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Hemiplegia

How Chinese medicine differentiates one-sided paralysis into the 5 patterns you'll actually meet in practice, and the points for each. Distinct from this site's general Paralysis page. Acupuncture only — no herbs.

Sudden one-sided weakness is a medical emergency (a possible stroke) — call emergency services immediately. Acupuncture has a role only in supervised rehabilitation afterward, never in the acute event.
General Acupuncture Points

Acupuncture points traditionally used for hemiplegia — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Deficiency causing Blood Stagnation

Clinical manifestations: Flaccid limb weakness, fatigue, a dusky complexion, numbness, spontaneous sweating with exertion.
Tongue: Pale-dark or pale-purple with stasis spots and teeth marks, thin white coat. Pulse: Deep, fine or weak, choppy.
Treatment principle: Powerfully tonify Qi and activate Blood circulation through the obstructed channels.
Note: Confirmed absent again: no deck on this site names a Qi-Deficiency-causing-Blood-Stagnation category on its own (also confirmed absent this session in Stabbing Fixed Pain).

2. Yin and Blood Deficiency

Clinical manifestations: Spastic paralysis with muscle tightness, muscle wasting, dry mouth and throat, night sweats, five-centre heat, dizziness.
Tongue: Pale to pale-red, thin, dry with cracks, scanty coating. Pulse: Fine and rapid, weak at the Liver and Kidney positions.
Treatment principle: Nourish Yin and Blood to moisten and relax the sinews.
Note: Confirmed absent again: standalone combined Yin-and-Blood-Deficiency has no matching deck slide on this site.

3. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: One-sided limb weakness or spasticity, dizziness with tinnitus, dry eyes, sore weak lower back, night sweats with heat.
Tongue: Red, thin with cracks, little or no coating. Pulse: Fine, rapid, wiry, weak Kidney position.
Treatment principle: Nourish Yin, subdue Liver-Yang, and extinguish internal Wind.

4. Wind-Phlegm

Clinical manifestations: Sudden one-sided weakness, a heavy or numb sensation, slurred speech, copious white frothy sputum, dizziness.
Tongue: Normal or slightly pale, swollen with teeth marks, white greasy coating. Pulse: Wiry and slippery.
Treatment principle: Dispel Wind and transform Phlegm to reopen the obstructed channels.
Note: Confirmed absent again: this site's own Paralysis page leaves the identically-named pattern unlinked for the same reason — no deck slide names Wind-Phlegm on its own.

5. Heart and Spleen Deficiency

Clinical manifestations: Flaccid weakness, palpitations, insomnia, poor appetite with bloating, fatigue, a pale complexion, loose stools.
Tongue: Pale, tender with teeth marks, thin white coating. Pulse: Fine, weak, weak Heart and Spleen positions.
Treatment principle: Build Blood and strengthen Spleen-Qi to restore limb nutrition and mental resilience.
Note: No deck on this site combines Heart-and-Spleen deficiency as a single named pattern, consistent with this site's own Alcoholism and Nocturnal Emission pages, so no pattern link is given here.
Related conditions

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