-IBIS-1.5.0-
tx
reproductive system
dysmenorrhea
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Qi Stagnation; Xue Yu (Blood Stasis), esp. in Uterus; Cold Accumulation; Liver Xue Xu (Blood Deficiency); Liver Qi Stagnation; Kidney Xu (Deficiency); Qi Xu (Deficiency) and Xue Xu (Blood Deficiency); Shi (Excess) of the Ren Mai (Conception Vessel) and/or the Chong Mai (Penetrating Vessel); dysfunction of the Dai Mai (Girdle Vessel); Xu (Deficiency) of the Yang Qiao Mai (Yang Motility Vessel) and/or Shi (Excess) of the Yin Qiao Mai (Yin Motility Vessel); Liver Invading Spleen; Cold in the Liver; Heat
» illustrative combinations:
GB-41 and TW-5: open the Dai Mai (Girdle Vessel) which regulates the pelvis and menstruation and for which dysmenorrhea is a symptom of dysfunction; specifically treats temporal headache associated with menstrual cycle
Lu-7 and Kd-6: open the Ren Mai (Conception Vessel) which nourishes the Uterus and regulates menstruation; usually indicated by head and neck pain, abdominal distension, vaginal discharge and other symptoms of congestion; menstrual disorders are usually a part of Shi (Excess) effecting the Ren Mai (Conception Vessel)
Sp-4 and PC-6: open the Chong Mai (Penetrating Vessel) for which menstrual disorders are a symptom of Shi (Excess) and reproductive disorders are a general symptom of dysfunction
UB-62 and SI-3: open the Yang Qiao Mai (Yang Motility Vessel) which transports Yang and for which gynecological problems are a Xu (Deficiency) symptom
Kd-6 and Lu-7: open the Yin Qiao Mai (Yin Motility Vessel) which transports Yin and for which gynecological problems are a Shi (Excess) symptom
CV-4 and Sp-6; also consider: St-29, CV-7, St-36, UB-23 and/or CV-6 for dysmenorrhea (Shanghai, p. 671)
GB-41, Sp-6 and CV-3 for difficult menstruation (Shanghai, p. 279)
Sp-6, LI-4, CV-4 and CV-6 for dysmenorrhea (Liu, p. 394)
CV-4, CV-3, St-27, St-28, Sp-10 and Sp-6 for dysmenorrhea (Lee and Cheung, p. 331)
UB-18, UB-20 and UB-26 for dysmenorrhea (Shanghai, p. 213)
shi qi zhui xia, CV-3, Sp-6 and Kd-3 for dysmenorrhea (Shanghai, p. 213)
UB-31, UB-32, UB-33 and/or UB-34; Sp-6 and thread CV-4 to CV-3 for dysmenorrhea (Shanghai, p. 217)
Lv-8, Lu-7, Sp-6 and Kd-3; UB-62, GB-35, LI-4 and St-28; Lv-14 and Kd-15; UB-31, UB-32, UB-33 and UB-34; GV-12 for dysmenorrhea (Mann, p. 146)
St-25, CV-7 and CV-4 for dysmenorrhea (Shanghai, p. 183)
CV-6, CV-3 and Sp-6 for dysmenorrhea (Shanghai, p. 184)
GB-41, Sp-6 and CV-3 for difficult menstruation (Shanghai, p. 279)
CV-6, CV-3, Sp-8, GB-34 and Lv-2 (retain 30 - 60 mins. with manipulation every 5 - 10 mins.) for dysmenorrhea due to Qi Stagnation (Qiu and Su, p. 4)
CV-4, Sp-6, St-29 and CV-6 for dysmenorrhea due to Qi Stagnation and effused Blood (Lee and Cheung, p. 331)
CV-6, St-29, Sp-10 and Sp-6 (-) for dysmenorrhea due to Xue Yu (Blood Stasis); also consider Lv-2 with Heat (Qiu and Su, p. 4)
GV-4, GV-8, St-28 and St-36 (= and D) for dysmenorrhea due to Cold Accumulation (Qiu and Su, p. 5)
CV-4, Sp-6, St-36 and UB-23 for dysmenorrhea due to Qi Xu (Deficiency) with Coldness (Lee and Cheung, p. 331)
UB-18, UB-23, CV-4, St-36 and Kd-3 (+) for dysmenorrhea due to Liver and Kidney Xu (Deficiency) (Qiu and Su, p. 7)
PC-6, Sp-6, CV-3 and Lv-3 Retained one hour) for dysmenorrhea arising from Stagnation of Qi and Xue (Blood) from Obstruction of Liver Qi due to mental depression (Qiu and Su, p. 7)
Lv-14, Lv-3, CV-6 and Sp-6 for painful menstruation due to Stagnant Liver Qi with Xue Yu (Blood Stasis) (Jirui and Wang, p. 271)
UB-32 and St-29: induce flow of Xue (Blood) in the Uterus (Finkelstein, p. 17)
Sp-8 and St-29 (-): move Xue (Blood); clear contributing Qi Stagnation; transform Damp and warm Cold in Lower Warmer
Sp-8 and LI-4 for painful menstruation and abdominal pain (Finkelstein, p. 29)
Kd-5 and St-25: treat menstrual disorders (Finkelstein, p. 53)
Sp-10 and Sp-1 stop menstrual pain (Finkelstein, p. 30)
Sp-6, CV-6, LI-4, GB-29, yao yan, UB-18, Sp-8, CV-2, UB-31 to UB-34, and the hua tuo jia ji of T11 to S4 for pain associated with Qi Stagnation and Xue Yu (Blood Stasis) (Shanghai, p. 671)
St-25 and St-29: clear Heat and regulate menses (Finkelstein, p. 17)
St-28 and GB-26 (+ and D): relieve pain below umbilicus (So, 1987, p. 255)
St-30, Sp-8 and Lv-8: harmonize Xue (Blood) and dispel effused blood, esp. with menstrual problems (Finkelstein, p. 17)
CV-3 and Sp-6: regulate the Qi function of the Lower Warmer and the function of the genital organs - Sp-6 sends Qi up; CV-3 sends it deep (Finkelstein, p. 84)
CV-15, CV-16, CV-19, Kd-13, Sp-6, Kd-11, UB-47/52, GB-37, GB-5, UB-60 and CV-10: influence the pituitary (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)
Kd-13, UB-67, Kd-7, GB-37, Sp-6, Kd-2, GV-4 and Lv-3: influence the ovaries (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)
UB-31, Sp-6 and GB-3: has strong hormonal action on women (Finkelstein, p. 46)
point analysis
» palpate and consider:
UB-18 (+): pacifies the Shen; benefits the Liver and Gall Bladder; moves stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates Xue (Blood); nourishes Liver Yin; cools Heat in the Xue (Blood); clears Liver Fire and Heat; Liver Shu Associated point
UB-20 (+): tonifies Spleen and regulates Spleen Qi; harmonizes and nourishes the Xue (Blood); enhances Spleen Yang to mobilize Stagnant Qi; dispels Cold and relieves pain; Spleen Shu Associated point
UB-23 (=): regulates Kidney; excites Yang Qi; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; drains Heat from the Lower Warmer; Kidney Shu Associated point
UB-31 to UB-34 (+ and D): relieve pain in the sacrum; regulate the Lower Warmer and menstruation; remove Xue Yu (Blood Stasis) in Uterus; consolidate Jing (Essence); invigorate the Xue (Blood) and Kidney Qi; bring Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46)
LI-20 (-): invigorates Xue (Blood) circulation; treats painful menses with epistaxis (reverse menses) (Finkelstein, p. 11)
LI-4 (+): regulates Qi and Xue (Blood); makes Xue (Blood) go down to promote menses; clears Toxins; relaxes sinews and tendons; treats edema above the waist; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source point
Ht-5 (-): pacifies the Shen; regulates and tonifies Heart Qi; clears Heart Fire and Xu (Deficiency) Heat; Heart Luo Connecting poin
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); strengthens Spleen; dispels Heat from the Xue (Blood); Liver Mu Alarm point
St-25 (+): moves and regulates pelvic Qi; transforms Dampness; supports Earth; regulates the menses and promotes Xue (Blood) circulation; Large Intestine Mu Alarm point
CV-12 (+): opens chest; smooths Middle Warmer; strengthens the Spleen and dissipates Dampness; benefits and soothes the Qi; Mu Alarm point of the Stomach and Middle Warmer
CV-6 (+ and D): strengthens, regulates and moves the Qi; regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); strengthens lower abdominal wall; strengthens Kidney Xu (Deficiency); reinforces Yang and Jing (Essence); warms Ming Men (Life Gate Fire) (esp. with D); influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); moves Qi and Xue (blood) in Lower Warmer; regulates the menses; "Sea of Qi"
CV-4 (+ and D): pacifies the Shen; warms and tonifies Xue (Blood); warms and strengthens Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates the Qi; tonifies the Middle Warmer and strengthens Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes and stabilizes the Kidney; stimulates sex hormones; warms the Kidney Yang and eliminates Cold in the Uterus and Lower Warmer (D); regulates the Uterus and menses; facilitates diuresis; Small Intestine Mu Alarm point
CV-3 (+ and D): regulates the Uterus and Lower Warmer to remove Xue Yu (Blood Stasis) and relieve pain; alleviates Damp-Heat; tonifies the Kidney Qi and Yang; tonifies sexual function; Bladder Mu Alarm point
St-28 (+ and D): activates Chong Mai (Penetrating Vessel); cools and clears Damp-Heat; regulates body fluids; facilitates Lower Warmer; seeps Water Dampness by opening Water Pathways to promote diuresis; esp. relieves pain below umbilicus (So, 1987, p. 255)
St-29 (-): moves Qi Stagnation and Xue Yu (Blood Stasis) to "return" the period; treats Yin of the Uterus; regulates menstruation; transforms Damp and warms Lower Warmer Cold, esp. the Uterus; special effect on genitalia (Mann, p. 15); stops pain
GB-26 (+ and D): regulates Dai Mai (Girdle Vessel); regulates menses; alleviates Damp-Heat; promotes Kidney Qi circulation; special point for treating gynecological conditions; clears and invigorates the channels
Kd-10 (=): expels Dampness from Lower Warmer; regulates fluids; tonifies Kidney (especially Yin and Qi); regulates and soothes Lower Warmer; Kidney He Sea Uniting, Water and Horary point
Sp-10 (+): regulates and invigorates the Xue (Blood); nourishes Xue (Blood) Dryness; perfuses the Lower Warmer; regulates the menses; harmonizes and tonifies Ying (Constructive) Qi; cools Heat and Damp-Heat in the Xue (Blood); "Sea of Blood"
Sp-8 (-): harmonizes and invigorates the Xue (Blood) to move Xue Yu (Blood Stasis) and reduce pain; regulates and tonifies the Spleen (especially Qi); promotes circulation of Qi; regulates and adjusts the Uterus; regulates menstruation; induces diuresis; Spleen Xi Cleft Accumulation point
Sp-6 (-): regulates Qi and Xue (Blood) in pelvis; nourishes Yin; transforms Xue Yu (Blood Stasis) and frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; facilitates diuresis; stimulates activity of the Uterus, regulates the menses, and reduces menstrual pain; regulates the Xue (Blood) Chamber and the Palace of Jing (Essence) (Flaws, 1989, p. 46); stimulates uterus, adrenals, ovaries and pituitary (Finkelstein, p. 27); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; clears Heat; dispels Cold from the Heart and abdomen and relieves pain (D) - note: better than Sp-3 for pain (Finkelstein, p. 26); regulates the Xue (Blood), Chong Mai (Penetrating Vessel) and menstrual cycle; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); disperses Qi Stagnation and Xue Yu (Blood Stasis); moves, adjusts and strengthens the Spleen and Middle Warmer; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel)
St-36 (+): calms the Shen; regulates and tonifies Xue (Blood) and Qi; strengthens the Spleen and nourishes Kidney, Liver and Spleen; dispels and eliminates Dampness; governs and directs all descending energies in the body; removes Cold of abdomen; spreads Liver Qi; Stomach He Sea Lower Uniting and Earth point; Sea of Nourishment point
St-44 (-): cools Heat and drains Dampness; reduces pain; (D) for vertigo and abdominal pain with menstruation (Lee and Cheung, p. 332); Stomach Water point
GB-34 (-): clears Dampness and cools Heat; facilitates and harmonizes the Liver; alleviates pain; subdues Liver Yang; tonifies Spleen; relaxes sinews and tendons; frees the channels and invigorates the collateral vessels; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
GB-41 (=): clears and regulates Dai Mai (Girdle Vessel); spreads and drains Liver and Gall Bladder; spreads Liver Qi; relieves distention and swelling in the breasts; dispels Damp-Heat; clears Wetness (Damp Spleen) by draining into Dai Mai (Girdle Vessel), thereby increasing Spleen Qi and Xue (Blood) production; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel)
Lv-8 (+): moves Xue (Blood); spreads Liver Qi; transforms Damp-Heat; drains Liver Fire; nourishes Liver Xue (Blood); clears and cools Damp-Heat; frees and facilitates the Lower Warmer; Liver He Sea Uniting, Water and Tonification point
Lv-3 (-): pacifies the Shen; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); soothes Liver; promotes smooth flow of Qi and Xue (Blood); disperses Liver Qi Stagnation; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis) and regulate menses; influences the ovaries (Worsley, 1975, p. B-20); opens the channels and suppresses spasms and cramps; stops pain; discharges Damp-Heat in the Lower Warmer; Liver Yuan Source and Earth point
Lv-2 (-): eases the Mind; removes Depression; disperses Stagnant Qi of Liver and Gall Bladder; clears the Lower Warmer; relaxes cramps and spasms; Liver Fire and Dispersion point
tu yin (d. D): regulates the Uterus; seven cones, one-half rice grain size each, for severe pain (So, 1987, p. 255)
ear: uterus, endocrine, shen men, sympathetic, kidney, ovary, allergy
footnotes