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Recurrent Miscarriage

How Chinese medicine differentiates recurrent miscarriage, the five patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs, and only from a practitioner experienced with pregnancy-safe point selection.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Recurrent miscarriage needs a full medical workup to look for treatable underlying causes; acupuncture here is supportive constitutional care alongside that workup, not a substitute for it.
General Acupuncture Points

Acupuncture points traditionally used for recurrent miscarriage — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Tonifies the Kidneys and nourishes Kidney-Essence, strengthens the Uterus.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
Ren-4Nourishes Blood and Yin. Strengthens the Kidneys and Uterus.
SP-6Strengthens the Spleen, nourishes Blood and Yin, regulates the uterus.
KI-3Tonifies the Kidneys (Yin and Yang), benefits Essence.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
Ren-6Tonifies Qi and Yang, raises sinking Qi.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
L.I.-11Clears Heat and cools Blood.
HE-7Calms the Mind and opens the Mind's orifices, nourishes Heart-Blood.
LR-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi, invigorates Blood.
SP-9Regulates the Spleen, resolves Dampness.
Ren-3Resolves Dampness from the Lower Burner. Promotes the Bladder function of Qi transformation.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Qi Deficiency

Clinical manifestations: A dull, persistent lower-back soreness; deep fatigue and lack of stamina; frequent urination, especially at night; dizziness or ringing in the ears; shortness of breath with mild exertion.
Tongue: Pale, slightly puffy body with possible tooth marks, thin white coating. Pulse: Deep and weak, most notably at the Chi position.
Treatment principle: Tonify Kidney-Qi to strengthen the body's holding capacity for pregnancy.
Note: gentle needling only; moxa applicable. This pattern's plain \"Kidney-Qi deficiency\" framing doesn't match this site's \"Kidney-Qi not Firm\" slide, which is specifically about incontinence/leakage rather than pregnancy loss — no pattern link is given here.

2. Qi and Blood Deficiency

Clinical manifestations: Extreme fatigue and weakness, especially during pregnancy; a pale or sallow complexion; dizziness or lightheadedness upon standing; poor appetite and loose stools; heart palpitations and poor sleep; miscarriages tend to be quiet, with little bleeding or cramping.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, often empty and forceless.
Treatment principle: Tonify Qi and Blood to supply the raw materials needed for fetal development.
Note: gentle needling; moxa applicable. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

3. Blood Stagnation in the Directing and Penetrating Vessels

Clinical manifestations: Fixed, stabbing lower abdominal pain; dark purple menstrual blood with clots; painful periods that improve after passing clots.
Tongue: Dark purple or dusky body with possible stasis spots and engorged sublingual veins, thin white coat. Pulse: Choppy, often wiry, deep at the rear positions.
Treatment principle: Invigorate Blood and dissolve stasis to restore smooth nourishment through the Chong and Ren vessels.
SP-10 ↓ SP-6 ↓ Ren-4 ⊥ EX-CA-1 (Zigong) ↓
Note: gentle needling only, no moxa. No deck on this site has a Chong/Ren-vessel-specific Blood-stasis category, so no pattern link is given here.

4. Heat in Uterus Blood

Clinical manifestations: Early menstrual periods with heavy, dark red, sticky blood; a feeling of heat in the lower abdomen; restlessness and irritability; thirst with desire for cold drinks; a flushed face and dry mouth.
Tongue: Red body, especially at the tip, thin yellow coat tending toward dryness. Pulse: Rapid and wiry or slippery.
Treatment principle: Clear Heat and cool the Blood to settle restless Blood and create a stable environment for the fetus.
Note: gentle needling only, no moxa. No deck on this site has a Uterus-specific Heat-in-the-Blood category, so no pattern link is given here.

5. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Foul-smelling, thick, yellow vaginal discharge; a heavy, dragging sensation in the lower abdomen and legs; dark, scanty or burning urination; a history of pelvic infections or inflammation.
Tongue: Red body, slightly swollen, yellow greasy coating thickest at the root. Pulse: Slippery and rapid, more pronounced at the Chi position.
Treatment principle: Drain Damp-Heat to clear the toxic inflamed environment and restore uterine receptivity.
Note: gentle needling only, no moxa. Direct match with Damp-Heat in the Bladder.
Related conditions

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