Morning sickness

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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. ST36 Zusanli bilateral

    He-Sea of the Stomach; brings rebellious stomach qi down

  2. PC6 Neiguan bilateral

    Luo-Connecting point of the Pericardium; opens the chest and stops vomiting

  3. CV13 Shangwan midline

    Ren point over the upper stomach; local point for epigastric fullness

Needling Safety

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

Treatment Principle

Calm the stomach qi to stop the vomiting, using Stomach and Pericardium channel points.

Indications

nausea and vomiting from about the first month of pregnancyvomiting straight after meals, or set off just by seeing or smelling foodfullness in the chest, dizziness, blurred vision and tiredness

Method

Needle with even movement.

⚠ Cautions

The patient is pregnant: keep stimulation gentle and avoid the points contraindicated in pregnancy (LI4, SP6, BL60, BL67, GB21, lower-abdominal points). Needle CV13 shallow. Vomiting with weight loss, dehydration or ketonuria (hyperemesis gravidarum) needs medical care.

About

The book's prescription for vomiting early in pregnancy, attributed to weak stomach qi reacting to the developing fetus.

Rationale

ST36 lowers the rising stomach qi from the leg, PC6 eases the chest and settles the urge to vomit, and CV13 works locally on epigastric fullness. Distal points on two channels are thus paired with one local point over the stomach.

Clinical Notes

The book gives an ear-acupuncture option using Liver, Stomach, Ear-Shenmen and Sympathetic, once daily or with embedded needles left three to five days and pressed by the patient.

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Morning Sickness, p. 379.

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