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Postpartum Hemorrhage

How Chinese medicine differentiates postpartum hemorrhage into the three patterns you'll actually meet in practice, and the points for each. Supportive care alongside emergency obstetric management, not a substitute for it. 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. Postpartum hemorrhage is a medical emergency — heavy bleeding after childbirth needs immediate obstetric care; acupuncture has no role in the acute emergency and is only ever supportive during recovery once the bleeding is medically controlled.
General Acupuncture Points

Acupuncture points traditionally used for postpartum hemorrhage recovery (supportive, alongside medical management) — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
REN-4Nourishes Blood and Yin. Strengthens the Uterus and regulates menstruation.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Regulates the uterus and menstruation.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Collapsing or Qi Sinking

Clinical manifestations: Sudden gush of bright-red blood within 24 hours of delivery, pale face and lips, severe fatigue and weakness, cold limbs with clammy sweating, dizziness or lightheadedness, heart palpitations and shortness of breath, little or no abdominal pain.
Tongue: Pale, puffy body with teeth marks and thin white coat. Pulse: Weak, thready, hollow (felt with light pressure but disappearing under heavy pressure), especially at the right Guan position.
Treatment principle: Powerfully tonify and rescue collapsed Qi, restore the body's ability to hold Blood in the vessels.
Note: moxa strongly indicated on REN-4; this is a medical emergency requiring immediate obstetric care. Matched to this site's own Spleen-Qi-sinking slide via the source's own name.

2. Blood Stagnation in the Directing and Penetrating Vessels View full pattern →

Clinical manifestations: Dark purplish blood with many clots, fixed stabbing lower abdominal pain that improves after passing clots, pain worsens with pressure on the lower abdomen.
Tongue: Dark purple or dusky body with possible purple spots, engorged sublingual veins, thin white coat. Pulse: Choppy and wiry.
Treatment principle: Warm the uterus and invigorate Blood to dispel stasis, stopping hemorrhage by removing the blockage.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide via the established discoloration-marker rule, with the same Chong/Ren-vessel naming nuance flagged as on the Menstrual Blood Clots and Prolonged Lochia pages.

3. Qi and Blood Deficiency

Clinical manifestations: Continuous bright-red vaginal bleeding following difficult labor or birth canal lacerations, extreme pallor of the face and lips, severe dizziness and blurred vision, heart palpitations and shortness of breath, profound fatigue and cold limbs.
Tongue: Pale body, thin white coating. Pulse: Thready and weak, often rapid.
Treatment principle: Tonify Qi and nourish Blood while securing the channels to stop bleeding.
Note: moxa applicable throughout; this pattern too needs medical management first if bleeding is ongoing. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.
Related conditions

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