Acupuncture for Oedema (Fluid Retention)
By Dr (TCM) Attilio D'Alberto | Traditional Chinese Medicine Practitioner, Wokingham
Oedema — swelling caused by excess fluid accumulating in the tissues — affects the legs, ankles, and feet most commonly, though it can also present in the face, hands, and abdomen. While medical causes (heart failure, kidney disease, venous insufficiency, lymphoedema) must be excluded, many cases of fluid retention reflect functional imbalances in fluid metabolism that respond well to traditional Chinese medicine.
TCM Understanding
Fluid metabolism in TCM is governed by three organ systems: the lungs (which regulate the water passages and direct fluid downward), the spleen (which transforms and transports fluids), and the kidneys (which control fluid excretion and the transformation of fluids in the lower burner). When any of these systems is deficient, fluid accumulates as dampness or oedema. Spleen qi deficiency is the most common pattern for generalised dampness and pitting oedema. Kidney yang deficiency produces non-pitting oedema particularly in the lower limbs and is associated with cold, fatigue, and frequent urination. Liver qi stagnation impairs fluid circulation and contributes to premenstrual and perimenopausal fluid retention.
Treatment
Acupuncture points that strengthen the spleen and drain dampness — including SP 9 (Yinlingquan), SP 6 (Sanyinjiao), and ST 36 (Zusanli) — are central to treatment. For kidney yang deficiency, BL 23 (Shenshu), KD 3 (Taixi), and moxibustion at CV 4 (Guanyuan) warm and tonify the kidney. Chinese herbal formulas including Wu Ling San and Zhen Wu Tang address the specific patterns. I prescribe pharmaceutical-grade granules from Sun Ten in Taiwan.
To discuss oedema or fluid retention, contact me or book a consultation in Wokingham.
