Acupuncture in Genitourinary & Related Conditions
2b. Summary of Points & Protocols for Female Disorders

GYNAECOPATHIES
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

28-48
18-25
11-15
6-9

3-5



1-2

Acupoints in female problems (gynaecology, obstetrics, mammology) from an amalgamation of data [92 Data Sets]
SP06, ST36
CV03, CV04, CV06, LI04
BL23, BL32, CV17, LV03, SP10, Tianying [the lesion]
BL18, BL20, BL31, BL33, CV01, CV02, GB21, GB26, GV04, KI03, LI11, PC06, SP09, ST18, ST29, Y_18 (Uterus)
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
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

14-17
12-13
7-8
3-5
1-2

Earpoints in female problems (gynaecology, obstetrics, mammology) from an amalgamation of data [23 Data Sets]
Ovary, Uterus
Endocrine, KI, LV, Shenmen
Adrenal, HT, SP, Subcortex, Sympathetic
Brain, Diaphragm, External Genitals, Lumbago, Mammary, Pelvis, ST
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

MENSTRUAL DISORDERS
Disorders of menstruation include irregular menstrual cycle, delayed menstruation, heavy periods, flooding.

No. of Citations
4
3
2
1

Acupoints in disorders of menstruation [9 Data Sets]
SP06 + (CV04 or CV03 or CV06); Earpoints HT, KI, Ovary
BL23 + (BL32 or BL33); Earpoint Endocrine
LV03, SP10, ST36; Earpoints SP, Uterus
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
Menorrhalghia

• 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. (201)
• Drug compress at CV08 - fill umbilicus with drug powder, paste or cake; apply drug plaster (353)

Menstrual cycle, contraception

• SP06, CV04, CV03, CV06, SP10 +/- ST36, BL23, LV03, BL32, BL33 (248)

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. (75)

Menstrual disorders, menstruation irregular, dysmenorrhea, metrorrhagia & metrostaxis, flooding 

• X_35 near the affected organs (L2 to S4) (340)

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. (416)
• 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. (424)

Menstruation delayed

• Earpoints Uterus, Ovary, Endocrine +/- LV, KI, HT. Tape on Vaccaria Seeds & have patient press them. (414)

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. (161)

DYSMENORRHOEA, MENORRHALGIA
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
4-5
2-3

1

Acupoints in dysmenorrhoea & menorrhalgia [12 Data Sets]
CV04, SP06, ST29, ST36; Earpoints KI, Shenmen, Uterus
BL23, SP10, BL20, CV02, CV03, CV06, PC06; Earpoints Endocrine, LV, Brain, Ovary, SP, Subcortex
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 (15)
• 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. (120)
• 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. (396)
  

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. (75)
• 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. (79)
  
• Earpoints Uterus, Endocrine, KI, Subcortex. Needle-embedding 3 d before menstruation for 4 periods (129)
• 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 (196)
• CV04, SP06, CV03, CV06, ST36 +/- SP10, ST25, SP04, BL23, BL32, ST29 (247)
• LI04, SP06, SP10, ST30, ST36 CV02, CV03, PC05, PC06, BL20, BL23, 30 min. Best in primary cases but try in secondary cases also (302)
• 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. (315)
• 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 (336)
• X_35 near the affected organs (L2 to S4) (340)

FEMALE INFERTILITY, FUNCTIONAL STERILITY
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
4
2-3
1

Acupoints in female infertility, functional sterility [7 Data Sets]
SP06 + (CV03 or CV04)
BL23, CV08
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

• Catgut embedding at SP06 (54)
• Ear-AP was as good as hormone therapy, with no side-effects (93)
  
• BL18, BL23, CV04, CV03, SP06 etc. (224)
• CV04, CV03, Y_18, SP06, ST28, BL26 +/- ST29, KI01, KI02, PC03 +/- ST25, BL23, KI15, CV06, GV04, Y_17, ST36, BL31, BL32 (247)
• Drug compress at CV08 - fill umbilicus with drug powder, paste or cake; apply drug plaster (353)
• 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. (370)
• EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle (379)
  

HUMAN AMENORRHOEA, OLIGOAMENORRHOEA, DELAYED MENARCHE; ANIMAL DELAYED PUBERTY, ANOESTRUS
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

3-4
2

1

Acupoints in amenorrhoea, oligoamenorrhoea & delayed menarche in women [8 Data Sets]
CV03, CV04, SP06 
BL23, Y_18(Uterus)
Earpoints Endocrine, KI, LV, Ovary, Uterus (Ear-AP as good as hormone therapy)
BL18, BL20, BL32, CV06, GV04, LV02, LV03, SP04, SP10, ST29, ST36, Y_11, Y_12
Earpoint HT

No. of Citations
3

Delayed puberty, anoestrus in animals [3 Data Sets]
Baihui, Weiken

Protocols to Treat Amenorrhoea, Oligoamenorrhoea or Delayed Puberty in Women
Amenorrhoea

• Catgut embedding at SP06 (54)
• Ear-AP was as good as hormone therapy, with no side-effects (93)
• Mung bean-embedding at Earpoints Endocrine, Uterus, KI, Ovary, LV. Alternate ears every 3 d. (129)
• BL18, BL23, CV04, CV03, SP06 etc. (224)
• 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) (227)
• CV03, CV04, SP06, SP10 +/- BL20, LV02, LV03, ST29, ST36 +/- CV06, BL23, BL32, GV04, SP04 (247)
• EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle (379)
• Earpoints Uterus, Ovary, Endocrine +/- LV, KI, HT. Tape on Vaccaria Seeds & have patient press them. Not effective to infantile uterus. (414)

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 (36)
  
• 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) (151)
• EAP at Baihui + Weiken (188)

ANOVULATION
Anovulation (in females that have ovulated before) occurs in pregnancy, & can arise in conditions similar to amenorrhoea.

No. of Citations
5-6
1

Acupoints in anovulation [8 Data Sets]
CV03, CV04, SP06
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

• Catgut embedding at SP06 (54)
  
• BL18, BL23, CV04, CV03, SP06 etc. (224)
• Round plate electrotherapy for mild pulse-ES to cerebral cortex (esp. frontal lobe). (231)
  
• SP06, KI15, ST29, CV04, Y_17 +/- ST25, ST27, GB26, ST28 (247)
• 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. (370)
• EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle (379)
• 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. (380)
• EAP at LI04, TH05 for 30 min. (381)

DISORDERS OF THE OVARY & PELVIC INFLAMMATORY DISEASE
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
5-8
2-3
1

Acupoints in disorders of the ovary & PID [14 Data Sets]
CV03, CV04, SP06
BL23, CV06, SP10, LU07, Y_18 (Uterus)
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. (422)
• Hormonal - to inhibit oestrogen secretion during follicular phase without influencing progesterone secretion in monkeys
• AP of Earpoint "G4", + CV05, SP06 (173)
  

Hormonal (luteal) insufficiency

• Ear-AP was as good as hormone therapy, with no side-effects (93)
  

Hormonal functional disorder

• Earpoints KI, SP, Endocrine; HT +/- Adrenal, Ovary. Press Earpoints after Vaccaria seeds taped on. (343)
  

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 (331)
  

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. (370)

Ovarian disorders

• SP06, KI15, ST29, CV04, Y_17 +/- ST25, ST27, GB25, GB26, ST28 (247)

Pelvic Inflammatory Disease, chronic

• He-Ne laser at Y_18 (Zigong-Uterus, Extra), CV03, CV06, CV04, BL23, BL26, BL31-34 bilateral (124)

Pelvic Inflammatory Disease, chronic adnexitis, infertility in cows

• Paracervical inj of Impletol, repeated in 15 d. (219)

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 (330)

Polycystic ovarian disease

• Catgut embedding at SP06 (54)
• EAP at CV03, CV04, Y_18, SP06, for 3 d/cycle (379)
• 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. (424)

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. (273)

DISORDERS OF THE UTERUS & CERVIX
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
5-8
4
2-3

1

Acupoints in disorders of the uterus & cervix [13 Data Sets]
CV03, CV04, SP06
Earpoints Endocrine, Ovary
BL23, BL30, CV06, LV02, SP01, SP09, ST30, Y_18, Earpoints Adrenal, KI, LV, Pelvic Cavity, SP, Subcortex, Sympathetic, Uterus
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. (343)

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. (88)
• BL18, BL23, CV04, CV03, SP06 etc. (224)
• (A) GV20, CV06, SP06; (B) CV03, KI03, LV02; (C) BL23, SP09; alternate the groups. Treat 10 times/course. (309)
• EAP at CV03, CV04, Y_18 & SP06, for 3 d/cycle (379)
• 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. (385)
  
• 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. (424)

Metrorrhagia, functional

• AP LV02, SP01 & GV26; reinforce. Treat every 1-2 d until bleeding stops. (408)

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. (155)

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. (109)

Uterus, cervix & their problems, including bleeding

• CV04, SP06, CV03, GV02, GB26, LV01 +/- SP10, BL23, GB27, CV06, ST30, BL30, LI11, ST28, ST36 (247)
  

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. (228)

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. (26)

CLITORIS, VAGINA, VULVA
Disorders of the clitoris, vagina & vulva include Clitoral / vaginal / vulvar pain, inflammation & vulvar atrophy, erosion, kraurosis, leukoplakia (white lesion), & pruritus.

No. of Citations
5
3
2
1

Acupoints in disorders of the clitoris, vagina & vulva [8 Data Sets]
SP06
CV01, CV03, GV01, SP10
BL23, BL32, CV04, GV04, KI12, LV03, LV05, LV08, LV11, SP09, ST30, Tianying
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 (241)
  
• SP06, BL30 +/- ST36, BL31, BL32, BL33, BL34, CV01, CV02, CV03, CV04, GV01, GV02, HT08, KI12, LV01, LV08, LV11, SP09, SP10, ST29, ST30 (247)
  

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. (335)
  

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. (356)
  

Vulvar pruritus

• CV03, BL35 +/- ST30, SP09, SP06, KI06 & LV03. Treat twice/wk for 10 times/course, 1-7 courses (mean 2 courses). (127)
• Medication + plum-blossom needle tapping on Tianying (around vulva) (172)
• 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. (178)
  
• Inject methylene blue at GV01 & CV01. (386)
  

LEUCORRHOEA
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
3
2
1

Acupoints in leucorrhoea, leukorrhagia, gonorrhoea [9 Data Sets]
SP06
BL23, BL32, CV02, CV03, CV04, CV08, GB26, GV04
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. (412)

Leukorrhagia

• moxa, hot-rubbing, kneading, medicine plasters at CV08 + other points, as indicated. (361)

Leukorrhoea

• Shi & Heat: Alternate BL24, BL28, SP05 / GB26, SP09, SP06. Xu & Cold: Alternate BL20, BL23, SP06 / CV04, CV03, KI03 (75)
• 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. (178)
• SP06, CV04, CV06, CV03, CV02 +/- BL32, GB26, ST36, BL31, BL33 +/- ST25, CV05, ST29, GV04, BL34 +/- KI12, BL23, BL35, KI07, CV07 (247)
• X_35 near the affected organs (L2 to S4) (340)
• 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 (343)
• 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 (349)
• Drug compress at CV08 - fill umbilicus with drug powder, paste or cake; apply drug plaster (353)

"FORBIDDEN POINTS" IN PREGNANCY
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"
Classical "Forbidden Points"
Also be careful with

Points to be used with care in pregnancy
BL31, BL32, BL60, BL67, CV03, CV04, LI04, LV03, SP06, ST36
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
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
5-6

3-4
2

1

Acupoints in disorders before, during & after parturition or abortion [19 Data Sets]
LI04, SP06, ST36
Earpoints Uterus
BL31, BL32, BL67, GV26; Earpoints Shenmen, Sympathetic
BL33, BL34, BL60, CV03, CV06, LI11, LV03, PC06, SP09, SP10; Earpoints External Genitalia, Urethra
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. (318)
  

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 (181)
  

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. (399)

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 (425)

Pain control in labour

• Sacral AP (305)
  

Pain in lowback / sacrum in parturition

• EAP at BL31-34 transversely. Tape the needles flush with the skin. (25)

Pain in lowback in parturition

• Intracutaneous injection of sterile water in lumbosacral area [? GV03, ? lumbosacral space, ? BL31-BL34 (1)

Pain postpartum

• GB20, LI11, PC06, GV26, GB34, SP10 & BL17, BL18, BL19, BL20, BL21, BL22, BL23, ST36 (reduce). (183)

Pain, postoperative abdominal & thyroid incisional

• Earpoints Detector-sensitive-points, usually 1 point +/- Shenmen. Press on Rape seeds at points at for 1-3 min, as needed, when pain arises. Results as good as repeated injection of Dolantin & Rutondin. Use them, or other analgesic drugs if needed. (325)
  

Parturition

• SP06, LI04, BL67, BL60, BL32, LV03, BL31, ST36, SP09, BL62 (248)

Parturition APA

• Vaccaria seeds at Earpoints Shenmen, Uterus, External Genitals, Urethra, Lower Rectum; press continuously with both hands. Or EAP (continuous wave (3-5 Hz) to the limit of tolerance) at Earpoints Shenmen->Uterus, External Genitals->Lower Rectum (376)
  

Parturition induction

• AP, acupressure or moxa 2-4 points from LI04, SP06, ST36, GB21, TH06, LV03, BL67, Du Yin (Extra point, on the plantar surface of the centre of the proximal phalangeal joint of toe 2), BL30, Cuo Chan Xue (Hastening Birth point, an Extra point, 3" lateral to CV04; same as Y_15-Qimen - Qi Door). (25)
• AP SP06 + LI04 had oxytocic action via lowering blood progesterone level & elevating that of oestrogen (190)

Parturition induction, shorter partus & APA

• EAP (10 Hz) at LI04, CV06, SP06, SP09, ST36, ST44, in the early stages of labour. Use tender Earpoints from Genitalia, Urethra, Hip, Abdomen, Lumbar, Uterus, Sympathetic when labour advances (148)

Parturition preparation & reduction of blood loss

• AP points on the LU, KI, ST, CV Channels, + Earpoints for 3-6 d to prepartum (2)

Postpartum disorders

• SP06, GV20, CV04, Y_16, CV02, LV01, CV03, CV07, Y_18, CV06 (248)

Postpartum shock

• AP PC06 & CV03 (reduce); AP GV26 (bird-peck). Bleed A_01. On regaining consciousness give Modified Shaofu Zhuyu Decoction. (183)

To correct foetal malpresentation

• He-Ne laser irradiation at BL60 or BL67 for 5 min/d (321)
  

To correct foetal malpresentation, breech presentation

• Moxa or EAP (3-6 Hz from 1-6 d) at BL67, but professional foetal monitoring essential as immediate caesarean section may be needed in foetal stress. (34)

MAMMARY DISORDERS
AP can help in disorders of the mammary gland (mastopathies). These include agalactia, breast abscess, cysts, fibrocystic disease, hypogalactia, mammary hyperplasia, mastosis, non-cancerous nodules, oligogalactia & pain. AP can also help to increase or dry up milk supply.

No. of Citations

17
7-9
3-6

1-2

Acupoints in disorders before, during & Acupoints in mastopathy, mammary disorders, milk disorders [35 Data Sets]
CV17
GB21, ST18, ST36, Tianying (incl. Compress)
LI04, LV03, SI01, SI11, SP06, ST17, X_35(T3-T5), Ashi, esp. near opp elbow joint, GB41, LI11, ST15, TH05
BL18, Circle-Dragon, ST16 / BL14, BL20, CV06, GB37, GB43, GV09, GV10, GV11, GV14, HT03, Huinai(Dry-Milk), KI01, KI03, KI06, "Leopard-spot-AP", LI10, LV04, LV14, PC04, PC06, SI03, SI09, SP05, SP18, ST14, Symptom-points, TH10; Earpoints LV, Mammary, Shenmen / Adrenal, Appendix, Diaphragm, External-genitalia, Hypothalamus, Ovary, ST, Subcortex

Protocols to Treat Mammary Disorders
Agalactia, as first-aid

•  CV17 (level with 4th intercostal space, 1.6" below CV18 at the pouch between the breasts). Needle with the tip downward along the skin. (394)

Agalactia, hypogalactia & mammary pain in Shi Syndrome, LV-Qi Xu Syndrome

• AP CV17, ST18, Tongru 1-3 (X_35(T3-T5?)) + SI03. Treat once/d, 3-5 times. (365)

Agalactia, lactation deficiency, mastitis & mammary hyperplasia

• CV17, ST18 + LI04; manipulate evenly; retain 15-30 min. (364)

Agalactia, oligogalactia

• KI01, 1", strong, then even, manipulation for 2-3 min; retain 30 min, twist once/10 min. After needling, breasts were massaged & squeezed for 5-10 min, or baby was asked to suckle. Treat once/d for 3 d (130)

Agalactia, primary, or due to mental stress

• Bilateral ST18, right HT03, right LI04 + CV17. Retain for 15-30 min except CV17 (remove that needle immediately after insertion). Also use moxa for 5 min. Treat once/d, 1-7 times. Better result if galactogogues also used. (371)

Agalactia, to increase pituitary prolactin release

• Earpoint pressure (? Mammary gland, Hypothalamus, Endocrine, Shenmen, Subcortex ?) + AP can increase PRL & lactation. (384)

Agalactia, to promote lactation

• LI11, CV17, ST18 +/- SI01, ST36, LV03; 3-4 points once/d; reinforcing method; retain10 min. Add moxa at CV17 + ST18. (101)

Mammary disorders

• CV17, SI01, ST18, GB41, ST36 +/- ST16, SP18, LI04, LV03, GB21 (247)

Mammary hyperplasia

• CV17, ST18 + Tianying (the centre of hyperplasia); reinforce & reduce evenly; retain 15-20 min, once/d, for 6-12 d/course. Short-term results of refrigeration AP + moxa better than with regular AP & herbs. Use Temperature at needle handle between -10 & +20 deg C. (121)
• ST15, CV17 + LI04 + symptomatic points. Treat on d 6-8, 13-15 & 22-27 after the menstrual period. (195)
• Earpoints LV, ST, Mammary Gland; Endocrine +/- Ovary. Press Earpoints after Vaccaria seeds taped on. (343)

Mammary hyperplasia, proliferative mastosis caused by oestrogen E3

• Due to Stasis of LV-Qi, Xue & Phlegm & Obstruction of Collaterals in the mammary gland. Soothe LV-Qi & regulate ST-Qi. Chest group: ST15 bilateral, CV17, LI04 bilateral; Back group: SI11, GB21, BL18 bilateral. Needle CV17 obliquely outward in 25 degree to 1.5"; needle SI11 horizontally forward to 1.5". LV Fire: add LV03 + GB43 & subtract LI04; Yin-Xu of LV & KI: add KI03 & subtract BL18; Xu of Qi-Xue: add BL20, ST36 & subtract BL18, LI04; Irregular menstruation: add SP06 & subtract LI04; Chest fullness: add TH05 & subtract LI04. Alternate the Chest & Back groups once/d with reinforcing method (Bu Fa) for Xu & reducing method (Xie Fa) for Shi. Treat once/d; retain 30 min; manipulate 4 times in that time for 10 d/course, 1-4 courses, with 3-4 d between courses. (104)

Mammary nodules

• Circling the Dragon = insert AP needles obliquely around affected area (Tianying point). Needle into affected area or its centre. Can combine with body AP, EAP, herbs etc. to cure cases with simple goitre, male nodules of breast, subcutaneous cycticercosis, ganglion, skin neuritis lateral to the femur, & pain caused by soft tissue injury of joint. (319)

Mammary pain

• Sit patient; insert 28 gauge, 2" needle at X_35 (Huatuojiaji) points off T3-T5. Aim obliquely toward spine to 1" deep. Stimulate strongly & retain for 15 min; twist every 5 min; treat once/d, 5 times/course. (403)

Mammary pain, pre-menstrual

• Breast pain can arise in LV Xu, LV & KI Xu, Qi & Xue Xu. Alternate CV17, ST15, LI04 bilateral, or GB21, SI11, BL18 bilateral +/- SP06, TH05, ST36, CV06 etc. Treat once/d, 10 d/course; retain 20-30 min. Manipulate 2-3 times during the session. (392)
  

Mastitis

• Bleed back points [X_35 near T3, T4, T5] with 3-edged AP needle (197)
• AP ipsilateral BL14, if thumb pressure there relieves mammary pain; insert needle by twisting & whirling 0.5-0.7" deep. Get Deqi to the affected side. Retain 30-60 min; prescribe antiinflammatory tea (containing Flos Lonicerea, Flos Chrysanthemi indici, raw Radix Glycyrrhizae) was used 72 days. (395)
• SI09 bilateral. Get Deqi; manipulate; retain 40 min. Treat once/d, 2-6 times. (410)

Mastisis, acute

• Invasion of the exterior pathogens, which are retained & turned into masses, Stasis of LV Qi, Heat in the ST Channel, or Obstruction of Channels, cause acute mastitis. Plum-blossom medium tapping technique, 3 times/sec on sacral area, nape area & painful area on breast. (51)
  
• AP ipsilateral GB21 (28-30 gauge, 2" needle, 0.5-0.8" deep; reducing method). Strong stimulation (twist-twirl fast but no lift-thrust) to get Deqi to shoulder, breast or arm. Manipulate 3-5 min.(86)
• Due to LV-Stasis or ST-Heat. Relieve Stasis & Obstruction of the gland, clear Evil Heat, promote Qi, relieve pain & eliminate inflammation. LV-Stasis: GB21, CV17, ST18 + ST14 (ipsilateral) +/- LV03 + SP06; ST-Heat: GV14, ST36, LI11. While needles are in, moxa over the whole breast & gently from a distance over the hard mass (Tianying). Gently massage the mass without touching needle. Cup over nipple (ST17) 3-4 times as required to drain stagnant milk. Avoid cupping in cases with soft abscesses. Treat daily for 1-5 d, usually 2-3 d. (186)
• PC06 + CV17. Disperse depressed LV Qi & rectify it, dispel Heat & toxic materials, disperse Xue Stasis. (264)
  
• EAP at GB21 + Ashi on affected side; 30 min once/d, or twice for severe cases. Average number of sessions was 1.5 (288)
• Insert hypodermic needle 2 cm deep at contralateral PC04; manipulate strongly to cause Deqi to spread toward upper arm; rapidly inject Danshen (Radix Salviae Mitiorrhizae Injectio) into the point. Treat every 2 d, 1-2 times. (308)
  
• Moxa at CV17 & massage of SI11 (339)
• He-Ne laser (15 mW in power) over affected area (at a distance of 1m) for 30 min, twice/d. Also use most sensitive point among GV11, GV10, GV09 (midline below spine of T5, T6, T7). Sterilise skin; prick the s/c tissues & break about 10 pieces of white fibrous tissues. Tape sterile gauze with rivanol over area; avoid bathing for 3-5 days. Have patient massage her own breast to maximum tolerance to expel milk. Treat for 2-9 days. (397)
• CV17, ST18 + reducing manipulation at SI01, TH05 gave poor result on d 2. "Leopard-spot needling" (4 needles around the mass at equal intervals (Circling the Dragon) + moxa for 15 min on bilateral TH10 + cupping after needle removal to draw 5 ml milk. Treat daily for 4-8 d (423)

Mastitis, acute but without pus

• Insert AP needle obliquely at an angle of about 65 deg the X_35 point, 0.5" beside the spine of T3, with the tip toward the spine 0.4-0.5" deep. Manipulate to get Deqi. Add AP at LI11, LI10; reduce. Retain 30 min; twirl-rotate once every 10 mins. Treat once/d, 3-6 times. (409)

Mastitis, early

• Acupressure at most sensitive Ashi point near contralateral elbow joint (middle, upper, lower). Press with the Channel flow to reinforce, & against it to reduce. With patient in relaxed position, press to tolerance for 20 min, in time with her respiration. Treat once/d, 3 d/course. Apply compress of liquid mixture of 70 g powder of red phaseolus bean (Semen Phaseoli), 30 g sodium sulphate & borneol when patients have markedly red & oedematous breasts. (329)
  

Mastitis, mammary abscess

• AP ST36, GB21, SI11, CV17, SI01; reducing method; retain 1 h. (262)

Mastopathy, fibrocystic

• KI06, SP05, SP06, LV04 (35)

Mastosis

• AP at ST16 or ST18, CV17 + LV14. AP should be stopped if no improvement occurs after two courses. (387)

Pain control after surgery on abdomen, breast, neck & perineum

• Earpoints Shenmen, LV; in appedectomy add Appendix; in hernia repair add External genitalia; in cholecystectomy add GB; for hiccup add Diaphragm; for hypertension add Adrenal. Tape Vaccaria Seeds on the points & press for 5-10 min, once every 30 min, 2-3 times, then press when pain occurred. (64)

To dry off lactation

• Needle (rotate in a small amplitude 1 min; retain 5 min) one of three Huinai (Dry-Milk points on spinal process of T4, T5, T6). Treat daily. Add GB37 + GB41, with normal reinforcing-reducing methods; retain 5 min. Moxa after AP, then moderate circular flicking 2 times with plum blossom needle from areola to periphery of breast (!01)
  

To increase plasma prolactin secretion & plasma levels in rats

• EAP of CV17 +/- ST36; EAP at GB41 antagonised the effect of EAP at CV17 (263)

DISORDERS OF THE MENOPAUSE & CLIMACTERIC
Disorders of the menopause include hot flushes (vasomotor problems), panic attacks and insomnia. Osteoporosis, arthralgia, spinal problems etc may follow. AP can be very helpful in controlling the vasomotor & functional-emotional symptoms.

No. of Citations
5
3-4
2

1

Acupoints in disorders of menopause & climacteric [11 Data Sets]
SP06
CV04, PC06, ST36
BL18, BL23, CV02, GV04, GV26, KI02, KI03, LI04, SP10; Earpoints Endocrine, HT, KI, LV, Shenmen, Uterus
BL13, BL20, BL30, BL52, BL53, CV01, CV03, CV05, CV06, GB21, GB26, GV01, GV08, GV09, GV10, GV11, GV12, GV20, Inside-TH23-Neisizhukong, KI04, LI11, LV02, LV14, PC05, SP01, Symptom-points, Tianying, Z_03->HT; Earpoints Abdomen, Adrenal, BP-lowering-Groove, Brain, Ear-Root, Ermigen, GB, Ovary, SP, ST, Vagus

Protocols to Treat Disorders of the Menopause & Climacteric
Climacteric patients

• KI-Yin Xu: BL23, CV04, GV04; KI-Yang Xu: GV04, CV04, BL52, SP10, CV06, ST36, BL20, BL18, BL13; (241)

Climacteric syndrome

• ST36, SP06, LI04, LI11; once/wk, 1-12 wk. (231)
• AP LV02, SP01 & GV26; reinforce. Treat every 1-2 d until bleeding stops. (408)

Menopausal psychosis

• GV20, Z_03->HT region, PC06 & PC05 (the last two points used alternately); +/- Inside-TH23-Neisizhukong & SP06; every 2 d, 3 times/wk. (140)

Menopausal syndrome

• 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/course. Repeat course as needed. (120)
• Moxa at GV12, GV11, GV10, GV09, GV08; CV04, CV02, BL53, GB26, SP06, ST36, KI02, etc. See points for other symptoms (neck / back pain, globus hystericus etc. (138)
• 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. (161)
  
• AP PC06 (reinforce) + GV26 (obliquely; bird-peck until tears flow) + BL23 (straight in to 2" deep) + KI03 (1.5-2" deep) + BL18 (obliquely with tip toward GV). Reinforce all points but reinforce-reduce evenly at SP06. Treat every 1-2 d, 10 times/course. (183)
• KI04 + KI03 (204)
  
• ST36, SP06, CV04, LI04, PC06 +/- GB21, CV03, SP10, LV14, CV05, KI02 (248)

Menopausal syndrome, as substitute for HRT

• Cytoplasmatic AP with foetal spleen extracts in vaginal acupoints (28)

MISCELLANEOUS DISORDERS
Miscellaneous disorders include:
Downward flow of Damp-Heat

• Earpoints SP, Adrenal, Uterus, Pelvis. Press Earpoints after Vaccaria seeds taped on. (343)

Facial chloasma

• Bleed 3 drops of blood from the back of the ear; fire-cup after plum-blossom needle over triangle between GV14 & both BL13 to make 15 bleeding. Vaccaria seeds at Earpoints Ovary, Uterus, Shenmen, LI etc. Press each ear alternately. (171)

Facial pigmentation, butterfly speckle, before & after parturition.

• LI20, ST02, ST07, ST06, LI04, Shu points. Reinforcing method. Depression of LV Qi: add PC06, LV03, reducing method; Xu of SP & ST: reinforce ST36, SP04 & moxa CV06, 5 times; inj 0.5 ml Vit B12 at the same points once/2 d. 2 points/time, 19 times (240)

Nasal polyp

• AP GV25, LI04, LU07 + GB20, GV23, LI20; use 2-4 points/time once every 3-5 d. (410)

Pain control (whole body) in major surgery in dogs (mastectomy)

• EAP at bilateral ST36, GB34 when animals in dorsal or ventral recumbency; bilateral ST36, GB34 or SP09 when in lateral recumbency. (388)

Reflex diencephalic syndrome (headache) secondary to genital diseases

• LV01, LV07, CV01, CV03, CV06, SP06, SP15. (301)

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. (273)

Phil Rogers MRCVS, Lucan, Dublin, Ireland​
Fax: 353-46-26154 Tel: 353-46-26740 (Lab)
[email protected]  |  [email protected]
THE NYCAVMA IS HONORED TO HOST & MANAGE THE PHIL ROGERS ARCHIVE