A couple of months ago, I was asked to contribute an article to the journal of our Swiss TCM Professional Organization, TCM-FVS. It was to be about Endometriosis and how it can be treated with Tui Na Massage. I went through the process of researching the current available research and treatment methods for Endometriosis in biomedicine, as well as my own knowledge and experience in treating this condition.
First of all, to understand the word Endometriosis, we must understand its Latin-Greek description. Endo as a prefix, means “inner” or “within,” Metr- is “uterus,” together they refer to the inner lining of the uterus. Osis as a suffix to any word means “disease” or “abnormal.” It helps to have studied medical terminology in university. Endometrium refers to the inner lining of the Uterus. Therefore, Endometriosis refers to abnormal endometrial lining. In a healthy human uterus, the endometrium thickens and sheds with every menstrual cycle, flowing through the cervix, into the vagina and out of the body. In Endometriosis, some hypothesize that there is an incomplete or even a backflow of menstrual blood, causing a stasis of blood not only in the Uterus, but also on the organs surrounding the Uterus, like the uterine tubes, ovaries, rectum or intestines. When the endometrium does not completely shed but remains stagnant in the Uterus, this is called Adenomyosis, not Endometriosis. The most common symptom for both conditions is pain, before or during menses, dysmenorrhea, or even with sexual intercourse, dyspareunia. There are finally other newer hypotheses being suggested. I say "finally" because this hypothesis is almost a 100-years old proposed by Sampson and has not been proven or unproven. It is the oldest of the hypotheses, as Endometriosis has been ignored as a condition in biomedical field for a long time and many observe the reasons to be a neglect of female-health issues; not taking women-s health complains as serious health conditions.
In Chinese Medicine, conditions such as Endometriosis, which is by no means the only female uro-genital condition, have mostly to do with stagnation; stagnation of Qi, Blood, Dampness, Phlegm. These cause blockage in flow and can result in physical masses, when not brought into motion over a long period of time. For Chinese Medicine, the result of the stagnation is only one part of the picture; we ask the questions of how and why, the process of which this stagnation is occurring. If we were to view the body like a river, flowing with water, nourishing and creating little ecosystems wherever it flows; then the Uterus would be one of these areas of movement and life. Like in a river, if the amount of energy and water is lacking, there will be too little movement and nourishment; thereby, causing stasis and/ or deficiency. Sometimes in a river, we also find debris from upstream, garbage that shouldn’t be there but is, which can cause blockage and changes in flow, as well as change the environment within the river. This is also what can happen in our bodies, as such we maintain regular flow of Qi and Blood in the body with Tui Na Massage, Acupuncture and Herbal Medicine.
In my research, observation and experience about treating people with Endometriosis, I have found that every person’s story is different, as such needs an individually-tailored strategy. I have also found that we in our modern society tend to look outward, instead of inward for answers and solutions; we try to find the info about our own bodies outside us, instead of within us. So often the clues and answers are right there within us, we just have to take time to connect, listen and feel, in order to understand.
I have attached the article I wrote in English, which appeared in German in the June 2025 Yin Yang TCM Fachmagazin. But before you read it, place your hands on your abdomen and connect with your being inwards.
The Healing Power of Touch: Tui Na in the Treatment of Endometriosis
Image by SimonLeeMaryan on Pixabay
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