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Polycystic Ovary Syndrome

How Chinese medicine differentiates polycystic ovary syndrome (PCOS) into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Ovarian Cysts and Uterine Fibroids pages. 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. PCOS needs a proper diagnostic work-up and medical management of its metabolic and fertility effects — acupuncture here is supportive of the underlying pattern, not a substitute for that care.
General Acupuncture Points

Acupuncture points traditionally used for PCOS — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Strengthens the Uterus and regulates menstruation.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence. Regulates the uterus.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Regulates the uterus and menstruation.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
L.I.-4Removes obstructions from the channel. Stops pain.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Sore and weak lower back and knees, irregular, scanty, or absent periods, difficulty conceiving, fatigue and lack of vitality, frequent urination at night, poor memory or brain fog, low libido.
Tongue: Pale, thin body with little or no coating and possible fine cracks. Pulse: Fine, deep, weak at the Chi positions.
Treatment principle: Nourishes Kidney-Yin and Essence, the foundational approach for Essence deficiency causing menstrual irregularities and infertility.
Note: moxa applicable on REN-4/BL-23. Direct exact-name match with this site's own Kidney-Essence-deficiency slide.

2. Spleen Deficiency With Dampness

Clinical manifestations: Abdominal bloating worse after eating, loose or unformed stools, heaviness of the body and limbs, fatigue and drowsiness especially after meals, poor appetite, sticky or greasy sensation in the mouth, irregular periods.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed-down, soft and weak, may feel slippery if Dampness is pronounced.
Treatment principle: Strengthens Spleen-Qi, drains Dampness, and gently regulates the Chong and Ren vessels to restore a regular menstrual cycle.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

3. Damp-Phlegm in the Uterus

Clinical manifestations: Lower abdominal fullness and heaviness, thick vaginal discharge, overweight or obesity especially around the waist, chest stuffiness and nausea, fatigue and drowsiness with a heavy sensation, scanty menstrual flow when periods occur.
Tongue: Pale, swollen body with teeth marks, white greasy coating thicker at the root. Pulse: Slippery and deep, often soft or slow at the right Guan position.
Treatment principle: Dries Dampness, resolves Phlegm from the Uterus, strengthens the Spleen.
Note: no moxa. This site has no dedicated Uterus deck, so no Damp-Phlegm-in-the-Uterus slide exists — no pattern link is given here; points still link fine individually.

4. Blood Stagnation and Phlegm in the Uterus View full pattern →

Clinical manifestations: Stabbing, fixed lower abdominal pain, dark clotted menstrual blood, palpable mass or lump in the lower abdomen, thick vaginal discharge, menstrual pain worsens with pressure, difficulty conceiving.
Tongue: Purple body with stasis spots, swollen with teeth marks, white greasy coating, distended sublingual veins. Pulse: Choppy and slippery, often wiry at the left Guan position.
Treatment principle: Invigorates Blood, dissolves stasis, and reduces abdominal masses.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide via the established discoloration-marker rule.

5. Liver Qi Stagnation View full pattern →

Clinical manifestations: Irritability or mood swings, breast tenderness or swelling, frequent sighing, distension or bloating along the ribs, irregular periods worsening with stress.
Tongue: Normal or slightly dark body with red or purplish sides, thin white coat. Pulse: Wiry, taut like a guitar string, especially at the left middle position.
Treatment principle: Soothes Liver-Qi stagnation, harmonizes the Liver and Spleen, regulates menstruation.
Note: no moxa. Direct exact-name match with this site's own Liver-Qi-stagnation slide.
Related conditions

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