Diplopia case; what to do? Any suggestions

remember in TCM the liver opens to the eyes. Diplopia could occur due to weak liver yin and or blood failing to hold the liver yang; in the case of the eyes the relative excess of the yang there could account for the double vision.

I’d suggest a treatment that focuses on both liver yin and blood. Points I’d recommend; LV 8 (liver yin), LV 6 (liver blood), UB 2 and/or UB 3 (local points), [SP 3, SP 6, ST 36] for spleen def. In our system we use here I’d also use T9 (liver) and C3 (eyes).

My approach would be to try working on the liver yin/blood first, if that doesn’t yield results maybe then focus more on the possibility of it being local/neurological. in that case I’d suggest scalp acupuncture (sensory and vision areas) along with a few local points by the eyes.

In addition to what @stephen stated the most important points of our system would be to add GV 17, and UB 9 on both sides (visual cortex of the brain) and then either both GB 15 and GB 16 (areas along the optic tract) or choose an area in that area that is pressure sensitive (i.e. “ashi” point). Strong tuina in the neck generally and along the scm (just slightly behind it) - “window of the sky points” would also be important.

Local points will be mixed results, but the points above on the scalp should work well. I’ve treated cases like this from simple bumps on the occiput that patients didn’t even remember doing initially (so light taps) as well as hard falls in the area which were often accompanied by blood pressure changes along with the visual issues. As for the others, use something that drains some heat from the eyes. Maybe something simple like the Yang Wei Dai Mai EV points (TH 5 and GB 41).

Keep in mind that not everything is tied to an underlying diagnosis, particularly when something comes out of the blue following some sort of activity. Not that you shouldn’t focus on the underlying issues, but they are not always the answer in acute situations. It would be nice if we are all that straightforward