Acupuncture is believed to increase blood pressure in people who struggle with low blood pressure. This is a common problem facing people with heart failure, and sometimes these people need to take medications to artificially increase their blood pressure. This study is designed to determine if using acupuncture in people with heart failure can improve their blood pressure enough to not require medications to artificially increase blood pressure.

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

Patient receives true or sham acupuncture, and patient is unaware of treatment assignment. Acupuncturist is aware of treatment assignment, as is the statistician who is aware of randomization assignment but not involved otherwise in the execution of clinical trial. Investigators, medical assistants, and patients' physicians are unaware of treatment assignment.