Dysmenorrhea and PMS Flashcards
4 possible tcm etiologies of dysmenorrhea
- emotional strain
- cold and dampness
- overwork or chronic illness
- excessive sexual activity or childbirth
what are the 8 possible tcm pathologies of dysmenorrhea
- Qi stagnation
- blood stagnation
- cold stagnation
- Damp heat
- liver Qi stagnation turning to fire
- Qi and blood deficiency
- yang and blood deficiency
- kidney and liver yin deficiency
Symptoms of Qi stagnation
Pain with deeling of distension of abdomen, pms tension, irritability, depression
T-may be normal or red on sides
P- wiry or choppy
Treatment principle of dysmenorrhea due to qi stagnation
Move qi and blood, eliminate stagnation, stop pn
Tx point for qi stagnation
Lv3 ( moves qi and blood and stops pn) Ren6 (moves qi in lower abdomen) Gb34 ( moves qi in low abdomen) Sp8 ( regulates blood in the uterus, xicleft- stops pn) St 29 ( regulates blood in uterus) Sp10 (moves blood) Sp4 rt Pc6 left (regulates the chong mai and blood in the uterus) Sp14 moves qi and blood in low abdomen
symptoms of Blood stagnation
(left off on pg 237
intense stabbing pain, relieved by passing dark clots, dark menstruate with clots, or hesitant menses (starts and stops)
T- purple
P-
Tx principle for dysmenorrhea due to blood stasis
Invigorate blood, eliminate stasis, stop pn
Tx points for blood stasis
Lv3 (moves qi and blood, stops pn) Ren6 (moves qi in low abdomen) Gb 34 ( moves qi in low abdomen) Sp8 ( xi cleft, stop pn) St29 ( regulates blood in uterus) Sp10, bl17 ( move blood) Sp4, pc6 ( regulate chong mai) Ki14(eliminates stasis fromThe chong mai)
Symptoms of Cold stagnation
pn in lower abdomen before or after menses central pn, ameliorated by heat, scanty, frank blood with small dark clots, feeling cold, sore back
T: pale- bluish or bluish purple
P- deep and choppy or deep and wiry
Tx principle for dysmenorrhea due to cold stagnation
warm uterus,scatter cold, invigorate blood stop pn
TX points for cold stagnation
Lu7, Ki6 (regulate ren mai and strengthen uterus) ren 4 wi moxa (warm uterus) ren6 with moxa (warm lower abdomen st29- (invigorates blood) sp8, sp6 (invigorate blood and stop pn) st36 tonify qi and scatter cold) st28 w/ moxa (expel cold from uterus)
Sx of dysmenorrhea due to damp heat
hypogastric pn before menses, sometimes pn at mid cycle. burning sensation extending to sacrum, feeling of heat, red blood with small clots, vaginal discharge, scanty dark urine, thirst, mental restlessness
T: red, sticky yellow coat
P- slippery
Tx principle of dysmenorrhea due to damp heat
clear heat, resolve damp, eliminate stasis stop pn
tx points for damp heat
sp9, (resolve damp) sp6 (move blood) lu7, ki6 (open ren mai regulate uterus) ren 3, st28 (resolve damp in lower burner) bl32 (resolve damp in uterus) bl22 (promote transformation of fluids and resolves damp in lower burner) LI11- (clear heat) sp10 (cool blood)
Sx for dysmenorrhea due to Stagnant liver qi turning into fire
abdominal pn before and during menses, dark menstruate, heavy bleeding, irritability, propensity to outbursts of anger, thirst, feeling of heat, dry stools
T: red with yellow coat, and reddder sides
P: rapid wirty
Tx principle of stagnant liver qi turning to fire
clear heat, pacify the liver, eliminate stagnation, stop pain
tx points for stagnant liver qi turning to fire
lv3 (pacifies the liver, eliminates stagnation, harmonizes the chong mai, and stops pn)
lv2 (clears liver fire)
lv14, tw6, gb34 (pacify liver, move qi and eliminate stagnation
li11 (clear heat)
sp10- move blood and stop pn
*the tx should be to eliminate heat by getting rid of stagnation
Sx of dysmenorrhea due to Qi and blood deficiency
dull hypogastric pn toward end or after menses. dragging sensation in lower abdomen, relieved by pressure and massage, scanty bleeding, pale complexion, fatigue, dizziness, loose stool,
T: pale
P: choppy
Tx principle of dysmenorrhea due to qi and blood deficiency
nourish blood, tonify qi, strengthen spleen, stop pain
Tx points for qi and blood deficiency
st36, (tonify qi and strengthen spleen and nourish blood)
bl20 (support spleen qi)
sp6 (nourish blood and stop pn and nourish blood)
sp10 (invigorate blood and stop pn)
sp8 (stop pn)
ren 4 (nourish blood)
Sx for blood and yang deficiency
dull abdominal pn after menses, scanty pale blood, abdominal pn, better with pressure and heat, dull ha, blurred vision, feeling cold, depression dizziness,
T: pale and swollen and wet
P: fine and deep
(this is due to def. spleen yang and liver blood)
Tx principle for dysmenorrhea due to blood and yang deficiency
warm the yang, nourish blood, stop pain, tonify spleen and liver
Tx points for blood and yang deficiency
bl20, ren12, st36, sp6(tonify spleen, nourish blood, and warm yang)
ren 4, lv8 (nourish blood)
lu7, ki6 (regulate ren mai and strengthen uterus)
Sx of dysmenorrhea due to Kidney and liver yin deficiency
dull lower abdomen pn toward end or after menses, sore back, dizziness, scanty bleeding, pn relieved by pressure, tinnitus, blurred vision, exhaustion
T: red and peeled
P:floating and empty
Tx principle of kidney and liver yin deficiency
nourish yin, benefit the kidneys nourish the liver
tx points for kidney and liver def.
bl23, bl18 (tonify kidneys and liver) ren 4 (nourish yin and tonify kidneys) sp6, ki3 (nourish kidneys and liver, and regulate blood st36 (tonify qi and blood) lu7, ki6- (ren mai)
