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POSTPARTUM BODY PAIN

GENERAL

Clinical Manifestations	After childbirth the joints, back, limbs and other part of body are sore and numb.
Treatment Principle
Herb Formulas
Points	General pain: GB-30, GB-34, GB-39, LI-4, LI-11, LI-15, SJ-4, SP-21, ST-41, UB-17, UB-62 Pain in the shoulder joint: LI-15, SI-10, SJ-14, SJ-15, SJ-19, Jianneiling Pain in the scapula: LI-11, UB-43, SI-12, SI-14, UB-13 Pain in the elbow: LI-4, LI-11, LI-10, LU-5, PC-3, SJ-5, SJ-6, SJ-10 Pain in the wrist: SJ-4, SJ-5, LI-4, LI-5, LI-11, LU-8, LU-9, SI-3, SI-5 Stiffness of the fingers: SI-5, SI-3, LI-4 Numbness and pain in the fingers: SI-3, SI-4, LI-3, Bafeng, Baxie, Shixuan Pain in the back: DU-3, DU-12, DU-26 Pain in the spine: DU-2, DU-14, DU-16, GB-30, UB-13, UB-14, UB-40, UB-60 Lumbar pain: DU-2, DU-3, DU-12, DU-26, UB-23, UB-25, UB-31, UB-32, UB-33, UB-34 Hip joint pain: GB-29, GB-30, GB-39, ST-32, UB-54 Thigh pain: GB-31, GB-34, ST-33, UB-36, UB-54 Knee joint pain: GB-34, SP-9, ST-32, ST-35 (lateral), ST-35 (medial). UB-40, Heding Numbness and pain in the legs: GB-39, ST-36, UB-57, UB-58 Ankle pain: GB-40, KI-2, KI-3, KI-6, LIV-4, SP-5, SP-21, UB-60 Numbness and pain in the toes: GB-44, LIV-2, SP-4, ST-44, UB-65, Bafeng To calm the mind and ease pain: DU-20, HT-3, HT-7, LI-4, LIV-3, PC-6, Taiyang

WIND-COLD

Clinical Manifestations	Very serious pain joints, back, limbs and other part of body The pain is aggravated by Cold and relieved by warmth Painful joints Heavy and painful sensations at fixed locations in lower back and extremities with weakness and stiffness or hypertonicity and immobility Aversion to Cold Attraction to warmth Palpitations Pain in the midline and back during pregnancy Pain worse at night General coldness Sallow complexion Wandering pain Pale complexion Shortness of breath May be paresthesia and numbness Cold pain in the low back and knees Limited movement Soreness, weakness and numbness of the joints Tinnitus Muscle spasms Dizziness T: Pale C: Thin and white or White and moist P: Thin, weak and slow or Deep, thready and weak or slippery All symptoms occur after childbirth
Treatment Principle	Disperse Wind-Cold Warm the channels
Herb Formulas	Du Huo Ji Sheng Tang
Points	General pain: 1. GB-30, GB-34, GB-39, LI-4, LI-11, LI-15, SJ-4, SP-21, ST-41, UB-17, UB-62 2. DU-20, LI-10, SP-12, ST-25, UB-25, UB-26, moxa REN-2, REN-4, SP-6, SP-10 Ear: Uterus, sympathetic, Shenmen, Subcortex Pain in the shoulder joint: LI-15, SI-10, SJ-14, SJ-15, SJ-19, Jianneiling Pain in the scapula: LI-11, UB-43, SI-12, SI-14, UB-13 Pain in the elbow: LI-4, LI-11, LI-10, LU-5, PC-3, SJ-5, SJ-6, SJ-10 Pain in the wrist: SJ-4, SJ-5, LI-4, LI-5, LI-11, LU-8, LU-9, SI-3, SI-5 Stiffness of the fingers: SI-5, SI-3, LI-4 Numbness and pain in the fingers: SI-3, SI-4, LI-3, Bafeng, Baxie, Shixuan Pain in the back: DU-3, DU-12, DU-26 Pain in the spine: DU-2, DU-14, DU-16, GB-30, UB-13, UB-14, UB-40, UB-60 Lumbar pain: DU-2, DU-3, DU-12, DU-26, UB-23, UB-25, UB-31, UB-32, UB-33, UB-34 Hip joint pain: GB-29, GB-30, GB-39, ST-32, UB-54 Thigh pain: GB-31, GB-34, ST-33, UB-36, UB-54 Knee joint pain: GB-34, SP-9, ST-32, ST-35 (lateral), ST-35 (medial). UB-40, Heding Numbness and pain in the legs: GB-39, ST-36, UB-57, UB-58 Ankle pain: GB-40, KI-2, KI-3, KI-6, LIV-4, SP-5, SP-21, UB-60 Numbness and pain in the toes: GB-44, LIV-2, SP-4, ST-44, UB-65, Bafeng To calm the mind and ease pain: DU-20, HT-3, HT-7, LI-4, LIV-3, PC-6, Taiyang

SPLEEN YANG DEFICIENCY

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold.
Herb Formulas	Fu Zi Li Zhong Tang With constipation: Wen Pi Tang Chinese patent medicines: Fu Zi Li Zhong Wan
Points	Warm-needle UB-20, LIV-13, SP-3, SP-5, SP-6, ST-36, REN-12

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	Chronic, intermittent, dull abdominal pain which is better with warmth and pressure and ingesting warm fluids Waxy, pale or sallow lusterless complexion Anorexia (maybe with vomiting) Easily satiated Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations relieved by warmth Intolerance of Cold Cold limbs Feeling chilled Lethargy Fatigue Mental fatigue Depression Low spirits Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale maybe swollen C: White or Thin and white or White and greasy P: Deep, thready and forceless or Deep and weak or Thready and weak
Treatment Principle	Warm the Middle Jiao Strengthen the Spleen and Stomach
Herb Formulas	Xiao Jian Zhong Tang Chinese patent medicines: Li Zhong Wan With Kidney Yang Deficiency: Jin Kui Shen Qi Wan With Qi and Blood Deficiency: Shi Quan Da Bu Wan
Points	Moxa or moxa needle KI-3, LI-11, REN-4, REN-6, REN-7, REN-12, SP-4, SP-6, ST-25, ST-30, ST-36 With nausea: + PC-6 With severe pain or diarrhea : + strong moxa REN-8 Ear: Abdomen, Large Intestine, Small Intestine, Stomach,Spleen, Shenmen, Adrenal, Sympathetic

COLD STAGNATION IN THE LIVER CHANNEL

Clinical Manifestations	Contractions and cold sensations of scrotum which are alleviated by warmth Pain, distention, fullness and cold sensation in lower abdomen Cold limbs Dislike of cold and preference for warmth Lower abdominal pain radiating to the testicles May be localized sensation of Cold Menstrual pain and hardness Hypochondriac pain Abdominal pain Mobile abdominal masses Flank pain Leukorrhea T: Pale C: White or White and greasy P: Deep and slow or Wiry and tight or Deep and wiry or Slow or Deep and Excess
Treatment Principle	Warm the Liver Dispel Cold.
Herb Formulas	Nuan Gan Jian
Points	Moxa or moxa-needle REN-4. SP-6, LIV-1

KIDNEY YANG DEFICIENCY

Clinical Manifestations	All symptoms occur after childbirth Joints, back and limbs are sore and numb The pain occurs especially lower part of body Other Kidney Deficiency symptoms Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Low libido Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Tonify the Kidneys
Herb Formulas	Yang Rong Zhuang Shen Tang With edema: Zhen Wu Tang
Points	General pain: GB-30, GB-34, GB-39, LI-4, LI-11, LI-15, SJ-4, SP-21, ST-41, UB-17, UB-62 Pain in the shoulder joint: LI-15, SI-10, SJ-14, SJ-15, SJ-19, Jianneiling Pain in the scapula: LI-11, UB-43, SI-12, SI-14, UB-13 Pain in the elbow: LI-4, LI-11, LI-10, LU-5, PC-3, SJ-5, SJ-6, SJ-10 Pain in the wrist: SJ-4, SJ-5, LI-4, LI-5, LI-11, LU-8, LU-9, SI-3, SI-5 Stiffness of the fingers: SI-5, SI-3, LI-4 Numbness and pain in the fingers: SI-3, SI-4, LI-3, Bafeng, Baxie, Shixuan Pain in the back: DU-3, DU-12, DU-26 Pain in the spine: DU-2, DU-14, DU-16, GB-30, UB-13, UB-14, UB-40, UB-60 Lumbar pain: DU-2, DU-3, DU-12, DU-26, UB-23, UB-25, UB-31, UB-32, UB-33, UB-34 Hip joint pain: GB-29, GB-30, GB-39, ST-32, UB-54 Thigh pain: GB-31, GB-34, ST-33, UB-36, UB-54 Knee joint pain: GB-34, SP-9, ST-32, ST-35 (lateral), ST-35 (medial). UB-40, Heding Numbness and pain in the legs: GB-39, ST-36, UB-57, UB-58 Ankle pain: GB-40, KI-2, KI-3, KI-6, LIV-4, SP-5, SP-21, UB-60 Numbness and pain in the toes: GB-44, LIV-2, SP-4, ST-44, UB-65, Bafeng To calm the mind and ease pain: DU-20, HT-3, HT-7, LI-4, LIV-3, PC-6, Taiyang

BLOOD DEFICIENCY

Clinical Manifestations	Joints, back, limbs and other part of body are sore and numb Numbness is predominant T: Pale C: White P: Deep and weak
Treatment Principle	Tonify Blood and Qi Warm the channels
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points	General pain: GB-30, GB-34, GB-39, LI-4, LI-11, LI-15, SJ-4, SP-21, ST-41, UB-17, UB-62 Pain in the shoulder joint: LI-15, SI-10, SJ-14, SJ-15, SJ-19, Jianneiling Pain in the scapula: LI-11, UB-43, SI-12, SI-14, UB-13 Pain in the elbow: LI-4, LI-11, LI-10, LU-5, PC-3, SJ-5, SJ-6, SJ-10 Pain in the wrist: SJ-4, SJ-5, LI-4, LI-5, LI-11, LU-8, LU-9, SI-3, SI-5 Stiffness of the fingers: SI-5, SI-3, LI-4 Numbness and pain in the fingers: SI-3, SI-4, LI-3, Bafeng, Baxie, Shixuan Pain in the back: DU-3, DU-12, DU-26 Pain in the spine: DU-2, DU-14, DU-16, GB-30, UB-13, UB-14, UB-40, UB-60 Lumbar pain: DU-2, DU-3, DU-12, DU-26, UB-23, UB-25, UB-31, UB-32, UB-33, UB-34 Hip joint pain: GB-29, GB-30, GB-39, ST-32, UB-54 Thigh pain: GB-31, GB-34, ST-33, UB-36, UB-54 Knee joint pain: GB-34, SP-9, ST-32, ST-35 (lateral), ST-35 (medial). UB-40, Heding Numbness and pain in the legs: GB-39, ST-36, UB-57, UB-58 Ankle pain: GB-40, KI-2, KI-3, KI-6, LIV-4, SP-5, SP-21, UB-60 Numbness and pain in the toes: GB-44, LIV-2, SP-4, ST-44, UB-65, Bafeng To calm the mind and ease pain: DU-20, HT-3, HT-7, LI-4, LIV-3, PC-6, Taiyang

COLD ACCUMULATION IN THE UTERUS

Clinical Manifestations	Lower abdominal pain Pain alleviated by warmth and pressure Irregular menstruation Dysmenorrhea Infertility or This type of pain during the second or third trimester
Treatment Principle	Warm the uterus Supplement the Blood Calm the fetus if necessary
Herb Formulas	Ai Fu Nuan Gan Wan
Points

COLD AND BLOOD STAGNATION IN THE UTERUS

Clinical Manifestations	Fixed lower abdominal pain in postpartum women Incomplete expression of the placenta Continual discharge of purple clotted lochia T: Pale-purple
Treatment Principle	Activate the Blood Break up Stasis Warm the Uterus Stop pain
Herb Formulas	Sheng Hua Tang
Points

COLD AND BLOOD STAGNATION IN THE CHANNELS

Clinical Manifestations	Abdominal pain with icy cold hands and feet Extremities are cyanotic and difficult to warm up P: Thready or Imperceptible
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the channels
Herb Formulas	Dang Gui Si Ni Tang
Points

DEFICIENCY COLD OF THE CHONG AND REN CHANNELS

Clinical Manifestations	Mild persistent uterine bleeding Irregular menstruation (either early or late) Prolonged menstruation Skipped period Metrorrhagia Extended or continuous menstrual flow Pain Lower abdominal distention Lower abdominal Cold Lower abdominal pain Infertility Dry lips Dry mouth Spermatorrhea Pale complexion Leukorrhea Amenorrhea Bleeding between periods Low grade fever at dusk Irritability Five sole Heat No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy
Treatment Principle	Warm the menses Regulate menstruation Dispel Cold Warm the channels Nourish the Blood Dispel Blood Stasis
Herb Formulas	Wen Jing Tang
Points