↑ reinforcing ↓ reducing ⊥ even method — technique below follows the source's own point-by-point technique notes for this condition, since it specifies them explicitly (an even method is used more often than usual, appropriate for these chronic mixed excess/deficiency mass-formation patterns).
Clinical manifestations: Fixed, stabbing lower abdominal pain; dark, clotted menstrual blood; hard, immovable masses in the lower abdomen; irritability; chest oppression; emotional sensitivity to frustration; brought on by prolonged emotional stress causing Liver-Qi stagnation that eventually congeals Blood into fixed masses; eased by emotional release and gentle movement.
Tongue: Dark purple with stasis spots, distended sublingual veins, thin white coating. Pulse: Wiry, Choppy.
Treatment principle: Address prolonged emotional stress causing Liver-Qi stagnation that eventually congeals Blood into fixed fibroids.
Note: no moxa. Blood-moving points should be used with caution or avoided if pregnancy is possible.
Clinical manifestations: A movable lower abdominal mass; breast distension or tenderness; emotional irritability or depression; frequent sighing; irregular menstruation with cycles that shift with stress; brought on by stress, frustration, or suppressed emotion; eased by emotional release and a calmer routine.
Tongue: Normal or slightly dark, red or slightly purple sides, thin white coating. Pulse: Wiry, like a taut guitar string.
Treatment principle: Soothe Liver-Qi and release stagnation before it hardens into fixed Blood-stasis masses.
Note: no moxa.
3. Blood Stagnation in the Lower Burner Caused by Cold
Clinical manifestations: Fixed, cold lower abdominal pain that is relieved by warmth; dark, purplish menstrual blood with clots; a sensation of cold in the lower belly or limbs; symptoms that worsen in cold weather or with cold drinks; eased by warmth and rest.
Tongue: Pale-purple or bluish-purple with possible stasis spots, white slippery coating. Pulse: Deep, Tight, Choppy.
Treatment principle: Warm the uterus, dispel Cold, invigorate Blood to dissolve congealed masses.
Note: moxa ideal on Ren-4. Blood-moving points should be used with caution or avoided if pregnancy is possible. No deck slide on this site combines Cold with Blood stasis in a gynecological or lower-burner framing, so no pattern link is given here.
4. Blood Stagnation and Phlegm in the Uterus
Clinical manifestations: Fixed, stabbing lower abdominal pain; copious, thick, sticky vaginal discharge; a sensation of heaviness or fullness in the lower abdomen; dark, clotted menstrual blood; a generally heavy body sensation; brought on by cold or raw food, greasy meals, a sedentary lifestyle, or a damp environment; eased by warm cooked meals and gentle movement.
Tongue: Purple with stasis spots, swollen with tooth marks, white greasy coating, distended sublingual veins. Pulse: Choppy and Slippery, Wiry at the left Guan.
Treatment principle: Dry Dampness, transform Phlegm, and invigorate Blood simultaneously to address the dual obstruction.
Note: no moxa. Blood-moving points should be used with caution or avoided if pregnancy is possible. No deck slide on this site combines Phlegm signs with the Blood-stasis gynecological picture, so no pattern link is given here.
5. Qi Deficiency Causing Blood Stagnation
Clinical manifestations: A dragging, bearing-down sensation in the lower abdomen; heavy menstrual bleeding with pale, thin blood; profound fatigue that is worse after exertion; shortness of breath with a reluctance to speak; a dull or dusky facial complexion, pale lips; brought on by overwork, prolonged standing, or heavy lifting; eased by rest and warmth.
Tongue: Pale with a dark or purplish tinge, scattered stasis spots, tooth marks, thin white coating. Pulse: Deep, Fine or Weak, Choppy.
Treatment principle: Tonify Qi to restore its motive force while gently moving Blood stasis without further depleting resources.
Note: moxa applicable on ST-36. No deck slide on this site combines Qi deficiency with Blood stagnation in a gynecological framing, so no pattern link is given here.
6. Heat and Blood Stagnation in the Lower Burner
Clinical manifestations: Fixed, stabbing lower abdominal pain that resists pressure; dark red, sticky menstrual blood with clots; yellow, foul-smelling vaginal discharge; irritability and mental restlessness; a dry mouth and throat; brought on by spicy or greasy food, alcohol, stress, or overwork; eased by cooling foods and emotional calm.
Tongue: Reddish-purple with stasis spots, especially at the root, yellow and dry or slightly greasy coating. Pulse: Deep, Choppy, Rapid.
Treatment principle: Clear Heat, move stagnant Blood, and resolve Dampness to eliminate the inflammatory pattern driving fibroid formation.
Note: no moxa. Blood-moving points should be used with caution or avoided if pregnancy is possible. No deck slide on this site combines Heat and Blood stagnation in a lower-burner or gynecological framing, so no pattern link is given here.