Uterine haemorrhage
StarEssentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.
Points
-
Ren point that regulates the Chong and Ren vessels
Moxibustion here is the usual way of stopping the bleeding.
- Pregnancy: contraindicated
-
Jing-Well of the Spleen; restores the spleen's hold on the blood
Moxibustion here is the usual way of stopping the bleeding.
Needling Safety
Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.
Treatment Principle
Stop the bleeding: by clearing heat with reducing needling where the blood is hot, or by regulating the Chong and Ren with reinforcing needles and moxa where qi is weak.
Indications
Method
Reduce for blood heat. For qi deficiency, reinforce and add moxibustion.
⚠ Cautions
Heavy bleeding is an emergency that needs medical control first, as the book also says. Pregnancy-related bleeding (miscarriage, ectopic pregnancy) must be excluded, and organic causes, including malignancy in any post-menopausal or persistent bleeding, investigated. CV4 with moxa or strong stimulation is contraindicated in pregnancy, as are the remarks' LI4 and SP6.
About
The book's base prescription for functional uterine bleeding, with additions for the heat and the qi-deficiency types.
Rationale
CV4 steadies the Chong and Ren vessels, and SP1 strengthens the spleen's function of keeping blood in the vessels; the book says moxa at these two is generally enough to stop the bleeding. The type additions either cool the blood or raise and contain the qi.
Clinical Notes
For blood heat add LV3, the liver Yuan point, and KI2, the kidney Ying-Spring point, which together clear heat and cool the blood. For qi deficiency add GV20 with moxa to lift the yang qi and TE4, the Sanjiao Yuan point, to help the Chong and Ren hold the blood. Where lingering bleeding has purplish clots and pain worse for pressure but eased after the flow, the book uses LI4 with SP6 to move stagnant blood. It equates this condition with functional (ovarian) uterine bleeding and says organic genital disease must be ruled out. Ear points: Uterus, Subcortex and Endocrine, needles retained one to two hours with intermittent stimulation.
Sources
- Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Uterine Hemorrhage, p. 376–378.
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