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Weight Gain or Difficulty Losing Weight

How Chinese medicine differentiates weight gain and difficulty losing weight — distinct from Obesity 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. Sudden unexplained weight gain, especially with swelling or breathlessness, needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

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

PointKey action
REN-12Tonifies the Stomach, strengthens the Spleen, regulates Qi.
ST-40Resolves Dampness and Phlegm, calms the mind.
SP-9Regulates the Spleen, resolves Dampness.
ST-36Tonifies Qi and Blood, tonifies Stomach and Spleen.
SP-6Tonifies Spleen and Stomach, resolves Dampness.
ST-25Regulates the Intestines, Stomach and Spleen.
ST-44Clears Stomach-Heat, calms excessive appetite.
LR-3Subdues Liver-Yang, unblocks stagnant Liver-Qi.
BL-23Tonifies Kidney-Yang and nourishes Kidney-Yin.
BL-20Tonifies Spleen-Qi and Yang, resolves Dampness.
DU-4Tonifies Kidney-Yang, warms the Gate of Life.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Phlegm-Dampness in the Middle-Burner

Clinical manifestations: Heavy sluggish feeling in the body and limbs, bloating and abdominal distension after eating, greasy or sticky mouth sensation, excessive drowsiness.
Tongue: Pale, puffy body with scalloped edges and thick white greasy coating. Pulse: Slippery, possibly slow or soggy, especially at right middle position.
Treatment principle: Warm Yang and transform fluid retention, strengthen the Spleen and resolve Dampness.
Note: no moxa. No deck on this site has a combined Damp-Phlegm category outside the Lungs, a confirmed and recurring absence, so no pattern link is given here.

2. Spleen Deficiency with Dampness

Clinical manifestations: Heavy sluggish sensation, bloating after eating, loose unformed stools, poor appetite with reduced intake, foggy head as if wrapped, puffy appearance rather than dense fat.
Tongue: Pale, swollen body with teeth marks on the edges, white greasy coating. Pulse: Soggy and soft, or slowed-down, weak at right Guan.
Treatment principle: Tonify Qi, strengthen the Spleen, drain Dampness.
Note: moxa applicable on the tonifying points. No deck on this site combines Spleen-Qi deficiency with Dampness into one slide, so no pattern link is given here.

3. Damp-Heat in Stomach and Spleen

Clinical manifestations: Strong appetite with cravings for rich or greasy foods, greasy or sticky mouth sensation, bloating and abdominal distension after eating, heavy sluggish body feeling, loose unformed stools.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating thickest at centre and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clear Heat and drain Dampness, regulate Qi and harmonize the middle burner.
Note: no moxa. No deck on this site combines Damp-Heat across both the Stomach and Spleen into one slide, so no pattern link is given here.

4. Liver-Qi Stagnation View full pattern →

Clinical manifestations: Distension in the abdomen and sides, weight gain tied to stress, irritability and frequent sighing, irregular or painful periods.
Tongue: Normal or slightly dark body with red or purplish sides, thin white coat. Pulse: Wiry, like a taut guitar string.
Treatment principle: Course the Liver and resolve constraint, nourish Blood and soften the Liver, strengthen the Spleen.
Note: no moxa. Direct match with this site's own Liver-Qi-stagnation slide.

5. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Puffy waterlogged appearance rather than dense fat, feeling cold especially in the lower back knees and feet, loose unformed stools, leg and ankle swelling, foggy head, weight settles low in the belly and hips.
Tongue: Pale, swollen, puffy with teeth marks, white slippery coating. Pulse: Deep, weak, slow, weak in rear and middle-right positions.
Treatment principle: Tonify Kidney-Yang, benefit Essence and fill Marrow, warm the Ming Men Fire.
Note: moxibustion strongly indicated throughout. Direct match with this site's own Kidney-and-Spleen-Yang-deficiency slide.
Related conditions

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