Acupuncture for Uterine Bleeding - Treatment Protocols

Below you will find some of the more common tcm diagnoses and acupuncture treatment protocols for uterine bleeding and general menstrual issues. There are many ways to treat this condition with Eastern Medicine and our presentation is only one of many possible options.

  • Etiology & Pathology:
    • Differentiation:
    • Heat in the Blood - Excess
      • Signs & Symptoms:
        • Heavy, thick bleeding w/deep red color, strong odor, dry mouth w/desire to drink, irritability (but not the same as with LV Yang).
        • Tongue: Red w/yellow coat
        • Pulse: Slippery, rapid
      • Treatment Points:
    • Accumulation of Heat - Excess
      • Signs & Symptoms:
        • Costal/Hypochondriac distention, sighing, quick temper.
        • Tongue: Red w/thin yellow coat
        • Pulse: Wiry, rapid
      • Treatment Points:
        • Valaskatagis Point Selection:
        • CV 6 - tonify SP Qi
        • SP 6 - tonify SP Qi
        • SP 1 - empirical point for uterine bleeding
        • LV 3 - move LV Qi
        • TH 6 - clear costal area
        • LV 1 - empirical point for bleeding
        • Maciocia Point Selection:
        • Maciocia differentiates this as LV Qi Stagnation leading to Heat, consequently he uses more points that move the LV
        • GB 34 w/LV 3 - move the LV Qi
        • LV 1 - empirical point for bleeding
        • LV 14 w/UB 18 - LV Mu/Shu combination
        • TH 6 w/PC 6 - clear the costal area
        • GV 24 - descend Yang excesses
        • GB 13 - descend Qi
        • SP 8 - uterine bleeding, move Qi & Blood
        • CV 6 - tonify Qi
        • LI 11 - clear heat
        • SP 10 - clear heat and move Blood
    • Damp Heat - Excess
      • Signs & Symptoms:
        • Profuse or chronic lingering bleeding of dark red Blood that is not thick, thin/whitish (occ. green) leukorrhea, genital itching a/or pain.
        • Tongue: Yellow greasy coat
        • Pulse: Rapid, possibly a little slippery
      • Treatment Points:
        • Valaskatagis Point Selection:
        • CV 6 - tonify SP Qi
        • SP 6 - tonify SP Qi
        • SP 1 - empirical point for uterine bleeding
        • CV 3 - clear damp in the lower jiao
        • SP 9 - resolve damp
    • Blood Stagnation - Excess
      • Signs & Symptoms:
        • Abdominal pain that is worse with pressure, blood clots which relieve pressure after passing.
        • Tongue: Deep red w/little coat or slightly purplish
        • Pulse: Deep, choppy
      • Treatment Points:
        • Valaskatagis Point Selection:
        • CV 6 - tonify SP Qi
        • SP 6 - tonify SP Qi
        • SP 1 - empirical point for uterine bleeding
        • SP 8 - move Qi and Blood, uterine bleeding
        • ST 30 - local point for moving Blood
        • SP 12 - local point for moving Blood
    • SP Qi Deficiency - Deficient
    • KD Yang Deficiency - Deficient
      • Signs & Symptoms:
        • Profuse or lingering bleeding w/light red color, abdominal pain better w/application of heat, cold limbs, loose stools possible.
        • Tongue: Pale
        • Pulse: Deep, thin
      • Treatment Points:
    • KD Yin Deficiency - Deficient

The information on our site is drawn from our own lecture notes and clinical experience. The following lecture notes were consulted within this section:

  • St. John, Meredith: New England School of Acupuncture, Etiology and Pathology Lecture Notes
  • Valaskatgis, Peter: New England School of Acupuncture, Etiology and Pathology Lecture Notes

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