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Gynecology

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chantalinha's version from 2017-08-01 03:56

MENSTRUATION

Question Answer Column 3
Early Cycle d/t SP-Qi Xutonify SP Qi, use gentle moxaSP3, 6, 10, ST36, UB20 (back shu for yin organ is preferred), Ren4. If HT blood signs are present, add HT7, UB15.
Early Cycle d/t Excessive heatClear heat, cool bloodSP6, 10, LI11, P5, Jing-well, Ying-spring pts.
Early Cycle d/t LIV-Qi-StagClear heat, soothe LVLV1, 2, 4 Gates, GB34, GB41, SP8 (stop bleeding), UB18. If Abd distention - Ren4, 6.
Early Cycle d/t Yin-Xu heatNourish yin, clear heatSP1 (stop bleeding w/ moxa), SP-6, KD2, 3, 6 (pair w/ LU7), Ren4, 7.
Late Cycle d/t Blood-XuNourish blood, tonify SP Qi(+moxa) SP3, 6, 10, LV8, Ren4, 6, KD13, UB17, 20, ST36
Late Cycle d/t Yang XuWarm, tonify Yang Qi(+stronger moxa) Du4, UB23, 32 (benefits LJ), SP3, ST25, 36, KD3, 7, Ren4, 6
Late Cycle d/t ColdWarm the meridians(+moxa) Depends on channels affected, treat locally w/ moxa. ST25, 29, Ren4, Du4, UB32, SP8 (for Qi/blood circulation)
Late Cycle d/t LIV-Qi-StagMove Qi, resolve stagnation, move blood.LV3, 14, SP4, 8, P6, KD14. SJ6, Ren6 for distention. Location is an important factor.
Irregular cycle d/t LIV-Qi-StagSoothe LV, nourish bloodLV3, 14, SJ6, Ren4, 6, SP6
Irregular cycle d/t KID-XuTonify KD Yang(Moxa necessary) Ren4, Du4, UB23, 52 KD3, 5, SP6
Profuse Menstruation d/t SP-Qi-XuTonify QiST36, Ren6, UB20, SP6
Profuse Menstruation d/t Blood-HeatClear heat, cool blood, nourish yinLI11, SP10, 6, KD2, LV3, SP8, if Yang excess Du14, if Yin xu LU7, KD6
Profuse Menstruation d/t Blood-StasisMove blood + Qi, resolve stasisSP4, 6, SP8, SP10, P6, UB17, ST29, KD14
Scanty Menstruation d/t Blood-XuNourish blood (often diet)(focused on MJ) Ren4, SP10, LV8, UB17, 20, ST36
Scanty Menstruation d/t KID-Yang-XuWarm, tonify KD yang, nourish bloodUB23, Ren4, KD3, 13 (chong+KD meeting), LV8, ST36, SP6. Usage of strong moxa
Scanty Menstruation d/t KID-Yin-XuNourish KD yin, nourish bloodDo not use moxa. LU7, KD6. ST36, SP6, UB23, Ren4.
Scanty Menstruation d/t Blood-StasisMove blood4 Gates, SP6, 10, UB17, ST29 (local), SP4/P6 (chong/ren).
Scanty Menstruation d/t Phlegm/DampDry and resolve damp or phlegm , move QiSP9, ST40, LU5, ST28 (shuidao), Ren6, 9. Avoid moxa if presence of damp heat
Prolonged Menstruation d/t Blood-StasisMove bloodSP1, 8 (both stop bleeding), previous points for blood stasis, local pts eg ST29, Qi pts if caused by Qi stagnation
Prolonged Menstruation d/t Yin-Xu HeatNourish yin to disperse heatLU7, KD6, Ren4, KD3, SP6
Prolonged Menstruation d/t ST-Qi-XuTonify SP-Qi?
Dysmenorrhea d/t Qi-StagSoothe Qi4 Gates, SP4, 6, 10, P6
Dysmenorrhea d/t Yang-XuWarm, tonify KD yang, uterus. Use moxaDu4, Ren4
Dysmenorrhea d/t ColdWarm the meridian (chong/ren), resolve dampness, maybe move blood stasis. Use moxa.ST28, SP4, 8, 9, Ren3, UB32, LU5, PC4, LI4. Suggest cinnamon, fennel seeds.
Dysmenorrhea d/t Damp-Heat in LJDo not use moxa. Similar points to cold damp pattern.SP6, 8, 9, ST28, UB22 (SJ shu), 32. New pts - LI11, SP10, Ren9. Make dietary changes.
Dysmenorrhea d/t Qi/Blood-XuTonify Qi (SP T/T), nourish blood.Ren4, 6, SP3, 6, 10, ST36, UB20, 32. Gentle moxa.
Dysmenorrhea d/t LIV/KID-XuTonify LV/KDUB18, 23 (LV/KD shu), Ren4, SP6, KD3, ST36
Mid-Cycle Bleeding d/t KID-Yin-XuClear xu heat.KD3, 5, 6, 13, LU7, SP6, Ren4
Mid-Cycle Bleeding d/t Damp-Heat-SP9, LU5, LI11, LV5, ST28, UB22, GB41/SJ5 (combo)
Mid-Cycle Bleeding d/t Blood-Stasis-SP8, 10, SP4/P6, ST29, KD14. Make lifestyle changes to nourish yin.
Amenorrhea d/t LIV/KID-XuStrongly tonify. Herbs, food therapy required. Back shu pts preferred.UB18, 23, 52. Ren4, SP6, ST36, LV8, KD3.
Amenorrhea d/t Qi/Blood-XuTonify Qi, Nourish BloodSP6, ST36, UB20, Ren4, KD3
Amenorrhea d/t Yin-Xu heat drying bloodNourish KD, clear deficient heat.SP6, 10, KD2, LU7/KD6, Ren4, LV2, 8, ST36, LI11, UB43. Dietary, lifestyle changes. If insomnia, clear HT fire.
Amenorrhea d/t Blood/Qi-StagMove Qi, resolve stasis.SP4/P6. Local PTs important based on symptoms - Ren3, 6, ST30, KD14. Often damp, cold may be present.
Amenorrhea d/t Phlegm/DampVery easily confused with SP Qi Xu (compare BM). Dry, resolve dampness. Lifestyle, diet changes necessary.ST40, SP3, 6, 9, Ren12, local pts such as ST29, Ren4. UB32.
Menorrhagia (Beng Lou - Flooding Dripping) d/t Blood-HeatClear heat and cool blood and Stop Bleeding.LI11, SP1, 10, LV1, SP4/PC6, SP6
Menorrhagia (Beng Lou - Flooding Dripping) d/t Yin-XuNourish KD (and other involved organ) yin, Stop Bleeding. LU7/KD6, KD5 (xi-cleft pts), KID-10, blood stopping pts, SP6, Ren4, UB23.
Menorrhagia (Beng Lou - Flooding Dripping) d/t SP-Qi-XuTonify SP Qi to hold the blood, nourish blood.Du20, Ren4, 6, ST36, SP6, UB20. Diet and lifestyle changes. Use caution with tonifying herbs as they may be too hard to digest.
Menorrhagia (Beng Lou - Flooding Dripping) d/t KID-Yang-XuWarm, tonify KD.Du4, UB23, Ren6, 8 (moxa), KD13, ST36, SP6, KD6. Use caution with tonifying herbs as they may be too hard to digest.
Menorrhagia (Beng Lou - Flooding Dripping) d/t Blood-StasisMove blood, resolve stasis.SP8, 10, SP4/PC6 (chong), LI4/SP6, local pts Ren4, 6, ST29, 30, KD14
Headache d/t Blood-XuNourish blood, tonify Qi. SP focused treatment, modify diet.UB17 20, SP6 10, ST36, Ren4
Headache d/t LIV-FireClear heat, drain fire, soothe LV, extinguish wind, nourish yin (minor, preventative). Guide Qi downwards.LV2, GB43, LI11, 4Gates, GB5 9, SP6
Headache d/t Blood-StasisMove Qi/Blood. Use reducing methods, unblock collaterals.SP4/PC6, ST29, KD14, GB17, LV3, Du20
Cyclical Bleeding d/t LIV-FireClear heat, drain fire, guide blood down.LV2, LI11, SP10, LU6
Cyclical Bleeding d/t LU/KID-Yin-XuNourish yin, guide blood down.KD2 3, Ren4, SP6, LU6 9, UB13
Menstrual Mouth Ulcer d/t Yin-XuNourish YinLU7, KD2 3 6, Ren4, HT5, PC8
Menstrual Mouth Ulcer d/t ST-HeatClear ST heat, drain fire.ST25 41, SP4/PC6, LI4, SP15
Menstrual Edema d/t SP/KID-Yang-XuWarm, tonify SP + KD. Benefit water by promoting urination, reduce sodium intake. Use stronger moxa, tonifying PTs.Ren4,9, Du4, SP9, UB20, 23, ST36.
Menstrual Edema d/t Qi-StagnationSoothe LIV-Qi-
Menstrual Edema d/t Blood-StasisMove BloodLV3, 14, GB34, SJ6, Ren6, 9, SP8, 10
Menstrual Breast Tenderness d/t LIV-Qi-Stagnation Soothe LV to relieve constraint and stop the pain. Local points for pain may be used.SJ6, LV3, 14, ST18, GB21, 34, PC6
Menstrual Breast Tenderness d/t LIV/KID-Yin-XuNourish KID/LIV-YinLU7, KD2, 6, SP6, Ren4, LV3. May need HT pts if appropriate.
Menstrual Mental Disorder (PMS) d/t LIV-Qi-StagnationSoothe LV, relieve constraint, tonify SP, nourish blood, calm spirit.LV3, 13, SP6, 8, 10, HT7, back shu
Menstrual Mental Disorder (PMS) d/t Phlegm/Fire disturbingClear heat, drain fire, resolve phlegm, calm spirit.ST40, 44, SP9, PC8, LI4, UB22
Perimenopausal syndrome d/t KID-Qi-Xutonifying Jing.?
Perimenopausal syndrome d/t LIV-Yang-risingsubdue yang, calm LV, nourish KD yin.KD3, 6, LV3, GB20, Du20, PC5, 7, Yaoyan (3.5 cun lat to L4)
Perimenopausal syndrome d/t HT-Blood-XuTonify HT blood, harmonize HT/KD.UB15, 20, 23, SP6
Perimenopausal syndrome d/t SP/ST-Xu??
Perimenopausal syndrome d/t Phlegm/Qi-Accumulation??
memorize

OTHERS

Question Answer Column 3
Leucorrhea d/t SP-Qi-XuTonify SP qi to resolve damp. Food therapy.Ren6, SP6, ST36, UB30, 32, GB26 (Daimai pt, experiential use for this). ST30, SP12 for persistent discharge. Also: UB30, 31, GB41.
Leucorrhea d/t KID-XuTonify KD yang (usually), consolidate Dai. Heavier moxa.Ren4, UB23, KD6, 12, 13, GB26. Also: UB30, 31, GB41.
Leucorrhea d/t Toxic-DampRefer to hospital or doctor, may get antibiotics. Clear heat, resolve damp. Use reducing methods,GB26, Ren3, Sp9, UB34, LV2, 5 (for itchiness) Also: UB30, 31, GB41.
Abdominal Mass (Zheng Jia) - Tumors, Fibroids, Cysts - d/t Qi-StagnationMove/soothe Qi to resolve mass, move BL.Ren6, LV3, LI4, KD14, UB22, SP6. Exercise, lifestyle changes.
Abdominal Mass (Zheng Jia) - Tumors, Fibroids, Cysts - d/t Blood-StasisMove blood to resolve stasis and mass.Reduce UB17, SP10, SP6, Ren6. Moxa if cold present.
Abdominal Mass (Zheng Jia) - Tumors, Fibroids, Cysts - d/t Phlegm/DampMove Qi to resolve phlegm/damp, blood stasis.Reduce Ren6, UB22, LI4, ST40, Ren3, UB34, SP6, 9. Fibroids of 2cm (diameter) and under may be treated successfully by acu and herbs (largely from improving immune function).
Infertility d/t KID-Qi-XuTonify KD to regulate Chong + Ren. Moxa necessary for Yang xu.UB20, 23, KD3, 10, 13, Yaoyan, Du20
Infertility d/t Essence/Blood-XuNourish blood, essence to regulate Chong + Ren and tonify KD Qi.Ren4, SP6, ST36, UB20, Zigong
Infertility d/t Cold in UterusTonify, warm uterus to regulate Chong + Ren. Usage of strong moxa.Ren2, 4, 6 7, Du4, UB23, 32
Infertility d/t Phlegm and Blood-StasisMove Qi to resolve phlegm and stasis.Ren3, ST30, 40, KD14, SP6, 8 (if clotted menstruation), UB23. PC6, LV3 if chest distention.
Infertility d/t LIV-Qi-StagnationSoothe LV, relieve constraint, nourish the BL.LV3, GB34, SJ6, PC6, Ren6, UB20, 18
memorize

PREGNANCY

Question Answer Column 3
Morning Sickness d/t SP/ST-XuTonify SP/ST, harmonize ST, stop vomiting. Gentle tonifying needles, ST36, Ren12, 13, UB20, 21, PC6, SP4
Morning Sickness d/t LIV/ST-DisharmonySoothe LV, harmonize ST to control rebellion, vomiting.LV3, PC6, ST36, Ren 12. If sour/bitter taste, GB34. If stronger needed, use SJ6, Ren17. For headache, Du20, Yintang. Cupping, guasha may be appropriate. Boil fresh cilantro and inhale steam to control ST. Use Zi Su Ye (edible), calms fetus due to Qi stagnation, also Chen Pi.
Risk of Miscarriage d/t KID-Xu w/ Tai Lou (Bleeding) and Tai Dong Bu An (Restless fetus)Tonify KD to calm fetus.UB23, KD3, Du20, ST36, Ren6
Risk of Miscarriage d/t Qi/Blood-Xu w/ Tai Lou (Bleeding)Tonify Qi, blood. Consolidate KD to calm fetus. Use moxa, tonifying acupuncture.Du20, Ren6, ST36, UB17 18 20 23, K3, LV8
Risk of Miscarriage d/t Blood-HeatClear heat, nourish yin + blood, calm fetus.SP10, LI11, PC3, KD6, LV2 3, SP6
Risk of Miscarriage d/t Trauma/InjuryTonify Qi + blood to harmonize, calm fetus.?
memorize

LACTATION

Question Answer Column 3
Insufficient milk d/t Qi/Blood-XuTonify Qi/Blood, promote lactation. Tonify with acu and moxa.Ren17, ST18 (both local, regulate Qi, point needle towards nipple), UB20, ST36, Ren12, ST25 If blood loss during delivery, SP + T/T may still be OK, add UB17, 18. Diet therapy very important, herbs.
Insufficient milk d/t LIV-Qi-StagnationSoothe Qi, relieve constraint, unblock breast vessels to promote lactation.Ren 17, ST18, SI1 (empirical point to imp lactation), PC6, LV3. If hypchon symptoms, use LV14. If T/T upset, reduce Ren12 to descend
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POSTPARTUM

Question Answer Column 3
Postpartum Fever d/t Heat-ToxinClear toxic heat, cool blood, resolve BL stasis.LI11, PC3, SP9, Du14, Shixuan (finger tip points), SP10, SP29
Postpartum Fever d/t EPIExpel wind/cold, nourish BL. Moxa appropriate in absence of heat EPI.SJ5, LI4, LU7, 11, UB12, 17
Postpartum Fever d/t Blood-Stasisclear Bl-stasisSP6 (reducing), 8, 10, LI4, UB17, ST29, KD14, UB20
Postpartum Fever d/t Blood-XuTonify SP Qi.ST36, Ren4, 12, SP6, UB17
Postpartum Convulsion-Du20, GB20, KD3, SP6
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