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Excessive Yawning

How Chinese medicine differentiates excessive yawning, 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. Excessive yawning with sudden weakness on one side, slurred speech, or severe daytime sleepiness needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for excessive yawning — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-13Tonifies Lung-Qi, regulates the descending function.
LU-9Source point, strengthens Lung-Qi and anchors it downward.
ST-36Tonifies Spleen-Qi, raises clear Yang.
BL-20Strengthens Spleen-Qi production and transformation.
SP-6Harmonizes Spleen, Liver and Kidney, reinforces digestive Qi.
HT-7Calms the Heart, anchors the Shen, reduces restlessness.
P-6Opens the chest, relieves oppression, soothes the spirit.
LR-3Spreads Liver-Qi, eases distension and frustration.
BL-23Moxibustion strongly tonifies Kidney-Yang.
DU-4Moxibustion directly warms the Gate of Life.
REN-4Moxibustion fortifies original Qi, disperses deep Cold.
ST-40Key point to transform Phlegm throughout the body.
LU-5Clears Lung-Heat, descends rebellious Qi.
DU-14Clears Heat from the whole body, supports Lung function.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Lung-Qi Deficiency View full pattern →

Clinical manifestations: Shortness of breath worse on exertion, spontaneous daytime sweating, weak or low voice, frequent yawning even without fatigue.
Tongue: Pale, tender body with possible teeth marks and thin white coating. Pulse: Weak and empty, especially at right Cun.
Treatment principle: Tonify Lung-Qi and restore the descending function, directly addressing the root cause of the yawning.
Note: moxa applicable. Direct match with this site's own Lung-Qi-deficiency slide.

2. Spleen-Qi Deficiency View full pattern →

Clinical manifestations: Yawning worsens after eating, abdominal bloating worse after meals, loose or soft stools, fatigue and heavy limbs, poor appetite.
Tongue: Pale, puffy body with tooth marks, thin white coating. Pulse: Deficient and soft, especially weak at right Guan.
Treatment principle: Strengthen Spleen-Qi — the Spleen produces the Qi the Lungs depend on, and weakness causes Lung-Qi to rise upward as yawning.
Note: moxa applicable. Direct match with this site's own Spleen-Qi-deficiency slide.

3. Heart Blood Deficiency with Liver Qi Stagnation

Clinical manifestations: Frequent sighing and yawning, emotional instability with mood swings, chest or rib-side tightness, palpitations or racing heart, insomnia or disturbed sleep.
Tongue: Pale, thin body with possible reddish sides, thin white coating. Pulse: Fine and wiry, weak at left Cun and wiry at left Guan.
Treatment principle: The body yawns to force stuck Qi to move and descend, providing temporary relief for an ungrounded spirit and stagnant Liver-Qi.
Note: no moxa, mixed technique for the mixed Deficiency-Excess picture. No deck on this site combines Heart-Blood deficiency with Liver-Qi stagnation into one slide, so no pattern link is given here.

4. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Feeling cold throughout the body especially the lower back and knees, profound fatigue and desire to sleep, frequent nighttime urination, low sex drive, loose stools or early morning diarrhea.
Tongue: Pale, puffy, tender with teeth marks and wet white coating. Pulse: Deep, slow and weak, especially at the Chi positions.
Treatment principle: Warm Kidney-Yang — when its fire dims, yawning becomes frequent as the body tries to draw in more Qi to compensate for the lack of vital warmth.
Note: moxibustion strongly indicated throughout. Direct match with this site's own Kidney-Yang-deficiency slide.

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

Clinical manifestations: Coughing up thick yellow or green phlegm, chest tightness and oppression, body heat or low-grade fever, thirst with desire to drink, restlessness and irritability.
Tongue: Red body with yellow greasy coating, possibly swollen at the front with red prickles. Pulse: Slippery and rapid.
Treatment principle: Trapped Qi rebels upward against sticky, heat-producing Phlegm obstructing the Lung's natural downward movement, triggering yawning as a release valve.
Note: no moxa. Direct match with this site's own Phlegm-Heat-in-the-Lungs slide.
Related conditions

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