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Transient Ischemic Attack (TIA)

How Chinese medicine differentiates transient ischemic attack — distinct from Post-Stroke Rehabilitation and Seizures 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. A TIA ("mini-stroke") is a medical emergency even though symptoms resolve on their own — it is a strong warning sign for a full stroke and needs immediate medical evaluation (imaging, blood pressure and clotting work-up) before anything else; acupuncture here is supportive alongside that care during recovery, never a substitute for emergency assessment.
General Acupuncture Points

Acupuncture points traditionally used for TIA — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
G.B.-20Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang. Benefits the Brain.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
ST-40Resolves Phlegm and Dampness. Calms the Mind.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
ST-25Regulates the Intestines. Clears Heat in the Stomach and Intestines.
DU-16Extinguishes interior Wind. Expels exterior Wind. Nourishes Marrow and benefits the Brain.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Resolves Dampness.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
REN-6Tonifies Qi and Yang. Raises sinking Qi. Tonifies Original Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Wind Agitating Internally due to Liver-Yang Rising View full pattern →

Clinical manifestations: Severe dizziness with a falling sensation, tremors, throbbing headache with a stiff neck, irritability, flushed face and red eyes.
Tongue: Red body, stiff or trembling, possibly deviated, thin yellow coating. Pulse: Wiry, fine, possibly rapid.
Treatment principle: Calm the Liver and extinguish Wind, subdue Liver-Yang, clear Heat.
Note: no moxa. Matched to this site's own Liver-Fire-generating-Wind slide — tremor plus irritability plus flushed face/red eyes plus Red tongue is its own diagnostic tip, the same rule already used for Muscle Spasm, Hand Tremor and Seizures.

2. Wind-Phlegm

Clinical manifestations: Sudden numbness or tingling in the hands/feet, slurred speech, severe dizziness or vertigo with a heavy headache, white frothy sputum, chest stuffiness, heaviness in the body/limbs.
Tongue: Slightly pale, swollen with teeth marks, white greasy coating. Pulse: Wiry and slippery.
Treatment principle: Transform Wind-Phlegm and stop spasms, strengthen the Spleen and resolve Dampness, calm the Liver.
Note: no moxa except on ST-36. This site has no standalone Wind-Phlegm slide anywhere in its decks (confirmed again here, after Seizures), so no pattern link is given; points still link fine individually.

3. Phlegm-Heat View full pattern →

Clinical manifestations: Thick yellow sticky phlegm, foul breath, constipation, chest fullness or nausea, irritability, transient dizziness or slurred speech triggered by heavy meals.
Tongue: Red, swollen body with thick yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Heat, transform Phlegm, purge the bowels to drain turbidity downward.
Note: no moxa. This site's Stomach deck explicitly names its Stomach-Heat slide \"Stomach-Heat (or Phlegm-Heat)\" with its own Phlegm-Heat variant adding chest/epigastric oppression and foul breath — a direct match.

4. Empty-Wind Agitating in the Interior

Clinical manifestations: Hand or foot trembling, deep fatigue, dry mouth and throat, dizziness, night sweats, heat in the palms and soles, sudden transient weakness.
Tongue: Crimson, thin, dry, cracked, mirror-like with little coating, may tremble. Pulse: Fine and rapid, wiry at the left guan, weak when pressed.
Treatment principle: Nourish Yin and subdue Yang, especially when Yin deficiency is prominent with severe dizziness.
Note: no moxa given the Yin deficiency. This severe deficiency-driven \"Empty-Wind\" picture (mirror tongue, no headache or dry eyes) does not cleanly match any of this site's three Liver-Yang-rising-generating-Wind subpatterns, which each require their own specific companion signs — a new confirmed-absent category rather than a forced fit. No pattern link is given here; points still link fine individually.

5. Qi Deficiency Causing Blood Stagnation View full pattern →

Clinical manifestations: Persistent fatigue, dull or dusky facial complexion, limb numbness/heaviness/transient weakness, shortness of breath, fixed stabbing pain worsening with pressure, dizziness.
Tongue: Pale-dark or pale-purple, possible stasis spots, teeth marks, thin white coat. Pulse: Deep, fine/weak, choppy.
Treatment principle: Tonify Qi, invigorate Blood and dispel stasis, unblock the channels and collaterals.
Note: moxa applicable on the tonifying points. Despite its deficiency framing, the source's own \"fixed stabbing pain\" and stasis-spot/dusky-complexion markers are genuine stasis signs, so this is linked to this site's Liver-Blood-stasis slide, extending the same discoloration-marker rule used for Cold Hands and Tonsillitis.
Related conditions

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