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Wheezing

How Chinese medicine differentiates wheezing — distinct from Asthma already covered — 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. New or worsening wheezing, or wheezing with severe breathlessness, needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

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

PointKey action
BL-13Regulates Lung-Qi and relieves wheezing.
EX-B-1 (Dingchuan)Extra point — empirical point specific for calming wheezing and dyspnea, no dedicated deck page on this site.
LU-7Disperses Wind-Cold and opens the chest.
ST-40Transforms Phlegm and clears the airways.
LU-5Clears Heat from the Lungs and descends rebellious Qi.
REN-12Harmonizes the middle burner, resolves Phlegm at its source.
BL-20Strengthens the Spleen to transform Dampness, prevents Phlegm formation.
LU-9Lung Yuan-source point, strengthens Lung-Qi, regulates respiration.
REN-6Sea of Qi, warms and tonifies overall Qi to anchor the breath.
BL-23Tonifies the Kidneys to strengthen their ability to grasp Qi.
KI-3Source point of the Kidney channel, tonifies Kidney-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Cold-Phlegm in the Lungs View full pattern →

Clinical manifestations: White, foamy or watery sputum with a rattling or gurgling sound in the throat, feeling cold and chilly, cold hands and feet, no thirst, preference for warm drinks, chest tightness worsening with cold exposure.
Tongue: Pale and swollen with thick white greasy or slippery coating. Pulse: Slippery and slow, possibly wiry.
Treatment principle: Release the exterior and disperse Wind-Cold, warm the Lungs and transform Phlegm-Fluids, descend Lung-Qi and calm wheezing.
BL-13 ↑ EX-B-1 (Dingchuan) ↓ LU-7 ↓ ST-40 ↓
Note: moxa applicable given the Cold. Direct match with this site's own Cold-Phlegm-in-the-Lungs slide.

2. Phlegm-Heat in the Lungs View full pattern →

Clinical manifestations: Loud wheezing or gurgling sounds in the throat, cough with copious thick yellow or green sticky sputum, thirst with desire for cold fluids, feeling of heat, flushed face and restlessness.
Tongue: Red body with yellow greasy coating, thicker in front, may have red prickles. Pulse: Slippery and rapid, strongest at right Cun.
Treatment principle: Restore Lung diffusing and descending functions, calm wheezing, clear Lung-Heat.
BL-13 ↓ EX-B-1 (Dingchuan) ↓ ST-40 ↓ LU-5 ↓
Note: no moxa. Direct match with this site's own Phlegm-Heat-in-the-Lungs slide.

3. Damp-Phlegm in the Lungs View full pattern →

Clinical manifestations: Copious white sticky phlegm easy to expectorate, chest heaviness and congestion, audible phlegm rattling in the throat, poor appetite and abdominal bloating, fatigue and heavy body.
Tongue: Pale and swollen with teeth marks, covered by thick white greasy coating. Pulse: Slippery, often soggy, especially at right Cun.
Treatment principle: Warm the Lungs and transform Phlegm-Fluids, descend Qi, stop cough and calm wheezing.
Note: moxa applicable on the tonifying points. Direct match with this site's own Damp-Phlegm-in-the-Lungs slide.

4. Lung-Qi Deficiency View full pattern →

Clinical manifestations: Wheezing worse on exertion, better with rest, shortness of breath with a weak low voice, spontaneous daytime sweating without heat, sensitivity to wind and cold, catching colds easily, fatigue and pale complexion.
Tongue: Pale, tender body with possible teeth marks and thin white coating. Pulse: Empty or weak, especially at right Cun.
Treatment principle: Tonify Lung-Qi, tonify Qi and consolidate the Exterior, astringe the Lungs and stop cough.
Note: moxa applicable throughout. Direct match with this site's own Lung-Qi-deficiency slide.

5. Spleen and Lung Qi Deficiency View full pattern →

Clinical manifestations: Wheezing worsens with exertion, fatigue and general weakness, poor appetite, bloating and loose stools, thin watery or white phlegm, weak voice, spontaneous sweating and frequent colds.
Tongue: Pale, puffy and tender with teeth marks and thin white slippery coating. Pulse: Weak and forceless, especially at right Cun and right Guan.
Treatment principle: Tonify Qi, strengthen the Spleen, harmonize the Stomach.
BL-13 ↑ BL-20 ↑ EX-B-1 (Dingchuan) ↑
Note: moxa applicable throughout. Direct match with this site's own Spleen-and-Lung-Qi-deficiency slide.

6. Kidneys Failing to Receive Qi View full pattern →

Clinical manifestations: Wheezing worsens with exertion, difficulty breathing in with exhaling feeling much easier, lower back and knee soreness and weakness, fatigue and low motivation, spontaneous sweating with effort.
Tongue: Pale, puffy, often with teeth marks and thin white moist coating. Pulse: Deep and weak, especially at the rear position.
Treatment principle: Tonify Kidney-Yang, warm Yang and transform Qi, warm the Ming Men Fire.
BL-23 ↑ EX-B-1 (Dingchuan) ↑ KI-3 ↑
Note: moxa strongly indicated throughout. Direct match with this site's own Kidneys-failing-to-receive-Qi slide.
Related conditions

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