ConditionsBrain, nerves and stroke

Neuropathy and neurological conditions

For numb, burning or weak hands and feet, and for the other nerve and brain conditions we see. Supportive care read through two lenses, alongside your neurologist and primary physician.

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Read through

Two lenses, one plan

Water 水 is the phase it is most often read through. Here the Western lens leads, with the classical lens alongside.

The Western lensAnatomy, physiology, biomechanics

Nerves that have been injured

Peripheral neuropathy is damage to the nerves, usually felt first in the feet and hands as numbness, tingling, burning or weakness. Conventional care slows or manages it and rarely restores the nerve, which is often when people look for supportive care.

Peripheral nerves
Electro-acupuncture is thought to stimulate nerves and muscles more steadily than the needle alone, which is why it is often part of neuropathy care.
After concussion
Headache, dizziness, fog, light and sound sensitivity, poor sleep and mood changes can cluster together after a concussion even when imaging is normal. The neck muscles, the suboccipitals, sternocleidomastoid and scalenes, and the jaw are treated as part of that care.
Bell's palsy
A sudden facial droop has to be checked for stroke first. Once Bell's palsy is confirmed, treatment usually starts gently and becomes stronger later in the course.

The classical lensChannels, patterns, the five phases

Bi and Wei

Neuropathy is read as two problems layered together. Bi, obstruction, is why qi and blood stop reaching the hands and feet. Wei, atrophy, is the weakness and thinning that follow. Underneath both, the Liver and Kidney are usually depleted.

Bell's palsy
Read as wind lodging in the Yangming and Shaoyang channels of the face.
After concussion
Brain injury is read by pattern: some cases look autonomic, with a racing heart or dizziness on standing; some are Shaoyang headaches at the sides of the head; some are a heavy fog from middle qi that cannot rise.

Patterns we often see

  • Blood stasis obstructing the channels yū xuè zǔ luò 瘀血阻絡
  • Qi and blood deficiency qì xuè liǎng xū 氣血兩虛
  • Liver and Kidney depletion gān shèn kuī xū 肝腎虧虛
  • Damp obstructing the channels shī zǔ jīng luò 濕阻經絡

Patterns are examples of how this is often read, never a diagnosis. Yours is read at your visit.

How we work: one plan

Acupuncture and electro-acupuncture, with scalp acupuncture where the brain is involved, distal Master Tung's points, movement work in the office with exercises to take home, and herbs for the pattern. We work alongside your neurologist, and we do not promise that damaged nerves will recover.

What peripheral neuropathy is

Peripheral neuropathy means the long nerves that run out to the hands and feet are not carrying their signals well. It usually starts at the tips: toes that feel wrapped in cotton, soles that burn under the covers at 2 am, pins and needles, a grip that drops things, balance that gets less reliable on uneven ground. Diabetes is a common cause. Chemotherapy, autoimmune disease, alcohol, low vitamin B12 and spinal conditions are others, and sometimes no cause is found. Your physician or neurologist leads the workup and the medical management.

Numbness, burning or weakness?

How it feels shapes the plan. A mostly sensory neuropathy (numbness, burning, crawling) is planned differently from one with weakness or thinning muscles. Pain that shoots down one leg from the back is often a different problem, covered under nerve pain. Temperature matters too: feet that feel icy but look normal, feet that burn at night, and feet that are worse in damp weather each point toward a different classical pattern.

Some changes need your physician promptly: weakness spreading over days, numbness climbing the legs quickly, new loss of bladder or bowel control (get emergency care first), or a foot wound that is not closing.

How we work with it

Most visits combine body acupuncture with electro-acupuncture along the affected limbs, and distal Master Tung's points when the feet are too tender to needle. Moxibustion is added when the pattern runs cold, and herbs are chosen for the pattern and checked against your medications.

What we track together is concrete: how far up the foot the numbness reaches, how often burning wakes you, how long you can stand on one leg, whether buttons are getting easier.

Other neurological conditions have their own pages, among them Bell's palsy, concussion and brain injury and stroke recovery. The whole group is under brain, nerves and stroke.

Questions people ask

Can acupuncture help peripheral neuropathy?

Acupuncture and electro-acupuncture are studied as supportive care for neuropathy, and research is ongoing. Many people come for the burning, the night pain and the unsteady feet. We cannot promise that damaged nerves will recover, and we track what changes with you rather than predicting it.

My feet are too sore to touch. Will you needle them?

Not if they are too tender. Master Tung's points on the forearms, hands and lower legs let us work at a distance, and local needling is added only when your feet can tolerate it.

My neuropathy came from chemotherapy. Can I still come in?

Yes, as supportive care alongside your oncology team. Tell them you are having acupuncture, and any herbs are used only with their knowledge, because of possible interactions with your treatment.

Will I need to stop my nerve pain medication?

No. We never ask you to change a prescription. Any change to your medication is a conversation for you and the physician who prescribed it.

From the journal

This is general wellness information, not medical advice.

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