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Insulin Resistance

How Chinese medicine differentiates insulin resistance, the five patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs, and only as supportive care alongside medical metabolic management.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Insulin resistance needs medical monitoring (blood work, blood pressure) and often medication; acupuncture here is supportive lifestyle-pattern care, not a substitute for that management.
General Acupuncture Points

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

PointKey action
ST-36Tonifies Qi, strengthens Spleen and Stomach.
SP-6Regulates the Spleen, resolves Dampness, nourishes Yin.
BL-20Directly strengthens Spleen function, resolves Dampness.
SP-9Major point for draining Dampness.
ST-44Clears Stomach Heat.
ST-40Transforms Dampness and Phlegm.
LR-3Spreads Liver-Qi, calms the Mind, invigorates Blood.
LR-2Clears Liver-Fire and Heat.
BL-23Tonifies Kidney-Qi, strengthens the lower back.
Ren-6Fortifies Original Qi, warms the Lower Burner.
KI-3Tonifies Kidney-Yin, anchors fluids.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency with Dampness

Clinical manifestations: Abdominal bloating worse after eating; loose or unformed stools; a heavy, dragging sensation in the limbs; a sticky or sweet taste in the mouth; poor appetite and fatigue.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed, soft and lacking force, especially at the right Guan position.
Treatment principle: Strengthen Spleen-Qi, drain Dampness, restore digestive transport function.
Note: moxa applicable on the Tonify points. This pattern has no explicit Cold marker, so it is not linked to this site's \"Cold-Dampness invading the Spleen\" slide — no pattern link is given here.

2. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: A bitter or sticky taste; upper abdominal bloating and fullness; sticky, incomplete stools; thirst with little desire to drink; a heavy, foggy head sensation; dark yellow, scanty urine.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating especially at the centre and root. Pulse: Soggy, rapid, often slippery, most noticeable at the right Guan position.
Treatment principle: Clear Heat and drain Dampness, regulate Qi, harmonize Middle-Burner digestion.
Note: no moxa. Direct match with Damp-Heat in the Stomach.

3. Liver Qi Stagnation with Spleen Qi Deficiency that Transforms into Heat

Clinical manifestations: Distending or wandering rib-side pain, worse with stress; bloating and loose stools after meals; irritability and a quick temper; a bitter taste; frequent sighing; a heat sensation in the chest or face.
Tongue: Red body with redder sides, teeth marks, thin to moderately thick yellow, slightly greasy coating. Pulse: Wiry and rapid, especially wiry at the left Guan position.
Treatment principle: Soothe Liver-Qi, strengthen the Spleen, clear stagnant Heat.
Note: no moxa. No deck on this site has a triple-combined Liver-Qi-stagnation-with-Spleen-Qi-deficiency-transforming-into-Heat category, so no pattern link is given here.

4. Spleen and Kidney Qi Deficiency

Clinical manifestations: Lower back and knee soreness/weakness; frequent urination, especially at night; cold hands and feet; chronic fatigue and low stamina.
Tongue: Pale and swollen with tooth marks, white moist or slippery coating. Pulse: Deep, weak, fine; especially weak at the right Guan and both Chi positions.
Treatment principle: Warm Yang, tonify Qi, strengthen the Spleen-Kidney foundation.
Note: moxa applicable. No deck on this site combines Spleen and Kidney Qi deficiency into one slide, so no pattern link is given here.

5. Qi and Yin Deficiency

Clinical manifestations: Persistent fatigue and weakness; a dry mouth with little desire to drink; night sweats; a warm sensation in the palms, soles, and chest; shortness of breath on exertion; heart palpitations.
Tongue: Red or pale-red body with thin or absent coating, dry surface, possibly cracked. Pulse: Fine and weak, often rapid.
Treatment principle: Nourish Qi and Yin, generate fluids, strengthen the body's energy reserves.
Note: no moxa (Yin deficiency present). No deck on this site combines Qi and Yin deficiency into one slide, so no pattern link is given here.
Related conditions

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