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Paralysis

How Chinese medicine differentiates general paralysis into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Post-Stroke Rehabilitation and Muscle Atrophy pages. 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. Sudden or new paralysis is a medical emergency — seek immediate care to rule out stroke or spinal cord injury. This page addresses ongoing supportive care once the cause has been medically diagnosed.
General Acupuncture Points

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

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
L.I.-4Expels exterior Wind and releases the Exterior. Promotes the diffusing of Lung-Qi, regulates the Defensive Qi and sweating. Stops pain.
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. Wind-Phlegm

Clinical manifestations: Sudden unilateral paralysis; severe dizziness; copious white frothy sputum; slurred speech; a rattling throat; numbness or tingling.
Tongue: Normal or pale, swollen, white greasy coating. Pulse: Wiry and slippery.
Treatment principle: Scours Phlegm and opens the orifices while calming internal Wind to restore channel patency.
Note: no moxa. This site's decks have no Wind-Phlegm slide, confirmed absent — no pattern link is given here.

2. Qi and Blood Deficiency

Clinical manifestations: Gradual, progressive weakness; deep fatigue; shortness of breath on exertion; a pale complexion; dizziness when standing; heart palpitations; poor sleep; spontaneous sweating.
Tongue: Pale, thin or teeth-marked, thin white coating. Pulse: Fine and weak, lacking force.
Treatment principle: Tonifies both Qi and Blood simultaneously to rebuild foundational nourishment for muscle and sinew function.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

3. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain in the paralyzed area, worse at night and with rest; dark or purplish lips and nails; a dusky complexion; dark under-eye circles; a history of trauma or surgery preceding the paralysis.
Tongue: Purple or dusky with stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorates Blood circulation and dissolves stasis to unblock the channels and restore nutrient delivery to the limbs.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.

4. Phlegm-Heat in the Middle Burner

Clinical manifestations: Limb heaviness with paralysis; constipation; epigastric bloating; a thick, yellow, greasy tongue coating; a bitter taste; irritability.
Tongue: Red, swollen, thick yellow greasy coating at the centre. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and transforms Phlegm while harmonizing the Stomach to restore downward Qi flow through the channels.
Note: no moxa. This site's decks have no Phlegm-Heat-in-the-Middle-Burner slide — no pattern link is given here.

5. Wind-Cold-Damp

Clinical manifestations: Painful stiffness improving with warmth, worse in cold, damp or windy weather; limb heaviness and aching; numbness or tingling; aversion to cold and wind.
Tongue: Pale or slightly swollen, white greasy coating, moist surface. Pulse: Moderate or soggy, may be tight if Cold predominates.
Treatment principle: Dispels external Wind-Cold-Damp while tonifying Qi and invigorating Blood to reopen obstructed channels.
Note: moxa is strongly indicated. This site's decks have no Painful-Obstruction/Bi-syndrome slide, confirmed absent again — no pattern link is given here.
Related conditions

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