-IBIS-1.5.0-
tx
reproductive system
infertility: female
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Qi Stagnation, esp. Liver Qi Stagnation; Xu (Deficiency) and Cold of the Lower Abdomen; Yin Xu (Deficiency) Fire; Xue Yu (Blood Stasis); Kidney and Liver Yin Xu (Deficiency); Kidney Jing Xu (Essence Deficiency); Kidney Yang Xu (Deficiency) with Xue Xu (Blood Deficiency) and Qi Xu; Spleen Qi Xu (Deficiency) with Xue Xu (Blood Deficiency); Kidney and Spleen Yang Xu (Deficiency); Phlegm-Dampness; Xu (Deficiency) of Chong Mai (Penetrating Vessel); Xu (Deficiency) of Du Mai (Governing Vessel); Xu (Deficiency) of Ren Mai (Conception Vessel)

» illustrative combinations:
• CV-7 and Kd-18 for "non-conception" (Ellis, et al, 1988, p. 258)
• CV-4, CV-5 and CV-7 for infertility (Ellis, et al, 1988, p. 349)
• Lu-7 and Kd-6: open the Ren Mai (Conception Vessel) which nourishes the Uterus and regulates menstruation
• UB-23, Kd-13 and Kd-2 for infertility due to Kidney Xu (Deficiency) (Qiu and Su, p. 14)
• CV-4, Kd-13, Sp-6, St-36, UB-20 and UB-18 for infertility due to Xue Xu (Blood Deficiency) (Qiu and Su, p. 15)
• CV-7, CV-2, CV-4, GV-4 and Kd-3 for infertility due to Cold in Uterus with Kidney Yang Xu (Deficiency) (Qiu and Su, p. 16)
• CV-3, St-30, Kd-13, Sp-6 and St-40 for infertility due to Phlegm Accumulation and Xue Yu (Blood Stasis) (Qiu and Su, p. 16)
• CV-4, St-28, St-29, St-36, Sp-6 and Lv-3 for infertility involving tubal occlusion due to Stagnant Liver Qi causing Xue (Blood) and Qi Xu (Deficiency), with malnourishment of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) (Jirui and Wang, p. 263)
• Sp-5 and CV-3 for sterility (Chamfrault as per Mann, p. 147)
• Kd-3 and Lu-7; St-30 and Kd-4 (listed as "Kd-5") for sterility (Mann, p. 147)
• 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 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 ovaries (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)
• si hua: UB-17 and UB-19 (+): "four flowers"; build Xue (Blood)
• UB-23, Kd-13 and Kd-2 (+ and D): regulate Chong Mai (Penetrating Vessel); tonify Kidney and reproductive function
• zi gong (D) and Kd-13 (+): supplements the Kidney Qi; regulate the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulate and warm the uterus (Ross, 1985, p. 75)
• St-36 and Sp-6 (+ and D): replenish and invigorate Xue (Blood) and Qi, regulate Spleen and Stomach; no moxa if Xu (Deficiency) Heat
• St-28 and St-29 (=): regulate menstruation; disinhibit Lower Warmer; warm Lower Warmer Cold, esp. in Uterus
• UB-38/43 and GV-14 (-): reduce fever if Xu (Deficiency) Heat
• 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)
• TW-4, GV-1 and GV-2; Lv-8 and SI-5; CV-5, CV-6, St-28 and St-45 for lack of (sexual) desire (Mann, p. 134)
• Kd-7; CV-4 and CV-7; CV-1; St-29 and Sp-6 for frigidity (Mann, p. 134)


point analysis

»
palpate and consider:
• GV-14 (-): clears Xu (Deficiency) Heat and reduces resulting fever; spreads and facilitates Yang; regulates and stimulates the flow of Qi; relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
• UB-38/43 (+): regulates the Shen (hence called the "Happy point"); strengthens Xu (Deficiency) conditions; clears Xu (Deficiency) Heat and reduces resulting fever; treats all chronic disease; supplements the Lung and fortifies the Spleen; tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); stimulates hematopoesis; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; Pericardium psychospiritual associated point; Specialized point for hematopoiesis (Finkelstein, p. 47)
UB-17 (+): regulates and invigorates the Xue (Blood); transforms Xue Yu (Blood Stasis); clears Heat from the Xue (Blood); nourishes Dry Xue (Blood); enriches Yin; generates Fluids; strengthens Xu (Deficient) conditions; Diaphragm Shu Associated point; Hui Reunion point of the Xue (Blood)
UB-18 (+): tonifies Liver; facilitates Qi flow and moves Stagnant Qi; nourishes Liver Xue (Blood) and Yin; clears Liver Fire and Heat; Liver Shu Associated point
UB-19 (+): regulates the Qi; clears Liver Heat; nourishes Xue (Blood); Gall Bladder Shu Associated point
UB-20 (+): regulates Spleen Qi; tonifies Spleen and Stomach; facilitates digestive transportation and transformation; resolves Dampness; harmonizes and nourishes the Xue (Blood); benefits the Ying (Constructive) Qi; Spleen Shu Associated point
UB-23 (+ and D): strengthens Qi Hai and regulates Kidney Qi; strengthens Kidney function of reception of Qi; tonifies the Kidney and strengthens Yang; resolves Dampness; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; regulates Chong Mai (Penetrating Vessel); Kidney Shu Associated point
UB-47/52 (+): tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; stabilizes Kidney Qi; spreads and clears Obstructed Kidney Qi; influences the pituitary, adrenals and testes (Worsley, 1975, p. B-20); affects the genitals; resolves Dampness; esp. used in treatment of urogenital problems (EAMSS, p. 245); Kidney "psychospiritual" Associated point
UB-31 (-): invigorates the Xue (Blood); consolidates the Jing (Essence); regulates the Lower Warmer and menstruation; opens the pelvis and disperses Lower Warmer Stagnation; brings Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46)
UB-32 (-): brings Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46); regulates the Lower Warmer and menstruation; consolidates the Jing (Essence); invigorates the Xue (Blood) and Kidney Qi; removes Xue Yu (Blood Stasis) in the Uterus; opens the pelvis and disperses Lower Warmer Stagnation
UB-33 (-): brings Yang into the pelvic region; regulates the Lower Warmer and menstruation; opens the pelvis and disperses Lower Warmer Stagnation; consolidates the Jing (Essence); invigorates the Xue (Blood)
UB-34 (-): brings Yang into the pelvic region, thereby mobilizing pelvic Yin; regulates the Lower Warmer and menstruation; consolidates the Jing (Essence); invigorates the Xue (Blood); opens the pelvis and disperses Lower Warmer Stagnation
GV-4 (+ and D): reinforces the Kidney and replenishes the Yuan (Original) Qi; warms Kidney Yang, but use no moxa with Xu (Deficiency) Heat; reinforces and astringes the Jing (Essence); stops vaginal discharge; distributes Zhong (Ancestral) Qi and Yang to the pelvis to mobilize the Yin of the pelvis; stimulates adrenals and ovaries (Finkelstein, p. 77); frees the channels and invigorates the collateral vessels
• Lu-7 (+): opens and regulates the Ren Mai (Conception Vessel); effects release of sexual hormones; regulates Water Pathways and dispels Dampness; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); takes Yuan (Original) Qi back to the Lung that has not been absorbed by the Yang Ming and therefore ensures the Qi feedback into the Kidney (Metal to Water) (Finkelstein, p. 3)
• TW-5 (+): regulates the Dai Mai (Girdle Vessel); normalizes excess of gonadotropins and stimulates thyroid (Finkelstein, p. 62); Triple Warmer Luo Connecting point; Couple point of the Dai Mai (Girdle Vessel)
• Ht-7 (-): calms Heart; reduces fever if Xu (Deficiency) Heat; stimulates secretion of fluids; nourishes Heart Xue (Blood); Heart Yuan Source, Earth and Dispersion point
Kd-19 (+): strengthens the Spleen; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); facilitates Qi flow, esp. in the abdomen; Jiao Hui Intersecting point of the Chong Mai (Penetrating Vessel) and Foot Xiao Yin (Kidney) channel
Kd-18 (+): strengthens the Middle Warmer; Jiao Hui Intersecting point of the Chong Mai (Penetrating Vessel) and Foot Xiao Yin (Kidney) channel
Kd-13 (+ and D): influences the pituitary gland (Worsley, 1975, p. B-20); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies the Kidney and Jing (Essence); reinforces Kidney Qi; beneficial to female reproductive organs; influences development of the Uterus (D); regulates and warms the Uterus, esp. with D; clears the Lower Warmer; removes Obstructions from the Kidney channel; Confluence of Vital Qi (Mann, p. 47); Jiao Hui Intersecting point of the Chong Mai (Penetrating Vessel) and Foot Xiao Yin (Kidney) channel
CV-7 (+): warms and supplements Kidney Yang; regulates (D) and clears Obstruction from (-) the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates menses and the Xue (Blood); controls Xue (Blood) in the Uterus; stimulates all sex hormones (Finkelstein, p. 87); Mu Alarm point of the Lower Warmer; Jiao Hui Intersecting point of the Chong Mai (Penetrating Vessel) and the Foot Xiao Yin (Kidney) channel on the Ren Mai (Conception Vessel); receives Qi from Kidney and Chong Mai (Penetrating Vessel) via secondary channels
CV-6 (+ and/or D): strengthens and moves the Qi, esp. in Lower Warmer; reduces Liver Fire; regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); tonifies Kidney; nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); reinforces Jing (Essence); regulates Water Pathways and dispels Dampness; regulates the menses and stops vaginal discharge; Dan Tien (Elixir of Long Life), with CV-5: important point for concentration of Qi in the body
CV-5 (+): evaluates and controls the Three Warmers (Finkelstein, p. 86); tonifies Yuan (Original) Qi; warms and reinforces Kidney Yang to dispel Cold; dries Dampness and Damp-Cold; regulates menstruation and the Lower Warmer; reduces leukorrhea; Triple Warmer Mu Alarm point; Dan Tien (Elixir of Long Life), with CV-6: important point for concentration of Qi in the body; Yuan (Original) Qi rises from CV-5
CV-4 (+ and/or D): regulates and replenishes the Qi, esp. the Kidney Qi; regulates and reinforces the Qi of the Liver, Spleen and Kidney channels and Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel); benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates the Qi; tonifies the Middle Warmer, strengthens Spleen and benefits the raising Qi; tones up the abdominal muscles (+); dispels Cold-Damp; nourishes and stabilizes the Kidney; stimulates sex hormones; regulates the Uterus and menses; warms the Kidney Yang, the Lower Warmer and Uterus, esp. to eliminate Cold (D); Small Intestine Mu Alarm point
CV-3 (+): assists the transforming functions of Qi; tonifies the Kidney Qi and Yang; tonifies sexual function; regulates the Lower Warmer, Uterus and menses; removes Xue Yu (Blood Stasis) in the Uterus; Bladder Mu Alarm point
• CV-2 (+ and D): warms Yang and reinforces the Kidney; dispels Cold in Uterus; regulates the menses; alleviates vaginal discharge
zi gong (D): supplements the Kidney Qi; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and warms the Uterus
• St-28 (=): regulates menstruation; facilitates the Lower Warmer; warms Lower Warmer Cold, esp. in the Uterus; regulates Heat Qi of the Triple Warmer, Kidney and Bladder; activates Chong Mai (Penetrating Vessel); seeps Water Dampness by opening Water Pathways to promote diuresis; in this region the Stomach supplies impure Qi to the Kidney via the internal duct of the Triple Warmer (Finkelstein, p. 16)
• St-29 (+): moves Qi Stagnation and Xue Yu (Blood Stasis) to "return" the period (Finkelstein, p. 17); treats Yin of the Uterus; regulates the Lower Warmer and menstruation; warms Lower Warmer Cold, esp. the Uterus; special effect on reproductive organs
St-30 (+): warms the Lower Warmer and Uterus to dissipate Cold; harmonizes the Xue (Blood) and Ying (Constructive) Qi; dispels Qi Stagnation and Xue Yu (Blood Stasis); treats genital problems; regulates menstruation; effects round and broad ligaments 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); Entry point of the Chong Mai (Penetrating Vessel) and the Sea of Nourishment
St-36 (+ and D): replenishes and invigorates Xue (Blood) and Qi; regulates the Stomach and strengthens the Spleen; eliminates Dampness; strengthens weak and deficient conditions; removes Cold of abdomen; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; Stomach Earth and Horary point; Sea of Nourishment point; note: no moxa with Xu (Deficiency) Heat
• St-40 (-): invigorates the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; transforms and eliminates Phlegm and Dampness; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
Sp-8 (+): regulates and tonifies the Spleen (especially Qi); regulates the Uterus and menstruation, esp. moves hesitant menstrual flow; harmonizes and invigorates the Xue (Blood) to move Xue Yu (Blood Stasis); stabilizes Kidney Qi; Spleen Xi Cleft Accumulation point
Sp-6 (+ and D): nourishes Yin; clears Fire due to Xu (Deficiency); replenishes and invigorates Xue (Blood) and Qi; regulates Spleen and Stomach; transforms Dampness; aids transportation and transformation to improve digestion and nourishment; regulates Xue (Blood) circulation; transforms Xue Yu (Blood Stasis); frees Qi Stagnation and spreads the Liver Qi; benefits the Kidney; warms the Middle and Lower Warmers; regulates the Xue (Blood) Chamber and the Palace of Jing (Essence) (Flaws, 1989, p. 46); Jiao Hui Intersecting point of the three Foot Yin channels; note: use no moxa with Xu (Deficiency) Heat
Lv-3 (-): pacifies the Shen; soothes and regulates the Liver; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; cools and drains Liver Heat and Fire; subdues Liver Yang; influences the ovaries (Worsley, 1975, p. B-20); tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis) and regulate menses; Liver Yuan Source and Earth point
• GB-41 (-): removes Fire and clears Stagnant Heat; clears and regulates Dai Mai (Girdle Vessel); spreads Liver Qi; dissolves Phlegm; clears and regulates Dai Mai (Girdle Vessel); clears Wetness (Damp Spleen) by draining into Dai Mai (Girdle Vessel), thereby increasing Spleen Qi and Xue (Blood) production, improving digestion, and warming extremities; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel)
Kd-6 (+): pacifies the Shen and stabilizes the Will; clears Xu (Deficiency) Fire; opens the Ren Mai (Conception Vessel); balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); tonifies Kidney (especially Yin); promotes function of the Uterus; regulates the Lower Warmer and menses; Couple point of Ren Mai (Conception Vessel)
Kd-4 (+): nourishes the Shen and Yin; reinforces the Liver and Kidney; regulates the Kidney; facilitates the flow of Qi and Xue (Blood); harmonizes the Xue (Blood); supplements the Jing (Essence); Kidney Luo Connecting point
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); warms Cold; cools and clears Heat; pacifies Xu (Deficiency) Fire; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies Kidney Yang and Ming Men Fire; stabilizes Kidney Qi; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); promotes function of Uterus; regulates menses and Water Pathways; Kidney Yuan Source and Earth point
• Kd-2 (+ and/or D): tonifies Kidney Yang and Jing (Essence); warms Cold; stabilizes Kidney Qi; nourishes Yin; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens Yin Qiao Mai (Yin Motility Vessel); influences ovaries (Worsley, 1975, p. B-20); Kidney Fire point
• Kd-1 (+): pacifies the Shen; energizes the entire system (ind. D) (Finkelstein, p. 52); regulates Yin and Yang; clears Fire and Heat; pacifies and calms the Heart; reinforces the Kidney; nourishes Kidney Yin (and thereby suppresses Liver Fire); nourishes Yin and benefits Jing (Essence); Kidney Jing Well, Wood, Dispersion and Entry point


footnotes

Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.