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Optic Nerve Atrophy

How Chinese medicine differentiates optic nerve atrophy — gradual vision loss where the nerve is either starved or blocked — into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Optic Neuritis page (gradual vs. sudden onset). 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. Progressive vision loss always needs ophthalmological/neurological evaluation to identify the underlying cause before assuming a simple pattern; acupuncture here supports the underlying pattern, not a substitute for that workup.
General Acupuncture Points

Acupuncture points traditionally used for optic nerve atrophy — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
BL-18Resolves Damp-Heat. Moves Liver-Qi and eliminates stagnation. Nourishes Liver-Blood.
BL-1Expels Wind. Clears Heat. Brightens the eyes.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
G.B.-37Brightens the eyes. Conducts Fire downwards.
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
L.I.-4Expels exterior Wind. Stops pain. Removes obstructions from the channel.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Lifts Spleen-Qi.
BL-2Expels Wind. Clears Heat. Brightens the eyes. Subdues Liver-Yang.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Gradual painless vision loss with normal-appearing eyes, dry blurred vision, dizziness with ringing ears, night sweats, heat in palms/soles/chest, soreness and weakness of the lower back and knees, insomnia with vivid dreams.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine and rapid, often wiry, weak at the left Chi position.
Treatment principle: Nourish Liver and Kidney Yin to restore deep ocular nourishment.
Note: no moxa. Direct match with this site's own Kidney-and-Liver-Yin-deficiency slide.

2. Qi and Blood Deficiency

Clinical manifestations: Pale or sallow complexion, fatigue and lack of energy, dizziness, heart palpitations, poor appetite, numbness or tingling in the limbs, slow painless vision dimming with a dull gaze.
Tongue: Pale body, possibly thin with teeth marks, thin white coating. Pulse: Fine and weak, especially the right Guan position.
Treatment principle: Tonify Spleen and Stomach to produce adequate Qi and Blood.
Note: moxa applicable on ST-36. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

3. Liver Qi Stagnation View full pattern →

Clinical manifestations: Vision dims or fluctuates with emotional stress, rib-side distension or pain, frequent sighing, irritability or mood swings, sensation of pressure around the eyes.
Tongue: Normal or slightly dark body with red or purple sides, thin white coat. Pulse: Wiry, especially at the left middle position.
Treatment principle: Smooth and course Liver Qi to restore unobstructed flow to the eyes.
Note: no moxa. Direct exact-name match with this site's own Liver-Qi-stagnation slide.

4. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Gradual vision dimming without redness or pain, cold hands and feet especially below the knees, chronic loose stools or early-morning diarrhea, sore cold lower back and knees, fatigue.
Tongue: Pale, swollen, puffy body with teeth marks, white slippery coating. Pulse: Deep, weak, slow, feeble at both Chi positions and right Guan.
Treatment principle: Warm and tonify Spleen and Kidney Yang.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-and-Spleen-Yang-deficiency slide.

5. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Stabbing fixed pain around the eye or orbit, vision loss following head or eye trauma, dark or purplish complexion and lips, irritability and emotional tension.
Tongue: Dark purple body with stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorate Blood and dissolve stasis to restore microcirculation to the optic nerve.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide via the established discoloration-marker rule.
Related conditions

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