-IBIS-1.5.0-
tx
reproductive system
pelvic inflammatory disease
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Toxic Heat accumulated in Lower Warmer; Qi Stagnation and Xue Yu (Blood Stasis) in the Lower Warmer; Spleen and Kidney Qi Xu (Deficiency); Liver and Gall Bladder Invaded by Damp-Heat; Wind-Heat; dysfunction of the Chong Mai (Penetrating Vessel) and/or Ren Mai (Conception Vessel); Xu (Deficiency) of the Yang Qiao Mai (Yang Motility Vessel) and/or Shi (Excess) of the Yin Qiao Mai (Yin Motility Vessel)

» therapeutic note:
• see also "vaginitis/leukorrhea", "menorrhagia", "metrorrhagia", etc. as appropriate

» illustrative combinations:
• GV-14, CV-4, CV-6, CV-12, UB-23, LI-4 and St-36 (+); needles retained for 20-30 minutes for salpingitis (Liu, p. 404)
• zi gong, CV-4, Sp-10 and Sp-9 for chronic pelveoperitonitis (Shanghai, p. 189)
• zi gong and CV-3: treat infertility, uterine bleeding, and vaginal discharge (Ellis, et al, 1988, p. 404)
• zi gong, CV-5, CV-3 and UB-23: treat persistent uterine bleeding (Ellis, et al, 1988, p. 404)
• St-28 and GB-26 (+ and D): relieve pain below umbilicus (So, 1987, p. 255)
• 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)
• St-29 and St-25: clear Heat and regulates menses (Finkelstein, p. 17)
• zi gong, CV-3 and Sp-9 for leukorrhea (Shanghai, p. 189)
• St-29, CV-6 and Kd-7; or CV-4 and Sp-6; or CV-3 and zi gong for leukorrhea (Shanghai, p. 675)
• UB-32 and St-40 (-): resolve profuse leukorrhea due to PID
• St-29, Kd-3, CV-6 and Kd-7 for trichomonas vaginitis (Shanghai, p. 189)
• St-30, Sp-8 and Lv-8: harmonize Xue (Blood) and dispel effused blood, esp. with menstrual problems (Finkelstein, p. 17)
• 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)
• LI-11 and Sp-6: remove Obstruction of channels and Xue Yu (Blood Stasis) and treat inflammation anywhere in body as this locus improves immune response, esp. the uterus (Finkelstein, p. 9)
• CV-3 -> CV-2: open and move Qi in the Lower Warmer
• Sp-4 and PC-6: open the Chong Mai (Penetrating Vessel) for which menstrual disorders are a general 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


point analysis

»
palpate and consider:
GV-14 (+ or -): dissipates Wind and clears Heat; reduces fever; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; clears the Shen, calms the Soul, and pacifies the Will; regulates and stimulates the flow of Qi; regulates the Xue (Blood); relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel)
• GV-9 (-): treats febrile diseases; regulates the Qi functions; expands the chest and diaphragm; transforms Damp-Heat; regulates the Liver and Gall Bladder
• UB-38/43 (+): regulates the Shen; strengthens Xu (Deficiency) conditions; clears Empty Heat; releases unresolved emotions; strengthens the Xue (Blood); tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; treats genital organ diseases (Finkelstein, p. 47); Pericardium psychospiritual associated point
• UB-17 (=): tonifies the Qi; 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); channels blood back to the vessels (e.g., hemoptysis); enriches Yin; 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 (+): pacifies the Shen; clears and drains the Liver and Gall Bladder; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
• UB-19 (+): regulates the Qi and calms the emotions; nourishes Xue (Blood); transforms Damp-Heat; Gall Bladder Shu Associated point
• UB-20 (+): regulates Spleen Qi; tonifies the Spleen and Stomach; enhances Spleen Yang to mobilize Stagnant Qi and resolve Dampness; tonifies and harmonizes the Xue (Blood); Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; drains Heat from the Lower Warmer; resolves Dampness; Kidney Shu Associated point
• UB-28 (-): regulates the Bladder; regulates the Water Pathways; relieves dysuria; clears Heat from Lower Warmer; reinforces Yuan (Original) Qi; Bladder Shu Associated point
UB-32 (-): regulates the Bladder, Lower Warmer and menstruation; promotes urination; removes Xue Yu (Blood Stasis) in the Lower Warmer, esp. the Uterus; transforms Damp-Heat and resolves leukorrhea; consolidates Jing (Essence); invigorates the Xue (Blood) and Kidney Qi; brings Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46)
UB-54/40 (- and/or bleed): clears Heat from the Xue (Blood) (bleed); transforms Damp-Heat; benefits Kidney Qi and regulates Bladder; treats genital pain; relaxes the sinews and muscles; Bladder He Sea Uniting and Earth point
• LI-11 (=): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); eliminates Dampness through the Intestines; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point
LI-4 (+ or -): dispels Wind-Heat; reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); activates Wei (Protective) Qi and stimulates the immune system; induces or stabilizes sweating; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; promotes menses; clears Toxins; eliminates Damp-Heat and stops itching; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
Lu-7 (=): circulates the Wei (Protective) Qi to expel Wind; opens and regulates the Ren Mai (Conception Vessel); regulates the Yin Qiao Mai (Yin Motility Vessel); effects release of sexual hormones; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
PC-6 (+): clears Heat; pacifies the Shen; regulates the Qi; harmonizes the Qi in the Upper and Middle Warmers; regulates Liver Qi and relieves Liver Qi Stagnation; descends Rebellious Qi to resolve nausea, reduce eructations, and stop vomiting; 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; relieves pain; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• SI-3 (+): pacifies the Shen and clears the Mind; 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; relieves muscle spasms; invigorates the channels; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
• Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; relieves pain in hypochondrium; strengthens the Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dispels Heat from the Xue (Blood); Liver Mu Alarm point
• CV-12 (+): regulates the Stomach Qi and harmonizes the Stomach; strengthens and calms the Spleen; transforms Dampness; transforms and suppresses Rebellious Qi to resolve nausea and vomiting; benefits and soothes the Qi; facilitates ascension of the Clear and descension of the Turbid; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-6 (+): strengthens, regulates and moves the Qi, esp. in the Lower Warmer; cools Heat in the Xue (Blood); captures the Xue (Blood) and stops bleeding (+); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies the Kidney; regulates and tonifies Yuan (Original) Qi; benefits, reinforces the Jing (Essence); regulates Water Pathways and dispels Dampness; regulates the menses and stops vaginal discharge; Dan Tien (Elixir of Long Life), with CV-5
• CV-5 (+): evaluates and controls the Three Warmers (Finkelstein, p. 86); tonifies Yuan (Original) Qi; warms and reinforces Kidney Yang; dries Dampness; regulates menstruation and the Lower Warmer; reduces leukorrhea; Triple Warmer Mu Alarm point of the San Jiao (Triple Warmer); Dan Tien (Elixir of Long Life), with CV-6
CV-4 (- and/or +): pacifies the Shen; regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer and strengthens the Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and the Turbid; strengthens the function of astringing the Dai Mai (Girdle Vessel) and restraining the Xue (Blood); strengthens and replenishes the Kidney Qi; regulates the Uterus and menses; resolves Damp-Heat; regulates the Bladder; Small Intestine Mu Alarm point
CV-3 (- and/or +): opens and moves Qi in the Lower Warmer; alleviates Damp-Heat, esp. in the Bladder and Uterus; tonifies the Kidney Qi and Yang; tonifies sexual function; regulates the Bladder, Lower Warmer and the Water Pathways; promotes urination; regulates the Uterus and menses; removes Xue Yu (Blood Stasis) in the Uterus; relieves pain; Bladder Mu Alarm point
• CV-2 (- and/or +): opens and moves Qi in the Lower Warmer; stimulates internal secretions (Finkelstein, p. 84); warms the Yang and reinforces the Kidney; regulates menses; regulates and tonifies the Uterus; resolves vaginal discharge, esp. leukorrhea; mobilizes the Bladder and regulates urination
zi gong (-): clears Lower Warmer Heat; tonifies and warms Yuan (Original) Qi; regulates menstruation; clears Heat; transforms Damp-Heat
GB-26 (-): regulates the Dai Mai (Girdle Vessel); special point for treating gynecological conditions; alleviates Damp-Heat; regulates menses; stops leukorrhea; clears and invigorates the channels; Entry point of Dai Mai (Girdle Vessel)
• GB-27 (-): opens and regulates the pelvic region; removes Stagnancy of Liver Qi; regulates the menses and removes vaginal discharge; invigorates the Kidney
St-29 (=): promotes Qi and Xue (Blood) circulation of the Bladder and Triple Warmer; moves Qi Stagnation and Xue Yu (Blood Stasis) in the Uterus; treats Yin of the Uterus; regulates the Lower Warmer and menstruation; special effect on reproductive organs; stops pain
St-30 (=): 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); relaxes the tendons; Entry point of the Chong Mai (Penetrating Vessel) and the Sea of Nourishment; palpation: gynecological reflex point (Matsumoto); indicator for weak immune system (Matsumoto); if the Chong Mai (Penetrating Vessel) is troubled St-30 will be tender to palpation (Finkelstein, p. 17)
St-36 (+): expels Wind; regulates Wei (Protective) Qi; disperses noxious Yang and brings down high fever; calms the Shen; regulates and strengthens Qi and Xue (Blood); strengthens weak and Xu (Deficient) conditions; regulates the Stomach and strengthens the Spleen; regulates and replenishes the Middle Warmer; dispels and eliminates Dampness; relieves nausea and vomiting; spreads Liver Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Command point of the abdomen; Sea of Nourishment point
• St-40 (-): dispels Wind; clears and calms the Shen; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; transforms and eliminates Dampness; resolves leukorrhea; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; invigorates the channels; Stomach Luo Connecting point
Sp-10 (-): expels Wind and clears Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat and transforms Damp-Heat in the Xue (Blood); perfuses the Lower Warmer; regulates the menses; "Sea of Blood"
• Sp-9 (-): regulates and tonifies the Spleen (especially Yang); warms and moves the Middle Warmer; regulates the Water Pathways; dispels Damp-Heat; benefits the Lower Warmer; Spleen He Sea Uniting and Water point
Sp-8 (-): regulates and tonifies the Spleen (especially Qi); promotes circulation of Qi and Xue (Blood); harmonizes and invigorates the Xue (Blood) to moveXue Yu (Blood Stasis) and reduce pain; regulates and adjusts the Uterus; regulates menstruation; stops leukorrhea; stabilizes Kidney Qi; Spleen Xi Cleft Accumulation point
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences the pituitary, adrenals, uterus and ovaries (Finkelstein, p. 27; Worsley, 1985, p. B-20); clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and builds the Xue (Blood); clears Xue (Blood) Heat; moves the Xue (Blood) and transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads Liver Qi and suppresses Liver Heat; restores circulation to the Lower Warmer; tonifies the Kidney; transforms Dampness and Heat; 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); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; clears Heat; moves and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; regulates the Stomach and suppresses vomiting; regulates the Xue (Blood), Chong Mai (Penetrating Vessel) and menstrual cycle; 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; treats the genital organs; Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
• GB-34 (-): clears Dampness and cools Heat; facilitates and harmonizes the Liver; tonifies the Spleen; 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)
Lv-5 (-): drains the Liver; spreads Liver Qi and disperses Liver Qi Stagnation; benefits the Qi; tonifies Liver and Yang; relieves Obstruction in Lower Warmer; secures Jing (Essence); tonifies and warms Fire of Life function as manifested in sexuality (Finkelstein, p. 74); regulates function of the Bladder; benefits urogenital area and resolves Damp-Heat in the Lower Warmer to stop itching and discharge; regulates menses; relaxes the sinews; frees the channels; Liver Luo Connecting point
Lv-3 (-): expels Wind; pacifies the Shen; clears and regulates the Liver; promotes smooth flow of Qi and Xue (Blood); disperses and eliminates Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; suppresses Rebellious Qi to stop vomiting; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis) and regulate menses; discharges Damp-Heat in the Lower Warmer; opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
• Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; tonifies Yuan (Original) Qi; regulates Qi, esp. Kidney Qi, and restores Qi to the vessels; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; regulates the Bladder, menses and Water Pathways; cools and clears Damp-Heat; moistens dryness; disperses Stagnation; Kidney Metal and Tonification point
Kd-6 (=): pacifies the Shen and stabilizes the Will; cools and clears Heat; clears Xu (Deficiency) Fire; removes Obstruction from the Yin Qiao Mai (Yin Motility Vessel); opens the Ren Mai (Conception Vessel); balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); tonifies the Kidney (especially Yin); moistens dryness; dispels Dampness; promotes function of the Uterus; regulates the Lower Warmer and menses; frees the channels and invigorates the collateral vessels; sedates pain; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
• Kd-3 (=): 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; regulates menses and Water Pathways; Kidney Yuan Source and Earth point
• UB-62 (+): dispels Wind; cools and clears Fire and Heat; clears the Shen and Heart; 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; relaxes the Muscle channels; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)

ear: uterus, endocrine, ovary, lung, external genitalia


footnotes