Overview
Prolapse of uterus is uterus descending along vagina from normal position, and cervical os reach to the level of ischiadic spine, even uterus prolapse out to the aditus vaginae. This is a common disease in women of physical labor, which may be most seen between 40-70 years old. And highest attack rate in 50-60 years old. In TCM, it is also called yin unbending, yin hernia, and yin haemorrhoid. Prolapse of uterus may come about as a result of innate deficiency, overstrain when childbearing, qi and blood haven't recovered after childbirth or doing physical work too early, which will lead to deficiency of the spleen causing weakness of qi, middle warmer energy damaged and damage; or impairment of qi caused by copiousness, impairment of the kidney due to indulgence in sexual activities, so that collaterals coming from the pericardium damaged which can not control the uterus. Therapeutic principle is tonifying kidney and liver, controlling the uterus.

Treatment
1. Baihui (DU 20)
(1) Acupuncture-therapy: Let the patient be sitting or dorsal position, separating hairs and with routine sterilization, needle quickly into the skin with 2 cun 28 gauge filiform needle (the needle tip and the epicranium makes a included angle of 30). When the needle tip reach to aponeurosis of occipitofron talis muscle, acupuncturist may feel the force of resistance diminishes, then manipulate with twirling and rotating methods into 1-1.5 cun, and rotate it quickly for 2-3 minutes continuously. Retain the needle for 30 minutes with manipulating the needles 2-3 times. Treatment is done 2-3 times every day, and 10 times make up a course of treatment.

(2) Treatment with moxibustion: let the patient be sitting position, moxibustion with moxa stick (distance between cutaneous covering 5 cm) 10-15 minutes, it will result in the skin to blush. Treatment is done 2-3 times every day, and 10 times make up a course of treatment. Attention to avoid inflaming the hair.

2. Zigong (EX-CA1)
This is an extra point. Use awn-needle therapy. Let the patient dorsal position, with routine sterilization, needle deeply to muscular layer under fat with 5-8 cun 28 gauge filiform needle (needle tip exposition to articulation of pubis), then prick into muscular layer, with rotating the needle repeatedly, in order to let the patient has the sensation of tic in perinaeum and hypogastrium. Or twist the needle one way, and make muscle fiber twining on the body of needle. Then lift the needle slowly. Treatment is done once every, other day, and 5 times make up a course of treatment.

3. Tituo (EX-CA2)
This is an extra point. Use awn-needle therapy. Let the patient dorsal position, with routine sterilization, needle deeply to muscular layer under fat with 5-8 cun 28 gauge filiform needle (needle tip exposition to articulation of pubis), then prick into muscular layer, with rotating the needle repeatedly, in order to let the patient has the sensation of tic in perinaeum and hypogastrium. Or twist the needle one way, and make muscle fiber twining on the body of needle. Then lift the needle slowly. Treatment is done once every other day, and 5 times make up a course of treatment.

4. Guanyuan (RN4)
Treat with moxibustion. Let the patient lay on the back, moxibustion with moxa stick (distance between cutaneous covering 5 cm) 15-20 minutes, it will result in the skin to blush. Treatment is done 2-3 times every day. The treatment begins one week before menstrual period, and therapy discontinued on menstrual period, which should be continuous for 3 menstrual cycles. Or use moxibustion treatment with moxa cones. Let the patient Jay on the back, smear a little Vaseline on the skin, so that the moxa cones can stick to the point. Then put the moxa cone on the point, kindle it and use the nipper to move it to change a new one when the moxa cone only has 2/5 or 1/4 left and the patient feels a little burning pain. This method is done with 3-7 cones, which cause the skin appear to blush without blebbing.

Note
1. Acupuncture therapy is an effective way to treat prolapse of uterus. The patient should urinate completely, and push prolapsed uterus into vagina before acupuncture. Tray up buttocks when acupuncture. Acupuncture with the direction to articulation of pubis, and manipulating needle in order to let the patient have the sense of lifting up of the uterus. Rest in bed for half an hour, or keep knees to chest lying posture for 20 minutes, or put a hysterophore or balteum to improve therapeutic effect.

2. It is not suitable to load weight and squat too long during treatment period. Also should to prohibit sexual intercourse.

3. Infirmity or secondary infection can combine with drug treatment.