{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:18:33Z","timestamp":1777519113972,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Medical Acupuncture"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Puberty menorrhagia, characterized by prolonged and excessive menstrual bleeding between menarche and 19 years of age, presents clinical challenges at adolescents and it is attributed to an immature hypothalamo-pituitary-ovarian axis, leading to sustained high estrogen levels and anovulation. This case report explores the efficacy of acupuncture as an adjunctive therapy for pubertal menorrhagia of a 16-year-old female with a history of irregular menstrual cycles and excessive bleeding for 41 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>Based on Traditional Chinese Medicine (TCM) tongue and pulse diagnostics of the patient, acupuncture needling at SP4 (Gongsun), PC 6 (Neiguan), KI 14 (Siman), SP 10 (Xuehai), LR 1 (Dadun), CV 6 (Qihai) was given once in a day for a month, each session lasting 20 min targeting to alleviate Liver blood stasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>Following 6 days of treatment, bleeding ceased completely, and subsequent ultrasound assessments after a month revealed reductions in uterine, ovarian size, and complete resolution of endometrial thickening. Onset of next menstruation was on time after a month of acupuncture treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These outcomes show acupuncture based on TCM diagnosis has promising effect as an adjunctive therapy for pubertal menorrhagia, regulating the menstrual cycle by improving reproductive health. Further research is warranted to assess the long-term treatment effect.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/acu.2024.0053","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T12:43:49Z","timestamp":1727268229000},"page":"367-370","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Acupuncture as an Adjunctive Therapy for Puberty Menorrhagia: A Case Report"],"prefix":"10.1177","volume":"36","author":[{"given":"Narasimman","family":"Prabu","sequence":"first","affiliation":[{"name":"Department of Acupuncture and Energy Medicine, International Institute of Yoga and Naturopathy Medical Sciences and Hospital, Chengalpattu, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6089-0381","authenticated-orcid":false,"given":"Monicaasun","family":"M. R.","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Energy Medicine, International Institute of Yoga and Naturopathy Medical Sciences and Hospital, Chengalpattu, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanimozhi","family":"K.","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Energy Medicine, International Institute of Yoga and Naturopathy Medical Sciences and Hospital, Chengalpattu, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5377-7847","authenticated-orcid":false,"given":"Mahesh Kumar","family":"K.","sequence":"additional","affiliation":[{"name":"Government Yoga and Naturopathy Medical College and Hospital, Chennai, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,17]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.294.6574.759"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.58739\/jcbs\/v05i2.5"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.5455\/2320-1770.ijrcog20140941"},{"issue":"7","key":"e_1_3_5_5_2","first-page":"1","article-title":"Puberty menorrhagia: Evaluation of etiological factors","volume":"19","author":"Sudha Gaur S","year":"2020","unstructured":"Sudha Gaur S, , Banerjee KP, , Meena N, et al. Puberty menorrhagia: Evaluation of etiological factors. IOSR J Dent Med Sci, 2020; 19(7):1\u20133; doi: 10.9790\/0853-1907020103","journal-title":"IOSR J Dent Med Sci"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(96)70005-0"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-08-20-5570"},{"key":"e_1_3_5_8_2","unstructured":"Longridge AE. Is acupuncture an effective treatment for menorrhagia? Systematic review exploratory randomised trial qualitative investigation and GP survey. Diss. University of York; 2006."},{"issue":"7","key":"e_1_3_5_9_2","first-page":"CD007689","article-title":"Acupuncture for polycystic ovarian syndrome","volume":"7","author":"Lim CED","year":"2019","unstructured":"Lim CED, , Ng RWC, , Cheng NCL, et al. Acupuncture for polycystic ovarian syndrome. Cochrane Database Syst Rev, 2019; 7(7):CD007689; doi: 10.1002\/14651858.CD007689.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-224725"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2011-1126"},{"issue":"2","key":"e_1_3_5_12_2","article-title":"Treatment of menorrhagia with acupuncture: a case report","volume":"1","author":"Lee BK","year":"2022","unstructured":"Lee BK. Treatment of menorrhagia with acupuncture: a case report. Convergent Points: An East-West Case Report Journal, 2022; 1(2).","journal-title":"Convergent Points: An East-West Case Report Journal"},{"key":"e_1_3_5_13_2","first-page":"550","volume-title":"The Foundation of Chinese Medicine","author":"Maciocia Giovanni","year":"2015","unstructured":"Maciocia Giovanni. The Foundation of Chinese Medicine, 3rd edition. 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