindling the fundamental fire.
Note: moxibustion strongly indicated throughout. Direct match with this site's own Kidney-Yang-deficiency slide.

2. Heart-Yang Deficiency View full pattern →

Clinical manifestations: Cold sweat especially on the chest and palms, palpitations worsening with exertion, bright pale or white face, feeling cold with cold hands and feet, shortness of breath on activity.
Tongue: Pale, puffy and tender with teeth marks, white and slippery coating. Pulse: Deep, weak and notably forceless at left Cun.
Treatment principle: Warm and tonify Heart-Yang while securing the exterior to stop cold sweat, restoring the Heart's warming and fluid-controlling functions.
Note: moxibustion applicable throughout. Direct match with this site's own Heart-Yang-deficiency slide.

3. Qi Deficiency

Clinical manifestations: Thin watery sweat leaking spontaneously, worsens with mild exertion, persistent fatigue and weakness, shortness of breath on activity, pale or sallow complexion.
Tongue: Pale, puffy, tender with teeth marks and thin white coating. Pulse: Empty or weak, soft and hollow under pressure.
Treatment principle: Tonify Qi to strengthen the gatekeeper function holding fluids in, consolidating the exterior and securing sweating.
Note: moxa applicable. No deck on this site has a plain organ-nonspecific Qi-deficiency slide, so no pattern link is given here.

4. Ying-Wei Disharmony

Clinical manifestations: Cold watery sweat feeling chilly on the skin, strong aversion to wind and drafts, alternating chills and mild fever, fatigue and feeling easily tired, mild headache or generalized body aches.
Tongue: Pale-red or slightly pale body with thin white moist coating. Pulse: Floating and moderate, sometimes floating and weak.
Treatment principle: Harmonize Protective (Wei) Qi and Nutritive (Ying) Qi to reseal the exterior, releasing the surface while supporting the interior.
Note: no moxa. This chronic surface disharmony is a distinct classical category from the acute Wind-Cold/Wind-Heat invasion slides on this site, and no dedicated Ying-Wei-disharmony slide exists here, so no pattern link is given.
Related conditions

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