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PREGNANCY

PRE-NATAL

Clinical Manifestations	Abdominal Pain: See Abdominal Pain During Pregnancy Dysuria: See Dysuria During Pregnancy Eclampsia: See Eclampsia Ectopic pregnancy: See Ectopic Pregnancy Edema: See Edema During Pregnancy Fetal Restlessness: See Fetal Restlessness Habitual or threatened miscarriage: See Habitual Miscarriage or Threatened Miscarriage Metrorrhagia (Vaginal Bleeding): See Vaginal Bleeding During Pregnancy Morning Sickness: See Morning Sickness Puerperal fever: See Puerperal Fever Restless fetus disorder: See Fetal Restlessness
Treatment Principle
Herb Formulas	Adnexitis: Dang Gui Shao Yao San Anemia: Dang Gui Shao Yao San Anovulation: Jian Quan Huang Ti Tang Wen Jing Tang Cough: Bai He Gu Jin Tang Liu Jun Zi Tang Delayed ovulation: Jian Quan Huang Ti Tang Dizziness: Dang Gui Shao Yao San Frequent urination: Bu Zhong Yi Qi Tang General weakness: Bao Chan Wu You Fang Tai Shan Pan Shi San Hypertension: Dang Gui Shao Yao San Yi Guan Jian Wu Ling San Inhibited urination during pregnancy: Bao Chan Wu You Fang Irritability: Qi Ju Di Huang Wan Ba Zhen Tang Ban Xia Bai Zhu Tian Ma Tang Low back pain: Bao Chan Wu You Fang Luteal insufficiency: Dang Gui Shao Yao San Nausea and vomiting: See Morning Sickness Pain in the midline and back: Astragalus and Drynaria Combination Du Huo Ji Sheng Tang Pain in the waist and abdomen: Dang Gui Ai Ye Tang Palpitations: Dang Gui Shao Yao San Pre-eclampsia: Dang Gui Shao Yao San Seizures and epilepsy: Ling Jiao Gou Teng Tang Ban Xia Bai Zhu Tian Ma Tang Threatened miscarriage and uterine weakness: Tao Hong Si Wu Tang Tinnitus: Dang Gui Shao Yao San Toxemia: Liu Jun Zi Tang Ban Xia Hou Po Tang Fu Zi Li Zhong Wan Shen Su Yin Si Ling San Wu Ling San Xiao Ban Xia Jia Fu Ling Tang Xuan Fu Dai Zhe Tang Yi Gan San Jia Chen Pi Ban Xia Yin Chen Wu Ling San Vertigo: Dang Gui Shao Yao San Weakness and numbness of lower back and legs during pregnancy or postpartum: Dang Gui Shao Yao San Jin Lian Zhong Zi Fang Kuan Dai Tang Wen Bao Yin
Points	Antepartum: LIV-2, PC-6, SP-4, ST-36 Beginning in the 37th week: 1. LI-4, LIV-3, REN-6, SP-1, SP-6, ST-25, UB-31, UB-32, UB-33, UB-34 2. DU-20, HT-3, HT-5, HT-7, HT-9, PC-6, PC-7, UB-13, Yintang A few days before labor or if labor is delayed: Session 1: HT-3, LU-7, UB-67 Session 2: LI-4, LIV-3, ST-36 Session 3: KI-2, UB-39, UB-53 Session 4: HT-3, HT-7, REN-4 To restore balance: KI-9 Constipation: Qi Stagnation: LI-11, LIV-2, REN-12, ST-25, ST-36 Blood Deficiency: SJ-6, UB-17 Kidney Yang Deficiency: DU-4, KI-3, KI-6, KI-7, REN-12, ST-36, UB-23 Intestinal Heat: UB-17, UB-57, UB-58 For Large Intestine Heat: + DU-1, LU-7, SP-5, UB-36 For Qi Deficiency: + DU-5, DU-20, SP-1 Ear: Stomach, Large Intestine, Anus, Endocrine Glands, Kidney Dysphagia: GB-23, GB-24, REN-12, REN-14, REN-22 Morning sickness: PC-6, REN-24, ST-44, moxa or moxa needle PC-4, PC-5, PC-8 Ear: Shenmen, Heart, Stomach, Sympathetic Leg edema: Acupressure on LI-11, SP-9, ST-44 Ear: Kidney, Bladder, Heart., Liver, Internal Secretion, Sympathetic Hemorrhoids:DU-20, LI-10, LI-11 Ear: Lower Segment Rectum, Liver, Subcortex, Spleen, Adrenal Herpes zoster: LIV-3, LIV-4 Ear: Lung, Occiput, Internal Secretion, Adrenal Threatened miscarriage and uterine weakness: Moxa REN-8, SP-10 Heartburn: GB-23, GB-24, REN-12, REN-14, REN-22 High blood pressure: Ear: Hypertension Groove, Sympathetic, Shenmen Low blood pressure: Ear: Sympathetic, Heart, Occiput, Adrenal Nervousness: ST-44 Functional intestinal disturbances: LI-4, LI-6, LI-11 Ear: Stomach, Small Intestine, Large Intestine Sympathetic Hypoferric anemia: HT-7, UB-17 Ear: Liver, Spleen, Spleen, Internal Secretion Nausea and vomiting: GB-40, LIV-8, LU-5, LU-9, PC-6, SP-6, ST-45 Acute nephritis: Ear: Kidney, Bladder, Shenmen, Adrenal, Internal Secretion Urinary incontinence: Moxa REN-4, REN-8 Ear: Ear, Bladder, Shenmen, Lumbar Shock: DU-20. HT-7, LIV-11, PC-5 Ear: Adrenal. Occiput, Heart, Subcortex, Brain Low back pain: DU-24, GB-30, UB-26 Ear: Shenmen (use caution, ear points can induce labor Varicose veins: LIV-8

BLOOD DEFICIENCY WITH WIND-COLD DURING PREGNANCY

Clinical Manifestations	Acute headache Fever Mild chills Little or no sweating A lusterless, sallow complexion Pale nails and lips Fatigue Palpitations Dizziness T: Pale C: White P:Thready and floating or Thready and weak
Treatment Principle	Nourish the blood Clear the Exterior
Herb Formulas	Cong Bai Qi Wei Yin modified Chinese Patent Medicines: Gan Mao Ling
Points	DU-14, GB-20, LU-7, ST-36, UB-17

EXCESSIVE AMNIOTIC FLUID

Clinical Manifestations	Usually manifests between the fourth and sixth month of pregnancy Abnormal enlargement of the abdomen Fullness and oppression of the chest and diaphragm Forced, urgent breathing Dyspnea which will not be quieted and in severe cases prohibits lying flat Edematous swelling of the lower extremities and external genitalia Maybe generalized edema T: Pale C: Slimy P: Deep, slippery and forceful
Treatment Principle	Warm and transform Phlegm and congested Fluids Strengthen the Spleen Resolve Dampness Improve metabolic function
Herb Formulas	Ling Gui Zhu Gan Tang modified
Points

HEMORRHOIDS

Clinical Manifestations	Hemorrhoids
Treatment Principle
Herb Formulas
Points	Intestinal Heat: UB-17, UB-57, UB-58 For Large Intestine Heat: + DU-1, LU-7, SP-5, UB-36 For Qi Deficiency: + DU-5, DU-20, SP-1 Ear: Stomach, Large Intestine, Anus, Endocrine Glands, Kidneys

INSOMNIA

Clinical Manifestations	Insomnia
Treatment Principle
Herb Formulas
Points	Damage to Stomach Qi: PC-6, REN-12, SP-4, ST-36, UB-21 With nightmares: + HT-7, SP-1, ST-45 Ear: Stomach, Spleen, Duodenum, Shenmen Liver Heat: DU-20, HT-7, LIV-2, LIV-3, PC-6, UB-18, UB-19 Kidney Yin Deficiency with Fire Rising: HT-7, KI-1, KI-3, KI-4, KI-6, PC-5, PC-6, UB-15, UB-23 Ear: Heart, Kidney, Brain Blood Deficiency: DU-20, HT-7, HT-9, PC-6, PC-7, UB-15, UB-17, UB-38 Ear: Heart, Forehead

KIDNEY AND BLADDER DISEASES

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	Excess Heat: KI-6, LIV-2, LIV-8, SP-9, UB-27, UB-28, UB-40, UB-54 Qi Deficiency: DU-4, KI-3, KI-4, KI-7, UB-23, UB-52 (may use 1-2 cones of moxa if there are no signs of threatened miscarriage)

METEORISM

Clinical Manifestations	Meteorism (gas accumulation) Bloating Rumbling
Treatment Principle
Herb Formulas
Points	REN-12, SP-4, ST-25, ST-36

UNPLEASANT SYMPTOMS

Clinical Manifestations	Spleen and Stomach Deficiency with Phlegm-Damp: Vomiting Phlegm Heart trouble Dizziness Fatigue Lethargy Likes sour food Dislikes normal food T: oral C: Thin and white P: Slippery and weak or slow Liver Qi Stagnation: Chest and ribs swollen and full Dizziness Aversion to Cold Prefers warmth Likes sour food Maybe insomnia Fatigue No Strength T: Normal C: Thin and white P: Deep, slippery and weak Liver Qi Stagnation Invades the Stomach: Nausea Vomiting Heart vexation Anxiety Irritability Prefers Cold and cool drinks Aversion to Heat Aversion to food Sour vomiting Head painful Constipation Red urine T: Normal C: Thin and yellow P: Wiry, slippery and rapid
Treatment Principle
Herb Formulas	Liver Qi Stagnation: Sheng Hua Tang
Points	Spleen and Stomach Deficiency with Phlegm-Damp: LIV-2, PC-6, SP-4, ST-36, UB-20, UB-21, (LIV-13, REN-12 up to the 5th month) Liver Qi Stagnation: LIV-2, LIV-13, PC-6, ST-36, ST-43, UB-18, UB-20, UB-21 Liver Qi Stagnation Invades the Stomach: GB-34, LIV-3, PC-6, ST-36, ST-44, UB-18, UB-19, UB-21

LABOR AND DELIVERY

Clinical Manifestations
Treatment Principle
Herb Formulas	For prevention of difficult delivery: Bao Chan Wu You Fang Difficult labor: Dang Gui Ai Ye Tang Dang Gui San False labor: An Tai Yin An Tai Yin #3 Retained placenta: Gui Zhi Fu Ling Wan Sheng Hua Tang Jiao Ai Tang To stimulate uterine contractions: Sheng Hua Tang
Points	To induce labor: 1. Strong electroacupuncture LI-4, SP-6, UB-31, UB-32 Ear: Uterus, Endocrine Prior to labor: LI-4, REN-4, SP-6, ST-36, UB-32 During labor: GB-21, LI-4, LIV-3, SP-6, ST-36, UB-32 2. LI-4, LIV-3, SP-6, UB-60, UB-67 3. DU-1, LI-4, SP-6, SP-9 Anesthesia: Lumbo-sacral ache: Electroacupuncture bilateral UB-32 Abdominal pain associated with lumbo-sacral ache: Electroacupuncture SP-14 to ST-30 When pain begins: HT-3, LU-7, UB-67 At the beginning of the first stage: LI-4, LIV-3, UB-67 At 4-5 cm dilation: SP-3, SP-6, SP-10 At 6-8 cm dilation: REN-4, SI-3, UB-67 At the second stage: GB-34, KI-6, LI-4, UB-67 To increase dilation of the cervix: SP-4, UB-67 Ear: Uterus, Ovary, Abdomen To speed up labor: LI-4, LI-14, SP-4, SP-6, UB-60, UB-67 Ear: Uterus, Ovary, Abdomen, Lumbar/Sacral When the cervix dilates slowly or the contractions are weak: Electroacupuncture: alternate 1. LI-4, SP-6 2. LI-4, ST-36: For a difficult delivery: 1. LI-4, LI-14, SP-4, SP-6, UB-60, UB-67 Ear: Uterus, Ovary, Abdomen, Lumbar/Sacral, Subcortex, Shenmen 2. GB-21, LI-4, LIV-4, SP-6, SP-12, ST-30 3. Moxa LI-4, SP-6, UB-67 For difficulty emerging: 1. moxa UB-67 seven times 2. KI-6, LU-7 To relax the pelvic bones: LIV-3, LIV-11, REN-6 For hysteria during delivery: HT-7, KI-7, LI-4, LIV-3, PC-5, PC-7, lightly moxa DU-20 For anesthesia: HT-7, LIV-13, ST-25, ST-30, ST-36, ST-44, Stomach meridian subcutaneously Ear: Uterus, Abdomen, Shenmen, Subcortex, Spinal Cord , Lung, Lumbar/Sacral For painful labor and delivery: 1. HT-7, ST-30, ST-36, ST-44, UB-60, UB-67 Ear: Uterus, Shenmen, Spinal Cord , Lung, Lumbar/Sacral, Abdomen, Ovary 2. LI-4, LIV-3, REN-4, SP-6, UB-60 For prolonged labor: 1. GB-21, LI-4, SP-6, UB-67 2. DU-2, LI-4, SP-6, SP-15, ST-30, UB-23, UB-33, UB-67 For a retained placenta: 1. Put the baby to the breast soon after birth and needle LIV-1, LIV-3, LIV-4, PC-6, SP-3, SP-6, ST-36, UB-60, UB-67 2. GB-21, LI-4, REN-3, SP-6, UB-60 3. KI-3, SJ-5 4. GB-21, KI-3, REN-3, REN-5, REN-6, REN-7, SP-6, UB-32, UB-52, UB-67 5. KI-6, LU-7 6. Ear: Uterus, Abdomen, Internal Secretion, Mammary Gland For prolonged labor: 1. GB-21, LI-4, SP-6, UB-67 2. LI-13, LIV-13, SP-6, UB-31, UB-32, Ear: Uterus, Internal secretion 3. LI-4, SP-6, ST-30, ST-36, UB-60 4. LI-4, LIV-3, SP-6 To tonify the uterus during delivery: GB-34, REN-3, SP-6, ST-36

ABNORMAL LABOR

Clinical Manifestations	Prolonged labor Weak uterine contractions Slow dilation of the cervix Maybe intrauterine fetal hypoxia Lassitude Drowsiness Easily fatigued Pale face T: Pale and dry C: White P Superficial and empty
Treatment Principle	Tonify Qi and Blood
Herb Formulas	Premature rupture of the placenta: Dang Gui Shao Yao San
Points	DU-4, LI-4, REN-4, REN-6, REN-12, SP-1, SP-6, ST-30, ST-36, UB-31, UB-32, UB-33, UB-34, UB-60, UB-67 Ear: Shenmen, Uterus, Endocrine Gland, Liver, Heart

DIS-COORDINATED LABOR (DYSTOCIA)

Clinical Manifestations	Labor is too active or uncoordinated Restlessness Labor pain excessively strong Insufficient relaxation of the uterus between contractions Tenderness in the lower part of the uterus The cervix is somewhat hard Evidence of pronounced fetal suffering T: Red P: Rapid and tense
Treatment Principle	Regulate Qi and Blood
Herb Formulas
Points	HT-7, LI-4, LIV-2, LIV-3, LIV-14, PC-6, SP-4, SP-6, ST-25, UB-67 Ear: Sympathetic, Uterus, Hypogastrium, Brain At the third stage of labor, use acupuncture to prevent bleeding. To strongly stimulate contractions: GB-34, KI-6, KI-12, LI-4, SP-1, UB-67

BREECH PRESENTATION

Clinical Manifestations	Breech presentation
Treatment Principle
Herb Formulas	Si Wu Tang Dang Gui Shao Yao San Bao Chan Wu You Fang Si Wu Tang Jia Wei Ba Zhen Tang modified
Points	Moxa UB-67 Moxa LIV-4, SJ-5, SP-6, UB-67 To move and drain Dampness: First session: PC-6, ST-36, Ear: Shenmen Second session: PC-6, SP-4, Ear: Shenmen

POSTPARTUM

Clinical Manifestations	See also: Insufficient Lactation Postpartum Abdominal Pain Postpartum Body Pain Postpartum Convulsions Postpartum Fainting Postpartum Fever Postpartum Urinary Disorder Postpartum Uterine Bleeding Lochioschesis Lochiorrhea
Treatment Principle
Herb Formulas	General: Dang Gui San Huang Qi Gui Zhi Wu Wu Tang Abdominal pain: Xia Yu Xue Tang Anemia: Blood Deficiency: Si Wu Tang Si Wu Tang Jia Wei Blood Stagnation due to Qi and Blood Deficiency: Xiong Gui Tiao Xue Yin Beriberi: Shi Quan Da Bu Tang Bleeding: Xia Yu Xue Tang Blood Stagnation due to Blood Deficiency: Tao Hong Si Wu Tang Constipation: Ji Chuan Jian Zi Chang Wu Ren Wan Qing Zao Run Chang Tang Due to Blood Deficiency: Ma Zi Ren Wan Ba Zhen Tang Convulsions: Hui Chun Dan Xiao Er Hui Chun Dan Depression: Dang Gui Shao Yao San Eclampsia: Tian Ma Gou Teng Yin Endometrial hyperplasia: Wen Jing Tang Headache: Xiong Gui Tiao Xue Yin Illness: Ren Shen Yang Rong Tang Infection: Sheng Hua Tang Xiao Chai Hu Tang Irregular menstruation: Xiong Gui Tiao Xue Yin Lactation excessive: Bu Zhong Yi Qi Tang modified Jia We Xiao Yao San modified Lactation termination: Mai Ya Metrypertrophia (the even enlargement of the uterus): Sheng Hua Tang Nervousness: Xiong Gui Tiao Xue Yin Pain: Zhe Chong Yin Post Cesarean section: Dang Gui Shao Yao San Post-miscarriage: Dang Gui Shao Yao San Post-miscarriage bleeding: Sheng Hua Tang Prolonged lochial discharge: Sheng Hua Tang Recovery: Shi Quan Da Bu Tang Scar tissue: Dang Gui Shao Yao San Still birth: Gui Zhi Fu Ling Wan Thrombophlebitis: Di Dang Tang Uterine subinvolution: Sheng Hua Tang Weakness: Si Wu Tang Dang Gui Shao Yao San Si Wu Tang Jia Wei Tao Hong Si Wu Tang Weakness and numbness of lower back and legs: Dang Gui Shao Yao San Jin Lian Zhong Zi Fang Kuan Dai Tang Wen Bao Yin Zhong Si Wan
Points	Abnormal breast conditions (tumors, cysts, irritations): LU-10, Pigen, SP-4, SP-21, ST-16, ST-36, UB-67 Ear: Mammary Gland, Breast, Thorax, Spleen, Suprarenal, Kidney Blood loss: HT-8, SP-3, SP-10, ST-36, ST-37, ST-39, moxa REN-8 Ear: Spleen, Adrenal, Kidney, Internal Secretion, Small Intestine Constipation due to Blood Deficiency: KI-6, SJ-6, SP-6, ST-36, UB-17, UB-20, UB-23 Displaced fallopian tubes: KI-14, SP-12 Ear: Ovary, Uterus Dizziness: DU-20, REN-7, SJ-6, moxa DU-24, SP-6 Ear: Brain, Subcortex, Spleen Edema of the legs: LI-11, REN-9, SP-9, ST-36, ST-44, local points Ear:Kidney, Bladder, Sympathetic, Internal Secretion, Heart Incessant lactation: LU-9, SI-1, SI-3, ST-36, moxa REN-8 Ear: Internal Secretion, Thorax Infection: Pigen, UB-13, moxa LIV-14, SP-10, moxa needle UB-17 Ear: Spleen, Suprarenal, Kidney, Occiput, Pelvic Cavity Nausea: 1. GB-20, KI-15, REN-17, ST-14, UB-18, UB-25, UB-32 2. GB-26, REN-6, ST-20, UB-10, UB-19, UB-27, UB-33 Perineal damage: Ear: External Genitalia, Perineum Pelvic peritonitis: moxa SP-10, moxa needle UB-17, Pigen Ear: Uterus, Ovary, Pelvic Cavity, Internal Secretion, Spleen Putrid vulva: SP-10, UB-13, UB-17 Ear: External Genitalia, Occiput, Adrenal, Shenmen, Internal Secretion, Lung , Spleen Puerperal fever: LI-4, LI-10, SP-6, ST-36, UB-25, UB-31 Shock: LU-9, PC-5, PC-6, PC-7, ST-36 Ear: Adrenal, Occiput, Heart, Subcortex, Shenmen Spasms: 1. Blood Deficiency: Muscle spasms and pain Sweating T: Pale P: Empty Points: PC-3, REN-6, SI-3 2. Blood Deficiency Generates Wind: Muscle spasms and pain Unable to stretch Anhidrosis Points: LI-4, LI-11, REN-3, SJ-5 To expel a dead fetus: LU-7, SP-6 + moxa SP-6 To stimulate lactation: LIV-13, SP-9, SP-10, moxa REN-17, SP-6, massage ST-13, ST-14 Ear: Breast, Mammary Gland, Internal Secretion, Brain Uterine prolapse: HT-8, KI-6, KI-7, LIV-1, REN-19, SJ-5, SP-6, ST-28, moxa DU-20, REN-4 Ear: Uterus, Ovary, Subcortex, External Genitalia Uterus fails to close normally: REN-2, REN-4 Ear: Uterus, Mammary Gland, Internal Secretion, Pituitary Vaginal discharge: LIV-6, REN-2, REN-3, REN-6, SJ-7 Vaginal prolapse: DU-20, GB-26, REN-2, REN-3, REN-4, REN-19 Ear: External Genitalia, Subcortex Weakness: LI-11, moxa LU-9, REN-4, REN-6, REN-8, SP-6, ST-30, ST-36

POSTPARTUM BLOOD DEFICIENCY WITH WIND-COLD

Clinical Manifestations	Acute headache Fever Mild chills Little or no sweating A lusterless, sallow complexion Pale nails and lips Fatigue Palpitations Dizziness T: Pale C: White P:Thready and floating or Thready and weak
Treatment Principle	Nourish the blood Clear the Exterior
Herb Formulas	Cong Bai Qi Wei Yin modified Chinese Patent Medicines: Gan Mao Ling
Points	DU-14, GB-20, LI-4, LU-7, REN-4, ST-36, UB-17