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Luteal Phase Defect

How Chinese medicine differentiates luteal phase defect — a short or unstable second half of the cycle, distinct from Infertility and Delayed Menstruation already covered — the six patterns you'll actually meet in practice, and the points for each. Supportive care only. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A suspected luteal phase defect needs proper hormonal evaluation and charting before assuming a simple pattern; acupuncture here is supportive alongside that care, never a substitute for it.
General Acupuncture Points

Acupuncture points traditionally used for luteal phase defect — 13 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-4Strengthens the Uterus and regulates menstruation.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
DU-4Tonifies Kidney-Yang and warms the Gate of Life (Ming Men).
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
SP-6Strengthens the Spleen. Regulates the uterus and menstruation.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
REN-6Tonifies Qi and Yang. Tonifies Original Qi.
BL-20Tonifies Spleen and Stomach. Resolves Dampness.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
LR-14Promotes the smooth flow of Liver-Qi and harmonizes Liver and Stomach.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
BL-17Invigorates Blood. Opens the chest and diaphragm.
ST-40Resolves Phlegm and Dampness.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Cold sensation in the lower abdomen and low back, scanty/pale/delayed menses, frequent urination at night, profound fatigue and low libido, low basal body temperature with a slow rise.
Tongue: Pale, puffy, tender body with teeth marks and wet white coating. Pulse: Deep, slow, weak.
Treatment principle: Tonify Kidney-Yang, warm the Ming Men fire, restore luteal-phase warmth and progesterone production.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

2. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Periods early and scanty, night sweats, heat in the palms/soles/chest, dizziness, tinnitus, dry eyes, sore lower back, weak knees.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine, rapid, wiry.
Treatment principle: Nourish Kidney and Liver Yin to restore the luteal foundation, cool deficiency Heat.
Note: no moxa given the Yin deficiency. Direct exact-name match with this site's own Kidney-and-Liver-Yin-deficiency slide.

3. Qi and Blood Deficiency

Clinical manifestations: Scanty, pale menstrual flow, persistent fatigue and weakness, pale/sallow complexion, dizziness, heart palpitations, poor appetite, late/shortened luteal phase.
Tongue: Pale body, possibly thin with teeth marks, thin white coating. Pulse: Fine and weak.
Treatment principle: Tonify Spleen-Qi and nourish Blood to rebuild the uterine lining and stabilize the luteal phase.
Note: moxa applicable throughout. This site's decks have no combined Qi-and-Blood-deficiency slide (confirmed absent many times before), so no pattern link is given — points still link fine individually.

4. Liver-Qi Stagnation View full pattern →

Clinical manifestations: Premenstrual breast distension/tenderness, irritability and mood swings, frequent sighing, irregular cycles with a shortened/erratic luteal phase, rib and flank distension/bloating.
Tongue: Normal or slightly dark body, red/purple sides, thin white coat. Pulse: Wiry, at the left Guan position.
Treatment principle: Course the Liver and resolve constraint, smooth Qi flow to the uterus.
Note: no moxa except on SP-6. Direct exact-name match with this site's own Liver-Qi-stagnation slide.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pelvic pain, dark clotted menstrual blood, pain worse at night or with pressure, dark circles or purplish lips, shortened unstable luteal phase.
Tongue: Dark purple or dusky body with purple stasis spots, distended dark sublingual veins. Pulse: Choppy, possibly wiry.
Treatment principle: Invigorate Blood and dispel stasis, warm the channels, restore smooth circulation to the uterus.
Note: no moxa except on the tonifying points. Direct match with this site's own Liver-Blood-stasis slide via the well-established dark/purple stasis-spot-tongue marker.

6. Damp-Phlegm in the Uterus

Clinical manifestations: Delayed or absent periods, scanty flow when present, profuse thick white vaginal discharge, overweight/obese with lower abdominal fullness/heaviness, fatigue and drowsiness, poor appetite, chest stuffiness or nausea, loose or sticky stools.
Tongue: Pale, swollen body with teeth marks, white greasy coating thicker at the root. Pulse: Slippery and deep.
Treatment principle: Dry Dampness and transform Phlegm, move Qi, strengthen the Spleen to open the uterus.
Note: moxa applicable on REN-4 only. This site's confirmed-absent non-Lung Damp-Phlegm category (many prior batches), so no pattern link is given here; points still link fine individually.
Related conditions

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