From the Web
Pages of Phil Rogers MRCVS |
Introduction
| "Female" | "Male" | Similar
organs or conditions | Urinary & General |
| TOP |
Disorders of females include all of the headings above. See andropathies also. Problems of female reproductive & sexual function, including anorgasmy and infertility, can be due to psychological / emotional / mental inhibition. (See the importance of the emotions in TCM). Counselling, hypnosis & visualisation can be important in therapy of such cases. As well as addressing any imbalance of Qi or Xue in the Channels or Vessels, etc. (see later), TCM treatment of impotence would address any psychological / emotional / spiritual causes, possibly using the related Spirit Points.
In sexual / gynaecological disorders, choose points on BL, CV, GV, LV, KI, SP Channels (most authors) & on PC, HT, LU ( 391). The KI, SP, LV, HT, PC, LU are also useful in emotional / psychosexual problems.
Acupoints (with number of Citations) used in 92 relevant Data Sets ( 1, 15, 25, 26, 27, 28, 34, 35, 36, 38, 51, 54, 75, 86, 101, 104, 109, 121, 124, 127, 130, 131, 138, 140, 148, 151, 155, 171, 172, 173, 178, 181, 183, 186, 188, 190, 195, 197, 204, 219, 224, 227, 228, 231, 240, 241, 247, 248, 262, 263, 264, 273, 288, 301, 302, 305, 308, 309, 315, 318, 319, 321, 329, 330, 331, 335, 336, 339, 340, 349, 353, 356, 361, 364, 365, 370, 371, 379, 380, 381, 386, 388, 392, 394, 395, 397, 403, 408, 409, 410, 412, 422, 423, 424) were:
No. of Citations |
Acupoints in female problems (gynaecology, obstetrics, mammology) from an amalgamation of data from all headings above [92 Data Sets] |
28-48 |
SP06, ST36 |
18-25 |
CV03, CV04, CV06, LI04 |
11-15 |
BL23, BL32, CV17, LV03, SP10, Tianying [the lesion] |
6-9 |
BL18, BL20, BL31, BL33, CV01, CV02, GB21, GB26, GV04, KI03, LI11, PC06, SP09, ST18, ST29, Y_18 (Uterus) |
3-5 |
Ashi, Animal Baihui-Weiken, BL22, BL26, BL30, BL34, BL67, Circle-Dragon, CV05, CV08, GB41, GV01, GV26, KI01, KI02, KI12, KI15, LU07, LV01, LV02, LV05, SI01, SI11, SP01, SP04, ST15, ST17 (nipple, suction only), ST25, ST28, ST30, Symptom-points, TH05, X_35 (L2-S4 & T3-T5), Y_17 |
1-2 |
A_01, BL11, BL12, BL13, BL14, BL15, BL17, BL17, BL19, BL21, BL24, BL25, BL28, BL29-1, BL35, BL52, BL53, BL60, BL62, CV05, CV05, CV07, CV12, DuYin (plantar surface of toe 2 at centre of proximal phalangeal joint), ES-frontal-lobe, GB20, GB25, GB27, GB34, GB37, GB43, GV02, GV03, GV08, GV09, GV10, GV11, GV12, GV14, GV20, GV23, GV25, HT03, HT08, Huinai (Dry-Milk near spinal process T4-T6), Neisizhukong (Inside-TH23), KI11, KI04, KI06, KI07, KI11, "Leopard-spot-AP", LI10, LI20, LU10, LV04, LV07, LV08, LV11, LV14, nape-area, Neifenmi, Neishengzhiqi, NX17, Paracervical-Impletol, PC03, PC04, PC05, SI03, SI09, SP02, SP05, SP08, SP15, SP18, ST02, ST06, ST07, ST14, ST16, ST27, ST44, TH06, TH10, Y_11, Y_12, Y_15, Y_16, Y_19, Z_03->HT, Zhiyang |
Of 23 papers that reported use of Earpoints in Gynaecology / Obstetrics ( 64, 79, 88, 109, 120, 129, 148, 161, 171, 173, 196, 201, 228, 325, 343, 376, 384, 385, 396, 399, 414, 416, 425), frequency of Citation was:
No. of Citations |
Earpoints in female problems (gynaecology, obstetrics, mammology) from an amalgamation of data from all headings above [23 Data Sets] |
14-17 |
Ovary, Uterus |
12-13 |
Endocrine, KI, LV, Shenmen |
7-8 |
Adrenal, HT, SP, Subcortex, Sympathetic |
3-5 |
Brain, Diaphragm, External Genitals, Lumbago, Mammary, Pelvis, ST |
1-2 |
Abdomen, Adnexa, Appendix, Back-of-ear, BP-lowering-Groove, Brainstem, Detector-sensitive-points, Ear-Root, Ermigen, Fallopian Tube, "G4", GB, Hip, Hypothalamus, IntertragicNotch, Jiaogan, LI, Lower Rectum, Neifenmi, Neishengzhiqi, Prostate, Urethra, Vagus |
| TOP |
(see amenorrhoea, dysmenorrhoea, ovary also)
Disorders of menstruation include irregular menstrual cycle, delayed menstruation, heavy periods, flooding.
No. of Citations |
Acupoints in disorders of menstruation [9 Data Sets] |
4 |
SP06 + (CV04 or CV03 or CV06); Earpoints HT, KI, Ovary |
3 |
BL23 + (BL32 or BL33); Earpoint Endocrine |
2 |
LV03, SP10, ST36; Earpoints SP, Uterus |
1 |
BL15, BL18, BL20, BL24, BL25, BL26, BL27, BL28, BL29, BL30, BL31, BL34, CV08, KI03, LU10, LV05, PC06, X_35, Y_18; Earpoints Adnexa, Adrenal, Brain, Diaphragm, Ermigen, Lumbago, Neifenmi, Neishengzhiqi, Pelvis, Shenmen, Subcortex, Sympathetic |
Protocols to treat disorders of menstruation
| Menorrhagia | Tape Vaccaria seeds at Earpoints KI, Adnexa, Pelvis, Endocrine, Adrenal, Subcortex, Ovary, +/- Diaphragm, LV, SP, HT, Lumbago. Ask patient to press the seeds for 15-20 min. 3-4 times/d for 15 d. Alternate the ears every other day. | |
| Menorrhagia | Drug compress at CV08 - fill umbilicus with drug powder, paste or cake; apply drug plaster | |
| Menstrual cycle, contraception | SP06, CV04, CV03, CV06, SP10 +/- ST36, BL23, LV03, BL32, BL33 | |
| Menstrual disorders & menorrhalgia | Shi or Heat: CV06, SP10, SP06; Xu or Cold: CV04, KI03, SP06. In either case +/- BL15, BL18, BL20, B23, LV05, LU10, ST36, PC06, LV03. During menstruation, use main points with reducing method for Shi, or reinforcing method (Bu Fa) for Xu. After menstruation, add Helper Points. | |
| Menstrual disorders, menstruation irregular, dysmenorrhea, metrorrhagia & metrostaxis, flooding | X_35 near the affected organs (L2 to S4) | |
| Menstrual disorders, to regulate | Earpoints Neishengzhiqi (MA-TF), Neifenmi (MA-IC3), Ovary, HT, LV, KI. Tape Vaccaria seeds to both ears; have patient press the points 3-4 times/d, about 1 min/time. Change tape once/4 d. | |
| Menstrual disorders, to regulate | AP CV04, CV03, Y_18 + SP06 started on d 14 after the last vaginal bleeding. Retain needle 30 min. Treat once/d for 3 d; if basal body temperature remains uniphasic 1 wk after AP, repeat for 3-d. | |
| Menstruation delayed | Earpoints Uterus, Ovary, Endocrine +/- LV, KI, HT. Tape on Vaccaria Seeds & have patient press them. | |
| Menstruation heavy | Vaccaria seeds at Earpoints Uterus, Endocrine, Ovary, KI, LV, SP; Insomnia due to Xue Xu: add Brain, Shenmen; Heart beat slow: add HT, Sympathetic; Heart beat fast: add Ermigen. Heavy menstruation: use Cuscuta seeds instead. Press seeds 3-5 times/d; change seeds every 2 d, 5 times/course. Contraindicated for patient with ear frostbite or who are anaphylactic to adhesive plaster. |
| TOP |
(see amenorrhoea, menstrual problems, ovary, & uterus also)
Dysmenorrhoea & menorrhalgia include difficult or painful menstruation, abdominal & uterine cramps, backache. Dysmenorrhoea may be due to KI Xu. If other symptoms arise (irritability, nausea etc), other points may be added for those symptoms.
No. of Citations |
Acupoints in dysmenorrhoea & menorrhalgia [12 Data Sets] |
4-5 |
CV04, SP06, ST29, ST36; Earpoints KI, Shenmen, Uterus |
2-3 |
BL23, SP10, BL20, CV02, CV03, CV06, PC06; Earpoints Endocrine, LV, Brain, Ovary, SP, Subcortex |
1 |
BL15, BL18, BL32, KI03 LI04, LU10, LV03, LV05, PC05, SP04, ST25, ST30, X_35(L2-S4); Earpoints Abdomen, Adrenal, BP-lowering-Groove, Ear-Root, GB, HT, Intertragic Notch, Jiaogan, Neifenmi, ST, Vagus |
Protocols to treat dysmenorrhoea & menorrhalgia
| Dysmenorrhoea | ST36 | |
| Dysmenorrhoea | Earpoints Uterus, LV, GB, KI, Abdomen, Endocrine, Adrenal, BP-lowering-Groove, Ear Root, Vagus +/- ST, HT, Shenmen. Press Vaccaria Seeds at points >10 times/d for 1-2 d. Pain usually goes in 12-24h. | |
| Dysmenorrhoea | AP CV04, ST29 (Deqi must reach perineum) + SP06; reinforce (Bu Fa) in Xu, reduce (Xie Fa) in Shi. Treat every 2 d. Vaccaria Seeds on both ears at Earpoints Endocrine, Uterus, Shenmen, Brain point, LV, SP, KI. Press daily & change plaster every 2-3 d. Both methods were used independently from 3-5 d before menstruation to the end of the period. AP gave 6% better results than Earpoint pressure, but both were excellent. | |
| Dysmenorrhoea, Menorrhalgia | Shi or Heat: CV06, SP10, SP06; Xu or Cold: CV04, KI03, SP06. During menstruation, use main points, as above; reduce (Bu Xie) for Shi, or reinforce (Bu Fa) for Xu. After menstruation, add BL15, BL18, BL20, B23, LV05, LU10, ST36, PC06, LV03 in both types. | |
| Dysmenorrhoea, Menorrhalgia | Vaccaria seeds on Earpoints Uterus, Neifenmi (MA-IC 3), Jiaogan (MA-AH 7), Ovary, Subcortex, Shenmen Add LV for Xue Stasis due to Qi Xu; add SP for Stasis of Cold-Dampness; add KI for Qi-Xue Xu. Press 4-6 times/d, 5-7 min/time. Alternate ears every 2 d for 1 cycle/course. | |
| Dysmenorrhoea, Menorrhalgia | Earpoints Uterus, Endocrine, KI, Subcortex. Needle-embedding 3 d before menstruation for 4 periods | |
| Dysmenorrhoea, Menorrhalgia | Earplaster at Uterus, Intertragic Notch, Brain, Ovary, Shenmen. Alternate on both ears once/3 d for chronic cases, & once/d for acute cases for 10 times | |
| Dysmenorrhoea, Menorrhalgia | CV04, SP06, CV03, CV06, ST36 +/- SP10, ST25, SP04, BL23, BL32, ST29 | |
| Dysmenorrhoea, Menorrhalgia | LI04, SP06, SP10, ST30, ST36 CV02, CV03, PC05, PC06, BL20, BL23, 30 min. Best in primary cases but try in secondary cases also | |
| Dysmenorrhoea, Menorrhalgia | Lie patient face-up; insert 2 long (3.5") needles vertically lateral to CV04; twist & advance needles obliquely towards midline to depth of 2.5-3" until Deqi comes. | |
| Dysmenorrhoea, Menorrhalgia | Patient must empty bladder. Insert 3-4" needle at CV02 straight into the skin & subcutaneous tissues, then angle forward obliquely at 45-60 degrees, slowly, into space between pubic symphysis & bladder. Advance slowly until clear resistance occurs when tip is circa 3" deep. Get strong Deqi by slow gentle thrusting & rotating of small amplitude | |
| Dysmenorrhoea, Menorrhalgia | X_35 near the affected organs (L2 to S4) |
FEMALE INFERTILITY, FUNCTIONAL STERILITY
| TOP |
Female infertility or functional sterility may be due to KI Xu, or may arise in stress, emotional problems, problems of hormonal cascade (anovulation, ovarian cysts, failure of implantation or the corpus luteum, uterine infection, metritis, (and pyometra in animals), miscarriage etc. See amenorrhoea, ovary, & uterus also.
No. of Citations |
Acupoints in female infertility, functional sterility [7 Data Sets] |
4 |
SP06 + (CV03 or CV04) |
2-3 |
BL23, CV08 |
1 |
BL18, BL23, BL26, BL31, BL32, CV06, Extra 16, GV04, KI01, KI02, KI15, PC03, ST25, ST28, ST29, ST36, Y_17, Y_18 |
Protocols to treat female infertility or functional sterility
| Female infertility | Catgut embedding at SP06 | |
| Female infertility | Ear-AP was as good as hormone therapy, with no side-effects | |
| Female infertility | BL18, BL23, CV04, CV03, SP06 etc. | |
| Female infertility | CV04, CV03, Y_18, SP06, ST28, BL26 +/- ST29, KI01, KI02, PC03 +/- ST25, BL23, KI15, CV06, GV04, Y_17, ST36, BL31, BL32 | |
| Female infertility | Drug compress at CV08 - fill umbilicus with drug powder, paste or cake; apply drug plaster | |
| Female infertility | CV08 drug partitioned moxibustion starting on d 5 of menstrual cycle. Mix Pericarpium Zanthoxyli & Herba Asari 2:1 & grind to a fine powder. Take 2.5 g, add normal saline to make a paste. Put paste on CV08 & cover with fresh ginger slice. Moxa over the ginger 30 min, once/d, 10 d/course. Also give oral Nu Bao (placenta) & Shu Ling Pills until the next menstruation. Repeat for 2-3 courses. | |
| Female infertility | EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle |
HUMAN AMENORRHOEA, OLIGOAMENORRHOEA, DELAYED MENARCHE; ANIMAL DELAYED PUBERTY, ANOESTRUS
| TOP |
(see anovulation & ovary also)
If there is any suspicion of pregnancy, one should do a pregnancy test (urine or blood progesterone, ultrasound scan). Amenorrhoea (absence of menstruation) can arise in hormonal & psychological imbalance also. There may be an association with female athleticism, undernutrition, anorexia nervosa & poor self-image. Oligomenorrhoea (scanty periods) or oligoamenorrhoea can arise in similar conditions. If there are symptoms such as anorexia, depression, etc, additional points may be added.
No. of Citations in |
Acupoints in amenorrhoea, oligoamenorrhoea & delayed menarche in women [8 Data Sets] |
3-4 |
CV03, CV04, SP06 |
2 |
BL23, Y_18(Uterus) Earpoints Endocrine, KI, LV, Ovary, Uterus (Ear-AP as good as hormone therapy) |
1 |
BL18, BL20, BL32, CV06, GV04, LV02, LV03, SP04, SP10, ST29, ST36, Y_11, Y_12 Earpoint HT |
No. of Citations |
Delayed puberty, anoestrus in animals [3 Data Sets] |
3 |
Baihui, Weiken |
Protocols to treat amenorrhoea, oligoamenorrhoea or delayed puberty in women
| Amenorrhoea | Catgut embedding at SP06 | |
| Amenorrhoea | Ear-AP was as good as hormone therapy, with no side-effects | |
| Amenorrhoea | Mung bean-embedding at Earpoints Endocrine, Uterus, KI, Ovary, LV. Alternate ears every 3 d. | |
| Amenorrhoea | BL18, BL23, CV04, CV03, SP06 etc. | |
| Amenorrhoea | Y_11 (Jingzhong, Channel-Centre, 3" lateral to CV06), Y_12 (Waisiman, Outer-Fourfold-Fullness, 1" lateral to CV05), Y_18 (Zigong-Uterus, 3" lateral to CV03) | |
| Amenorrhoea | CV03, CV04, SP06, SP10 +/- BL20, LV02, LV03, ST29, ST36 +/- CV06, BL23, BL32, GV04, SP04 | |
| Amenorrhoea | EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle | |
| Amenorrhoea | Earpoints Uterus, Ovary, Endocrine +/- LV, KI, HT. Tape on Vaccaria Seeds & have patient press them. Not effective to infantile uterus. |
Protocols to treat delayed puberty & anoestrus in animals
| Anoestrus, delayed puberty in gilts | Aquapuncture or moxa-AP at Baihui + Weiken. Repeat after 7 days if not in oestrus by then | |
| Anoestrus, delayed puberty / in gilts | Moxa-AP at Baihui + Weiken; one treatment induced heat in <21 d in 50% of cases (0% of controls came in heat within 21 d) | |
| Anoestrus in sows with luteal ovaries | EAP at Baihui + Weiken |
| TOP |
(see amenorrhoea & ovary also)
Anovulation (in females that have ovulated before) occurs in pregnancy, & can arise in conditions similar to amenorrhoea.
No. of Citations |
Acupoints in anovulation [8 Data Sets] |
5-6 |
CV03, CV04, SP06 |
1 |
BL18, BL23, CV08, GB26, KI15, LI04, ST25, ST27, ST28, ST29, TH05, Y_17, Y_18; round-plate electrotherapy of frontal lobe. |
Protocols to treat anovulation
| Anovulation | Catgut embedding at SP06 | |
| Anovulation | BL18, BL23, CV04, CV03, SP06 etc. | |
| Anovulation | Round plate electrotherapy for mild pulse-ES to cerebral cortex (esp. frontal lobe). | |
| Anovulation | SP06, KI15, ST29, CV04, Y_17 +/- ST25, ST27, GB26, ST28 | |
| Anovulation | CV08 drug partitioned moxibustion starting on d 5 of menstrual cycle. Mix Pericarpium Zanthoxyli & Herba Asari 2:1 & grind to a fine powder. Take 2.5 g, add normal saline to make a paste. Put paste on CV08 & cover with fresh ginger slice. Moxa over the ginger 30 min, once/d, 10 d/course. Also give oral Nu Bao (placenta) & Shu Ling Pills until the next menstruation. Repeat for 2-3 courses. | |
| Anovulation | EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle | |
| Anovulation | EAP or AP at CV04, CV03, Y_18 + SP06 started on d 14 after the last vaginal bleeding. Retain needle 30 min. Treat once/d for 3 d; if basal body temperature remains uniphasic 1 wk after AP, repeat for 3-d. | |
| Anovulation | EAP at LI04, TH05 for 30 min. |
DISORDERS OF THE OVARY & PELVIC INFLAMMATORY DISEASE
| TOP |
(see amenorrhoea, anovulation, testicle, kidney, adrenal also)
Disorders of the ovary include hormonal imbalance (especially associated with hypothalamic-pituitary malfunction, or stress / adrenal stimulation), follicular or luteal cysts, nymphomania, quiescence, miscarriage, PID, etc. Symptomatology of ovarian dysfunction can be associated with a wide range of physical & psychological female complaints. Shutdown of hypothalamo-pituitary-ovarian function leads to menopause.
No. of Citations |
Acupoints in disorders of the ovary & PID [14 Data Sets] |
5-8 |
CV03, CV04, SP06 |
2-3 |
BL23, CV06, SP10, LU07, Y_18 (Uterus) |
1 |
BL17, BL18, BL20, BL22, BL25, BL26, BL31, BL32, BL33, BL34, CV01, CV05, CV08, GB25, GB26, GV04, KI03, KI04, KI12, KI15, LI04, LV01, LV03, Paracervical-Impletol, SP01, SP09, ST25, ST27, ST28, ST29, Y_17 Earpoints "G4", KI, SP, Endocrine; HT +/- Adrenal, Ovary (Ear-AP was as good as hormone therapy, with no side-effects) |
Protocols to treat disorders of the ovary (hormonal, cysts) & PID
| Hormonal - to induce ovulation in rabbits | AP SP06, BL22, CV03, SP10, KI12, after E2 administration for 2 d. AP may help to treat sterility, if pre-treated with oestrogen & the time of ovulation is known. | |
| Hormonal - to inhibit oestrogen secretion during follicular phase without influencing progesterone secretion in monkeys | AP of Earpoint "G4", + CV05, SP06 | |
| Hormonal (luteal) insufficiency | Ear-AP was as good as hormone therapy, with no side-effects | |
| Hormonal functional disorder | Earpoints KI, SP, Endocrine; HT +/- Adrenal, Ovary. Press Earpoints after Vaccaria seeds taped on. | |
| Hormonal hirsutism in polycystic ovary syndrome, irregular menstruation, Cushing's disease | BL17, BL18, BL20, SP10, SP06, LI04, LU07 (all bilateral). Treat qod; 15 times/course for 2 courses | |
| Hormonal ovarian dysfunction, low oestrogen levels, weak luteal function | CV08 drug partitioned moxibustion starting on d 5 of menstrual cycle. Mix Pericarpium Zanthoxyli & Herba Asari 2:1 & grind to a fine powder. Take 2.5 g, add normal saline to make a paste. Put paste on CV08 & cover with fresh ginger slice. Moxa over the ginger 30 min, once/d, 10 d/course. Also give oral Nu Bao (placenta) & Shu Ling Pills until the next menstruation. Repeat for 2-3 courses. | |
| Ovarian disorders | SP06, KI15, ST29, CV04, Y_17 +/- ST25, ST27, GB25, GB26, ST28 | |
| Pelvic Inflammatory Disease, chronic | He-Ne laser at Y_18 (Zigong-Uterus, Extra), CV03, CV06, CV04, BL23, BL26, BL31-34 bilateral | |
| Pelvic Inflammatory Disease, chronic adnexitis, infertility in cows | Paracervical inj of Impletol, repeated in 15 d. | |
| Pelvic Inflammatory Disease, chronic, including ovaritis, ovarian cysts, salpingitis, perimetritis, adnexitis +/- insomnia, dream-disturbed sleep, listlessness | CV06, CV03, BL23, SP10, SP06. Treat every 2 days, 10 times/course for 2 courses | |
| Polycystic ovarian disease | Catgut embedding at SP06 | |
| Polycystic ovarian disease | EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle | |
| Polycystic ovarian disease | AP CV04, CV03, Y_18 + SP06 started on d 14 after the last vaginal bleeding. Retain needle 30 min. Treat once/d for 3 d; if basal body temperature remains uniphasic 1 wk after AP, repeat for 3-d. | |
| Sequels to abdominal oviductal ligation (Primary: menorrhagia, decrease of libido, fatigue, tachycardia, pain in the lower limbs. Secondary: ovary cysts & myomas) | CV01, CV04, CV06, GV04, LV01, LV03, KI03, KI04, SP01, SP06, SP09, LU07, BL23, BL25. Consider moxa at KI03, LU07, CV04. Neon-Laser was used for 1-2 min/point. |
DISORDERS OF THE UTERUS & CERVIX
| TOP |
(see dysmenorrhoea, bladder also)
Disorders of the uterus & cervix include enhancing uterine function & relaxation of the cervix to induce birth or abortion, ringwomb; treatment & prevention of uterine pain, endometriosis, metrorrhagia, obstetrical haemorrhage, retained placenta, & delayed uterine involution.
No. of Citations |
Acupoints in disorders of the uterus & cervix [13 Data Sets] |
5-8 |
CV03, CV04, SP06 |
4 |
Earpoints Endocrine, Ovary |
2-3 |
BL23, BL30, CV06, LV02, SP01, SP09, ST30, Y_18, Earpoints Adrenal, KI, LV, Pelvic Cavity, SP, Subcortex, Sympathetic, Uterus |
1 |
Baihui-Weiken, BL18, BL22, BL24, BL26, BL28, BL32, CV02, GB26, GB27, GV02, GV20, GV26, KI03, KI11, KI12, LI11, LV01, SP08, SP10, ST28, ST36, Earpoints Appendix, Brain, Brainstem, Diaphragm, Fallopian Tube, Lumbago, Shenmen |
Protocols to treat disorders of the uterus & cervix
| Cervix, to dilate, cervical adhesion | Earpoints Uterus +/- Ovary, Endocrine, Sympathetic Nerve, with gentle twisting-rotating manipulation. | |
| Metrorrhagia | Tape rapeseeds on Earpoints Uterus, Ovary, Fallopian tube, Pelvis, +/- Subcortex, Endocrine, Adrenal, Shenmen, Brainstem, Brain point, LV, SP, KI. Treat severe cases every 2 d on alternate ears. After 3-5 sessions, treat 2 times/wk, 1-4 wk. | |
| Metrorrhagia | BL18, BL23, CV04, CV03, SP06 etc. | |
| Metrorrhagia | (A) GV20, CV06, SP06; (B) CV03, KI03, LV02; (C) BL23, SP09; alternate the groups. Treat 10 times/course. | |
| Metrorrhagia | EAP at CV03, CV04, Y_18 & SP06, for 3 d/cycle | |
| Metrorrhagia | Tape Vaccaria Seeds at Earpoints KI, Uterus, Appendix, Pelvic Cavity, Endocrine, Adrenal, Subcortex, Ovary, +/- Diaphragm, LV, SP, Lumbago; 3 main points + 2 Helper Points each time. Have patient press the seeds heavily, 10-15 min, 3-5 times/d. Use both ears concurrently. Change seeds every 2 d, 10 times/course. | |
| Metrorrhagia | AP CV04, CV03, Y_18 (Zigong-Uterus) + SP06 started on d 14 after the last vaginal bleeding. Retain needle 30 min. Treat once/d for 3 d; if basal body temperature remains uniphasic 1 wk after AP, repeat for 3-d. | |
| metrorrhagia, functional | AP LV02, SP01 & GV26; reinforce. Treat every 1-2 d until bleeding stops. | |
| Uterine involution delayed in cows on examination 21-35 d postpartum | Moxa BL22, BL24, BL26, BL28, BL30 bilaterally, + Baihui + Weiken once/d, 3 d. Reproductive performance after moxa was comparable to that after PGF2-alpha or ampicillin treatment. | |
| Uterine myomas | AP both Y_18 obliquely to 1" deep; CV02 & both KI11 vertically to 1" & 0.8" deep respectively; get Deqi to perineum; +/- SP06 bilateral to raise Deqi toward thigh; +/- Earpoints Subcortex to 0.1-0.2" deep to cause pain sensation. Use mild reinforce-reduce mildly for 20 min once every 2 d, 10 times/course, 3-4 courses. | |
| Uterus, cervix & their problems, including bleeding | CV04, SP06, CV03, GV02, GB26, LV01 +/- SP10, BL23, GB27, CV06, ST30, BL30, LI11, ST28, ST36 | |
| Uterus, endometriosis | AP CV03, CV04, CV06, SP06; retain needles for 20 min. Treat once/wk. Embed needles at Earpoints Ovary, Sympathetic, Endocrine 1-2 d before or during menstruation. Or tape Vaccaria seeds on the points & have patient press them 10 times/d, each time 15-20 pressings. Or moxa SP01, SP09, SP08, 1-2 points/time, 10-15 min. If there is Cold-pain in the lower abdomen use moxa + AP. After 2-3 AP sessions, use Ear-AP; this is one course; use 1-3 courses. | |
| Uterus, hysteromyoma | Patient must empty bladder. Then alternate (A) CV03, ST30, BL32 & (B) KI12, SP06. Treat every 2 d, 10 times/course, 3-6 courses. At abdominal points, insert a 1.5", 30 gauge needle straight in all the way; reduce by twisting-rotating until Deqi goes to perineum; retain 25 min. Insert a 2.5", 28 gauge needle at BL32 straight into sacral foramen 2; reduce by twisting-rotating & thrusting-lifting; make Deqi go to lower abdomen; do not retain. At SP06, reinforce-reduce to make Deqi go upwards; retain 25 min. |
| TOP |
(see perineum, prostate, penis & urethra, incontinence)
Disorders of the clitoris, vagina & vulva include Clitoral / vaginal / vulvar pain, inflammation & vulvar atrophy, erosion, kraurosis, leukoplakia (white lesion), & pruritus.
No. of Citations |
Acupoints in disorders of the clitoris, vagina & vulva [8 Data Sets] |
5 |
SP06 |
3 |
CV01, CV03, GV01, SP10 |
2 |
BL23, BL32, CV04, GV04, KI12, LV03, LV05, LV08, LV11, SP09, ST30, Tianying |
1 |
BL20, BL30, BL31, BL33, BL34, BL35, BL62, CV02, CV06, GV02, HT08, KI11, KI03, KI06, KI07, KI11, LV01, NX17, SP01, SP02, ST29, ST36, Y_17, Y_19, Zhiyang |
Protocols to treat disorders of the clitoris, vagina, vulva
| Clitoris, vagina, vulva | BL23, BL62, CV03, CV04, CV06, GV04, KI03, KI07, KI11, KI12, LV03, LV08, SP01, SP02, SP06, SP10, Y_17-Changyi, Y_19-Tingtou-Erect Head | |
| Clitoris, vagina, vulva | SP06, BL30 +/- ST36, BL31, BL32, BL33, BL34, CV01, CV02, CV03, CV04, GV01, GV02, HT08, KI12, LV01, LV08, LV11, SP09, SP10, ST29, ST30 | |
| Vulvar kraurosis, leukoplakia, pruritus, erosion | Due to Obstruction of Qi & Xue (causing Damp-Heat to descend), or Xu of LV & KI (causing inability to sustain Essence & Xue). Electrothermic-AP at 37-42 degC, using Cui Ci (Five Needles) into the Tianying (into the affected area), or in nearby perineal points (CV01, GV01). The number of needles depends upon the size of the lesion & the heat radiation from the Electrothermic-AP. Insert the needles 1.5 cm deep into / under the lesions, obliquely 15-35 deg with mucoepithelium. After 5-10 min when the surface temperature is 37-42 degC, retain 30-40 min. Treat every 1-2 d, 30 times/course. | |
| Vulvar leukoplakia, atrophy, pruritus | BL20, KI11, LV05, NX17-Zuogu (Ischium Bone); or BL23, LV11, SP06 (or SP10), Zhiyang (Itch-Stop point). Alternate the points. Use AP or inject 1-2 ml of Radix Saliviae Miltiorrhizae Solution/point every 1-2 d (skip menstrual period) for 10-15 times/course. | |
| Vulvar pruritus | CV03, BL35 +/- ST30, SP09, SP06, KI06 & LV03. Treat twice/wk for 10 times/course, 1-7 courses (mean 2 courses). | |
| Vulvar pruritus | Medication + plum-blossom needle tapping on Tianying (around vulva) | |
| Vulvar pruritus | AP BL32, LV05; Damp-Heat: add SP06 & hot-cupping with mild heat once/d during needle retention. Cold-Damp: add GV04 + stronger heat every 2 d. Treat for 7 d/course, with 5 d between courses. | |
| Vulvar pruritus | Inject methylene blue at GV01 & CV01. |
| TOP |
Leucorrhoea may arise in Damp-Heat, KI Xu, or SP Xu. Treat to clear Heat & remove Damp, consolidate KI Qi & tonify Yuanqi, or strengthen SP. It can arise in uterine or genital infection, or as a result of an intrauterine device, poor personal hygiene, sexually transmitted disease, allergy, etc.
No. of Citations |
Acupoints in leucorrhoea, leukorrhagia, gonorrhoea [9 Data Sets] |
3 |
SP06 |
2 |
BL23, BL32, CV02, CV03, CV04, CV08, GB26, GV04 |
1 |
BL20, BL24, BL28, BL29-1, BL31, BL33, BL34, BL35, CV05, CV06, CV07, KI03, KI07, KI12, SP05, SP09, ST25, ST29, ST36, X_35(L2-S4) Earpoints KI Endocrine Uterus Ovary SP LU Adrenal Pelvis TH |
Protocols to treat leucorrhoea
| Gonorrhoea | Insert 3" 28 gauge needle at BL29-1 (0.5" lateral to BL29) at 60 deg to the skin inferiorly through gluteus maximus & greater sciatic foramen; get heavy & tense feeling under the tip of needle. Continue to rotate until Deqi goes to lower abdomen & perineum. Retain 20-25 min. | |
| Leukorrhagia | moxa, hot-rubbing, kneading, medicine plasters at CV08 + other points, as indicated. | |
| Leukorrhoea | Shi & Heat: Alternate BL24, BL28, SP05 / GB26, SP09, SP06. Xu & Cold: Alternate BL20, BL23, SP06 / CV04, CV03, KI03 | |
| Leukorrhoea | Lie patient face-down. Insert a 2.0-2.5" needle obliquely (45 deg) at BL32 toward the lower limb. Make Deqi go to lower abdomen & genitals. Damp-Heat: add SP06; reduce (lift-thrust, twist-twirl) & retain 15 min. Add hot-cupping with mild heat once/d during needle retention. Cold-Damp: add GV04; reinforce-reduce mildly; retain 30 min; manipulate twice in that time. Add stronger heat every 2 d. Treat 7 d/course, with 5 d between courses. | |
| Leukorrhoea | SP06, CV04, CV06, CV03, CV02 +/- BL32, GB26, ST36, BL31, BL33 +/- ST25, CV05, ST29, GV04, BL34 +/- KI12, BL23, BL35, KI07, CV07 | |
| Leukorrhoea | X_35 near the affected organs (L2 to S4) | |
| Leukorrhoea | KI Xu, to consolidate KI Qi & tonify Yuanqi: Earpoints KI, Endocrine, Uterus, Ovary. Have patient press points after Vaccaria seeds taped on. Or use warm needle, or warming moxa. Retain needle 30-60 min; treat once/1-2 d; alternate between ears. SP Xu, to strengthen SP: Earpoints SP, LU, Uterus. Press Earpoints after Vaccaria seeds taped on, or use warm needle. Retain needle 30-60 min; treat once/1-2 d on alternate ears. Damp-Heat pattern, to clear Heat & remove Damp: Earpoints SP, Adrenal, Uterus, Pelvis, TH. Retain 30-60 min; treat once/1-2 d; alternate ears | |
| Leukorrhoea | Needle CV02 to 2.5-3.0" vertically or slight obliquely to the perineum. Aim to get Deqi to vagina. Twirl every 10 min; treat every 3 d. For Cold & Damp, use moxa for 39 min | |
| Leukorrhoea | Drug compress at CV08 - fill umbilicus with drug powder, paste or cake; apply drug plaster |
"FORBIDDEN POINTS" IN PREGNANCY
| TOP |
(see disorders near parturition also)
Although AP has many applications in pregnancy (for example in treating morning sickness), an acupuncturist unqualified in gynaecology / obstetrics / midwifery should be very cautious when treating a pregnant woman. Purely coincidental unwanted outcomes may be blamed on the AP treatment.
Strong stimulation at the following points may cause uterine contraction & abortion:
Category of "Forbidden Points" |
Points to be used with care in pregnancy |
Classical "Forbidden Points" |
BL31, BL32, BL60, BL67, CV03, CV04, LI04, LV03, SP06, ST36 |
Also be careful with |
All points on lower abdomen, flank,
lumbar & sacral area Earpoints Uterus, External Genitals, Shenmen, Lower Rectum, Sympathetic, Urethra |
DISORDERS BEFORE, DURING OR AFTER PARTURITION OR ABORTION
| TOP |
(see ADA; also see uterus, mammary gland, urinary system, ovary etc)
AP is used in disorders before, during or after parturition or abortion. These include correction of foetal malpresentation in threatened breech-birth; oxytocin-like action in birth-induction; facilitation of parturition; pain control before or after surgery / obstetrical intervention in artificial abortion or birth; treating postpartum blood loss & eclampsia.
No. of Citations |
Acupoints in disorders before, during & after parturition or abortion [19 Data Sets] |
5-6 |
LI04, SP06, ST36 Earpoints Uterus |
3-4 |
BL31, BL32, BL67, GV26; Earpoints Shenmen, Sympathetic |
2 |
BL33, BL34, BL60, CV03, CV06, LI11, LV03, PC06, SP09, SP10; Earpoints External Genitalia, Urethra |
1 |
A_01, Animal-Baihui, BL17, BL18, BL19, BL20, BL21, BL22, BL23, BL30, BL62, CV02, CV04, CV07, CV12, DuYin, GB20, GB21, GB34, GV03, GV20, KI01, LV01, Sacral-AP, ST44, TH06, Y_15, Y_16, Y_18; Earpoints Abdomen, Detector-sensitive-points, Endocrine, Hip, Lower Rectum, Lumbar, Ovary, Prostate, Subcortex |
Protocols to treat disorders before, during or after parturition or abortion
| Eclampsia postpartum | AP GV26 + KI01, then ST36, SP06, SP10, LI04, LI11, CV12; retain 20 min. | |
| Metrorrhagia - prevention of postpartum haemorrhage | Inject 5 u oxytocin at LI04 was better than 20 u injected i/m after appearance of the foetal head | |
| Metrorrhagia in obstetrics, cervix, to dilate in parturition or artificial abortion | AP Earpoints, Ovary, Uterus, Endocrine, Sympathetic; 1 point usually sufficient; insert 0.5" needle into the cartilage; retain 1-3 min, but use more points (with stronger manipulation & longer retention) in cases of cervical adhesion. | |
| Pain control in artificial abortion | Vaccaria seeds at Earpoints Shenmen, Sympathetic, Uterus, Subcortex, Prostate 15 min before surgery. Press / rub seeds about 60 times to congest ear & make it, swollen, red, warm & painful. Repeat during surgery | |
| Pain control in labour | Sacral AP | |
| Pain in lowback / sacrum in parturition | EAP at BL31-34 transversely. Tape the needles flush with |