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Dysmenorrhea
(painful menstruation) means that women have periodic pain during or prior to or
after menstrual period in the lower abdomen or even faint in severe cases. It
has been customary to classify cases of dysmenorrhea into two main groups:
primary or functional dysmenorrhea referring to the one which is not caused by
organic diseases, and secondary dysmenorrhea referring to the one caused by
organic diseases in reproductive system.
Main Points of
Diagnosis
1.
The pain in the lower abdomen appears with menstrual cycle.
2.
The pain can spread over the whole abdomen, lumbosacral region or there is
dragging pain in the vulva and anus. It varies in degrees and can be relieved
when the menstrual blood flows smoothly.
3.
Gynecological examination: Those without organic diseases in the pelvic cavity
are primary dysmenorrhea; those with organic diseases in the pelvic cavity are
secondary dysmenorrhea.
Differentiation and
Treatment of Common Syndromes
1.
Blood Stasis due to Stagnation of Qi
Main
Symptoms and Signs: Distending pain and tenderness in the lower abdomen one or
two days prior to or during menstruation accompanied with fullness sensation in
the chest, hypochondrium and breast, deep-purple blood with clots, relief of
pain after discharge of clots, ecchymoses on the tongue edges, string-like
pulse.
Therapeutic
Principle: Regulating the flow of qi and removing blood stasis to alleviate the
pain.
Recipe:
Modified Decoction for Dissipating Blood Stasis Under Diaphragm.
Chinese
angelica root
ligusticum
root
red
peony root
peach
kernel
safflower
bitter
orange
corydalis
tuber
trogopterus
dung
Sichuan
chinaberry
lindera
root
nutgrass
flatsedge rhizome
All
the above herbs are to be decocted in water for oral administration.
2.
Stagnancy of Cold and Dampness
Main
Symptoms and Signs: Distending pain in the lower abdomen several days prior to
or during menstruation, which can be relieved by warmth, menstrual flow scanty
in amount, dark in color and with clots, pale tongue with white and greasy fur,
deep and tense pulse.
Therapeutic
Principle: Warming the channels and expelling dampness to arrest pain.
Recipe:
Modified Decoction for Removing Blood Stagnation in the Lower Abdomen.
common
fennel fruit
cinnamon
bark
red
peony root
Chinese
angelica root
ligusticum
root
corydalis
tuber
myrrh
cat-tail
pollen
trogopterus
dung
poria
All
the above herbs are to be decocted in water for oral administration.
For
those with lassitude in loins and legs and excreting copious clear urine, omit
poria and add 6 grams of prepared aconite root and 9 grams of argyi leaf.
3.
Deficiency of Both Qi and Blood
Main
Symptoms and Signs: Vague pain in the lower abdomen during or 1-2 days after
menstruation which can be relieved by pressing, scanty menstruation with reddish
and thin blood, accompanied with lack of vitality and asthenia, pale tongue with
white and thin fur, thready and weak pulse.
Therapeutic
Principle: Invigorating qi and enriching the blood to alleviate pain.
Recipe:
Modified Dysmenorrhea-Healing Decoction.
ginseng
astragalus
root
Chinese
angelica root
ligusticum
root
prepared
rehmannia root
white
peony root
nutgrass
flatsedge rhizome
corydalis
tuber
Decoct
the above herbs in water for oral administration.
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