Dysmenorrhoea — deficiency type

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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. CV4 Guanyuan midline

    Ren point that warms and builds the original qi

    Moxibustion.

    • Pregnancy: contraindicated
  2. BL20 Pishu bilateral

    Back-Shu of the spleen; strengthens spleen function

  3. BL23 Shenshu bilateral

    Back-Shu of the kidney; strengthens kidney function

  4. ST36 Zusanli bilateral

    He-Sea of the Stomach; distal point that builds the source of blood

  5. SP6 Sanyinjiao bilateral

    meeting of the three foot yin; distal point that strengthens spleen and stomach

    • 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

Regulate and build up qi and blood through Ren and spleen and kidney Back-Shu points, with reinforcing needles and moxa.

Indications

dull, lingering lower abdominal pain late in the period or after it, eased by warmth and pressurescanty, pale flowin severe cases chilliness, palpitation and dizzinessthin, forceless pulse

Method

Needle with the reinforcing method combined with moxibustion.

⚠ Cautions

SP6, and CV4 with moxa, are contraindicated in pregnancy. Persistent or worsening pain needs gynaecological assessment.

About

The book's prescription for deficiency-type dysmenorrhoea, where weak qi and blood leave the Chong and Ren vessels undernourished.

Rationale

Moxa at CV4 warms and fortifies the original qi. The spleen and kidney Back-Shu points restore those two organs, and ST36 with SP6 strengthen the spleen and stomach from below, the origin of blood.

Clinical Notes

The book notes that painful periods often reflect local disease of the reproductive organs, endocrine disorder or nervous and psychological factors. Its ear-acupuncture option uses Ovary, Ear-Shenmen and Endocrine, stimulated moderately strongly at intervals until the pain eases.

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Dysmenorrhea, p. 375–376.

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