Prolapse of Uterus
Prolapse of uterus refers to descent of the uterus into the vagina , or
descent of the front wall of the vagina with the uterus . Usually it is the
result of the sinking of inadequate qi , kidney qi deficiency , instable Chong and
Ren Meridians , and the loss of restriction by Dai Meridian .
Etiology and Pathogenesis
Its occurrence is often due to insufficiency of the qi in the middle jian
caused by weak constitution , or early physical labour after delivery before qi
and blood are fully restored , or exhaustion in delivery , or overstrain to
counteract constipation , all of which bring about sinking of qi , which fails to
keep the uterus in position . Another cause is frequent pregnancy and delivery ,
and indulgence in sexual life overconsuming the kidney qi and incur the loss of
restriction by the Dai Meridian and weakened functioning of the Chong and Ren
Meridians , hence prolapse of uterus .
Differentiation
a ) Qi deficiency :
Main manifestations : Drop of the uterus in the vagina or out of the vulva
several inches , sinking sensation in the lower abdomen , lassitude ,
palpitation , shortness of breath , frequent urine , leukorrhagia , pale tongue
with thin coating , weak pulse .
Analysis : Since the qi is too weak to conduct its sustaining function of
uterus , prolapse of uterus appears . It is relieved by lying down and
aggravated by prolonged standing , with a sinking sensation in the lower
abdomen and frequent urine . The weakened spleen and stomach lead to lassitude .
Malnutrition of heart results in palpitation and shortness of breath . The
downward going of pathogenic damp turns to excessive leucorrhoea . Pale tongue
and weak pulse are signs of qi deficiency .
b ) Kidney deficiency : Main manifestations : Prolapse of uterus , sore and
weak low back and legs , bearing sensation in the lower abdomen , dryness in the
vagina , frequent urine , dizziness , tinnitus , pink tongue , deep weak pulse .
Analysis : The kidney is located at the low back . With the kidney in
deficiency , the Chong and Ren Meridians become weakened , and the Dai Meridian
loses its restricting function , thus there appear the prolapse of uterus ,
frequent urine , sore and weak low back and legs . Dizziness , tinnitus and dry
vagina derive from the insufficiency of essence and blood . Deep weak pulse and
pink tongue are signs of kidney deficiency .
Treatment
a ) Qi deficiency :
Method : Points are chiefly chosen from the Ren and Foot - Yangming Meridians .
Acupuncture is applied with reinforcing method and moxibustion to replenish qi ,
and restore the prolapsed uterus in place . Prescription : Baihui ( Du 20 ) , Qihai
( Ren6 ) , Zhongwan ( Ren 12 ) , Zusanii ( S 36 ) , Guilai ( S 29 ) .
Explanation : Baihui ( Du 20 ) is located at the vertex on the Du Meridian .
Its selection indicates to use upper points for the lower
disorders . Qihai ( Ren 6 ) is selected to replenish qi so as to strengthen
its sustaining function . Zhongwan ( Ren 12 ) and Zusanii ( S 36 ) are used to
build up the qi of the middle jiao . Guilai ( S 29 ) is used as a local point to
lift the uterus .
b ) Kidney deficiency :
Method : Points are mainly selected from the Ren and Foot - Shaoyin Meridians .
Acupuncture is given with the reinforcing method and moxibustion to replenish
the kidney qi so as to keep the uterus in position .
Prescription : Guanyuan ( Ren 4 ) , Zigong ( Extra ) , Ququan ( Liv 8 ) , Zhaohai ( K
6 ) .
Explanation : Guanyuan ( Ren 4 ) is a point concerning with the primary qi ,
and functions to benefit kidney and lift the uterus . Zigong ( Extra ) is an
extra point effective for prolapse of uterus . Ququan ( Liv 8 ) and Zhaohai ( K 6 )
paired together can tonify the kidney , nourish the tendons and sustain the
uterus .
Remarks
The patient should be advised to avoid overstrain when receiving acupuncture
treatment . Rest can amplify the therapeutic effect .
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