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Diabetic Neuropathy

How Chinese medicine differentiates diabetic neuropathy (a complication of Wasting-Thirst disease), the four patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Blood sugar control and medical monitoring of neuropathy remain essential; acupuncture is supportive care alongside that management, not a replacement for it.
General Acupuncture Points

Acupuncture points traditionally used for diabetic neuropathy — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
P-6Opens the chest, moves Qi and Blood, calms the Mind.
Ren-6Tonifies Qi and Yang, raises sinking Qi.
L.I.-4Removes obstructions from the channel, stops pain.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
SP-6Strengthens the Spleen, resolves Dampness, nourishes Blood and Yin.
KI-3Tonifies the Kidneys (Yin and Yang), benefits Essence.
L.I.-11Clears Heat and cools Blood, resolves Dampness.
T.B.-5Expels Wind-Heat, removes obstructions from the channel.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
ST-40Resolves Phlegm and Dampness.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Deficiency causing Blood Stagnation

Clinical manifestations: Fixed stabbing pain that worsens at rest; numbness and tingling in the limbs; severe fatigue and shortness of breath; dull or dusky facial complexion; spontaneous sweating with mild activity.
Tongue: Pale-dark body with stasis spots. Pulse: Deep, weak, choppy.
Treatment principle: Tonify Qi and invigorate Blood circulation to restore flow through obstructed channels.
Tonify Qi
Invigorate Blood
Note: moxa applicable on the Tonify-Qi points. No deck on this site combines Qi deficiency with Blood stagnation into one slide, so no pattern link is given here.

2. Yin Deficiency

Clinical manifestations: Burning or stabbing pain in the limbs, worse at night; five-center heat (palms, soles, chest); dry mouth and throat; night sweats; constipation.
Tongue: Red, thin body with cracks, little coating. Pulse: Fine and rapid.
Treatment principle: Nourish Yin fluids and calm the Empty-Heat driving nighttime discomfort.
Clear Heat
Note: no moxa. This site's Yin-deficiency slides are all organ-specific (Kidney, Stomach, Liver) rather than a generic limb-pain Yin deficiency, so no pattern link is given here.

3. Cold Invading the Channels

Clinical manifestations: Sharp, fixed pain in the limbs, worse with cold, better with warmth; limbs feel cold to the touch; numbness in hands and feet; stiffness and limited range of motion.
Tongue: Pale body, thin white moist coat. Pulse: Tight, deep, often wiry or choppy.
Treatment principle: Warm the channels, disperse Cold obstruction, and nourish Blood circulation.
Warm and disperse Cold
Warm the root
Note: moxa applicable throughout. No deck on this site has a generic \"Cold invading the channels\" limb pattern (only organ- or region-specific Cold entries exist), so no pattern link is given here.

4. Phlegm in the Channels

Clinical manifestations: Heavy numbness or a \"cotton-walking\" sensation in the feet; sticky taste in the mouth and chest tightness; overweight body type; fixed, deep, stabbing pain that feels heavy.
Tongue: Purple or dark, swollen with teeth marks, white thick greasy coating. Pulse: Deep, either slippery or choppy.
Treatment principle: Dry Dampness, transform Phlegm obstruction, and invigorate Blood stasis.
Resolve Phlegm
Support Spleen
Note: no moxa. No deck on this site has a generic \"Phlegm in the channels\" limb pattern, so no pattern link is given here.
Related conditions

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