1. Qi Stagnation with Blood Stasis
Primary symptoms: Abdominal distension or severe pain 1-2 days before menstruation or during menstruation. Menstrual period is delayed, flow is small or not smooth, dark purple or with clots, pain decreases after clot expulsion, pain disappears after menstruation ends. Accompanied by chest and breast distension, irritability, anger, dark purple tongue or ecchymosis, thin coating, deep and wiry pulse.
Treatment: Activate blood, resolve stasis, regulate qi, relieve pain.
Formula: Ge Xia Zhu Yu Tang with modifications. Ingredients: Angelica, red peony, ligusticum, peach kernel, safflower, citrus aurantium, Corydalis, five lingzhi, moutan, curcuma, cyperus, licorice, etc.
2. Cold-Damp Stagnation
Primary symptoms: Cold or cramping pain in lower abdomen several days before menstruation or during menstruation, even extending to the lower back. Pain lessens with warmth, worsens with cold, worse when pressed. Menstrual flow is delayed, not smooth or suddenly stops. Flow is small, dark purple with clots, leukorrhea is thin, face is pale, limbs are cold, afraid of cold, loose stools, pale tongue with dark coating, greasy and white, deep and tight pulse.
Treatment: Warm the channels, dispel cold, remove dampness, resolve stasis, relieve pain.
Formula: Wen Jing Tang with modifications. Ingredients: Evodia, angelica, ligusticum, motherwort, corydalis, cow knee, cinnamon twig, atractylodes, poria, cyperus, dry ginger, etc.
3. Qi and Blood Deficiency
Primary symptoms: Mild continuous pain in lower abdomen during or after menstruation, or a feeling of emptiness and heaviness in the lower abdomen, pain lessens when pressed. Menstrual flow is small, pale and thin. Body is thin, spirit is tired, palpitations, shortness of breath, pale complexion, poor appetite, loose stools, pale tongue with thin coating, weak and fine pulse.
Treatment: Tonify qi and blood, regulate menstruation, relieve pain.
Formula: Sheng Yu Tang combined with Ba Zhen Tang with modifications. Ingredients: Rehmannia, angelica, white peony, ligusticum, astragalus, ginseng, evodia, cinnamon twig, cyperus, corydalis, licorice, etc.
4. Liver-Kidney Deficiency
Primary symptoms: Mild continuous pain in lower abdomen 1-2 days after menstruation, low back pain, pale menstrual blood, small and thin flow, dizziness, tinnitus, pale tongue with thin coating, deep and fine pulse.
Treatment: Nourish liver and kidney, regulate menstruation, relieve pain.
Formula: Tiao Gan Tang with modifications. Ingredients: Angelica, white peony, cornus, morinda, donkey-hide gelatin, yam, rehmannia, wolfberry, moutan, toosendan, etc.
|
