What are the traditional Chinese medicine syndromes for dysmenorrhea

The traditional Chinese medicine syndrome differentiation of dysmenorrhea can be mainly divided into five types: qi stagnation and blood stasis, cold and dampness stagnation, qi and blood weakness, damp heat and blood stasis, and liver and kidney deficiency.

1. Qi stagnation and blood stasis

are mainly manifested as premenstrual or menstrual bloating and pain in the lower abdomen, refusal to press, low menstrual blood volume and dark color with lumps, accompanied by chest, rib, and breast bloating and pain, and purple or dark tongue texture or bruising. The treatment requires soothing the liver, regulating qi, promoting blood circulation and removing blood stasis. The commonly used prescription is Xuefu Zhuyu Decoction or Xiaoyao Powder, which can be combined with motherwort granules, Yuanhu Zhitong Tablets and other traditional Chinese patent medicines and simple preparations.

2. Cold and Damp Stagnation

Typical symptoms include cold and painful lower abdomen during menstruation, reduced fever, dull blood color with blood clots, cold limbs due to chills, and white and greasy tongue coating. The treatment is suitable for warming the meridians, dispelling cold, removing dampness, and relieving pain. The representative formulas are Wen Jing Tang or Shao Fu Zhu Yu Tang. Traditional Chinese medicine can use preparations with warming and promoting effects such as Ai Fu Nuan Gong Wan and Gui Zhi Fu Ling Capsules.

3. Weakness of Qi and Blood

Symptoms include dull pain in the lower abdomen during or after menstruation, frequent pressing, reduced menstrual flow, pale complexion, fatigue, and thin tongue coating. To treat pain, Bazhen Decoction or Guipi Decoction are commonly used as the basic prescription. traditional Chinese patent medicines and simple preparations can choose Wuji Baifeng Pill, Buzhong Yiqi Granule and other tonic preparations.

4. Damp heat and blood stasis

Clinical manifestations include burning pain in the lower abdomen before menstruation, refusal to press, excessive menstrual flow, red color, thick and chunky texture, yellowish and pungent color, and red tongue with yellow and greasy coating. Treatment requires clearing heat, removing dampness, resolving blood stasis, and relieving pain. The prescription can be modified with Qingre Tiaoxue Tang or Longdan Xiegan Tang, and can be combined with gynecological Qianjin tablets, Jingang Teng capsules, and other heat clearing and blood stasis relieving drugs.

5. Liver and kidney deficiency

is often accompanied by continuous pain in the lower abdomen after menstruation, low menstrual flow, dark color, soreness and weakness in the waist and knees, dizziness and tinnitus, and red tongue with little coating. The therapeutic method is to nourish the liver and kidney, regulate menstruation and relieve pain. The commonly used drugs are liver regulating decoction or Zuogui pills. traditional Chinese patent medicines and simple preparations can use Liuwei Dihuang pills, Qiju Dihuang pills and other preparations that nourish the kidney essence. Traditional Chinese Medicine (TCM) regulates dysmenorrhea through syndrome differentiation and treatment. Daily attention should be paid to keeping warm during menstruation to avoid getting cold, avoiding raw, cold, and stimulating foods, and maintaining a comfortable mood. It is recommended that patients with dysmenorrhea seek medical attention from reputable traditional Chinese medicine institutions, where physicians can determine the syndrome type through a combination of four diagnostic methods and prescribe personalized prescriptions. Blindly administering medication is not allowed. Adhering to standardized treatment for three menstrual cycles can significantly improve symptoms, while combined with moxibustion at acupoints such as Guanyuan and Sanyinjiao can enhance therapeutic effects.