-IBIS-1.5.0-
tx
reproductive system
lactation: excess/deficiency
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
» deficient lactation: Xu (Deficiency) of Qi and Xue (Blood); Yin Xu (Deficiency); Qi Stagnation and Xue Yu (Blood Stasis); Liver Qi Stagnation; Shi (Excess) of the Chong Mai (Penetrating Vessel)
» excess lactation: Qi Xu (Deficiency); Heat in the Xue (Blood); Xu (Deficiency) of the Chong Mai (Penetrating Vessel)
» illustrative combinations for deficient lactation:
TW-6, St-36, CV-17 and St-18 for insufficient lactation (Shanghai, p. 236)
GV-14, CV-4, CV-6, CV-12, UB-23, LI-4 and St-36 for agalactia (Liu, p. 404)
SI-1, UB-18, UB-17 and SI-11 (+) for agalactia due to Xu (Deficiency) of Qi and Xue (Blood) (Flaws, 1983, p. 56)
St-18, PC-6, CV-17 and Lv-14 (-) for agalactia due to Stagnation of Qi and Xue (Blood) (Flaws, 1983, p. 56)
SI-1, Ht-1, CV-17 and St-18; GB-41 and CV-3 for insufficient lactation (Mann, p. 153)
CV-17 (D) and SI-1 (can also add: LI-4, St-36 and Sp-6) for insufficient lactation as part of Xue Xu (Blood Deficiency) due to excessive blood loss during childbirth (Mann, p. 153)
CV-17 (D), SI-1 and GB-21 (can also add: Lu-7) for insufficient lactation with "Qi Mai blocked and Cold" (Mann, p. 153)
CV-17, St-18 and SI-1 (also consider: UB-18, UB-20 and St-36) for insufficient lactation (Shanghai, p. 678)
Sp-4 and PC-6 open the Chong Mai (Penetrating Vessel) for which deficient lactation is a symptom of Shi (Excess)
CV-17 (D) with GB-21, SI-1, LI-4 and Sp-6 for agalactia (Flaws, 1983, p. 57)
SI-1, SI-2, LI-4 and CV-17 (+) for agalactia (Flaws, 1983, p. 57)
CV-17 and St-18 (ind. D for 10-20 minutes); Ht-1, SI-1 and St-26 (mild +), treating 1-2 times daily, for agalactia (Flaws, 1983, p. 57)
CV-17, St-18, SI-11 and SI-1 for insufficient lactation or mastitis (Shanghai, p. 199)
Lu-10 and SI-1 remove Obstruction of the breast; benefit scanty lactation due to Obstruction (Flaws, 1989, p. 80)
direct moxa on CV-17 and SI-1 for lack of milk (Shanghai, p. 678)
St-18, St-1 and CV-17 promotes milk secretion (Finkelstein, p. 15)
CV-17, SI-1 and St-36 increase oxytocin and lactase levels in body to promote lactation (Finkelstein, p. 91)
St-18 and St-16 (-) disperse local Stagnation in breast; promote flow of milk
» illustrative combinations for lactation:
Lu-1 and St-38 (-) for galactorrhea (Flaws, 1983, p. 57)
» related combinations:
St-30, GB-22 <-> Sp-21 area and SI-11 are "essential" points for treating breast problems; St-15 <-> St-16 area along with PC-6 and Sp-4, to effect the Chong Mai (Penetrating Vessel), are secondary points; palpation, of course confirms the points' appropriateness (Matsumoto)
SI-1 and tai yang for swollen breasts (Shanghai, p. 241)
point analysis
» palpate and consider:
UB-37/42 (+): diffuses Lung Qi; facilitates lactation; Lung psychospiritual associated point
UB-38/43 (+): fortifies the Spleen; tonifies Heart Qi; strengthens the Xue (Blood); treats insufficient lactation (S. de Morant as per Mann, p. 153); stimulates hematopoesis; restores Yuan (Original) Qi; Pericardium psychospiritual associated point
UB-16 (=): cools Heat in the Xue (Blood); invigorates Xue (Blood); expands and relaxes the chest; facilitates lactation; Shu Associated point of the Du Mai (Governing Vessel)
UB-17 (+ or =): regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); transforms Xue Yu (Blood Stasis) and disperses Obstruction; clears Heat from the Xue (Blood); nourishes Dry Xue (Blood); enriches Yin; generates Fluids; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-18 (+): moves Stagnant Qi; nourishes Liver Xue (Blood) and Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
UB-20 (+): tonifies the Qi and nourishes the Xue (Blood); facilitates milk production and expedites lactation; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; the Middle Warmer (D); Spleen Shu Associated point
UB-21 (=): regulates the Stomach Qi; promotes lactation and relieves breast pain; dissolves and eliminates Stagnation and Obstructions, esp. in the breast; Stomach Shu Associated point
GB-21 (=): spreads Liver Qi; disperses Stagnation and stops pain; promotes lactation; sends Qi downward to relieve breast pain; clears and invigorates the channels
SI-11 (needle, moxa, or Tiger warmer): stimulates flow of Qi; facilitates lactation; treats all breast problems, if tender or painful upon palpation (Matsumoto); diffuses Qi Stagnation in the chest and lateral costal region; frees the channels and invigorates the collateral vessels; reduces swelling; breast Shu point (Matsumoto)
SI-2 (-): dispels Wind-Heat; balances inner secretions, i.e., hormones; esp. with agalactia; Small Intestine Water point
SI-1 (+): clears Heart Fire; stimulates breasts and promotes lactation; clears Obstruction from the channels, esp. of the breast; Small Intestine Jing Well, Metal and Entry point
Ht-1 (=): nourishes Heart Yin; clears Heart Empty Heat; facilitates Qi flow; relaxes the chest; helps deficient lactation; frees the channels and invigorates the collateral vessels; Heart Entry point
PC-1 (=): influences Heart (+ or -); opens the chest; expedites and facilitates lactation; removes Obstruction of Qi circulation in Jue Yin channels; Pericardium Entry point; "Celestial Pool"
PC-6 (+): spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; tranquilizes the Heart; regulates Heart Qi and Xue (Blood); clears and spreads Qi in Pericardium channel; opens the chest; releases and expands the diaphragm; 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; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
TW-6 (=): clears Fire and Heat; facilitates Qi flow and spreads the Qi; generates Fluids; expands and relaxes the chest; disperses Qi in the intercostal region; expedites lactation; Triple Warmer Fire and Horary point
LI-4 (-): regulates and harmonizes Xue (Blood), Qi and Ying; frees the channels; Large Intestine Yuan Source and Entry point; command point of the face and mouth
Lu-1 (-): palpate for tender and/or painful point and needle to release Stagnation of Qi and Xue (Blood), relax muscle tension obstructing the breast area, and increase oxygenation (Matsumoto); regulates Qi of Upper Warmer and Lung; increases Qi and stamina; nourishes Lung Yin; cools and disperses Heat and Yang from the Upper Warmer; stops cough; disperses Stagnant Qi or Phlegm; disperses fullness from the chest and stops pain; esp. useful with galactorrhea (Flaws, 1983, p. 57); Lung Mu Alarm and Entry point
Lu-10 (-): removes Obstruction of the breast; clears Fire and Heat; cools Heat in Xue (Blood); harmonizes the Stomach; Lung Fire point
CV-17 (- or ind. D): facilitates lactation; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; expands the chest and soothes the diaphragm; (and/or d. D): seven cones, red bean size (So, 1987, p. 253); warm Qi and Xue (Blood) and activate circulation; Pericardium Mu Alarm point; Hui Reunion point of the Qi
CV-8 (D): warms and stabilizes the Yang; warms the Lower and Middle Warmers; strengthens the transporting function of the Spleen and Stomach; dries Dampness; regulates Qi; relieves incessant lactation
CV-6 (+): strengthens and moves the Qi; influences the pituitary (Worsley, 1975, p. B-20); cools Heat in the Xue (Blood); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies Kidney; regulates and tonifies Yuan (Original) Qi; Dan Tien (Elixir of Long Life), with CV-5
CV-4 (+): nourishes Xue (Blood) and Yin; grounds the Shen when there is Empty-Heat (Maciocia, p. 207); benefits Yuan (Original) Qi; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes and stabilizes the Kidney; Small Intestine Mu Alarm point
St-18 (- or ind. D): disperses local Stagnation; promotes flow of milk; regulates Stomach Qi; facilitates circulation of Qi and Xue (Blood) in the Stomach channel, esp. to stop pain and/or drain Heat in the breast; regulates the breast and lactation; also consider indirect moxa to warm Qi and Xue (Blood) and activate circulation; Great Luo of the Stomach
St-16 (-): disperses local Stagnation in breast; promotes flow of milk; clears Heat, e.g. mastitis; relieves pain and disperses swelling
St-15 (=): relieves milk congestion (oblique insertion); relieves pain
Lv-14 (-): relieves swelling under ribs by stimulating free flow of Liver Qi; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dispels Heat from the Xue (Blood); Liver Mu Alarm point
Sp-12 (=): facilitates Qi and Xue (Blood) flow; treats insufficient lactation
Sp-10 (=): regulates and invigorates the Xue (Blood); cools Heat in the Xue (Blood); nourishes Xue (Blood) Dryness; harmonizes and tonifies Ying (Constructive) Qi
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences pituitary, adrenals, uterus and ovaries (Finkelstein, p. 27; Worsley, 1985, p. B-20); disperses Heart Fire; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and builds the Xue (Blood); nourishes and moves the Xue (Blood); clears Xue (Blood) Heat; frees Qi Stagnation and transforms Xue Yu (Blood Stasis); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (=): pacifies the Shen; strengthens the Spleen; 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; tonifies Yuan (Original) Qi; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
St-30 (=): harmonizes the Xue (Blood) and Ying (Constructive) Qi; dispels Qi Stagnation and Xue Yu (Blood Stasis); regulates menstruation; 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; insert at a 45° angle toward the underside of the pubic bone; an intradermal needle (downward) or a press tack may be left in with chronic complaints (Matsumoto); Entry point of the Chong Mai (Penetrating Vessel) and the Sea of Nourishment
St-36 (+): regulates and strengthens Qi and Xue (Blood); cracks Xue Yu (Blood Stasis) in the chest; regulates the Stomach and strengthens the Spleen; facilitates milk production; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, Liver and Spleen; frees the channels and invigorates the collateral vessels; Stomach Earth and Horary point; Sea of Nourishment point
St-38 (-): regulates the Stomach and breast; relaxes the muscles and tendons
Kd-9 (+): pacifies the Shen; opens the chest; dissipates Heat from the Heart; facilitates lactation; strengthens Yuan (Original) Qi; regulates Yin Wei Mai (Yin Linking Vessel); tonifies Kidney Qi and Kidney Yin; Yin Wei Mai (Yin Linking Vessel) Entry point and Xi Cleft Accumulation point
GB-41 (+): regulates the Liver and removes Stagnancy of Liver Qi; spreads Liver Qi to reduce Stagnation of Phlegm and Xue (Blood) in the Liver channel; relieves distention and swelling in the breast; stops secretion of milk; 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)
ear: endocrine
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.