23/06/2026
Acupuncture Treatment for Malignant Ascites
Some time ago, a patient visited our clinic who was suffering from ascites caused by breast cancer that had metastasized to the liver.
Her heartfelt request was simple:
“Please help relieve this abdominal discomfort, even if only a little.”
For symptoms associated with ascites, acupuncture treatment may help ease discomfort and support a more comfortable physical state, even if only for a few days at a time.
In this patient’s case, she told us that after treatment she was able to spend several days free from the distress caused by the ascites and enjoyed a period of relative peace and comfort.
However, because she lived far away, it was difficult for her to visit our clinic frequently.
When her symptoms worsened, she also sought treatment at acupuncture clinics closer to her home, but she reported that she did not experience the same degree of relief.
I believe that many people throughout the country are still enduring the suffering caused by cancer-related symptoms and malignant ascites.
It is my sincere hope that they may spend their precious remaining time as comfortably and peacefully as possible. With that wish in mind, I would like to share the approach to ascites that we use in our clinic through Spinal Acupuncture Therapy, in the hope that it may be of some help.
I truly hope that as many people as possible can continue to live meaningful lives in their own way until the very end.
Key Points of Malignant Ascites Treatment in Spinal Acupuncture Therapy
At our clinic, treatment primarily focuses on the lumbar spine and the medial aspect of the thighs.
1. Approach to the Lumbar Spine
In Spinal Acupuncture Therapy, we consider the lumbar vertebrae to reflect the functional state of the entire body.
Lumbar vertebra 1 (L1): Nervous system
Lumbar vertebra 2 (L2): Digestive system
Lumbar vertebra 3 (L3): Urinary system
Lumbar vertebra 4 (L4): Reproductive system
Lumbar vertebra 5 (L5): Respiratory system
At the same time, all of the lumbar vertebrae are regarded as reaction points for the digestive and reproductive systems. When dysfunction develops within these organ systems, areas of “tension” or “stiffness” often appear around the corresponding lumbar segments. This stiffness may, in turn, further impair organ function, creating a vicious cycle.
Malignant ascites associated with metastatic cancer is often related to liver involvement or peritoneal dissemination. In our clinical experience, patients with these conditions frequently exhibit marked stiffness around L2, often accompanied by tension in other lumbar segments as well.
Therefore, we begin with careful palpation to identify these areas of stiffness and gently release them using acupuncture needles. In many cases, patients report that even reducing tension in the lumbar region alone helps alleviate the discomfort associated with ascites.
Needling protocol
Needling site: Alongside the spinous processes (paraspinal region)
Needle used: Japanese acupuncture needle, 1-sun No. 0
Depth: Determined through delicate palpation, targeting the depth at which stagnation (“pathogenic qi”) is perceived
Needle retention time: Approximately 5 minutes
2. Approach to the Medial Thigh
The medial aspect of the thigh is considered an area closely related to the circulation of body fluids.
When edema or circulatory stagnation is present, pronounced stiffness can often be palpated in this region.
Left medial thigh: Associated with the urinary system
Right medial thigh: Associated with the digestive system
Because malignant ascites can also be understood, in a broad sense, as a disorder involving the circulation of body fluids, we carefully examine the medial thighs by palpation and retain needles at areas where stiffness is detected. The retention time is likewise approximately five minutes.
The above summarizes the key aspects of ascites management using the Spinal Acupuncture Therapy practiced at our clinic.
Of course, if practitioners are already achieving favorable outcomes in the management of malignant ascites through other approaches—such as Meridian Therapy or Traditional Chinese Medicine—those methods should continue to be valued and utilized.
However, if the current treatment strategy is not producing the desired changes and clinicians find themselves searching for alternatives, I hope the approach described above may serve as one possible option worthy of consideration.
Disclaimer: The observations and treatment methods described here are based on our clinical experience and the theoretical framework of Spinal Acupuncture Therapy. They should not be interpreted as established medical evidence demonstrating efficacy for malignant ascites. Patients with malignant ascites should continue to receive appropriate evaluation and management from their oncology and palliative care teams, and acupuncture should be considered as a complementary approach aimed at improving comfort and quality of life.