Eye Strain Headache · Liver-Kidney Yin Deficiency Pattern

Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Head


Pattern Overview

Liver-Kidney Yin Deficiency is a chronic pattern in eye strain headache, characterized by accommodative fatigue with dry eye, blurred vision, dry throat, dizziness, and headache. The core pathogenesis is Liver-Kidney Yin deficiency failing to nourish the eyes and head, leading to accommodative fatigue, dry eye, and reduced accommodative amplitude.


Key Symptoms and Differentiation Points

Differentiation DimensionManifestations
Primary SymptomsDry eyes, blurred vision, headache, accommodative fatigue
Associated SymptomsDry throat, dizziness, tinnitus, soreness in the lower back and knees
Tongue and PulseRed tongue with little coating, thready and rapid pulse
PathogenesisLiver-Kidney Yin deficiency failing to nourish the eyes
EtiologyAging, chronic eye strain, constitutional Yin deficiency, overwork

Acupuncture Point Prescription

PointLocationFunction
Ganshu (BL18)Lower back, 1.5 cun lateral to T9Back-Shu point of Liver meridian; nourishes Liver-Yin
Shenshu (BL23)Lower back, 1.5 cun lateral to L2Back-Shu point of Kidney meridian; nourishes Kidney-Yin
Taixi (KI3)Depression between medial malleolus and Achilles tendonSource point of Kidney meridian; nourishes Kidney-Yin
Cuanzhu (BL2)In the depression at the medial end of the eyebrowLocal point; treats eye pain and headache
Guangming (GB37)5 cun above the lateral malleolusLuo-Connecting point of Gallbladder meridian; brightens the eyes

Clinical Recommendation: Filament needle, reinforcing method; may combine with moxibustion on Shenshu to warm and tonify.


Herbal Formula

Base Formula: Qi Ju Di Huang Wan (杞菊地黄丸)

Composition:
Goji Berry (Gou Qi), Chrysanthemum (Ju Hua), Rehmannia (Shu Di), Dioscorea (Shan Yao), Cornus (Shan Zhu Yu), Poria (Fu Ling), Moutan (Mu Dan Pi), Alisma (Ze Xie)

Action: Nourishes Liver-Kidney Yin, brightens the eyes, and relieves headache.

Modifications

Associated SymptomsAdditions/Subtractions
Dry eyesAdd Gou Qi, Ju Hua to brighten the eyes
Blurred visionAdd Gou Qi, Ju Hua to nourish the Liver and brighten the eyes
DizzinessAdd Tian Ma, Gou Teng to calm Liver Wind
Lower back and knee sorenessAdd Du Zhong, Xu Duan to strengthen the lower back

Western Mechanism Reference

Accommodative fatigue with dry eye, reduced accommodative amplitude, and decreased lacrimal gland secretion. Liver-Kidney Yin Deficiency corresponds to chronic eye strain with dry eye and accommodative dysfunction, where reduced lacrimal secretion and accommodative amplitude contribute to eye fatigue and headache.


References

  1. Ophthalmology of TCM - Liver-Kidney Yin Deficiency.
  2. Zang-Fu Pattern Differentiation: Liver-Kidney Yin Deficiency → Cross-layer.
  3. WHO. (2023). Vision and eye health. World Health Organization.

Explore More

  • Find your solution at MendGod.com – Personalized herbal protocols and acupressure tools for eye health.
  • Deepen your knowledge at TcmCIO.com – Full research papers and clinical case studies on TCM eye health.