Labor Dystociaaccording to TCM

Symptom family: Labor Complications

Sub-symptom(s): Prolonged Labor

What is Labor Dystocia?

Labor dystocia, often referred to as difficult labor, is a common complication during childbirth characterized by unusually slow labor progression. It can arise from a myriad of factors including fetal position, maternal pelvic shape, and strength of uterine contractions. This condition not only prolongs the delivery process but also increases the risk for both maternal and neonatal complications. Recognizing the signs and understanding the underlying causes of labor dystocia are crucial for timely intervention and ensuring the safety and well-being of both the mother and the child.

How does TCM view Labor Dystocia?

From the perspective of Traditional Chinese Medicine (TCM), labor dystocia is viewed through a lens of energy flow and balance within the body. TCM posits that childbirth is a natural process that relies on the harmonious flow of Qi (energy) and Blood throughout the body. Labor dystocia, therefore, signifies an imbalance or obstruction in these vital flows.

TCM practitioners look beyond the physical manifestations to identify the root causes of the disharmony, such as Qi Stagnation, Blood Deficiency, or internal Dampness. Addressing these underlying patterns through acupuncture, herbs, and other modalities is believed to restore balance, facilitate smoother labor, and prevent complications.

Acupoints for Labor Dystocia

In addressing labor dystocia, TCM highlights several acupoints believed to stimulate labor and correct underlying imbalances. Kunlun (BL-60), located near the Achilles tendon, is utilized for its ability to clear obstructions in the channel, pacify Interior Wind, and induce labor. Zhiyin (BL-67), found on the lateral side of the little toe, is another critical point for expelling wind and promoting labor. Jianjing (GB-21), situated at the highest point of the shoulder, helps remove channel obstructions, descend Qi, and foster the labor process.

Additionally, Zhaohai (KID-6), below the medial malleolus, is known for nourishing Kidney Yin, regulating the uterus, and calming the mind, thereby aiding in the resolution of labor dystocia from a holistic standpoint. These acupoints represent TCM’s intricate approach to supporting natural childbirth, emphasizing the importance of energy flow and systemic harmony.

Explore below some acupoints used to address labor dystocia, organized by meridian.

  • By Meridian
  • Bladder Channel
  • Gall Bladder Channel
  • Kidney Channel
  • Large Intestine Channel
Kunlun BL-60

Kunlun BL-60

In the depression between the tip of the lateral malleolus and the Achilles tendon.

Zhiyin BL-67

Zhiyin BL-67

On the lateral side of the little toe, about 0.1 cun posterior to the corner of the nail.

Jianjing GB-21

Jianjing GB-21

Midway between Dazhui DU-14 and the lateral extremity of the acromion, at the highest point of the shoulder.

Zhaohai KID-6

Zhaohai KID-6

Approximately 1 cun below the medial malleolus tip, over the joint space between the talus and the calcaneus.

Hegu LI-4

Hegu LI-4

Between the 1st and 2nd metacarpal bones, approximately in the middle of the 2nd metacarpal bone on the radial side.