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Weakness and Stiffness

How Chinese medicine differentiates combined weakness and stiffness of the limbs into the four patterns described for it, and the points for each. Distinct from this site's Weak Limbs, Muscle Weakness and Joint Stiffness 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 or progressive limb weakness, weakness on one side, or weakness with sensory or bladder changes needs urgent medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for weakness and stiffness — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
G.B.-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat in Liver and Gall Bladder. Benefits the sinews.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Painful Obstruction with Wind-Cold-Damp

Clinical manifestations: Joint pain worse in cold and damp weather; heaviness and numbness in the limbs; stiffness and difficulty moving; aversion to cold or wind; swollen joints without redness.
Tongue: Pale, slightly swollen, tooth-marked, white greasy coat. Pulse: Wiry and tight, or soggy and slow.
Treatment principle: Expels Wind, disperses Cold and transforms Dampness from the channels and joints.
Note: moxa is appropriate. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

2. Painful Obstruction due to Damp-Heat in the Channels

Clinical manifestations: Joints red, swollen and hot to the touch; heavy, aching sensation; pain better with cold and worse with warmth; thirst; dark urine; irritability.
Tongue: Red, possibly swollen, yellow greasy coat. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and dries Dampness from the channels and lower body.
Note: no moxa. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

3. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Dull, heavy stiffness; weakness and heaviness in the limbs, especially the legs; fatigue worse after meals; poor appetite; bloating; loose stools; sallow or pale complexion.
Tongue: Pale, puffy, tooth-marked, thin white coat. Pulse: Weak and soft.
Treatment principle: Tonifies Spleen Qi, raises Yang and lifts sunken Qi to nourish the muscles.
Note: moxa is appropriate. Linked to this site's own Stomach-and-Spleen-Qi-deficiency slide.

4. Lung Heat View full pattern →

Clinical manifestations: Sudden limb weakness; dry cough with scanty phlegm; thirst for cold drinks; fever or a sensation of body heat; irritability; rapid, coarse breathing.
Tongue: Red, dry yellow coat. Pulse: Rapid, may be slippery or overflowing.
Treatment principle: Clears Lung Heat, moistens dryness and restores the Lungs' distribution of fluids.
Note: no moxa.
Related conditions

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