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Beth Conroy Compendium

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RECTAL DISCOMFORT. Hemorrhoids - APM

SOURCES

Seem, Mark D. (2000) Acupuncture Physical Medicine

CATEGORIES OF DISHARMONY

Pelvic Collapse; Collapsed Qi due to prolonged qi deficiency or damaged/weak central

(Stomach or Spleen) Qi

CLINICAL MANIFESTATION

Hemorrhoids, bleeding hemorrhoids, itching or burning anus , bulging tissue, severe pain upon

defecation, anal fissure.

PALPATORY FINDINGSTightness or constriction of Shao Yang; Yang Ming; rectus abdominis from navel to pubic bone

and lower external obliques in the area of GB26,GB27, and GB28. Chopstick constriction of

chong. .5 inch lateral to midline of body from umbilicus to pubic bone.

TREATMENT STRATEGY

Regulate lower heater, tonify middle heater, release constrictions in chong, dai, and the three leg

yin vessels of inner thigh.

TREATMENT: Points

Root:

open chong right Sp4 + left PC6open dai mai left GB41 + right TH5

Ying:

Sp6 Kid3, Liv3 to tonify the yin CV2, CV3, CV6 to regulate lower jiao CV12, St36 to support and tonify central qi GV20 to pull qi upward

Wei:

TTPs where found at: St30, Kid11-15, St30-27, external obliques, GB 26,27, 28

TTPs in quadratus lumborum- dorsal zone, near GB25

BL58 for lumbar regionIf there is inflammation:

Lv2, Sp9 to clear heat and disperse damp

TTP most effective for vastus medialis and` sartorius muscles (Sp10, Lv9 area)- to dredge

Lv channel

CV2 ( strong stimulation directed straight down, then down the right leg, then down the

left leg),

PATIENT EDUCATION / RECOMMENDATIONS

Abdominal breathing; warm sitz baths; qi gong, yoga or meditation exercises a imed at relaxing

lower heater. Abdominal strengthening exercises. Healthy sexual activity is encouraged.

Rectal Discomfort - Acupuncture PhysicalMedicine

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