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Vaginal Prolapse

How Chinese medicine differentiates vaginal prolapse into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Uterine Prolapse and Anus Prolapse 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. A visible or worsening prolapse, or one with heavy bleeding or an inability to urinate, needs medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for vaginal prolapse — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-6Tonifies Qi and Yang. Raises sinking Qi. Tonifies Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Sinking View full pattern →

Clinical manifestations: A bearing-down or dragging sensation in the lower abdomen, worse with prolonged standing, lifting or overwork; chronic fatigue; poor appetite with bloating; shortness of breath; reluctance to speak.
Tongue: Pale, puffy, teeth-marked, thin white coat. Pulse: Weak, especially at the right middle position.
Treatment principle: Tonifies the middle and augments Qi, raises sunken Yang and lifts sinking Qi.
Note: moxa is strongly indicated.

2. Kidney Qi Not Firm View full pattern →

Clinical manifestations: Aching, weak lower back and knees; frequent, clear urination; dizziness and tinnitus; a thin, clear discharge; a deep, heavy dragging sensation in the pelvis.
Tongue: Pale, puffy, moist, thin white coat, tooth marks. Pulse: Deep, weak, fine at both rear positions.
Treatment principle: Deeply tonifies Kidney Qi and Essence to restore the anchor holding the uterus firmly.
Note: moxa is appropriate.

3. Liver Qi Stagnation View full pattern →

Clinical manifestations: Rib-side distension or pain; a prolapse that feels tight and constricted; irritability, a short temper; frequent sighing; worse with emotional stress or frustration.
Tongue: Normal or slightly dark with red or purplish sides, thin white coat. Pulse: Wiry, like a guitar string.
Treatment principle: Smooths Liver Qi flow and eases the constriction driving the tight prolapse.
Note: no moxa.

4. Damp-Heat in Lower Burner View full pattern →

Clinical manifestations: Foul-smelling yellow discharge; redness and genital swelling; burning or stinging urination; thirst without a desire to drink; an afternoon heat sensation; a heavy lower abdomen.
Tongue: Red with yellow greasy coating thickest at the root, slightly swollen. Pulse: Slippery, rapid, more pronounced at the rear position.
Treatment principle: Clears Damp-Heat from the Liver and Gallbladder channels to reduce inflammation and allow tissues to heal.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Liver slide, its established Lower-Burner Damp-Heat convention.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing vaginal or lower abdominal pain, worse at night and with pressure; a sensation of a hard, immobile mass; a dark purple tongue with stasis spots; dark menstrual blood with clots.
Tongue: Dark purple or dusky with stasis spots, distended dark sublingual veins. Pulse: Choppy, wiry if Qi stagnation is present.
Treatment principle: Invigorates Blood, dispels stasis, warms the channels and relieves stabbing pain from congealed Blood.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.

6. Blood Stagnation and Phlegm in the Uterus

Clinical manifestations: Fixed, stabbing pain in the lower abdomen; a sensation of a hard mass or lump in the vagina; copious, thick, sticky white or yellow discharge; chest stuffiness and abdominal bloating.
Tongue: Purple with stasis spots, swollen with teeth marks, white greasy coating, distended sublingual veins. Pulse: Choppy and slippery, wiry at the left middle position.
Treatment principle: Dissolves Blood stasis and Phlegm masses and invigorates circulation to relieve the heavy obstruction dragging the organ downward.
Note: no moxa. No combined Blood-Stagnation-and-Phlegm-in-the-Uterus slide exists on this site's decks — no pattern link is given here.
Related conditions

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