Amenorrhoea — blood exhaustion
StarEssentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.
Points
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Ren point that tonifies the original qi
Moxibustion may be added.
- Pregnancy: contraindicated
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Back-Shu of the liver; restores liver function
- ⚠ Pneumothorax
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Back-Shu of the spleen; restores spleen function
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Back-Shu of the kidney; restores kidney function
-
Front-Mu of the large intestine near the navel; regulates the spleen and stomach that make blood
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He-Sea of the Stomach; distal point that builds qi and blood
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meeting of the three foot yin; distal point for liver, spleen and kidney
- Pregnancy: contraindicated
Needling Safety
Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.
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BL18 Ganshu
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⚠ Pneumothorax has been reported after needling this point. Wu J, Hu Y, Zhu Y, Yin P, Litscher G, Xu S 2015, Table 1 (Pneumothorax associated with acupuncture)
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Treatment Principle
Nourish and regulate the liver, spleen and kidney through Ren and Back-Shu points so that blood is replenished.
Indications
Method
Needle with the reinforcing method; moxibustion may be combined.
⚠ Cautions
Exclude pregnancy first: SP6, and CV4 with moxa or strong stimulation, are contraindicated in pregnancy. BL18 and BL20 lie over the lower ribs: needle obliquely, not deeply, to avoid pneumothorax. Amenorrhoea with weight loss, galactorrhoea or other systemic signs needs medical investigation.
About
The book's prescription for amenorrhoea from exhausted blood, after long illness, blood loss or many pregnancies have depleted the liver, spleen and kidney.
Rationale
CV4 tonifies the original qi, while the Back-Shu points of liver, spleen and kidney rouse each depleted organ. ST36 and SP6 are distal points on the related channels, and ST25 near the navel regulates the spleen and stomach, from which qi and blood are formed.
Sources
- Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Amenorrhea, p. 374–375.
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