Inducing Labor

[Guest guest]

, " berrymanylow "

<ned.divine wrote:

>

> dear friends,

>

> are there any formulas for inducing labor?

 

In Chinese hospitals, an extract of tian hua fen is given by injection

to hasten delivery. That is probably the closest thing to what you

are looking for, but injectable solutions are probably not available

and their administration is most likely not legal in the area of your

practice. Tian hua fen only has that action by injection, oral

administration doesn't work.

 

Eric

[Guest guest]

How about preparing Tian Hua fen as a fine powder and have the patient ingest it

through sniffing, thereby bypassing the digesting tract?

 

Yehuda

 

Eric Brand <smilinglotus wrote:

, " berrymanylow "

<ned.divine wrote:

>

> dear friends,

>

> are there any formulas for inducing labor?

 

In Chinese hospitals, an extract of tian hua fen is given by injection

to hasten delivery. That is probably the closest thing to what you

are looking for, but injectable solutions are probably not available

and their administration is most likely not legal in the area of your

practice. Tian hua fen only has that action by injection, oral

administration doesn't work.

 

Eric

 

 

 

 

 

 

 

 

 

 

 

Building a website is a piece of cake.

Small Business gives you all the tools to get online.

 

 

[Guest guest]

why not use acupuncture??

--- berrymanylow <ned.divine wrote:

 

> dear friends,

>

> are there any formulas for inducing labor? the only

> one i found is tuo

> hua jian, mainly used to eliminate Qi and blood

> stagnation causing

> overdue pregnancy.

> Medicinal Ingredients of Tuo Hua Jian

> Che Qian Zi 5g.

> Chuang Xiong 6g.

> Dang Gui 3g.

> Hong Hua 3g.

> Niu Xi 6g.

> Rou Gui 6g.

>

> i would also think pf other herbs like wang bu liu

> xing or chan tui.

>

> please let know. thanks.

>

>

 

 

 

 

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[Guest guest]

I know from my own teacher's writings that injections of Tian Hua Fen

are given to kill the embryo in the case of ectopic pregnancy. Tian

Hua Fen is highly contraindicated in pregnancy because of this

effect. I'd totally stay away from it.

 

Sharon

 

 

 

 

In Chinese hospitals, an extract of tian hua fen is given by injection

to hasten delivery. That is probably the closest thing to what you

are looking for, but injectable solutions are probably not available

and their administration is most likely not legal in the area of your

practice. Tian hua fen only has that action by injection, oral

administration doesn't work.

 

Eric

 

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com

 

 

 

 

 

[Guest guest]

Barry Manylow,

 

Just a reminder that there is no formula for anything outside of the

need to diagnose and the same is true for the induction of labor.

There are quite a few factors that need to be taken into account the

first of which is whether the woman is even late. Have her waters

broken? Secondly the main thing to take into account is her

constitution and general condition. Tuo Hua Jian is used in excess

stasis cases and is quite strong. In a weaker patient or a patient

without stasis, it could easily cause problems. Let's try to stick

with Chinese medicine and not look for a pitocin substitute. There

are quite a few herbal strategies for helping labor come along but I

wouldn't make suggestions until I knew more about the patient. I

have the same question of why not use acupuncture?

 

Sharon

 

 

 

dear friends,

 

are there any formulas for inducing labor? the only one i found is tuo

hua jian, mainly used to eliminate Qi and blood stagnation causing

overdue pregnancy.

Medicinal Ingredients of Tuo Hua Jian

Che Qian Zi 5g.

Chuang Xiong 6g.

Dang Gui 3g.

Hong Hua 3g.

Niu Xi 6g.

Rou Gui 6g.

 

i would also think pf other herbs like wang bu liu xing or chan tui.

 

please let know. thanks.

 

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com

 

 

 

 

 

[Guest guest]

and its not whole tian hua fen but an active ing that is used

 

 

 

 

 

 

 

 

-

sharon weizenbaum

Monday, July 09, 2007 5:22 AM

Re: inducing labor

 

 

I know from my own teacher's writings that injections of Tian Hua Fen

are given to kill the embryo in the case of ectopic pregnancy. Tian

Hua Fen is highly contraindicated in pregnancy because of this

effect. I'd totally stay away from it.

 

Sharon

 

In Chinese hospitals, an extract of tian hua fen is given by injection

to hasten delivery. That is probably the closest thing to what you

are looking for, but injectable solutions are probably not available

and their administration is most likely not legal in the area of your

practice. Tian hua fen only has that action by injection, oral

administration doesn't work.

 

Eric

 

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com

 

[Guest guest]

Just as an historical sidenote (and I definitely wouldn't recommend

this) one of our teachers told us that barefoot doctors would insert

a piece of the root of the trichosanthis (tian hua fen)

intravaginally to cause contractions.

[Guest guest]

This is an empirical labor-inducing formula from the late Dr. John

Shen of NY (I don't know the doses, but included some of the rationale) :

 

Dang gui - tonify blood

Bai shao - moisten UT to facilitate movement of the baby

Tu si zi

Hou po - remove obstructions from the connecting vessels (luo mai) to

facilitate delivery

Qiang huo – remove obstructions from the connecting vessels (luo mai)

to facilitate delivery

Sheng di huang – moisten UT to facilitate movement of the baby

Bai zhu

Chuan xiong

Hong hua

Huang qin (balances warming of ai ye & gan jiang – calms the fetus)

Gan jiang - warms interior

Yi mu cao

Ai ye

 

 

Cheers,

Monica

 

, " berrymanylow "

<ned.divine wrote:

>

> dear friends,

>

> are there any formulas for inducing labor? the only one i found is tuo

> hua jian, mainly used to eliminate Qi and blood stagnation causing

> overdue pregnancy.

> Medicinal Ingredients of Tuo Hua Jian

> Che Qian Zi 5g.

> Chuang Xiong 6g.

> Dang Gui 3g.

> Hong Hua 3g.

> Niu Xi 6g.

> Rou Gui 6g.

>

> i would also think pf other herbs like wang bu liu xing or chan tui.

>

> please let know. thanks.

>

[Guest guest]

Eric - I'm sure you're right about it not being legal to inject herbal

preparations in the US...but out of curiosity - do you know where they

injections are done? LI4, SP6, etc.?

Thanks,

Monica

 

, " Eric Brand " wrote:

> In Chinese hospitals, an extract of tian hua fen is given by injection

> to hasten delivery. That is probably the closest thing to what you

> are looking for, but injectable solutions are probably not available

> and their administration is most likely not legal in the area of your

> practice. Tian hua fen only has that action by injection, oral

> administration doesn't work.

>

> Eric

>

[Guest guest]

Tian Hua Fen is injected into the cervix to induce abortion. It

wouldn't work taken orally or intranasally. Besides, acupuncture is

safer and very effective at stimulating labor.

 

- Bill

 

, yehuda frischman

< wrote:

>

> How about preparing Tian Hua fen as a fine powder and have the

patient ingest it through sniffing, thereby bypassing the digesting

tract?

>

> Yehuda

>

> Eric Brand <smilinglotus wrote:

> , " berrymanylow "

> <ned.divine@> wrote:

> >

> > dear friends,

> >

> > are there any formulas for inducing labor?

>

> In Chinese hospitals, an extract of tian hua fen is given by

injection

> to hasten delivery. That is probably the closest thing to what you

> are looking for, but injectable solutions are probably not

available

> and their administration is most likely not legal in the area of

your

> practice. Tian hua fen only has that action by injection, oral

> administration doesn't work.

>

> Eric

 

>

>

>

>

>

> Building a website is a piece of cake.

> Small Business gives you all the tools to get online.

>

>

[Guest guest]

dear friends,

 

thank you for all your professional advice. being a tcm student, i

can very much learn from your experience in this forum.

to answer some of your included questions: the patient - my wife - is

now 7 days over term, and yesterday has been primed with a local PG

E2 vaginal tablet and it seems as if it is slowly working.

she had tcm treatment throughout her pregnacy from a local tcm

doctor, which helped her quite a lot with her morning sickness,

heartburn and tiredness.

she also was treated with acupuncture: twice K9 and from week 36-40

twice a week with St36, Sp6, Gb34.

 

She dislikes acupuncture, but I will give it another try with the

above mentioned points plus LI 4.

 

greetings,

 

berrymanylow

[Guest guest]

Dear Berry,

 

A very simple and effective way to stimulate and promote the body's production

of Pitocin and thus increase contractions and accelerate dilation is the

stimulate the nipples by twisting them (of course gently!)

 

May you be blessed with a healthy and happy child (and wife!)

 

Yehuda

berrymanylow <ned.divine wrote:

dear friends,

 

thank you for all your professional advice. being a tcm student, i

can very much learn from your experience in this forum.

to answer some of your included questions: the patient - my wife - is

now 7 days over term, and yesterday has been primed with a local PG

E2 vaginal tablet and it seems as if it is slowly working.

she had tcm treatment throughout her pregnacy from a local tcm

doctor, which helped her quite a lot with her morning sickness,

heartburn and tiredness.

she also was treated with acupuncture: twice K9 and from week 36-40

twice a week with St36, Sp6, Gb34.

 

She dislikes acupuncture, but I will give it another try with the

above mentioned points plus LI 4.

 

greetings,

 

berrymanylow

 

 

 

 

 

 

 

 

 

 

 

 

Choose the right car based on your needs. Check out Autos new Car Finder

tool.

 

 

[Guest guest]

Barry,

 

I have had success at inducing labor with this protocol:

 

LI4, SP6, GB 21, ear: uterus

 

Strong stimulation to LI4 and SP6. Do NOT do strong stimulation on

GB21, as the upper lobe of the lung is close to that point.

Contractions can begin anywhere from immediately to 30 minutes

later. Occasionally it takes longer. This protocaol is only used

when the woman is overdue and the cervix is dilated and ready.

 

I was able to do acupuncture in a birth center one time. The patient

was hooked up to a monitor that showed weak contractions every few

minutes. As soon as the needles were in, the monitor showed strong

contractions at regular intervals. That was really cool.

 

I tend to rely more on herbs than acupuncture, so when I say that

acupuncture works better for a certain condition, it is not due to a

pro-needle bias.

 

- Bill

 

 

, " berrymanylow "

<ned.divine wrote:

>

> dear friends,

>

> thank you for all your professional advice. being a tcm student, i

> can very much learn from your experience in this forum.

> to answer some of your included questions: the patient - my wife -

is

> now 7 days over term, and yesterday has been primed with a local

PG

> E2 vaginal tablet and it seems as if it is slowly working.

> she had tcm treatment throughout her pregnacy from a local tcm

> doctor, which helped her quite a lot with her morning sickness,

> heartburn and tiredness.

> she also was treated with acupuncture: twice K9 and from week 36-

40

> twice a week with St36, Sp6, Gb34.

>

> She dislikes acupuncture, but I will give it another try with the

> above mentioned points plus LI 4.

>

> greetings,

>

> berrymanylow

>

[Guest guest]

, david appleton

<acuapple wrote:

>

> why not use acupuncture??

> --- berrymanylow <ned.divine wrote:

 

In my experience, I have not found acupuncture to be very effective in

inducing labor. I know of a Chinese doctor who uses electrical

stimulation between sp6/bilateral and ren 7 at high voltage.. He

evidently does it frequently to young girls who get pregnant..

 

I think most cases where acupuncture was used to induce labor it

really came down to the fact the baby was about to be delivered anyways.

 

A few anecdotal examples does not make a technique effective.

 

Fernando

[Guest guest]

well, I would beg to differ- try use LI 1, gb 44, Ub

67 with heavy stimulation.

 

David

--- fbernall <fbernall wrote:

 

> , david

> appleton

> <acuapple wrote:

> >

> > why not use acupuncture??

> > --- berrymanylow <ned.divine wrote:

>

> In my experience, I have not found acupuncture to be

> very effective in

> inducing labor. I know of a Chinese doctor who uses

> electrical

> stimulation between sp6/bilateral and ren 7 at high

> voltage.. He

> evidently does it frequently to young girls who get

> pregnant..

>

> I think most cases where acupuncture was used to

> induce labor it

> really came down to the fact the baby was about to

> be delivered anyways.

>

> A few anecdotal examples does not make a technique

> effective.

>

> Fernando

>

>

 

 

 

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[Guest guest]

Isn't our entire medical system anecdotal? There is lots of

research, but that is relatively recent.

 

I have used acupuncture to induce labor in five cases. In all but

one, the mother was having no contractions at all and was scheduled

for a cesarean due to being so late. The acupuncture almost always

induced labor within 15 - 30 minutes, although it is supposed to

take as long as 48 hours. The one time I used electricity, the

contractions were very forceful and the baby was delivered in 15

minutes. There was some bleeding, so I don't use electricity any

more.

 

It's important to do a treatment every day if the contractions begin

but labor doesn't occur. The contractions might stop and you'll be

back to square one.

 

- Bill

 

 

, " fbernall " <fbernall

wrote:

>

> , david appleton

> <acuapple@> wrote:

> >

> > why not use acupuncture??

> > --- berrymanylow <ned.divine@> wrote:

>

> In my experience, I have not found acupuncture to be very

effective in

> inducing labor. I know of a Chinese doctor who uses electrical

> stimulation between sp6/bilateral and ren 7 at high voltage.. He

> evidently does it frequently to young girls who get pregnant..

>

> I think most cases where acupuncture was used to induce labor it

> really came down to the fact the baby was about to be delivered

anyways.

>

> A few anecdotal examples does not make a technique effective.

>

> Fernando

>

[Guest guest]

Doug,

 

Not only is inducing abortion outside our scope of practice, it is

important to know if your malpractice insurance covers induction of

labor. As far as I know, most policies don't cover that. I have

always done it on mothers who I knew outside my practice. I don't

think I would do it for a patient who I didn't already know as a

friend or relative.

 

- Bill

 

 

, " "

wrote:

>

> When this inducing labor thread came up I was very reluctant to

> approve the first posting. Since then we learned that that post was

> for an overdue mother and the practitioners wife. However, I don't

> think we should be posting things that hints at " induced

> miscarriages " . These are ineffective (look at the population of

> China), usually dangerous, for most of us: illegal and for many of

us:

> immoral and in general: very controversial. I don't want CHA to

end up

> on some blog as an example of TCM dessiminating how-to's on

abortions.

> I do think acupuncture is appropriate throughout pregnancy for the

> purposes of a healthy baby and safer and easier delivery.

>

> " That's why they call me the " moderator " . "

> Doug

>

> , " fbernall " <fbernall@>

> wrote:

> >

> > , david appleton

> > <acuapple@> wrote:

> > >

> > > why not use acupuncture??

> > > --- berrymanylow <ned.divine@> wrote:

> >

> > In my experience, I have not found acupuncture to be very

effective in

> > inducing labor. I know of a Chinese doctor who uses electrical

> > stimulation between sp6/bilateral and ren 7 at high voltage..

>

> > I think most cases where acupuncture was used to induce labor it

> > really came down to the fact the baby was about to be delivered

anyways.

> >

> > A few anecdotal examples does not make a technique effective.

> >

> > Fernando

> >

>

[Guest guest]

I have two pregnant patients, both of which came to see me to expedite

delivery. One is at 40 weeks, the other at 37. I am, of course staying

conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

position) with Yin Tang for balance. This in the pt who is at 40 weeks

causes quite a bit of activity but has not as yet encouraged dilation

nor physiological preparation for the baby dropping.

 

I am curious if anyone has experience treating a pt so close to their

due date and what was found useful to stimulate the delivery.

 

Regards, Tymothy

[Guest guest]

Hi Tymothy; if you are conservative in your treatment, you will not induce.

 

Hugo

 

 

________________________________

Hugo Ramiro

http://middlemedicine.wordpress.com

http://www.chinesemedicaltherapies.org

 

 

 

 

 

________________________________

miracles28 <tymothys

Chinese Medicine

Thursday, 13 November, 2008 5:42:26

Inducing Labor

 

 

I have two pregnant patients, both of which came to see me to expedite

delivery. One is at 40 weeks, the other at 37. I am, of course staying

conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

position) with Yin Tang for balance. This in the pt who is at 40 weeks

causes quite a bit of activity but has not as yet encouraged dilation

nor physiological preparation for the baby dropping.

 

I am curious if anyone has experience treating a pt so close to their

due date and what was found useful to stimulate the delivery.

 

Regards, Tymothy

 

 

 

 

 

 

 

[Guest guest]

I wrote this 10 months ago:

 

As I told you before, my wife did not have contraction at 40 weeks of her

pregnancy and the cervix was not ready either. The doctor programs the

induction for 1 week after that, a Thursday. So the Friday before we started

with acupuncture. That day at evening we use Sanyinjiao, Zusanli and Zhiyi

with strong stimulation, the next day, Saturday, my wife started to feeling

contractions, at the evening we use Ciliao and Xialiao with needle and

electric stimulation, on Sunday the contractions became more regulars and

strong. On Sunday evening we use again the ciliaos and Sanyinjiao and

Jianjing. The Monday at 3:00 am. my wife started with strong contractions.

At 9:00 we went with the midwife and she found that cervix has ready and

starting dilatation. At 15:00, the contractions were strong so I put TENS to

my wife in ciliaos, she feels better. At 20:00 we arrive to the hospital

with 4 cms. of dilatation, the doctors gives her oxytocin to " regulate

contractions " . At 22:00 the doctor gives her local anesthesia, at 24:00 she

had 8 cms. of dilatation, at 1:00 the baby didn't want to borne, he was

rotated (I think that " facial " ), at 3:00 the doctor decided make a cesarea.

At 4:29 of Febraury 12, born Francisco José Dougnac, my first son.

 

I hope it helps you.

 

Regards,

Fdo.

 

 

2008/11/13 Hugo Ramiro <subincor

 

> Hi Tymothy; if you are conservative in your treatment, you will not

> induce.

>

> Hugo

>

> ________________________________

> Hugo Ramiro

> http://middlemedicine.wordpress.com

> http://www.chinesemedicaltherapies.org

>

> ________________________________

> miracles28 <tymothys <tymothys%40gmail.com>>

> To:

Chinese Medicine <Chinese Medicine%40yaho\

ogroups.com>

> Thursday, 13 November, 2008 5:42:26

> Inducing Labor

>

>

> I have two pregnant patients, both of which came to see me to expedite

> delivery. One is at 40 weeks, the other at 37. I am, of course staying

> conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

> position) with Yin Tang for balance. This in the pt who is at 40 weeks

> causes quite a bit of activity but has not as yet encouraged dilation

> nor physiological preparation for the baby dropping.

>

> I am curious if anyone has experience treating a pt so close to their

> due date and what was found useful to stimulate the delivery.

>

> Regards, Tymothy

>

>

[Guest guest]

My own labor was facilitated by acupuncture.

With 40 weeks, after 7 hours of weak and irregular contractions,

bilateral needling of St 36 (I have Qi deficiency) started regular and

more frequent contractions, and total dilation was achieved in aprox. 4

hours of active labor, with smooth and almost painless contractions.

Labor was very nice, though a little fast, and my first son was

naturally born with Apgar score 10/10.

 

Clarissa Niciporciukas

vet in Brazil

 

 

miracles28 wrote:

 

> I have two pregnant patients, both of which came to see me to expedite

> delivery. One is at 40 weeks, the other at 37. I am, of course staying

> conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

> position) with Yin Tang for balance. This in the pt who is at 40 weeks

> causes quite a bit of activity but has not as yet encouraged dilation

> nor physiological preparation for the baby dropping.

>

> I am curious if anyone has experience treating a pt so close to their

> due date and what was found useful to stimulate the delivery.

>

> Regards, Tymothy

>

>

>

>

>

>

>

>

[Guest guest]

Tymothy,

 

You should check with your malpractice carrier to ensure that you're

covered when inducing labor. I'm not aware of any insurance companies

who cover induction in their base plans.

 

--Bill.

 

--

Bill Mosca, LAc

San Francisco CA

mosca

 

 

On Nov 13, 2008, at 2:42 AM, miracles28 wrote:

 

> I have two pregnant patients, both of which came to see me to expedite

> delivery. One is at 40 weeks, the other at 37. I am, of course staying

> conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

> position) with Yin Tang for balance. This in the pt who is at 40 weeks

> causes quite a bit of activity but has not as yet encouraged dilation

> nor physiological preparation for the baby dropping.

>

> I am curious if anyone has experience treating a pt so close to their

> due date and what was found useful to stimulate the delivery.

>

> Regards, Tymothy

>

[Guest guest]

--

When the patients have been presenting with good health and Qi I have done

e-stim on

abdominal points with low HTZ with good results.

 

 

 

- In Chinese Medicine , " miracles28 " <tymothys

wrote:

>

> I have two pregnant patients, both of which came to see me to expedite

> delivery. One is at 40 weeks, the other at 37. I am, of course staying

> conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

> position) with Yin Tang for balance. This in the pt who is at 40 weeks

> causes quite a bit of activity but has not as yet encouraged dilation

> nor physiological preparation for the baby dropping.

>

> I am curious if anyone has experience treating a pt so close to their

> due date and what was found useful to stimulate the delivery.

>

> Regards, Tymothy

>

[Guest guest]

Chinese Medicine , " miracles28 "

<tymothys wrote:

>

> I have two pregnant patients, both of which came to see me to expedite

> delivery. One is at 40 weeks, the other at 37. I am, of course staying

> conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

> position) with Yin Tang for balance. This in the pt who is at 40 weeks

> causes quite a bit of activity but has not as yet encouraged dilation

> nor physiological preparation for the baby dropping.

>

> I am curious if anyone has experience treating a pt so close to their

> due date and what was found useful to stimulate the delivery.

>

> Regards, Tymothy

>

 

Hi Tymothy

http://acupuncture.rhizome.net.nz/Default.aspx

for lots of info from Debra Betts - for practitioners and women and

their partners - the free download pdf booklet of acupressure techs for

use in labour is invaluable for women and their birth-support people.

 

Debra'a pre-birth acupuncture 'protocol', plus points for individual

pattern, weekly from 37 weeks, is invaluable as a natural, effective

preparation for the woman's mind-body.

 

http://www.spinningbabies.com/

things for women to do, to promote optimal foetal positioning

 

In the absence of any specific details of the two women's pregnancy and

health histories, may I ask why they wish to expedite delivery?

If they're valiantly hoping to deliver on the exact due-date, to fit a

particular schedule - they may be doing themselves the physical and

emotional disservice of forcing the issue.

'Social' or 'premature' inductions can lead to the same problems as

medical inductions - on this Debra Betts is quite clear.

 

If they're hoping for a spontaneous, smooth, easy transition into

labour, with efficient contractions, good pain management, and fewer

medical interventions, then pre-birth acupuncture, moxa, acupressure,

etc - ACCORDING TO TCM PATTERN - are ideal choices.

 

'Normal' pregnancy is 38-42 weeks. We all get too wrapped up in the due

date - I've had 3 babies, so I know this to be so

 

See Debra Betts book - Acupuncture in Preganancy and Childbirth - and

her seminars... you'll discover there'e so much more we can offer, than

the 'ultra-cautious' 'so many points are forbidden' approach which most

of us received in our education and training.

 

All the best

Margi

[Guest guest]

> - In Chinese Medicine , " miracles28 " <tymothys@>

> wrote:

> >

> > I have two pregnant patients, both of which came to see me to expedite

> > delivery. One is at 40 weeks, the other at 37. I am, of course staying

> > conservative in my approach with only using Sp 6 and Li 4 (Ling Gu

> > position) with Yin Tang for balance. This in the pt who is at 40 weeks

> > causes quite a bit of activity but has not as yet encouraged dilation

> > nor physiological preparation for the baby dropping.

> >

> > I am curious if anyone has experience treating a pt so close to their

> > due date and what was found useful to stimulate the delivery.

> >

> > Regards, Tymothy

> >

>G'day Tim

Ive found that at this late stage things can be all over the place. Some folks

need toning

others harmonising and I do this with a root tx first and then add the locals

after the

changes have manifested. eg Qi xu St36 Kd3 or Lu9 Kd7. Lv stagnancy St36 Lv3 or

Sp6

Gb34. At this stage, don't be frightened of acting. Many women are overcome by

fear

and need to rise to the challenge, others to relax into it. You have to decide

what the

issues are and act accordingly. If correctly then this root tx will see

contractions begin or

strengthen or whatever is required. Then the local points with the classic being

Bl32

deep into the foreamen so producing deqi through the pelvis to the groin. This

is easier

said than done and often you can achieve deqi without the foramen, lots of

practice

needed. Get the client to back this up with squats and baths. A women has to

relax and

ripen and be 'juicy' to embrace the birthing process.

Rus