Amenorrhoea — blood stasis

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Textbook Prescriptions Gynaecology

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. CV3 Zhongji midline

    Ren point meeting the three foot yin; acts directly on the uterus

    • Pregnancy: contraindicated
  2. SP10 Xuehai bilateral

    Spleen point that invigorates blood and brings on the period

  3. SP6 Sanyinjiao bilateral

    meeting of the three foot yin; with LI4 regulates qi and blood

    • Pregnancy: contraindicated
  4. LV2 Xingjian bilateral

    Ying-Spring of the Liver; releases constrained liver qi

  5. ST29 Guilai bilateral

    Stomach point on the lower abdomen; local point to clear stasis from the uterus

  6. BL32 Ciliao bilateral

    Bladder point over the second sacral foramen; local point to clear uterine stasis

    • Pregnancy: contraindicated
  7. LI4 Hegu bilateral

    Yuan-Source of the Large Intestine; with SP6 moves qi and blood

    • Pregnancy: contraindicated

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

Treatment Principle

Remove blood stasis by reducing points of the Ren, Spleen and Liver channels.

Indications

menstruation stopping suddenlydistending lower abdominal pain, worse for pressure, sometimes with a palpable massdeep wiry pulseoften follows emotional constraint or exposure to cold during a period

Method

Needle with the reducing method.

⚠ Cautions

Exclude pregnancy before treating any amenorrhoea: LI4, SP6, BL32 and strong stimulation at CV3 are all contraindicated in pregnancy. A pelvic mass or sudden amenorrhoea with pain warrants gynaecological examination.

About

The book's prescription for amenorrhoea from blood stasis, which follows emotional constraint or cold invading during menstruation.

Rationale

CV3, ST29 and BL32 work on the uterus from front and back, where the stasis lies. LI4 and SP6 form the classic pairing for moving qi and blood, SP10 specifically invigorates blood to bring on the flow, and LV2 releases the constrained liver qi behind the stasis.

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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