Which acupuncture points are used for cerebral infarction?

Ischemic stroke is a condition that cannot be completely cured and significantly impacts patients’ lives. Early diagnosis is crucial, as earlier treatment leads to fewer complications and sequelae. Diagnosis of ischemic stroke relies on clinical symptoms, imaging studies (e.g., CT or MRI), and blood tests.

Which Acupuncture Points Are Used for Ischemic Stroke?

The selection of acupuncture points for ischemic stroke depends on the specific location and extent of the cerebral infarction. For patients presenting with motor deficits (e.g., limb weakness or paralysis), aphasia, or dysphagia, acupoint selection should be individualized—adding or omitting points based on the patient’s specific functional impairments. For example, in cases of hemiparesis or lower-limb weakness, points along the Yangming and Shaoyang meridians are primarily selected. In patients with central facial palsy, facial acupuncture is performed at points such as Dicang (ST4), Jiache (ST6), and Taiyang (EX-HN5). For dysphagia, key points include Jinjin (EX-HN12) and Yuye (EX-HN13), as well as Lianquan (CV23). In cases of aphasia, scalp acupuncture over the speech area—or needling of points such as Tongli (HT5)—may be employed.

During acupuncture treatment, if the patient retains some voluntary limb movement, it is recommended to perform “moving scalp acupuncture”—i.e., encouraging active movement of the affected limbs immediately after scalp needle insertion. This approach enhances functional recovery. Additionally, as symptoms improve, some patients may experience heightened pain sensitivity or even hyperalgesia. Importantly, repeated stimulation of the same acupoint should be avoided. Instead, back-shu points (e.g., Bladder Meridian points) may be stimulated alternately in lateral and supine positions to prevent acupoint fatigue and maintain therapeutic efficacy.

In daily life, patients should adhere to a regular, balanced diet—avoiding spicy, stimulating, or overly rich foods, refraining from binge eating, and ensuring adequate sleep to avoid staying up late. We hope this information proves helpful.