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Menstrual pain due to liver-kidney depletion that occurs when general vacuity, early marriage, or excessive childbirth cause damage to the liver and kidney and depletion of essence-blood, and the resulting thoroughfare (chōng) and controlling (rèn) vessel blood vacuity deprives the uterine vessels of nourishment. Liver-kidney depletion menstrual pain is characterized by continual unabating menstrual pain that refuses pressure and is accompanied by dizziness and tinnitus, and limp aching lumbus and knees.

Medicinal therapy: Regulate and supplement the liver and kidney using formulas such as Liver-Regulating Decoction (调肝汤 tiáo gān tāng).

Acumoxatherapy: Base treatment mainly on CV, back transport points, and KI. Select CV-4 (Pass Head, 关元 guān yuán), BL-18 (Liver Transport, 肝俞 gān shù), BL-23 (Kidney Transport, 肾俞 shèn shù), KI-6 (Shining Sea, 照海 zhào hǎi), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and needle with supplementation.

Point selection according to signs: For dizziness and tinnitus, add KI-3 (Great Ravine, 太溪 tài xī). For limp aching lumbus and knees, add Lumbar Eye (腰眼 yāo yǎn).

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