Acupuncture – Dysmenorrhea
Tong Jing (痛经，pain, period)
lower abdomen / lower back — pain; o runbearable pain — Before / During / After — menstrual flow
cold (food, …) /damp (living area) → lower jiao / uterine / blood cold → stasis → pain
LV qi stg – blood stasis –C/R unsmooth → stasis → pain
weak constitution / LV-KI def + excessive child birth / essence-blood def → “sea of blood” insufficiency after period → uterine vessel malnourishment→ pain
cold (damp): …, scanty, clots, deep/tight
LV qi stg: before/during, pain, distending/pain, scanty, + breasts
LV KI def (yin, ): during/after, mild/dull, + …..
1) cold (damp) (acupuncture treatment 1)
before or during period, lower abd cold pain, worsen by pressure, pain extending to lower back, reduced by warmth, scanty menstruation (darkish), clots; thin T coating, deep/tense P
Ren M, SP M; acupuncture + maxi
zhong ji / Ren3: on Ren M, connecting to U
Maxi for regluting C/R, warming M and stop pain
shui dao/ST28: on ST M, C M reinforced by ST M + zhong ji → warming uterine and stopping pain
di ji/SP8: SP cleft, tonifying SP and resolving damp, regulating blood and stopping pain;
If severe pain, + ci liao/UB32, gui lai/ST29;
If abdominal pain extending to lower back + ming men/Du 4, Shen shu/UB23
2) LV qi stagnation (acupuncture treatment 2)
before or during period, lower abd distending pain; scanty p, clots; chest/hypoc r/breast distending pain …dull pale T, deep wiry P
Ren M, LV M
qi hai / Ren 6: on Ren M, connecting to uterine, regulate qi and activate blood, regulate C/R;
Tai chong/ LV3: yuan point of LV, sooth LV, regulate Qi / blood;
San yin jiao/SP6: + qi hai/Ren 6, regulate qi/blood
If abdominal distension, + Tian shu/ST25, qi xue/KI13, di ji/SP8
If hypoch pain, + yang ling quan/GB34, guang ming /GB37
If chest distress, + nei guan/PC 6
3) LV/KI def (acupuncture treatment 3)
Ren M, KI M, back shu points
Gan shu/UB18, Shen shu/UB23, Zhao Hai / KI 6: nourish KI/LV, regulate C/R
Guan yuan / Ren4: replenish essence blood, nourish LV/KI, nourish C/R
Zu san li / ST36: tonify SP/ST to reinforce blood/qi
If dizziness, + xuan zhong / GB39, tai xi / KI3
If abd pain severe, + da he /KI12, qi xue /KI13
Other treatment (acupuncture treatment 4)
Ear: uterus, endocrine, sympathetic, KI
Moderate level of stimulation, 2-3 points each time, retain needle 20m
Acupuncture – Case Studies
Acupuncture Case 1
A 35 year old woman had been suffering from painful periods from the age of 14 which were now getting worse.
The apin was central in the lower abdomen and occurred mostly on the first day;
severe cramping, it was relieved by the application of a hot-water bottle.
When she had the pain, she liked to curl up and she felt cold and turned pale.
The menstrual cycle was 30 days long, the period lasted 5 days and the blood was dark with small clots.
Her complexion was pale, her tongue was slightly pale with a whit coating and her pulse was slightly tight on the left and weak on both rear positions.
Acupuncture Case 2
painful periods for 10 days
pain – during periods
blood – bright red, scanty
cold feeling in general
+ backache, dizziness, tinnitus, poor memory, tiredness, dry mouth at night, night sweating
history: 4 miscarriages
Acupuncture Case 3
painful period for 3 years
pain came after period, worsen by cold, reduced by warmth;
this time, period came for 3 days, and because of continuous pain for 30m, she came to clinic.
Scanty period, light color of blood, thin pulse, thin/white coating