-IBIS-1.5.0-
tx
musculoskeletal system
prolapse
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
» prolapse in general:
Spleen Qi Xu (Deficiency) with Spleen Qi Sinking; Kidney and Spleen Yang Xu (Deficiency); Damp-Heat in the Lower Warmer; Kidney Qi Xu (Deficiency); Yuan (Original) Qi Xu (Deficiency); dysfunction of the Dai Mai (Girdle Vessel)
» uterine prolapse:
Spleen Qi Xu (Deficiency) with Spleen Qi Sinking, such that the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) cannot retain the uterus in place

» uterine prolapse combinations:
• GV-20 and/or GB-26 (D): ind. D with ginger or five cones of direct moxa, red bean size, for uterine prolapse (So, 1987, p. 265)
• wei bao, CV-6, CV-3, St-36 and Sp-6 for uterine prolapse (Shanghai, p. 188)
• GV-20, St-30, GB-28 and Sp-6 for uterine prolapse; also consider CV-6 for Qi Xu (Deficiency); and/or add Sp-9, Lv-3 and Lv-8 for Damp-Heat (Lee and Cheung, p. 340; Shanghai, p. 673)
• Lv-8, Kd-6 and Lv-1 for uterine prolapse (Shanghai, p. 674; Lee and Cheung, p. 341)
• burn 27 cones of direct moxa on a crease beneath the navel; and seven cones of direct moxa on Kd-6 for postpartum uterine prolapse (Shanghai, p. 674)
• Lv-8 and Ht-8 for uterine prolapse with itching and pain (Shanghai, p. 674; Lee and Cheung, p. 341)
• Kd-1 and Lv-1; Ht-8, Kd-3 and Lv-8; UB-31 and UB-32 for uterine prolapse (Mann, p. 149)
• GB-41 and TW-5 open the Dai Mai (Girdle Vessel) for which uterine prolapse is a symptom of dysfunction
ear: uterus, dermis/subcortex, external genitalia, sympathetic, kidney

» rectal prolapse combinations:
• (1) GV-20 (d. D): five cones of direct moxa, red bean size; (2) GV-1 (d. D): seven cones of direct moxa, red bean size; (3) CV-8 with salt (ind. D): one moxa cone for each year of patient's age; (4) seven days total bed rest (So, 1987, p. 227)
• UB-22, UB-23, UB-24, UB-25, UB-26, St-25, Lv-2 and St-36 for rectal prolapse (Shanghai, p. 646)
• UB-25, GV-20, GV-1, GB-21, LI-4 and St-30 for rectal prolapse (Shanghai, p. 646)
• GV-1 and UB-57; also consider: GV-20 (D) and/or UB-30 for rectal prolapse (Shanghai, p. 645)
• UB-21, GV-20 and GV-1 (three cones of direct moxa each) for rectal prolapse (Shanghai, p. 646)
• CV-9 (100 cones of direct moxa) for Cold prolapsed rectum (Shanghai, p. 646)
• GV-20, GV-1, UB-23, UB-20 and UB-25 for rectal prolapse due to Spleen and Kidney Qi Xu (Deficiency) (Jirui and Wang, p. 81)
er bai, GV-20, UB-57 and GV-1 treats rectal prolapse and chronic hemorrhoids (Ellis, et al, 1988, p. 405);
• UB-58, UB-57, Kd-4 (listed as "Kd-5") and UB-62; GV-1, GV-4 and GV-20; Sp-4, Sp-12, St-15 and St-25; PC-6, TW-7 and TW-3; UB-31, UB-32, UB-33, UB-34 and UB-35 for rectal prolapse (Mann, p. 144)
• PC-6 and Sp-4 open the Yin Wei Mai (Yin Linking Vessel) for which rectal prolapse is a Xu (Deficiency) symptom
• UB-30 and GV-1: retract the ligaments supporting the anus; benefit the Qi of the anal sphincter
ear: lower rectum, large intestine, spleen, dermis/subcortex

» stomach prolapse:
• wei shang xue -> CV-8 with CV-4, CV-6 and St-36 for prolapse of the stomach (Shanghai, p. 180; Lee and Cheung, p. 256)
• UB-10, UB-11, UB-17, UB-18, UB-22, St-20 and St-21 for prolapse of the stomach (Lee and Cheung, p. 256)
• CV-6 and St-36 for prolapse of the stomach (Lee and Cheung, p. 256)
• Lv-13 through to Sp-14, PC-6 and Sp-6 alternate with Sp-15 through to CV-8, ze qian and St-37 for prolapse of the stomach (Lee and Cheung, p. 256; Shanghai, p. 601)
ear: stomach, sympathetic, dermis/subcortex

» kidney ptosis combinations:
• UB-47/52, UB-28 and Kd-3 for nephroptosis (Shanghai, p. 209)
• Lv-8 and Lv-3 (-): cool Liver Heat; move Qi


point analysis

»
palpate and consider for general treatment of prolapse:
GV-20 (+ and/or D): adjusts Qi of the Du Mai (Governing Vessel); regulates and tonifies the Qi (D); elevates the Clear Qi; raises sunken Qi; warms the Yang and causes it to ascend (D); secures the lower Orifices (D); Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
• GV-4 (+ and/or D): strengthens the Kidney; replenishes the Kidney Yang; nourishes the Yuan (Original) Qi; relieves mental and physical exhaustion; reinforces and astringes the Jing (Essence); distributes Zhong (Ancestral) Qi and Yang to the pelvis to mobilize the Yin of the pelvis; "Gate of Life Fire"
GV-1 (+): opens the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel); regulates the Intestines; astringes the Jing (Essence); secures the lower Orifices, particularly benefits the Qi of the anal sphincter; retracts the ligaments supporting the anus; treats hemorrhoids; esp. for prolapse of the rectum and/or anus; Du Mai (Governing Vessel) Entry and Luo Connecting point
UB-20 (+ and/or D): regulates Spleen Qi; tonifies the Spleen and Stomach; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi and resolve Dampness; tonifies and harmonizes the Xue (Blood); warms the Middle Warmer (D); raises Middle Qi; esp. for prolapse of the stomach or uterus; Spleen Shu Associated point
• UB-21 (+): harmonizes the Stomach; regulates the Stomach Qi; strengthens the Spleen; warms and reinforces the Middle Warmer (D); benefits the Zhong (Ancestral) Qi and cultivates Yuan (Original) Qi; transforms Dampness; dissolves and eliminates Stagnation; Stomach Shu Associated point
• UB-22 (+): regulates San Jiao collectively, and the Upper, Middle and Lower Warmers individually; tonifies the Kidney; eliminates Dampness; regulates the transforming function of Qi; Triple Warmer Shu Associated point
UB-23 (+ and/or D): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens Yang and Qi Hai; drains Heat from the Lower Warmer; resolves Dampness; Kidney Shu Associated point
• UB-47/52 (+): tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; stabilizes Kidney Qi; resolves Dampness; esp. for nephroptosis; Kidney psychospiritual associated point
• UB-25 (+): regulates the Qi of the Fu (Yang organs), esp. the Intestines and Stomach; transforms Stagnation; resolves Damp-Heat; esp. for rectal prolapse; Large Intestine Shu Associated point
• UB-28 (+): regulates and tonifies the Bladder; clears Heat from Lower Warmer; reinforces Yuan (Original) Qi; esp. for nephroptosis; Bladder Shu Associated point
UB-30 (+): transforms Damp-Heat; consolidates Jing (Essence); regulates Qi of the anal sphincter; brings Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46); retracts the ligaments supporting the anus; benefits Qi of the anal sphincter; esp. for prolapse of the rectum and/or anus; Extra Associated point of the anal sphincter (Mann, p. 36)
• UB-31 (+): redirects Qi upward; invigorates the Xue (Blood); consolidates the Jing (Essence); regulates the Lower Warmer and menstruation; transforms Damp-Heat; opens the pelvis and disperses Lower Warmer Stagnation; brings Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46); esp. for prolapse of the uterus
• UB-32 (+): redirects Qi upward; brings Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46); regulates the Bladder, Lower Warmer and menstruation; transforms Damp-Heat; consolidates the Jing (Essence); invigorates the Xue (Blood) and Kidney Qi; opens the pelvis and disperses Lower Warmer Stagnation; esp. for prolapse of the uterus
UB-57 (+): regulates Qi in the Yang organs, esp. the Large Intestine; transforms Damp-Heat; benefits hemorrhoids; regulates the sinews and tendons; esp. for prolapse of the rectum and/or anus
• UB-58 (+): promotes flow of Qi; strengthens Kidney function; esp. for rectal prolapse; Bladder Luo Connecting point
PC-6 (+): harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; regulates the Chong Mai (Penetrating Vessel); stabilizes Qi in the Uterus; relaxes the sinews and clears the vessels; esp. for rectal prolapse; palpation: major Spleen reflex point (Matsumoto); Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• TW-5 (=): opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); frees the channels to facilitate the circulation of Qi in the channels; invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; esp. for prolapse of the uterus; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
er bai (= and/or D): disperses Stagnation in the Large Intestine; lifts rectum and anus; esp. for prolapse of the rectum and/or anus
• ze qian (=): raises Middle Qi; esp. for prolapse of the stomach
Lu-7 (+): opens and regulates the Ren Mai (Conception Vessel); regulates the Yin Qiao Mai (Yin Motility Vessel); tonifies Yang Ming (Stomach and Large Intestine); Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
• Ht-8 (+): strengthens the Heart and regulates Heart Qi; clears Heart Fire and Empty Heat; pulls Qi upward; regulates flow of Qi; dissipates Dampness; facilitates the flow of Xue (Blood) through the vessels; esp. for prolapse of the uterus; Heart Fire and Horary point
• SI-3 (+): opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); dispels Dampness and Internal Heat; relaxes the sinews and muscles; invigorates the channels; esp. for rectal prolapse; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
• wei shang xue (+): regulates the Stomach; raises Middle Qi; esp. for prolapse of the stomach
• St-20 (+): regulates the Stomach; esp. for prolapse of the stomach
St-21 (+): regulates the Spleen and Stomach; regulates Center Qi and promotes flow of Qi; strengthens the Spleen; promotes the transportation and transformation of Grain and Liquids by the Spleen and Stomach; dispels Middle Warmer Heat; esp. for prolapse of the stomach
• Sp-15 (+): promotes the flow of Qi; regulates the Spleen (especially Qi); removes Dampness from Spleen; ventilates and clears Stagnant Qi of the organs; regulates and moistens the Intestines; transforms Damp-Heat (especially Intestinal); relieves abdominal distension; esp. for prolapse of the stomach
CV-9 (d. D): balances endocrine and lymphatic systems; warms the Middle Warmer; moves Spleen and Earth; regulates the Spleen, Stomach and Intestines; dissolves Damp; lifts rectal prolapse (D); clears Damp-Heat; esp. for rectal prolapse of the stomach and/or rectum; palpation: water regulation and metabolism reflex; "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach; pulsing indicates Kidney Xu (Deficiency) (all: Matsumoto); Small Intestine Mu Alarm point (Hukaya as per Matsumoto)
CV-8 (ind. D on salt): warms and stabilizes the Yang; warms the Lower and Middle Warmers; strengthens the transporting function of the Spleen and Stomach; dries Dampness; regulates Qi; esp. for prolapse of the stomach; palpation: pulsing around CV-8 indicates Spleen Qi Xu (Deficiency), while a puffy navel indicates Kidney Xu (Deficiency) (Matsumoto)
CV-6 (+ and D): strengthens the Qi and raises the Middle Qi; regulates and tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); strengthens lower abdominal wall; reinforces Yang and Jing (Essence); tonifies Kidney; nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); moves Qi and Xue (Blood) in the Lower Warmer; dispels Dampness; esp. for prolapse of the stomach and/or uterus
CV-4 (+ and D): regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer, strengthens Spleen and benefits the Raising Qi; tones up the abdominal muscles (+); regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); warms and dispels Damp (D); resolves Damp-Heat; nourishes and stabilizes the Kidney; warms the Kidney Yang, the Lower Warmer and Uterus (esp. with D); regulates the Uterus and menses; esp. for prolapse of the stomach and/or uterus; Small Intestine Mu Alarm point; at CV-4 the Chong Mai (Penetrating Vessel) separates from the Ren Mai (Conception Vessel) (Finkelstein, p. 85)
• CV-3 (+): assists the transforming functions of Qi; alleviates Damp-Heat, esp. in the Bladder and Uterus; tonifies the Kidney Qi and Yang; regulates the Uterus and Lower Warmer; esp. for uterine prolapse; Bladder Mu Alarm point
CV-1 (+): tonifies and regulates Qi; clears Heat and transforms Dampness; strengthens the lumbus and boosts the Kidney (Ellis, et al, 1988, p. 347); secures the Jing (Essence) and the Lower Orifices; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates the menstruation; esp. for uterovaginal and/or rectal prolapse; Entry point of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Luo Connecting point of the Ren Mai (Conception Vessel) with the Du Mai (Governing Vessel)
St-25 (+): regulates the Stomach and Spleen; regulates and facilitates the functioning of the Intestines; supports Earth and harmonizes the Center; regulates the channels and promotes Qi circulation; tonifies Ying (Constructive) Qi and thus neutralizes Shi (Excess) Heat; strengthens power of the abdominal walls; eliminates Qi Stagnation and/or Xue Yu (Blood Stasis) in Large Intestine; clears Heat from Large Intestine; transforms Dampness; ascends the Clear and descends the Turbid; regulates the menses and promotes Xue (Blood) circulation; moves and regulates pelvic Qi; esp. for prolapse of stomach, intestines and uterus; Large Intestine Mu Alarm point; according to Sun Tzu Miao, this point contains a storehouse of Qi and should not be dispersed (Finkelstein, p. 15)
St-30 (+): sends Qi up; effects the Stomach channel and Chong Mai (Penetrating Vessel); "soothes sinew gatherings; dissipates inversion Qi" (Ellis, et al, 1988, p. 129); harmonizes the Xue (Blood) and Ying (Constructive) Qi; dispels Qi Stagnation and Xue Yu (Blood Stasis); warms the Lower Warmer and Uterus; effects the round and broad ligaments of the uterus; esp. for prolapse of the uterus; distributes Jing (Essence) and Yuan (Original) Qi to the genitals, Chong Mai (Penetrating Vessel) and the five curious organs (Brain, Spine, Bones and Marrow, Gall Bladder and Uterus); relaxes the tendons; Entry point of Sea of Nourishment; Entry point of the Chong Mai (Penetrating Vessel)
• GB-28 (+): effects Gall Bladder channel and Dai Mai (Girdle Vessel); over fallopian ligament; esp. for prolapse of the uterus
• ti tuo xue (+): lift prolapse point; esp. for prolapse of the uterus;
zi gong (+): tonifies and warms Yuan (Original) Qi; regulates menstruation; clears Heat; transforms Damp-Heat; raises middle Qi; esp. for prolapse of the uterus
wei bao: "support uterus"; lifts prolapse; esp. for prolapse of the uterus
Sp-9 (+): regulates Spleen and Lower Warmer; resolves Dampness; tonifies the Spleen (especially Yang) to hold organs up; warms and moves the Middle Warmer; dispels Damp-Heat; esp. for prolapse of the uterus; Spleen He Sea Uniting and Water point
Sp-6 (+): strengthens the Spleen; tonifies Qi and builds the Xue (Blood); nourishes Yin, esp. of the Spleen, Liver and Kidney; influences the uterus; nourishes and moves the Xue (Blood); frees Qi Stagnation and spreads Liver Qi; warms the Middle and Lower Warmers; restores circulation to the Lower Warmer; tonifies the Kidney; transforms Dampness and Heat; stimulates activity of the Uterus; regulates the Xue (Blood) Chamber and the Palace of Jing (Essence) (Flaws, 1989, p. 46); esp. for prolapse of the uterus; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): adjusts and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; rectifies the Qi mechanism (Flaws, 1989, p. 46); draws Qi from the Spleen channel into the Spleen organ; regulates and stabilizes the Stomach; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); regulates the Yin Wei Mai (Yin Linking Vessel); disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; transforms Dampness and Damp-Heat; tonifies Yuan (Original) Qi; descends the Turbid; esp. for prolapse of the rectum and/or uterus; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
St-36 (+ and/or D): regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; increases the raising Qi to raise prolapsed organs; dispels and eliminates Dampness; governs and directs all descending energies in the body; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi; spreads Liver Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; frees the channels and invigorates the collateral vessels; esp. for prolapse of the stomach; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
GB-34 (+): clears Dampness and cools Heat; facilitates and harmonizes the Liver; tonifies the Spleen; regulates the Large Intestine and increases peristaltic action; strengthens and relaxes sinews and tendons; frees the channels and invigorates the collateral vessels; alleviates pain; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
• GB-41 (=): harmonizes and regulates the Liver and Gall Bladder; cools Liver Heat; removes Stagnancy of Liver Qi; clears and regulates the Dai Mai (Girdle Vessel); dispels Damp-Heat; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); Couple point of the Yang Wei Mai (Yang Linking Vessel)
• Lv-8 (-): cools Liver Heat; moves Qi; nourishes Liver Xue (Blood) and Yin; clears and cools Damp-Heat; soothes the sinews and tendons; frees and facilitates the Lower Warmer; esp. for prolapse of the uterus; Liver He Sea Uniting, Water and Tonification point
Lv-3 (-): regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; regulates the Vital Qi, strengthens Raising Qi, and removes irregularities in the body Qi; cools and drains Heat and Fire from the Liver and Gall Bladder; tonifies Liver Xue (Blood); discharges Damp-Heat in the Lower Warmer; opens the channels and suppresses spasms; Liver Yuan Source and Earth point
• Lv-1 (+ and/or d. D): regulates and tonifies the Liver, esp. Qi and Xue (Blood); promotes and stimulates the Qi of the Liver and Gall Bladder channels; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); harmonizes the Ying (Constructive) Qi; resolves Damp-Heat, esp. in Lower Warmer; esp. for prolapse of the uterus; moxa: three cones of direct moxa, one-half rice grain size; Liver Jing Well, Wood, Horary and Entry point
• Kd-6 (+): cools and clears Heat; clears Xu (Deficiency) Fire; opens the Yin Qiao Mai (Yin Motility Vessel) and regulates the Ren Mai (Conception Vessel); balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); tonifies the Kidney (especially Yin); dispels Dampness; promotes function of the Uterus; regulates the Lower Warmer and menses; strengthens lower back and loins; esp. for prolapse of the uterus; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
• Kd-3 (+ and/or D): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; cools and descends Heat; pacifies Xu (Deficiency) Fire; tonifies Kidney Yang and Ming Men Fire (D); stabilizes Kidney Qi; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); promotes function of the Uterus; strengthens the lower back, waist and knees; esp. for nephroptosis; Kidney Yuan Source and Earth point
• UB-62 (+): cools and clears Fire and Heat; opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; soothes sinews, tendons and vessels; esp. for rectal prolapse; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)


footnotes