1, kidney-qi deficiency type.
Main symptoms: dull pain in the lower abdomen during or after menstruation, preference for pressing, scanty menstruation, pale complexion, dizziness and tinnitus, backache and leg weakness, long urination, dull complexion, pale tongue, thin fur and heavy pulse.
Treatment: tonify kidney and essence, nourish blood and relieve pain.
Treatment: Tiaogan Decoction (Fu Qingzhu Gynecology Department). Radix Angelicae Sinensis, Radix Paeoniae Alba, Fructus Corni, Radix Morindae Officinalis, Radix Glycyrrhizae, Rhizoma Dioscoreae and Colla Corii Asini. In the prescription, Morinda officinalis and Cornus officinalis can tonify kidney, replenish qi and replenish kidney essence; Angelica sinensis, Radix Paeoniae Alba and Colla Corii Asini nourish blood and relieve pain; Yam and licorice nourish the spleen and kidney and produce seminal blood. The whole prescription * * * plays the role of tonifying kidney, replenishing essence, nourishing blood and relieving pain. If the menstrual flow is small, cornu Cervi Degelatinatum, Radix Rehmanniae Preparata and Fructus Lycii should be added. For patients with lumbosacral pain, Herba Taxilli, Eucommiae Cortex and Rhizoma Cibotii can be added.
2. Deficiency of qi and blood.
Main symptoms: dull pain in the lower abdomen during or after menstruation, scanty menstruation, pale complexion, fatigue, dizziness, palpitation, insomnia and dreaminess, pale complexion, pale tongue, thin fur and thready pulse.
Treatment: supplementing qi and nourishing blood, harmonizing middle energizer and relieving pain.
Treatment: huangqi Jianzhong decoction (synopsis of the golden chamber) plus angelica and codonopsis pilosula. Radix Astragali, Radix Paeoniae Alba, Ramulus Cinnamomi, Radix Glycyrrhizae Preparata, Rhizoma Zingiberis Recens, Fructus Jujubae and maltose. In the prescription, Radix Astragali, Radix Codonopsis and Ramulus Cinnamomi tonify the middle energizer, dredge collaterals and relieve pain; Angelica sinensis, Radix Paeoniae Alba and maltose nourish blood, neutralize middle energizer and relieve pain; Radix Glycyrrhizae Preparata, Rhizoma Zingiberis Recens and Fructus Jujubae strengthen spleen and stomach and promote blood circulation. If you want to replenish blood, build Zhongzhou first. This prescription has the effects of invigorating qi and nourishing blood, harmonizing middle energizer and relieving pain.
3. Qi stagnation and blood stasis type.
Main symptoms: abdominal distension and pain before or during menstruation, refusal to press, chest pain, breast distension and pain, unsmooth menstruation, dark menstruation with a lump, less pain under the lump, dark purple tongue, or petechiae, strong pulse or string.
Treatment: promoting qi and blood circulation, removing blood stasis and relieving pain.
Treatment: Gexia Zhuyu Decoction. If dysmenorrhea is severe with nausea and vomiting, Evodia rutaecarpa, Pinellia ternata and Curcuma zedoary can be added as appropriate; If accompanied by abdominal distension or anal pain, Curcuma Rhizome and Fructus Toosendan can be added. Cold pain in the lower abdomen of patients with cold, adding Folium Artemisiae Argyi and Fructus Foeniculi as appropriate; For those with fever, thirst, red tongue and rapid pulse, Fructus Gardeniae, Fructus Forsythiae and Cortex Phellodendri may be added as appropriate.
4, cold coagulation and blood stasis type.
Main symptoms: cold pain before or after menstruation, refusal to press, scanty menstrual blood, dark and lumpy color, cold limbs, pale face, dark tongue, white fur and tight pulse.
Treatment: Warming channels to dispel cold, removing blood stasis and relieving pain.
Treatment: Wenjing decoction. If dysmenorrhea occurs, Rhizoma Corydalis and Fructus Foeniculi can be added as appropriate; If the abdomen is cold and the limbs are not warm, cooked Radix Aconiti Lateralis Preparata and Radix Morindae Officinalis are added. If during menstruation, abdominal pain is continuous, warm and pressing is preferred, menstrual flow is less, the color is pale and thin, limbs are cold, lumbosacral pain, pale face, pale tongue, white fur, deep and thin pulse, late or astringent, it is dysmenorrhea caused by deficiency cold. Treating pain should be warming channels and nourishing blood, and Daying decoction should be used to treat fennel and psoralea corylifolia.
5, damp-heat accumulation type.
Main symptoms: burning pain in the lower abdomen before or during menstruation, even pain in the lumbosacral region, or mild abdominal pain at ordinary times, until the premenstrual pain is aggravated, with excessive menstrual flow or long menstrual period, purple-red menstrual flow, thick or blood clots, frequent leucorrhea, yellow and thick foul smell, or accompanied by low fever, Huang Chi in urine, red tongue, yellow and greasy fur, and slippery or thin pulse.
Treatment: clearing away heat and promoting diuresis, removing blood stasis and relieving pain.
Treatment: Qingre Tiaoxue Decoction (ancient and modern medical advice) is added with Sargentodoxa, Patrinia, and Coicis Semen. Cortex Moutan, Rhizoma Coptidis, Radix Rehmanniae, Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Chuanxiong, Flos Carthami, Semen Persicae, Rhizoma Curcumae, Rhizoma Cyperi and Rhizoma Corydalis. In the prescription, Coptidis Rhizoma and Coicis Semen clear away heat and promote diuresis; Caulis Sargentodoxae and Herba Patriniae clear away heat and toxic materials; Angelica sinensis, Ligusticum Chuanxiong, Semen Persicae, Carthami Flos and Cortex Moutan promote blood circulation to remove blood stasis and dredge meridians; Curcumae Rhizoma, Rhizoma Cyperi, and Rhizoma Corydalis promote qi circulation, blood circulation, and relieve pain; Radix Paeoniae Alba cools serum and relieves pain. The whole prescription has the effects of clearing heat, eliminating dampness, removing blood stasis and relieving pain. If menorrhagia or menstrual period is prolonged, Sophora japonica, Sanguisorba officinalis and Portulaca oleracea can be added as appropriate; For large dosage, Cortex Phellodendri and Cortex Toona sinensis may be added as appropriate.
The above is the introduction of how Chinese medicine treats dysmenorrhea. Although both Chinese and western medicine can treat dysmenorrhea, western medicine pays more attention to rapid and effective treatment, while Chinese medicine treatment is to slowly adjust and improve dysmenorrhea through oral administration of traditional Chinese medicine, so as to achieve a radical effect. Therefore, Chinese medicine has more advantages than western medicine in treatment. You might as well try Chinese medicine to regulate dysmenorrhea, hoping to help dysmenorrhea patients.