This report presents a clinical case of nonketotic hyperglycemic hemichorea treated with governor vessel thirteen needles

scalp acupuncture

back-shu and front-mu acupoint combinations

and moxibustion on the basis of standard medical care. The patient presented with involuntary choreiform movements of the right upper limb. According to TCM pattern differentiation

the condition was diagnosed as kidney deficiency leading to marrow depletion and

yang

deficiency failing to nourish the orifices. The treatment principle focused on tonifying the kidney

replenishing marrow

warming

yang

and unblocking the orifices. Governor vessel thirteen needles were applied at Baihui (GV20)

Fengfu (GV16)

and Dazhui (GV14) to regulate

yang qi

. Scalp acupuncture was applied along the anterior parietotemporal line to modulate motor function. Back-

shu

and front-

mu

points such as Yishu (EX-B3)

Pishu (BL20)

and Zhongwan (CV12) were used to strengthe

n the spleen

resolve phlegm

and reinforce the root. Moxibustion was applied to Zhongwan (CV12) and Guanyuan (CV4) to warm the meridians. Treatment was conducted twice per week

with strict blood glucose control simultaneously. After one week

the patient's right upper limb choreiform movements were significantly reduced

speech became clearer

and gait stabilized; the symptoms were basically relieved. After two weeks (four sessions)

all symptoms resolved

and no recurrence was observed during follow-up. This case provides effective clinical evidence for the treatment of nonketotic hyperglycemic hemichorea with a combined approach of acupuncture and dietary control.