↑ reinforcing ↓ reducing ⊥ even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.
Clinical manifestations: Fixed, stabbing pelvic pain that worsens with pressure; dark, clotted menstrual blood; breast distension and irritability before the period; brought on by stress or anger, a sedentary lifestyle, cold food, or alcohol; eased by gentle movement, warmth, or emotional calm.
Tongue: Dark purple with stasis spots, distended sublingual veins, thin white coating. Pulse: Wiry, Choppy.
Treatment principle: Regulate Liver-Qi and move Blood to break stagnation and relieve pain.
Note: no moxa. Blood-moving points should be used with caution or avoided if pregnancy is possible.
2. Qi Deficiency Causing Blood Stagnation
Clinical manifestations: Dull, fixed lower abdominal pain that worsens with pressure; fatigue unrelieved by rest; shortness of breath; a pale complexion; heavy, weak limbs; spontaneous sweating; brought on by overwork, prolonged standing, or heavy lifting; eased by rest, warmth, or cooked food.
Tongue: Pale with a purplish or dark tinge, stasis spots, tooth marks, thin white coating. Pulse: Deep, Fine, Weak, Choppy.
Treatment principle: Tonify Qi to strengthen the Blood-moving capacity while gently invigorating stagnant Blood.
Note: moxa applicable on the Tonify-Qi points. No deck slide combines Qi deficiency with Blood stagnation into one gynecological pattern, so no pattern link is given here.
3. Heat and Blood Stagnation in the Lower Burner
Clinical manifestations: Fixed, stabbing pelvic pain that is pressure-sensitive; dark, clotted menstrual blood; irritability; night fevers; a dry mouth and throat; brought on by spicy or greasy food, alcohol, stress, or overwork; eased by cooling foods, gentle movement, or emotional calm.
Tongue: Reddish-purple with stasis spots, distended sublingual veins, dry yellow coating. Pulse: Deep, Choppy, Rapid.
Treatment principle: Clear Heat and invigorate Blood while breaking stagnation in the lower burner.
Clear Heat, invigorate Blood
Note: no moxa. This site's closest candidate, "Stagnant Liver-Qi turning into Heat," has Heat signs but no Blood-stagnation content (no dark clotted menses, no stasis spots), so no pattern link is given here.
4. Blood Stagnation and Phlegm in the Uterus
Clinical manifestations: Fixed, stabbing pelvic pain; a palpable abdominal mass or lump; thick, sticky vaginal discharge; heaviness and fullness in the lower abdomen; dark, clotted, heavy, or prolonged menstrual flow; difficulty conceiving; brought on by cold or raw food, greasy meals, a sedentary lifestyle, or a damp environment; eased by warm cooked meals, gentle movement, or warmth.
Tongue: Purple with stasis spots, swollen with tooth marks, white greasy coating, distended sublingual veins. Pulse: Choppy, Slippery.
Treatment principle: Resolve Phlegm-Dampness and strengthen the Spleen while invigorating Blood and dispersing masses.
Transform Phlegm, strengthen Spleen
Note: no moxa. Blood-moving points should be used with caution or avoided if pregnancy is possible. This site's "Liver-Blood stasis" slide matches the Blood-stasis half of this pattern but has no Phlegm signs (no discharge, no swollen/tooth-marked tongue, no greasy coating), so it isn't a close enough match to link here — the same finding confirmed on this site's PCOS page.