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Eye Fatigue

How Chinese medicine differentiates eye fatigue — distinct from Dry Eyes and Drooping Eyelids (Ptosis) already covered — the five 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. Eye fatigue with sudden vision loss, flashing lights, or a curtain across the visual field needs urgent medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for eye fatigue — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-18Tonifies Liver-Blood directly at the back-shu point.
SP-6Nourishes Blood and Yin, harmonizes Liver, Spleen and Kidney.
BL-1Local point, brightens the eyes.
LR-8Nourishes Liver-Yin and cools Empty-Heat.
KI-3Tonifies Kidney-Yin to support Liver-Yin and moisten the eyes.
LR-3Subdues Liver-Yang, nourishes Liver-Yin.
ST-36Tonifies Spleen and Stomach to generate Qi and Blood.
BL-20Back-Shu point, directly boosts Spleen-Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver-Blood Deficiency View full pattern →

Clinical manifestations: Dry, tired eyes worsening with reading or screen use, blurred vision or difficulty focusing, pale complexion, brittle ridged nails, scanty pale menstrual flow, vivid dreaming and restless sleep.
Tongue: Pale body, thin and slightly dry, thin white coating. Pulse: Fine and choppy, often wiry at left Guan.
Treatment principle: Nourish Liver-Blood to restore the eyes' primary source of nourishment and moisture.
Note: moxa applicable on tonifying points. Direct match with this site's own Liver-Blood-deficiency slide.

2. Liver-Yin Deficiency View full pattern →

Clinical manifestations: Dry, gritty, sandy sensation in the eyes, dull burning ache behind the eyes, blurred vision worsening with eye use, night sweats or afternoon low-grade fever, heat in palms, soles and chest.
Tongue: Red, thin body with redder sides, dry surface, little or no coating. Pulse: Wiry, fine and rapid.
Treatment principle: Nourish Liver-Yin fluids to restore the eyes' natural lubrication and cool the Empty-Heat.
Note: no moxa given the Empty-Heat. Direct match with this site's own Liver-Yin-deficiency slide.

3. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Dry eyes with blurred vision, soreness and weakness of the lower back and knees, tinnitus and dizziness, night sweats with heat in palms, soles and chest.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine, rapid and wiry, weak at left Chi.
Treatment principle: Nourish the foundational Kidney and Liver Yin to restore deep moisture and essence supporting eye health.
Note: no moxa. Direct match, reusing the well-established Kidney-and-Liver-Yin-deficiency slide.

4. Qi and Blood Deficiency

Clinical manifestations: Eye fatigue worsening with prolonged use and improving with rest, persistent fatigue, pale or sallow complexion, shortness of breath on exertion, poor appetite, heart palpitations.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, lacking force.
Treatment principle: Tonify Qi and Blood together, strengthening the Spleen to restore the energy needed to power the eye muscles.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

5. Spleen-Qi Deficiency View full pattern →

Clinical manifestations: Eyes feel heavy and want to close, eye fatigue worsens after meals, bloating and loose stools, general body heaviness and low energy, pale puffy face.
Tongue: Pale, puffy, tender with teeth marks, thin white coating. Pulse: Soft and weak, especially at right Guan.
Treatment principle: Strengthen Spleen-Qi to restore the energy production needed to power the eye muscles and sustain focus.
Note: moxa applicable throughout. Direct match with this site's own Spleen-Qi-deficiency slide.
Related conditions

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