Dysmenorrhoea — excess type
StarEssentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.
Points
-
Ren point on the lower abdomen; local point to clear stasis and ease pain
- Pregnancy: contraindicated
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Spleen point that invigorates blood
-
Xi-Cleft of the Spleen; with LI4 the pairing for painful periods
-
Yuan-Source of the Large Intestine; with SP8 moves qi and stops pain
- Pregnancy: contraindicated
-
Stomach point on the lower abdomen; local point to clear stasis and ease pain
Needling Safety
Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.
Treatment Principle
Invigorate blood and remove obstruction from the channel with reducing needling, adding moxa where cold is present.
Indications
Method
Needle with the reducing method; use moxibustion as well when the pattern is cold.
⚠ Cautions
LI4 and strong stimulation at CV3 are contraindicated in pregnancy. Severe, new or worsening pelvic pain needs examination for ectopic pregnancy, endometriosis, pelvic infection or fibroids.
About
The book's prescription for excess-type dysmenorrhoea, where emotional strain or cold has made blood congeal in the uterus.
Rationale
SP10 sets the blood moving, and SP8, the cleft point of the spleen channel, joined with LI4 is the book's pairing for painful periods. CV3 and ST27 on the lower abdomen act locally to dissolve the stasis and ease the pain.
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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