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Prolapse of the uterus

子宫脱垂 〔子宮脫垂〕 zǐ gōng tuō chuí

子宫下垂〔子宮下垂〕zǐ gōng xià chuí; 子肠不收〔子腸不收〕zǐ cháng bù shōu

Downward displacement of the uterus, in severe cases beyond the mouth of the vagina. Prolapse of the uterus is attributed to qì vacuity fall, loss of retention power of the girdling dài vessel and damage to the thoroughfare (chōng) and controlling (rèn) vessels, or to excessive childbirth, difficult childbirth or excessive straining during childbirth.

Patterns

Qì vacuity (气虚 qì xū) patterns are characterized by scantness of breath and laziness to speak, bright-white facial complexion, and empty sagging in the smaller abdomen.

Medicinal therapy: Supplement qì and upbear yáng using formulas such as Center-Supplementing Qì-Boosting Decoction (补中益气汤 bǔ zhōng yì qì tāng).

Acumoxatherapy: Base treatment on CV and GV. Main points: CV-4 (Pass Head, 关元 guān yuán), CV-6 (Sea of Qì, 气海 qì hǎi), GV-20 (Hundred Convergences, 百会 bǎi huì), and Infant’s Palace (子宫 zǐ gōng). For qì vacuity fall, add ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ) and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with supplementation and add moxa.

Kidney vacuity (肾虚 shèn xū) patterns are characterized by dizziness, tinnitus, and limp aching lumbus and knees.

Medicinal therapy: Supplement the kidney and boost qì using formulas such as Major Origin-Supplementing Brew (大补元煎 dà bǔ yuán jiān) plus deerhorn glue (Cervi Cornus Gelatinum, 鹿角胶 lù jiǎo jiāo), cimicifuga (Cimicifugae Rhizoma, 升麻 shēng má), and bitter orange (Aurantii Fructus, 枳壳 zhǐ ké).

Acumoxatherapy: Use the main points given above, and add KI-12 (Great Manifestation, 大赫 dà hè), and KI-6 (Shining Sea, 照海 zhào hǎi), needling with supplementation and adding moxa. Compare yīn protrusion.

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