Amenorrhea TCM Therapy

Diseases, Symptoms,  tcm, []

Health care methods for amenorrhea

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1. Herbal Therapy
1) Internal Medicine
1) Syndrome of deficiency of the liver and kidney:
Therapeutic methods: Nourishing the liver and kidney, nourishing blood and regulating menstruation.
Prescription: Modified Guishen Wan
2) Syndrome of asthenia of qi and blood:
Therapeutic methods: Strengthening the spleen and nourishing qi, nourishing blood and regulating menstruation.
Prescription: Modified Bazhen Tang;

3) Syndrome of qi stagnation and blood stasis:
Therapeutic methods: Promoting qi flow and activating blood, resolving stasis and promoting menstruation.
Prescription: Modified Xuefu Zhuyu Tang.

4) Syndrome of phlegm-dampness obstruction:
Therapeutic methods: Drying dampness and eliminating phlegm, activating blood and regulating menstruation.
Prescription and drugs: Modified Cangfu Daotan Wan.

2. External Medicine
(1) Ear Acupuncture Therapy:
Points selected: Zigong (EX- CA 1), the point of ovary, Pizhixia (AT 4), Neifenmi (CO 18), Shenmen (H 7), Jiaogan (AH 6a), etc.
Manipulation: First, find the pressure point with the probe or the match stick and sterilize the local area by alcohol; then place the seed of cowherb or a half grain of green bean on the adhesive plaster and apply it on the points; press each point with the thumb for 10 minutes together; or wash the hand clean and press-knead the points with the thumb and forefinger face to face; each point for 1-2 minutes; take it 2-3 times a week and 10 times for a course of treatment.

Attention: 1) Press the ear acupoint should with certain strength will be effective; press with moderate strength on the premise of not injuring the skin and both ear to be taken alternatively; this method should be avoided for the patients with the injured skin of the points area; 2) Select 3-5 ear acupoints will be ok for each treatment; 3) Prevent the ear from soaking during the treatment period to avoid the adhesive plaster broken off; this method is not suitable for the patients who are sensitive to the adhesive plaster.

2) Moxibustion
Moxibustion therapy is lighting the moxa cone which is made of moxa or moxa roll directly; and then take the moxibustion with different spacers on the corresponding acupoints to treat the disease; it is widely used in clinical because that it is easily to draw materials and handle; it has better effect in treating amenorrhea as the rgy Wormwood Leaf is helpful to activate yang-qi, eliminate dampness to dispel cold, warm the meridians to promote blood circulation and stimulate the menstrual flow. 

3) Take 3g of white pepper, yellow lead and potassium nitrate respectively and grind them into fine powder; make the powder into 3 pieces of cake; apply one piece below the navel and change for another one after 24 hours; the application to be taken for 3 days continuously.

4) Ingredients: Rhizoma cyperi 2g, peach kernel 1g, one piece of leech. Grind the first two ingredients into powder and them pound it with the leech into the paste; apply it on the navel and then cover it with Shangshi Zhitong ointment; change the application every 2-3 days.

3. Acupoints Massage
1) Deficiency of the liver and kidney
Press, knead and push the abdomen for 3-5 minutes; point, press and knead the Qihai (CV 6) and Guanyuanshu (BL 26) for 2-3 minutes respectively; lift-hold the abdominal muscle for 3 times along the abdominal conception vessel; point, press and knead the Shenshu (BL23) and Ganshu (BL 18) for 1-2 minutes respectively; push the governor vessel in the opposite direction for 7 times; scrape the sacrum for 3-5 minutes; point and press Taixi (KI 3) and Kunlun (BL 60) for 1 minute respectively; clutch the Rangu (KI 2) for a half minute. 

2) Asthenia of qi and blood
Point, press and knead the Shuifen (CV 9), Jianliao (TE 14) and Tianshu (ST25) for 2 minutes respectively; knead the abdomen for 3 minutes; press and knead Liangmen (ST21), Zhongwan (CV 12) and Guanyuan (CV 4) for 1 minute respectively; press, knead and push the Pishu (BL20), Weishu (BL21), Geshu (BL17) and Sanjiaoshu (BL22) for 2 minutes respectively; press and knead the Zusanli (ST 36) for 3-5 minutes.

3) Stagnation of Liver-Qi
Press and knead the Zhangmen (LR 13) and Qimen (LR 14) for half a minute respectively; press and pinch the Taichong (LR 3) and Xingjian (LR2) till a sore and swelling sensation is gained; scrape sideling the costal regions till a little heat is gained. 

4) Cold coagulation and blood stasis
Scrape vertically the governor vessel on the back for 10 times; scrape the sacrum horizontally till the fever is gained in the lower abdomen; press and knead the eight Liao points( BL 31, BL 32, BL 33 and BL 34) till a little heat is gained.

5) Obstruction of phlegm-dampness
Press and knead the Pishu (BL20), Weishu (BL21), Sanjiaoshu (BL22) and the eight Liao points (BL 31, BL 32, BL 33 and BL 34) till a sore and swelling sensation is gained; scrape the left side of back and the sacrum horizontally till the heat is gained; point, press and knead the Shuifen (CV 9), Tianshu (ST 25), Jianli (CV 11) and Zhongwan (CV 12) for 2 minutes respectively; press and knead Fenglong (ST 40) for about 3 minutes.

4. Guasha Therapy
1) Points selected: Ganshu (BL 18), Geshu (BL 17), Pishu (BL 20), Shenshu (BL23), Qihai (CV 6), Guanyuan (CV 4), Zhongji (CV 3), Hegu (LI 4), Zusanli (ST 36), Taichong (LR 3), Xingjian (LR 2), Xuehai (SP 10)  and Sanyinjiao (SP6).

2) Manipulation
Keep an angle of 45 degree between the scraping board and the skin; scrape the points directly from up to bottom or from inside to outside; different manipulations are adopted according to the deficiency and excess symptoms; scrape the points till the toxin is moved out.  

(4) Cupping Therapy
Acupoints selected: Dazhui (GV 14), Ganshu (BL 18), Pishu (BL 20), Shenzhu (GV12), Shenshu (BL23), Qihai (CV 6), Sanyinjiao (SP6), Mingmen (GV 4), Guanyuan (CV 4).
Cupping method: you can adopt cupping or cupping of venesection to the above acupoints. You should use three-edged needles insert fast on the above acupoints and use cupping after flash of fire to suck them for 15 minutes. Caution that you should select one group at each time and do the cupping once a day.

5. Foot Massage
1) Reflection Zone
Basic Reflection Zone: Brain, pituitary, hypothyroid.
Related Reflection Zone: Womb, ovary.
Symptom Reflection Zone: Liver, spleen, heart.

Manipulation in common use:
1) Refection zone on the sole: The methods of pointing with the thumb tip, pointing with the forefinger joint, scraping with the thumb joint, pressing, scraping with the forefinger joint scraping with both fingers joint, scraping with the fist, pushing with the thumb, scraping, rapping with the fist, etc.

2) Refection zone on the inside of feet: The methods of scraping with the margo lateralis of the forefinger, pressing and pushing with the thumb.

3) Refection zone on the outside of feet: The methods of scraping with the margo lateralis of the forefinger, pressing, pushing with the thumb, rapping, etc.

4) Refection zone on the back of feet: The methods of pointing with the thumb tip, pointing with the forefinger joint and forking, etc.

Course of the Reflection Therapy: 10~15 times for one course of treatment, 30-40 minutes for one time, and 1-2 times a day. Take rest for 1-2days between two courses of treatment. During this period, put the feet in pale salt water to recover the sensitivity of the feet to massage.

2) Prescription for lavipeditum
Ingredients: Peach kernel 15g, peony peel 10g, safflower 5g.
Process: Decoct the ingredients in 2000ml of water for 10 minutes; then pour the decoction into the basin; soak the feet in decoction for 30 minutes; take it twice a day.

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