Acupuncture Treatment on Amenorrhea

Amenorrhea refers to the stop of periods for over 3 months. It appears after normal periods and is usually 16 years old. Before determining the diagnosis, rule out pregnancy, breastfeeding, menopause and pre-puberty.

 

Acupuncture Treatment on Amenorrhea

 

Etiology / Pathology

Weak constitution or chronic diseases leads to kidney and liver deficiency and further cause qi and blood deficiency which causes Chong and Ren Channel to empty, eventually resulting in no blood flowing down. Stress (abnormal emotion) plus cold leads to qi and blood stagnation, finally causing Chong and Ren Channel blockage.

 

Diagnosis

The TCM diagnosis could be established with the special clinical manifestations discussed above.

 

Syndrome Patterns

1) Liver and kidney Deficiency

No periods over 3 cycles + delayed the first period or delayed periods, scanty periods + dizziness, tinnitus, sore back/knee; red tongue, thin and scanty coating; thin/weak/deep pulse

 

2) Qi and Blood Deficiency

No periods over 3 cycles + delayed periods or scanty and light pulse or amenorrhea; + pale complexion, dizziness, palpitation, shortness of breath, poor appetite; pale tongue, thin/white coating; weak/thin pulse

 

3) Qi and Blood Stagnation

No periods over 3 cycles + lower abdominal pain (worsened by pressure), irritability, anger, oppressed chest/hypochondriac region; purple spots/purple tongue, wiry/deep pulse

 

4) Cold and Damp

No periods over 3 cycles + lower abdomen pain (worsened by pressure, reduced by warmth), cold limb + slow and deep pulse, purple tongue with white coating

 

Treatment

1) Deficiency PatternsBasic Acupuncture points

BL20, ST36, SP6: nourish blood

BL23, RN4: tonify kidney

BL18, BL17: nourish liver blood

 

Modifications

Add DU4, KI 10 and yao yian, if sore knees and backache due to KI deficiency

Add BL 43 and KI 2, if tidal fever, night sweating due to KI yin deficiency

Add ST25, SP10 and RN12, if there is poor appetite and diarrhea due to spleen qi deficiency

Add PC 6, if palpitation2) Excess Patterns

 

Basic acupuncture points

RN3: remove blood stasis, regulate menstruation

SP8: cleft point, “a point for qi among points for blood”

LI4 + SP6:  move qi and blood

LV3: soothe liver, move qiST40: resolve phlegm

 

Modification

Add RN6 and KI14, if abdominal distension

Add LV14 and SJ6, if chest/hypochondriac distension

Add RN4 and RN3, if chest/hypochondriac distension (acupuncture + moxa)

Add BL32, if leucorrhea

 

Other Treatment

1) Plum Acupuncture 

jia ji hua tuo or back shu, lower abdomen;

 

2) Ear Acupuncture

kidney, liver, spleen, heart, endocrine, genital, subcortex; 3-5 points, 15~30 m; or seeds


Note: Acupuncture treatment for amenorrhea is a practical way in the clinic. For a successful treatment, a practitioner must identify its syndrome pattern, if possible, combine Chinese herbs for the treatment.

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