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 DimensionManifestations
Primary SymptomsChronic aching pain in finger joints, weakness, worse with overwork
Associated SymptomsSoreness in the lower back and knees, dizziness, fatigue
Tongue and PulsePale red tongue with little coating, thready and weak pulse
PathogenesisLiver-Kidney deficiency failing to nourish the finger joints
EtiologyAging, chronic overuse, constitutional weakness

Acupuncture Point Prescription

PointLocationFunction
BL23 ShenshuLower back, 1.5 cun lateral to L2Tonifies Kidney Qi and Essence
KI3 TaixiDepression between medial malleolus and Achilles tendonSource point of Kidney meridian; nourishes Kidney Yin
GB39 Xuanzhong3 cun above the lateral malleolusBenefits the marrow; strengthens bones and tendons
LI5 YangxiOn the wrist crease, radial sideSource point of 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 SymptomsAdditions/Subtractions
Severe joint degenerationAdd Du Zhong, Xu Duan to strengthen bones
Fatigue and weaknessAdd Huang Qi, Dang Shen to supplement Qi
Cold intoleranceAdd 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

  • Find your solution at MendGod.com – Personalized herbal protocols and acupressure tools for hand pain relief.
  • Deepen your knowledge at TcmCIO.com – Full research papers and clinical case studies on TCM joint health.