Finger Joint Pain - Liver-Kidney Deficiency Pattern

TCM differentiation and treatment for finger joint pain

Finger Joint Pain · Liver-Kidney Deficiency Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 6 min

Body Area: Hand


Pattern Overview

Liver-Kidney Deficiency is a chronic degenerative pattern in finger

joint pain, characterized by **degenerative arthritis, chronic ache,

weakness, and aggravation with overwork**. The core pathogenesis is

**insufficient nourishment of the finger joints by Liver Blood and

Kidney Essence**, leading to progressive joint degeneration and pain.


Key Symptoms and Differentiation Points

Differentiation Dimension Manifestations
Primary Symptoms

worse with overwork |

Associated Symptoms

dizziness, fatigue |

Tongue and Pulse

and weak pulse |

Pathogenesis

finger joints |

Etiology Aging, chronic overuse, constitutional weakness

Acupuncture Point Prescription

Point Location Function
BL23 Shenshu Lower back, 1.5 cun lateral to L2

Qi and Essence |

KI3 Taixi

tendon | Source point of Kidney meridian; nourishes Kidney Yin |

GB39 Xuanzhong 3 cun above the lateral malleolus

marrow; strengthens bones and tendons |

LI5 Yangxi On the wrist crease, radial side

Large Intestine meridian; treats wrist and finger pain |

Clinical Recommendation: Filiform needle, reinforcing method;

moxibustion may be applied to Shenshu and Taixi to warm and tonify.


Herbal Formula

Base Formula: Zuo Gui Wan (左归丸)

Composition:

Rehmannia (Shu Di), Dioscorea (Shan Yao), Cornus (Shan Zhu Yu), Goji

Berry (Gou Qi), Cuscuta (Tu Si Zi), Deer Antler Glue (Lu Jiao), Tortoise

Shell Glue (Gui Ban), Achyranthes (Niu Xi)

Action: Tonifies Kidney Yin, nourishes Liver Blood, strengthens

bones and tendons.

Modifications

Associated Symptoms Additions/Subtractions
Severe joint degeneration

|

Fatigue and weakness Add Huang Qi, Dang Shen to supplement Qi
Cold intolerance Add Rou Gui, Fu Zi to warm Yang

Western Mechanism Reference

Degenerative arthritis with cartilage erosion, bone degeneration, and

reduced joint function. Liver-Kidney Deficiency corresponds to

osteoarthritis of the finger joints, where progressive cartilage loss

leads to joint space narrowing and osteophyte formation.


References

1. Textbook Standard.

2. WHO. (2023). Musculoskeletal pain. World Health Organization.


Explore More

Personalized herbal protocols and acupressure tools for hand pain

relief.

research papers and clinical case studies on TCM joint health.


Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly

Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.