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Weak Pulse

How Chinese medicine differentiates a weak pulse — a map of where the body's reserves are lowest — into the six 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. A weak pulse alongside profuse cold sweating, ice-cold limbs, or loss of consciousness is a medical emergency needing immediate hospital care, not home treatment.
General Acupuncture Points

Acupuncture points traditionally used for a weak pulse — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Lifts Spleen-Qi.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
LR-14Promotes the smooth flow of Liver-Qi and harmonizes Liver and Stomach.
BL-17Invigorates Blood. Cools Blood. Stops bleeding. Nourishes Blood.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
BL-15Calms the Mind. Nourishes the Heart. Clears Heat. Regulates Heart-Qi and invigorates Blood.
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
REN-4Nourishes Blood and Yin. Strengthens the Uterus and regulates menstruation.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
DU-26Promotes resuscitation and extinguishes interior Wind. Calms the Mind and opens the Mind's orifices.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite, abdominal bloating after eating, loose stools, fatigue, heaviness in the limbs, pale complexion.
Tongue: Pale, puffy tongue with tooth marks and thin white coating. Pulse: Soft, forceless, weakest at the right Guan position.
Treatment principle: Tonify Spleen Qi and strengthen the source of Qi and Blood production.
Note: moxa applicable on ST-36/BL-20. Direct exact-name match with this site's own Spleen-Qi-deficiency slide.

2. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue, pale or sallow complexion, dizziness, heart palpitations, shortness of breath on exertion, poor appetite.
Tongue: Pale body with possible thin appearance and tooth marks, thin white coating. Pulse: Fine, weak, empty, weakest at the right Guan position.
Treatment principle: Tonify both Qi and Blood simultaneously to fill the vessels.
Note: moxa applicable. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

3. Blood Deficiency View full pattern →

Clinical manifestations: Pale or sallow complexion, pale lips and nail beds, dizziness, heart palpitations, scanty menstrual flow with pale blood.
Tongue: Pale, thin body with thin white coating. Pulse: Fine, weak, forceless, may feel choppy.
Treatment principle: Nourish Blood to fill the vessels and strengthen the pulse with substance.
Note: no moxa on LR-14. Matched to this site's own Liver-Blood-deficiency slide — Liver stores Blood and scanty pale menstruation is a classic marker for this slide, the same organ assignment used elsewhere on this site.

4. Heart Yang Deficiency View full pattern →

Clinical manifestations: Palpitations worsening with activity, chest stuffiness or mild pain, cold hands and feet, bright pale or bluish face, mental listlessness.
Tongue: Pale, puffy, tender tongue with tooth marks and white slippery coating. Pulse: Deep, weak, feeble at the left Cun (Heart) position.
Treatment principle: Warm and strengthen Heart Yang to restore pumping force.
Note: moxa applicable on BL-15/REN-4. Direct exact-name match with this site's own Heart-Yang-deficiency slide.

5. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Cold aching lower back and knees, feeling cold throughout the body (worse in the lower body), frequent nighttime urination, low energy and desire to sleep.
Tongue: Pale, puffy, tender tongue with tooth marks and wet white coating. Pulse: Deep, slow, weak, especially soft at the Chi (rear) position.
Treatment principle: Tonify Kidney Yang to restore foundational warmth.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

6. Collapse of Yang View full pattern →

Clinical manifestations: Profuse cold sweating, ice-cold limbs extending past the elbows/knees, ashen-white or bluish complexion, mental apathy or loss of consciousness, extremely feeble breathing.
Tongue: Pale, moist, flaccid body with thin white slippery coating. Pulse: Minute, nearly imperceptible, extremely faint and deep, may be impalpable.
Treatment principle: Rescue devastated Yang from collapse — a medical emergency.
Note: moxa essential on REN-4; this is a medical emergency requiring immediate hospital care, not home treatment. Direct match with this site's own Heart-Yang-Collapse slide, also badged Emergency.
Related conditions

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