Pregnancy related PELVIC INSTABILITY TCM treatment with acupuncture
Лечение тазовой неустойчивости при беременности методами акупунктуры, ТКМ

Essay presented to the
Academy for Traditional Chinese Medicine
Qing Bai
for the purpose of obtaining the Certificate of Acupuncture
Academic year 2006-2007
Amsterdam
by Katya Polhaupessy
supervision Martine Cornelissen

Table of contents
Preface 3
Table of contents 4
Introduction 6
Part 1: Western Medicine
Chapter 1 Introduction 8
Chapter 2 Anatomy of the female pelvis 10
2.1 Physiology and pathofysiology during pregnancy 10
2.2 Relationship between the pelvis and the back 11
2.3 The mobility of the pelvis joints 11
Chapter 3 Complaints of Pelvic Instability 12
Chapter 4 Symptoms of Pelvic Instability 13
Chapter 5 General causes of Pelvic Instability 15
Chapter 6 Treatment Strategy 16
Part 2: Traditional Chinese Medicine
Chapter 7 Introduction 18
7.1 Pregnancy 18
7.2 Women’s physiology 18
7.3 Physiological changes in pregnancy 19
Chapter 8 Women’s pathology 22
8.1 Pelvic Instability in relation to the Vital Substances 22
8.1.1 Qi 22
8.1.2 Xue 23
8.1.3 Jing 24
8.2 Pelvic Instability in relation to Zang Fu 26
8.2.1 Kidneys 26
8.2.2 Liver 26
8.2.3 Spleen 26
8.2.4 Heart 27
8.3 Pelvic Instability in relation to Pathogenic Factors 28
8.3.1 Wai Yin - External Pathogenic Factors 28
8.3.2 Nei Yin - Internal Pathogenic Factors 28
8.4 Pelvic Instability in relation to neither internal nor external causes 29
8.4.1 Pregnancy and Childbirth 29
8.4.2 Lifestyle 29
8.4.3 Trauma 29
8.4.4 Constitution 30
Chapter 9 TCM Diagnosis 31
9.1 Methods of diagnosis 31
9.1.1 Diagnosis by Interrogation 31
9.1.2 Diagnosis by Palpation 32
9.1.2.1 Pulse 32
9.1.2.2 Skin 32
9.1.2.3 Abdomen 32
9.1.2.4 Pubic bone 33
9.1.2.5 Ah Shi points 33
9.1.3 Diagnosis by Observation 33
9.2 The channels 34
9.3 Qi Jing Ba Mai 36
9.3.1 Du Mai 36
9.3.2 Ren Mai 36
9.3.3 Chong Mai 37
9.3.4 Dai Mai 38
9.3.5 Yang Qiao Mai and Yin Qiao Mai 40
9.4 Pelvic Instability and acupuncture 41
Chapter 10 TCM Pattern differentiation and treatment 43
10.1 Shen Yang Xu - Kidney Yang deficiency with
Gan Xue Xu - Liver Blood deficiency 43
10.2 Shen Yin Xu - Kidney Yin deficiency 43
10.3 Shen Jing Xu - Kidney Jing deficiency 44
10.4 Gan Qi Yu - Liver Qi stagnation 45
10.5 Xue Xu - Blood deficiency 45
10.6 Xue Yu - Blood stasis 46
10.7 Pi Qi Xu – Spleen Qi deficiency 46
10.8 Pi Qi Xian – Spleen Xi sinking 47
10.9 Invasion of Wind, Cold or Dampness 47
Chapter 11 Common musculoskeletal conditions 49
11.1 Pain of the symphysis pubis 49
11.2 Lower backpain, sciatica, hip pain and leg cramps 49
11.3 Sacral pain and coccygeal pain 50
11.4 Case history 50
Chapter 12 Patient advice 52
Part 3: Conclusion 53
Bibliography 54
Appendix 56

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