Acupressure

Acupressure Points for Menstrual Cramps

The points

SP-6 · Sānyīnjiāo Three Yin Intersection Avoid in pregnancy

Where it is: On the medial leg, immediately posterior to the medial border of the tibia, 3 cun above the prominence of the medial malleolus.

Traditionally referenced for: Menstrual irregularity; pelvic discomfort; digestive weakness; urinary difficulty; insomnia.

Caution: Traditionally contraindicated during pregnancy because it is used to influence the uterus and labour. Pregnancy evidence is mixed, so this point should not be presented for self-treatment.

CV-4 · Guānyuán Gate of Origin

Where it is: On the lower abdomen, 3 B-cun below the center of the umbilicus on the anterior midline.

Traditionally referenced for: Reference uses include fatigue, cold-type abdominal pain, menstrual irregularity, urinary disorders, and reproductive deficiency patterns.

Caution: CV-4 is a lower-abdominal point traditionally avoided before 37 weeks of pregnancy, and deep insertion may enter a full bladder. Published evidence has not demonstrated point-specific obstetric harm, but treatment still requires individualized pregnancy assessment.

Where it is: On the dorsum of the foot between the first and second metatarsals, in the hollow just distal to their bases and over the dorsalis pedis artery.

Traditionally referenced for: Headache; dizziness; irritability; menstrual pain; hypochondriac discomfort.

Caution: LV-3 overlies the dorsalis pedis artery, which must be palpated and avoided. WHO also identifies LV-3 as a point that may provoke hypotension or fainting; first-time or vulnerable patients should be treated lying down with gentle stimulation and monitoring.

SP-8 · Dìjī Earth Pivot

Where it is: On the medial leg, immediately posterior to the medial border of the tibia and 3 cun below SP-9, at the junction of the upper one third and lower two thirds of the line from the patellar apex to the medial malleolus.

Traditionally referenced for: Acute menstrual pain; irregular bleeding; abdominal pain; diarrhoea.

How to apply pressure

  1. Find the location described above. Most points sit in a small hollow, and the spot usually feels more tender than the tissue beside it.
  2. Press with the pad of the thumb or index finger, straight into the point, firmly enough to feel a dull ache — not sharp pain.
  3. Hold for 30 to 60 seconds, or use small circles at the same depth of pressure.
  4. Release slowly. Repeat on the other side of the body, since these points are bilateral unless they lie on the midline.
  5. Stop immediately if you feel sharp pain, numbness, tingling, or if the area is bruised, broken, swollen, or infected.

When to see a doctor instead

Acupressure is a self-care tradition, not a substitute for assessment. Seek medical care rather than pressing points if any of the following apply:

  • Period pain severe enough to stop normal activity every cycle
  • Bleeding that soaks a pad or tampon every hour
  • Pain with fever or unusual discharge
  • Sudden severe one-sided pelvic pain

Frequently asked questions

Which acupressure points are used for menstrual cramps?

SP-6 (Sānyīnjiāo), CV-4 (Guānyuán), LV-3 (Tàichōng), SP-8 (Dìjī). Each point below links to its full reference page with the anatomical location and cited sources.

How long should I hold each point?

A common approach is firm but comfortable thumb pressure for 30 to 60 seconds per point, repeated a few times. Stop if pressure causes sharp pain, numbness, or tingling.

Is acupressure the same as acupuncture?

No. Acupressure uses finger pressure on the same point locations; acupuncture inserts needles and requires qualified training. This page describes pressure only and is not needling instruction.

Can I use these points during pregnancy?

No — not without qualified supervision. This combination includes points traditionally avoided in pregnancy because they are associated with uterine activity. Ask a qualified practitioner or your midwife or doctor first.

Does acupressure replace medical care?

No. It is a self-care tradition, not a diagnosis or a treatment. Any symptom that is severe, persistent, or unusual for you needs medical assessment.

Sources

References displayed on this page were recorded with the point dataset.

  1. Acupuncture.com Acupuncture Point Reference Ren 4: English name, classification, functions, indications and needling sections
  2. Acupuncture.Com Acupuncture Point Reference Liver 3: English translation, classification, indications, functions and needling
  3. American Dragon Acupuncture Point Reference SP-6: Command Functions, Actions, Indications and Needling
  4. American Dragon Acupuncture Point Reference REN-4: English name, command functions, actions, indications and needling and moxibustion sections
  5. American Dragon Acupuncture Point Reference SP-8: Command Functions, Actions, Indications and Needling
  6. Chinese Acupuncture and Moxibustion, 1st edition SP8, p. 151: moxibustion applicable; depth in this source is not used
  7. College and Association of Acupuncturists of Alberta, Safety Handbook for Alberta Practitioners Appendix 1, CV4 bladder caution, p. 57
  8. Council of Colleges of Acupuncture and Herbal Medicine, Clean Needle Technique Manual, 7th ed. Major vessel and direct/scarring moxibustion precautions, pp. 4–5 and Appendix C
  9. Safety in Clinical Practice p. 12: SP6 pregnancy caution
  10. The safety of obstetric acupuncture: forbidden points revisited Discussion of SP6 among traditionally forbidden points
  11. The Safety of Obstetric Acupuncture: Forbidden Points Revisited Identifying sources of concern and relevant outcomes; CV3-CV7
  12. WHO Guidelines on Basic Training and Safety in Acupuncture Section II, 3.3, 3.9 and 5.2: LR3 fainting, direct moxa over vessels and circulatory precautions, pp. 21, 23, 25
  13. WHO Standard Acupuncture Point Locations in the Western Pacific Region SP8, p. 73
  14. WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008) CV4, p. 221