Conditions

Stroke and neurology

xǐng nǎo

Recovery after a stroke, neuropathy, Bell's palsy, vertigo, tremor and the after-effects of concussion. Needling and movement are planned together, alongside your neurologist and therapy team.

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Where people often start

Two lenses, one plan

Here the Western lens leads, with the classical lens alongside.

The Western lensAnatomy, physiology, biomechanics

The brain, the nerves and recovery

After a stroke, a concussion or a nerve injury, the nervous system can partly reorganize, routing function through tissue that was not damaged. That capacity seems to respond to repeated, specific input, which is why needling and movement are planned together here.

Scalp acupuncture
Needles are placed along zones of the scalp that lie over areas of the brain, such as the motor, sensory, speech, balance and visual areas, chosen for the deficits you have. It is thought to add input to those areas while you move.
Electro-acupuncture
When appropriate, a gentle current between selected needles stimulates weak muscles and the nerves that supply them more steadily than the needle alone.
Movement rehab
Movement rehab is done here, in the office, often while the scalp needles are in, so the input reaches the limb that needs it. You leave with exercises to practice at home between visits.
Peripheral nerves
Neuropathy is damage to the nerves of the hands and feet, felt 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.
Warning signs
A new facial droop, arm weakness, trouble speaking or sudden vision loss is an emergency. Call 911 first. Acupuncture is never acute stroke care.

The classical lensChannels, patterns, the five phases

Wind-strike, and the sea of marrow

Classical medicine names stroke wind-strike, 中風: wind and phlegm block the channels at onset, and afterward the remaining deficits are read as qi and blood that no longer reach the limbs. The brain is the sea of marrow, filled by the Kidney, which is part of the long-term reading.

Xing Nao Kai Qiao, 醒腦開竅
The name means awaken the brain and open the orifices. It is a stroke acupuncture system developed in Chinese hospital practice around a core set of points, and in classical terms it aims to open the orifices of the mind and move qi and blood to the limbs.
Bi and Wei
Neuropathy is read as two problems layered together: Bi, obstruction, is why qi and blood stop reaching the hands and feet, and Wei, atrophy, is the weakness and thinning that follow, usually with the Liver and Kidney depleted underneath.
Channel or organ
The classics separate strokes that strike the channels, affecting the limbs and face, from those that reach the organs and affect consciousness and speech. The distinction shapes which points lead.

How we work: one plan

After a stroke we combine scalp acupuncture, the Xing Nao Kai Qiao stroke system and electro-acupuncture when appropriate, with movement rehab in the office and exercises to take home. Neuropathy and other nerve conditions add acupuncture, distal Master Tung's points and herbs for the pattern. Your neurologist and therapy team stay in charge of your medical care, and we do not promise a recovery or a timeline.

Stroke recovery

After a stroke we combine scalp acupuncture with the Xing Nao Kai Qiao (醒腦開竅) stroke acupuncture system and electro-acupuncture when appropriate, with movement rehab done in the office and exercises to take home. The work belongs to the rehabilitation phase, alongside your neurologist and therapy team, and many people come to us when progress in therapy has slowed. Stroke recovery and speech after stroke have their own pages.

A new facial droop, arm weakness or trouble speaking is an emergency. Call 911 first.

Neuropathy and other nerve conditions

For peripheral neuropathy, Bell's palsy and the after-effects of concussion, we use acupuncture and electro-acupuncture, with scalp acupuncture where the brain is involved and distal Master Tung's points. Classical medicine reads neuropathy as obstruction and atrophy layered together, Bi and Wei, with the Liver and Kidney at the root.

Vertigo, tinnitus, tremor and memory changes are read the same careful way: what your neurologist has found first, then the pattern underneath, so the plan follows both.

Alongside your neurologist

This is supportive care. Your neurologist and therapy team stay in charge of your medical care, and their reports are part of the plan from the first visit. Vision changes that start in the nerves, such as optic neuritis or field loss after a stroke, are read with our vision care as well.

Questions people ask

Can acupuncture help after a stroke?

Stroke care here belongs to the rehabilitation phase, after hospital care, and works alongside your neurologist and therapy team. We cannot promise a recovery or a timeline. What we can do is tell you what we find, plan needling and movement together, and review progress with you against what you and your team measure.

What happens in a stroke visit?

Scalp acupuncture over the areas of the brain involved, the Xing Nao Kai Qiao points and electro-acupuncture when appropriate, often with movement rehab done in the office while the needles are in. You leave with exercises to practice at home between visits.

I take blood thinners. Is that a problem?

Tell us at the first visit. Needling technique is adjusted, and every herbal formula is checked against your medications, blood thinners above all. We never ask you to change a prescription.

How often are visits?

Neurological work usually starts with a more frequent course of visits, then spaces out. We set the plan with you at the first visit and review it as we go.

Should I bring my records?

Yes, please. Imaging, discharge summaries and notes from your neurologist and therapists help us understand where you are starting from.

This is general wellness information, not medical advice.

11 conditions in stroke and neurology

Each page reads the condition through both lenses. Not sure which fits? Search all 108 conditions.

Brain, nerves and stroke

About this group
  • Stroke recovery
  • Neuropathy
  • Concussion
  • Bell's palsy
  • Speech after stroke
  • Parkinson's disease
  • Memory loss
  • Vertigo
  • Tinnitus
  • Restless legs
  • Nerve pain

From the journal

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