Question

A 37 year-old female has irregular menstruation. The menses are scanty and light red in alternating cycles. The tongue is pale with thin coating. She has dizziness and tinnitus. The pulse is deep and weak. The treatment given is REN-6 (qi hai), REN-4 (guan yuan), ST-36 (zu san li), SP-6 (san yin jiao). After six months of treatment, she reports that though better, she has stopped improving and all the original symptoms are still there, but only reduced. What is your treatment?

1) REN-6 (qi hai), REN-4 (guan yuan), DU-20 (bai hui), ST-36 (zu san li)
2) BL-17 (ge shu), BL-18 (gan shu), BL-20 (pi shu), BL-21 (wei shu), ST-36 (zu san li)
3) REN-4 (guan yuan), BL-23 (shen shu), KI-8 (jiao xin), KI-3 (tai xi), DU-20 (bai hui)
4) KI-5 (shui quan), REN-3 (zhong ji), SP-10 (xue hai), BL-17 (ge shu)

Answer 1

The patient's symptoms suggest Qi and Blood Deficiency. Treatment involves acupuncture points that tonify Qi and nourish Blood. Option 1, which includes DU-20, may be an appropriate treatment option.

Step-by-step explanation:

The symptoms described suggest the presence of a condition called Qi and Blood Deficiency in Traditional Chinese Medicine (TCM). This condition is often associated with irregular menstruation, pale tongue, dizziness, and tinnitus. Treatment with acupuncture points such as REN-6 (qi hai), REN-4 (guan yuan), ST-36 (zu san li), and SP-6 (san yin jiao) focuses on tonifying Qi and nourishing Blood.

Since the patient has reported improvement but not complete resolution of symptoms, it may be beneficial to add additional acupuncture points to the treatment protocol. One possible option is to include DU-20 (bai hui) in the treatment, as it is believed to tonify the Qi and promote overall well-being.

Therefore, based on the provided information, a suitable treatment option could be option 1) REN-6 (qi hai), REN-4 (guan yuan), DU-20 (bai hui), ST-36 (zu san li).