ACUPUNCTURE TREATMENT
LR-2 Xingjian, SP-9 Yinlingquan, KI-2 Rangu, KI-10 Yingu, BL-18 Ganshu and CV-2 Qugu. Reducing method is used on these points.
Explanations
• LR-2, the Spring point of the Liver channel, eliminates Damp-Heat in the channel.
• SP-9, the Sea point of the Spleen channel, removes Damp-Heat and activates the Spleen.
• KI-2, the Spring point of the Kidney channel, and KI-10, the Sea point, promote urination and eliminate Damp-Heat.
• BL-18, the Back Transporting point of the Liver, reduces Liver-Fire.
• CV-2, the crossing point of the Directing Vessel and the Liver channel, regulates the circulation of Qi in these two channels, eliminates Damp-Heat and relieves the pain.
Modifications
1. If there is a painful perineum, add CV-I and KI-6 to clear Damp-Heat and relieve the pain in the perineum.
2. If there are swollen genitals, add SP-6 to eliminate Damp-Heat and reduce the swelling.
3. If the testicles are painful, add ST-29 and LR-12 to regulate the Qi, remove its stagnation and relieve the pain.
4. If there is a painful vagina with leucorrhoea, add ST-30 and HT-8 to eliminate Damp-Heat and relieve the pain.
5. If there is painful urination, add KI-4 and LR-5 to clear Damp-Heat, promote urination and relieve the pain.
6. If there is lower back pain, add BL-23 and BL-58 to strengthen the lower back and relieve the pain.
STAGNATION OF LIVER-QI
Symptoms and signs
Painful copulation, lower abdominal pain with distension, hypochondriac pain, headache, dizziness, palpitations, irregular menstruation, a poor appetite, a feeling of fullness in the stomach, irritability, insomnia, a white and thin tongue coating and a wiry pulse.
Principle of treatment
Regulate the Liver-Qi, remove Qi stagnation and relieve the pain.
HERBAL TREATMENT
Prescription
XIAO YAO SAN
Free and Relaxed Powder
Chai Hu Radix Bupleuri IOg
Dang Gui Radix Angelicae Sinensis 10 g
Bai Shao Radix Paeoniae Alba 20 g
Bai Zhu Rhizoina Atractylodis Macrocephalae 10 g
Fu Ling Poria 15 g
Gan Cao Radix Glycyrrhizae 5 g
Bo He Herba Menthae 3 g
Sheng Jiang Rhizoma Zingiberis Reeens 5 g
Explanations
• Chai Hu and Bo He regulate and promote the circulation of Liver-Qi so as to remove Qi stagnation in the Liver channel.
• Bai Shao and Dang Gui nourish the Blood and strengthen the Liver. These two herbs can also relieve the pain directly.
• Bai Zhu, Fu Ling and Sheng Jiang tonify the Spleen and Stomach.
• Gan Cao harmonises the actions of the other herbs in the formula.
Modifications
1. If there is lower abdominal pain, add Wu Yao Radix Linderae 5 g and Ju He Semen Citri Reticulatae 10 g to regulate the circulation of Qi and relieve the pain.
2. If there is a sharp pain, add Yan Hu Suo Rhizonm Corydalis 10 g and Mo Yao Resina Myrrhae 10 g to promote the circulation of Qi and relieve the pain.
3. If there is low potency, add Yu Jin Radix Curcumae 10 g and Wu Gong Scolopendra 3 g to regulate the Qi and Blood circulation in the Liver channel and improve the potency.
4. If there is irregular menstruation, add Chuan Xiong Radix Ligustici Chuanxiong IOg and Yi Mu Cao Hcrba Lconuri 10 g to regulate the menstruation.
Patent remedies
Xiao Yao Wan Free and Relaxed Pill
Yan Hu Suo Zhi Tong Pian Corydalis Stop Pain Tablet
ACUPUNCTURE TREATMENT
LR-3 Taichong, LR-8 Ququan, PC-6 Neiguan, CV-3 Zhongji, GB-20 Fengchi and BL-18 Ganshu. Even method is used on these points.
Explanations
• LR-3, the Source and Stream point of the Liver channel, and LR-8, the Sea point, regulate the Liver-Qi in order to relieve the pain.
• BL-18, the Back Transporting point of the Liver channel, smoothes the Liver, regulates the Liver-Qi and removes Qi stagnation in the channel.
• CV-3, the crossing point of the Liver channel and the three Yin channels of the foot, relieves the pain.
• PC-6, the Connecting point of the Pericardium channel and the Confluence point of the Yin Linking Vessel, regulates the circulation of Qi and removes its stagnation.
• GB-20 calms the Mind and regulates the circulation of Qi.
Modifications
1. If there is hypochondriac pain, add TE-5 and GB-41 to regulate the circulation of Qi and relieve the pain.
2. If there is lower abdominal pain, add ST-29 and BL-25 to regulate the circulation of Qi in the locality and relieve the pain.
3. If there is low potency, add KI-10, the Sea point, and SP-6, the crossing point of the three Yin channels of the foot, to tonify the Kidney and regulate the Liver in order to improve the potency.
4. If there is irregular menstruation, add SP-10 and KI-3 to regulate the menstruation.
5. If there is insomnia, add HT-7 to calm the Mind and improve the sleep.
6. If there is irritability, add LR-3 and HT-8, the Spring points, to clear Heat from the Liver and Heart and calm the Mind.
Case history
A 52-year-old woman had been suffering from painful copulation for 2 months. She complained she had a dry and painful feeling during sexual intercourse. She also stated that she got this complaint soon after she was terrified by a group of thugs at home. She was very upset about this situation. She went to the hospital and was given some tranquillisers. Besides painful copulation, she also had a headache, nervousness, a dry sensation in her eyes, palpitations, a poor appetite and lower abdominal pain. Her tongue was red with a thin coating, and her pulse was wiry.
Diagnosis
Stagnation of Liver-Qi with formation of Liver-Fire. Principle of treatment
Smooth the Liver, remove Qi stagnation and clear Liver-Fire.
Herbal treatment
XIAO YAO SAN (modified)
Free and Relaxed Powder (modified)
Chai Hu Radix Bupleuri 10 g Dang Gui Radix Angelicae Sinensis 10 g
Bai Shao Radix Paeoniae Alba 20 g
Long Dan Cao Radix Gentianae 6 g
Huang Qin Radix Scutellariae 9 g
Zhi Zi Fructus Gardenine 9 g
Fu Ling Paria 15 g Bo He Herba Menthae 3 g Gan Cao Radix Glycyrrhizae 5 g
Explanations
• Chai Hu and Bo He regulate and promote the circulation of Liver-Qi so as to remove Qi stagnation in the Liver channel.
• Bai Shao and Dang Gui harmonise the Liver and nourish the Blood in the Liver in order to strengthen it. These two herbs can also relieve pain directly.
• Fu Ling tonifies the Spleen and Stomach.
• Long Dan Cao, Zhi Zi and Huang Qin clear Liver-Fire.
• Gan Cao harmonises the actions of the other herbs in the formula.
Acupuncture treatment
LR-2, LR-3, LR-12, CV-1, SP-6, GB-20, BL-18 and PC-6 were selected. Reducing method was used on these points. Treatment was given every other day.
Explanations
• LR-2, the Spring point of the Liver channel, and LR-3, the Stream and Source point, promote Liver-Qi circulation and clear Liver-Fire.
• CV-I, the crossing point of the Directing, Governing and Penetrating Vessels, and LR-12, the local point, remove Qi stagnation in the genital region and relieve the pain.
• PC-6, the Connecting point of the Pericardium channel and Confluence point of the Yin Linking Vessel, and GB-20 regulate the circulation of Liver-Qi and calm the Mind.
• SP-6, the crossing point of the three Yin channels of the foot, regulates the circulation of Qi and relieves the copulation pain.
• BL-18, the Back Transporting point of the Liver, smoothes the Liver and regulates the Liver-Qi circulation.
After 2 months of treatment, her painful copulation was relieved completely. She was followed up 2 years later and she stated that she had experienced no further painful copulation since the treatment.
DEFICIENCY OF SPLEEN-QI
Symptoms and signs
Gradual occurrence of painful copulation, a low sexual drive, lassitude, a pale complexion, a poor appetite, diarrhoea, palpitations, prolapse of the uterus or anus, irregular menstruation, menorrhagia, a pale tongue with a white coating and a feeble pulse. Usually these patients have some chronic disease, weak constitution, malnutrition or a history of multiple births.
Principle of treatment
Activate the Spleen and Stomach and tonify the SpleenQi.
HERBAL TREATMENT
Prescription
BU ZHONG YI QI TANG
Tonifying the Middle and Benefiting Qi Decoction
Huang Qi Radix Astragali seu Hedysari 20 g
Gan Cao Radix Glycyrrhizae 5 g
Ren Shen Radix Ginseng 10 g
Dang Gui Radix Angelicac Sinensis 10 g
Ju Pi Pericarpium Citri Reticulatae 6 g
Sheng Ma Rhizoma Cimicifugae 3 g
Chai Hu Radix Bupleuri 3 g
Bai Zhu Rhizoma Atractylodis Macrocephalae IOg
Explanations
• Ren Shen, Huang Qi, Bai Zhu and Gan Cao strengthen the Spleen and tonify the Qi of the Spleen and Stomach.
• Sheng Ma and Chai Hu lift the Yang-Qi.
• Dang Gui tonifies the Blood in the Liver. It is also a companion of Chai Hu in the treatment of Liver disorder.
• Ju Pi promotes the circulation of Qi in the Middle Burner and strengthens the Spleen and Stomach.
Modifications
1. If there is low potency, add Yin Yang Huo Herba Epimedii 10 g and Wu Gong Scolopendra I g to regulate the circulation of Blood and improve the potency.
2. If there is menorrhagia, add Bai Ji Rhizoma Bletillae 10 g, San Qi Radix Notoginseng IOg and Xue Yu Tan Crinis Carbonisatus 10 g to stop the bleeding.
3. If there is prolapse of the uterus or anus, add Qing Pi Pcricarpiuin Citri Reticulatae Viride IOg and Zhi Qiao Fructus Aurantii 10 g to regulate the circulation of Qi and lift up the uterus and anus.
4. If there are palpitations, add Suan Zhao Ren Semen Ziziphi Spinosae 10 g and Bai Zi Ren Semen Biotae 10 g to tonify the Blood and calm the Mind.
5. If the appetite is poor, add Sha Ren Fructus Amomi 6 g and Mu Xiang Radix Aucklandiae 10 g to regulate the Spleen-Qi and improve the appetite.
Patent remedy
Bu Zhong Yi Qi Wan Tonifying the Middle and Benefiting Qi PiU
ACUPUNCTURE TREATMENT
LR-3 Taichong, KI-3 Taixi, CV-4 Guanyuan, CV-12 Zhongwan, BL-20 Pishu and ST-36 Zusanli. Reinforcing method is used on these points. Moxibustion treatment is recommended on CV-4, KI-3 and ST-36.
Explanations
• LR-3 is the Stream and Source point of the Liver channel. KI-3 is the Stream and Source point of the Kidney channel. These two points in combination can tonify the Liver and Kidney.
• BL-20 is the Back Transporting point of the Spleen. ST-36 is the Sea point of the Stomach channel.
CV-12 is the Front Collecting point of the Stomach, the Gathering point for the Fu organs, and the crossing point of the Directing Vessel with the three Yang channels of the hand. These three points in combination tonify the Spleen and Stomach-Qi.
• CV-4 tonifies the Original Qi and improves the constitution.
• Moxibustion tonifies the Qi and warms the interior organs.
Modifications
1. If the appetite is poor, add SP-3, the Source point, to tonify the Spleen-Qi and improve the appetite.
2. If there is low potency, add CV-6 and LR-5 to tonify the Kidney and regulate the circulation of Qi.
3. If there are palpitations, add PC-6 and HT-3 to calm the Mind and stop the palpitations.
4. If there is prolapse of the anus or uterus, add GV-20 and moxibustion on CV-8 to tonify and lift the Yang-Qi.
5. If there is chronic diarrhoea, add ST-25 and SP-4 to tonify the Spleen and stop the diarrhoea.
6. If there is irregular menstruation, add SP-6 and BI-23 to tonify the Qi and Blood and regulate the menstruation.
DEFICIENCY OF KIDNEY-YIN AND FLARING UP OF LIVER-FIRE
Symptoms and signs
Painful copulation, dry and itching on the penis or vagina, irregular menstruation, menopausal syndrome, lower back pain with soreness, scanty and frequent urination, dry mouth, restlessness, insomnia, lassitude, tinnitus, hot sensation in the hands and soles, constipation, red tongue with less coating, thready and rapid pulse.
Principle of treatment
Nourish Kidney-Yin and reduce Liver-Fire.
HERBAL TREATMENT
Prescription
ZHI BAI DI HUANG WAN
Anemarrhena, Phellodendron and Rehmannia Pill Shu Di Huang Radix Rehmanniae Praeparata 24 g
Shan Zhu Yu Fructus Corni 12 g
Shan Yao Rhizoma Dioscoreae 12 g
Fu Ling Poria 9 g
Mu Dan Pi Cortex Moutan Radicis 9 g
Ze Xie Rhizoma Alismatis 9 g
Zhi Mu Rhizoma Anemarrhenae 10 g
Huang Bai Cortex Phellodendri 10 g
Explanations
• Shu Di Huang, Shan Zhu Yu and Shan Yao tonify the Essence of the Liver and Kidney.
• Ze Xie promotes urination and clears Defident-Heat.
• Mu Dan Pi cools Heat and activates the circulation of Blood.
• Fu Ling strengthens the Spleen and promotes the production of Qi and Blood.
• Zhi Mu and Huang Bai reduce Liver-Fire.
Modifications
1. If there is low potency, add Dang Gui Radix Angelicae Sinensis 10 g and Wu Gong Scolopendra I g to improve the potency.
2. If there is insomnia, add Suan Zao Ren Semen Ziziphi Spinosae 10 g and Wu Wei Zi Fructus Schisandrae 10 g to calm the Mind.
3. If there is irregular menstruation, add Chuan Xiong Rhizoma Ligustici Chuanxiong IOg and Chuan Niu Xi Radix Cyathulae 10 g to regulate the menstruation.
4. If there is lower back pain, add Xu Duan Radix Dipsaci 10 g, Sang Ji Sheng Ramulus Loranthi 10 g and Bai Shao Radix Paeoniae Alba 10 g to strengthen the lower back and relieve the pain.
5. If there is constipation, add Sheng Di Huang Radix Rehmanniae 15 g and Xuan Shen Radix Scrophulariae 12 g to tonify the Kidney-Yin and lubricate the Large Intestine.
Patent remedy
Zhi Bai Di Huang Wan Six-Flavour Rehmannia Pill with Anemarrhena and Phellodendri
ACUPUNCTURE TREATMENT
LR-3 Taichong, LR-8 Ququan, KI-3 Taixi, KI-10 Yingu, SP-6 Sanyinjiao, CV-4 Guanyuan and BL-23 Shenshu. Reinforcing method is used on these points.
Explanations
• LR-3 is the Stream and Source point of the Liver channel; LR-8 is the Sea point. These two points in combination smooth the Liver and clear Liver-Fire.
• KI-3 is the Stream and Source point of the Kidney channel, and KI-10 is the Sea point. BL-23 is the Back Transporting point of the Kidney. These three points together tonify the Kidney-Yin and clear Deficient-Heat.
• CV-4 is the Front Collecting point of the Small Intestine and the crossing point of the Directing Vessel and the three Yin channels of the foot. It tonifies the Yin of the Liver and Kidney.
• SP-6 is the crossing point of the Spleen, Kidney and Liver channels. It nourishes the Yin and clears Deficient-Fire.
Modifications
1. If there is irregular menstruation, add BL-18 and SP-9 to regulate the menstruation.
2. If there is low potency, add CV-6 and LR-12 to improve the potency.
3. If there is lower back pain, add BL-58 and GB-36 to harmonise the collateral and relieve the pain.
4. If there is scanty and frequent urination, add CV-3 to relieve the urination problems.
5. If there is restlessness and insomnia, add PC-6 and GV-20 to tranquillise the Mind.
6. If there is a poor appetite and lassitude, add ST-36 and CV-12 to activate the Spleen and improve the appetite.
7. If there is constipation, add ST-25 and ST-37 to regulate the Large Intestine and promote defecation.
Case history
A 55-year-old man had been suffering from pain on copulation for 5 months. He had been suffering with chronic prostitis for about 2 years, and lately often had pain on copulation with itching of his penis. Sometimes he also suffered from impotence. Meanwhile, he had lower back pain with soreness, frequent and scanty urination, lassitude, a dry mouth with a bitter taste in his mouth, night sweating, restlessness, occasional headache, a red tongue with a scanty coating and a wiry and rapid pulse.
Diagnosis
Deficiency of Kidney-Yin and flaring-up of Liver-Fire. Principle of treatment
Nourish Kidney-Yin and reduce Liver-Fire.
Acupuncture treatment
LR-3, LR-8, KI-3, CV-3, SP-6 and BL-23. LR-3 and LR-8 were needled with reducing method. Kl-3, CV-3, SP-6 and BL-23 were needled with reinforcing method. Treatment was carried out once every other day.
Explanations
• LR-3 is the Stream and Source point of the Liver channel. LR-8 is the Sea point. These two points in combination reduce Liver-Fire resulting from deficiency of Kidney-Yin.
• KI-3 is the Stream and Source point of the Kidney channel. BL-23 is the Back Transporting point of the Kidney. These two points in combination tonify the Kidney-Yin.
• CV-3 is the crossing point of the Directing Vessel and the three Yin channels of the foot. SP-6 is the crossing point of the three Yin channels of the foot. These two points in combination nourish the Yin and regulate the circulation of Qi in the Lower Burner to relieve the painful copulation.
After 6 weeks of treatment, his painful copulation was under control.
