“雪中送炭”and"锦上添花"both mean: make sb./sth. to be better by giving help or something useful.
the difference is that the receiver in "雪中送炭" are very helpless, poor, even can't live without the help.
the receiver in "锦上添花" , they have done something good, but they would become better after getting other's help or advice.
For example: 小明收到好心人的捐赠,可以支付他爸爸的医药费了,这真是雪中送炭啊。
他本来就擅长医术,又学习了心理学,这真是锦上添花啊。