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Dysmenorrhoea

Chapter 13.2.10 · Water Element

Description

Ask two questions: (1) On which days do you bleed most heavily? (2) On which days do you have maximum pain? If pain is worse before maximum bleeding — Liver Blood stagnation. If pain is during maximum bleeding — Kidney/UB Fire-heat.

Differential Diagnosis

Treatment

Liver Blood stagnation

UB 18 (back-Shu of Liver — improves function)LI 4 (great eliminator)Liv 4 (Metal point — Grandmother, tonifies Yang)GB 37 (Luo — sedates Yin, tonifies Yang, removes stagnation)Sp 8, Sp 6 (symptomatic for dysmenorrhoea)Para-vertebral tapping with plum-blossom L4-S4 until red skin reaction

Kidney/UB Fire-heat

Ren 3 (Mu-front of UB — tonifies Yin)Sp 6, Sp 8 (symptomatic)K 4 (Luo — tonifies Yin, sedates Yang)UB 40 (Earth point — Grandmother, tonifies Yin)Liv 5 (Luo — if excessive bleeding)

Treatment Schedule

Liver type: 3-4 sessions in middle 10 days of cycle × 3 months. No treatment during menstruation. Kidney type: 1/weekly × 3-4 months. Advice: For Liver type — avoid refined sweets/carbs, be more physically active during fourth week of cycle. For Kidney type — drink more water, avoid red meat, working near heat, sleep more, cool the system.

Point Prescription Builder

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Energy State

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Suggested Prescription

K 7GB 25UB 23

Rationale

• Tonification (Mother) point — tonifies 90% house energy of Kidney.

• Mu-Front point — tonifies cooling/calming Yin of Kidney.

• Back-Shu point — tonifies functional Yang of Kidney.

• Influential point: GB 39 (Marrow/nerve) — treats related tissue group.

Educational use only. Point prescriptions should only be applied by licensed practitioners.