Acupuncture

12 Acupuncture
Andreas A. Noll


From the perspective of TCM, the numerous functional—and, in the course of time, occasionally also substantial—disorders of reproductivity and sexuality are disturbances in the area of circulation and the production of qi and blood. After a decisive diagnosis especially of the affected channels (also in the sense of main, luo, muscle, and extraordinary channels), we can then regulate the distribution of qi by means of the channel system.


We commonly use acupuncture points that experience has shown to be very effective, such as:



  • SP-6, SP-7, SP-8, SP-9, and SP-10
  • ST-36 and ST-40
  • CV-4 and CV-6
  • LR-3 and LI-4
  • LR-5
  • KI-3, KI-6, and KI-7
  • GV-4
  • BL-23 and BL-32

These are so-called “qi holes” that have proven extremely effective in the treatment of many andrological and gynecological problems with acupuncture and moxibustion.


This chapter deals with unusual, less familiar options in acupuncture and moxibustion therapy. Especially in the lower abdomen and on the liver channel below the lumbar area, there are quite a few points that have an outstanding effect in fertility disorders. This effect depends on the specific combination with other points on the same or a connected channel. The focus of this chapter lies in the description of the effects found in classical Chinese sources of acupuncture. In this context, we discuss points that are less familiar in standard clinical practice (Figs. 12.1).


The following points are located on top of or next to the center line (i. e., the median line that runs from the navel to the center of the symphysis), and then 1 to several cun each below the navel (Table 12.1).


Points on the Pubic Line 5 Cun below the Navel


The points on the pubic line 5 cun below the navel include the following (Table 12.1):



  • CV-2
  • KI-11
  • ST-30
  • SP-12

CV-2: Qu Gu—Curved Bone


Here, the liver channel crosses the ren mai. As the sea of yin, this point is particularly important for the reconstruction of yin (and blood) in the first part of the menstrual cycle. We use this point especially when we find a stagnation of fluid (e. g., cysts, discharge, gummed-up fallopian tubes). In addition, the ren mai functions as the reservoir for essence. Thus, when states of exhaustion arise after pregnancy, miscarriage, or hormone therapy, treating this point can help by strengthening essence and qi.


Indications from the Zhen Jiu Da Cheng (images Great Compendium of Acupuncture and Moxibustion)12


  • seminal emissions
  • weakness and vacuity in the five viscera
  • extreme cold and fatigue due to vacuity
  • feeling of fullness in the lower abdomen
  • difficult urination with dribbling urine
  • ulcers and hernias
  • pain in the lower abdomen
  • bloody vaginal discharge


image

Fig. 12.1 Survey of acupuncture points on the lower abdomen that are important in fertility treatment.


Combinations

Suitable combinations are, for example, with:



  • LU-7, lie que: for opening the ren mai in patients with general qi vacuity
  • SP-6, san yin jiao: for cysts
  • SP-9, yin ling quan: for vaginal discharge

KI-11: Heng Gu—Transverse Bone


The kidney channel and chong mai meet at this point; hence we find these key indications: general exhaustion after having spent all essence—this can be refilled to a certain extent by opening the chong mai—and impaired kidney and bladder functions.



Indications from the Zhen Jiu Da Cheng


  • frequent painful and urgent involuntary urination
  • urinary dribbling
  • pain and tautness in the penis
  • feeling of fullness in the lower abdomen
  • painful and red eyes
  • general vacuity of the five viscera
  • loss of essence

Combinations

Suitable combinations are, for example, with:



  • KI-3, tai xi: for general exhaustion, for example, after intensive hormone therapy
  • KI-6, zhao hai: for rising heat and states of disquietude
  • KI-10, yin gu: for accumulations of dampness like prostatitis and vaginal discharge

ST-30: Qi Chong—Qi Thoroughfare


At this point, the chong mai (“sea of blood”) joins the stomach channel; this is therefore an excellent point for influencing blood, jing, and, via the stomach channel, also postnatal qi. Furthermore, because the chong mai is the “sea of the 12 channels,” we can resolve obstructions and blockages in the entire abdomen here.


Indications from the Zhen Jiu Da Cheng


Combinations

Suitable combinations are, for example, with:



  • SP-4, gong sun: when you want to open the chong mai as the sea of blood, especially in the second half of the menstrual cycle
  • ST-36, zu san li: when qi rises too much in this phase
  • SP-10, xue hai: for premenstrual pain, but also for pain during ovulation

SP-12: Chong Men—Thoroughfare Gate*


The “thoroughfare” mentioned in the point name here is also the chong mai, which can be reached at the adjoining point qi chong (ST-30). Since the liver channel and spleen channel intersect here as well, we can effectively resolve all kinds of stagnation with this point. Hence, it guarantees access to the thoroughfare of blood (chong mai).


Indications from the Zhen Jiu Da Cheng


  • cold in the abdomen with qi repletion
  • painful formation of tumors in the abdomen
  • shan (mounting) pain
  • impaired milk production during breastfeeding
  • the fetus pushes upward and encroaches on the heart region, as a result of which breathing is impaired


Combinations

Suitable combinations are, for example, with:



  • SP-10, xue hai: for myomas and painful menstruation
  • LR-1, da dun: for intense pain in the lower abdomen (penis, vagina), also after surgery
  • LR-5, li kou: for swelling/pain/itching in the external genitals

Points on the Line 4 Cun below the Navel


The points on the line 4 cun below the navel include the following (Table 12.2):



  • CV-3
  • KI-12
  • ST-29
  • SP-13

CV-3: Zhong Ji—Central Pole


CV-3 is an extremely important point since all yin channels of the leg intersect here with ren mai, which is known as the “sea of yin.” Hence, its range of indications includes any energetic state that is characterized by the accumulation of yin (especially cold and fluids). Yang is vacuous; the lower abdomen feels cold and swollen. Especially in women with yang vacuity and infertility, applying moxibustion on this point can help.


__________


* This point is also translated as “Surging Gate” in English.


Indications from the Zhen Jiu Da Cheng


Combinations

Suitable combinations are, for example, with:



  • SP-6, san yin jiao: for stagnation in the lower abdomen
  • GV-4, ming men: for aversion to sex and feeling cold, especially in the feet
  • ST-36, zu san li: for general cold and weakness

KI-12: Da He—Great Manifestation


Here we are obviously dealing with a point that is so important that the early Chinese masters of acupuncture felt compelled to capture this in its name! This is where the kidney channel meets with chong mai—hence, we can strengthen essence and its mobilization through this point: indications are impotence and tendency to miscarriages.


Indications from the Zhen Jiu Da Cheng


  • seminal emissions with general exhaustion
  • contraction of the penis
  • pain in the penis
  • red and painful eyes, beginning in the inner corner of the eye
  • bloody vaginal discharge

Indications from the Qian Jin Yi Fang (images Supplemental Prescriptions Worth a Thousand in Gold)11


  • red and turbid vaginal discharge in women
  • seminal emissions and great exhaustion in men
  • shrinking of the penis
  • pain in the penis

Combinations

Suitable combinations are, for example, with:



ST-29: Gui Lai—Return!


This passionate exclamation is directed at the failure of qi and yang, which can lead to sagging of the uterus and inability to raise the penis, but also to failed descent of the testicles from the abdomen. Cold and weakness impede qi, especially in the first phase of the menstrual cycle. It is therefore preferable to treat this point with moxibustion.


Indications from the Zhen Jiu Da Cheng


  • qi ascent
  • undescended testicles with pain in the penis
  • hernias
  • accumulation of cold in women

Combinations

Suitable combinations are, for example, with:



  • SP-6, san yin jiao: for prolapse of the uterus or bladder
  • LR-3, tai chong: for simultaneous impotence and emotional blockages
  • LR-8, qu quan: for swelling and itching in the genitals

SP-13: Fu She—Bowel Abode


This point is characterized by its usefulness in states of repletion with simultaneous qi ascent. As the jiao hui (intersection) point of the spleen, liver, and yin linking channels, it resolves blockages, as a result of which the qi that is ascending counterflow is able to reach the lower burner. The term “abode” in the name of the point furthermore indicates that we can resolve accumulations here; not only material ones but also mental “accumulations”—when the carousel of thoughts will not stop or when you are unable—for example, during sexual intercourse—to pay attention to other people because you are too preoccupied with yourself.


Indications from the Zhen Jiu Da Cheng


  • hernia that can be pushed back or not
  • pain around the hernia with bi (impediment) syndrome, in which the pain rises upward to the heart
  • feeling of swelling in the abdomen
  • feeling of cold in the extremities, especially in the tips of the fingers and toes—apply moxa five times

Combinations

Suitable combinations are, for example, with:



  • ST-40, feng long: for constipation and flatulence
  • PC-6, nei guan: for simultaneous nausea
  • ST-44, nei ting: for blocked ability to absorb

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Jul 22, 2016 | Posted by in MANUAL THERAPIST | Comments Off on Acupuncture

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