Inclusion Criteria:  Age greater than or equal to 18 years old Chronic congestive heart failure (systolic or diastolic) Medication list includes midodrine or fludrocortisone, either taking as scheduled or as needed  Exclusion Criteria:  History of acupuncture of any kind in the last 3 months Acute decompensated heart failure, as indicated by clinical picture at time of enrollment Currently on a mechanical device (LVAD, TAH, ECMO) History of hepatorenal syndrome, adrenal insufficiency, for which midodrine and fludrocortisone respectively is specifically being used to treat that condition Lack of suitable locations for which to place acupuncture seeds