Gyn-Dysmenorrhea (Painful Menstruation) Flashcards by Patricia Orsini

What is the Etiology of Dysmenorrhea

Diet - Cold, Raw, Greasy, Sugar
Emotional - Anger, Frustration, Anxiety
Trauma, Injury, Surgery - affects REN & CHONG
Too many children which harms LV, KD, QI, Blood
Weak Constitution

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Sharp, Severe, don’t want to be touched

Excess

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Dull Pain, Like to be touched

Deficiency

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Cramping Pain

Cold

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Burning Pain

Heat

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Bearing down pain BEFORE Period

Blood Stagnation

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Bearing down pain AFTER Period

KD Deficiency

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Pain in Lower Abdomen

Liver

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Distention more than Pain

Qi Stagnation

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Pain more than Distention

Blood Stagnation

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Pain is Less AFTER passing CLOTS

Blood Stagnation

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Pain around Waist

Dai

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Pain referred from Front to Back & Both Sides

KD Deficiency

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Pain from the Middle to sides & Down & Up

LV QI Stagnation

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Pain began several days before onset or during period and ceases upon end of menstruation
Intense Pain aggravated by Pressure - Comes & goes
With Clots (can be cold, qi or blood stagnation)

Dysmenorrhea - EXCESS

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Treatment Principle for Excess Dysmenorrhea syndrome

Regulate Qi in Ren & Chong

Acupuncture Points for EXCESS Syndrome

RN 3 (3 yin crossing, like SP 6) UB22, LI4, SP10, LV3
Distending Pain = KD14, ST28 (moxa-qi & blood stagnation)
Pain + Cold = ST 27 & ST 29 Moxa
*UB 32= EMPIRICAL point for DYSMENORRHEA (S2 Level), 
Ear Acupuncture for dysmenorrhea = Lower abdomen, uterus, shenmen)

Appears AFTER menstruation had begun at the end or after
Pain is more CONTINUOUS, relieved by Pressure and Warmth
DULL Pain
Pink, Menses

Dysmenorrhea d/t DEFICIENCY

Acup. Points for Dysmenorrhea d/t Deficiency

RN4, UB20, 23, ST36, SP6 (Tonify Qi & Blood)

RN4 & UB 23 - tonify Yang

Pain in the Lower Abd.
Distending Pain (1-2 days-before or during)
Delayed, Hesitant, scanty
Pain before menstruation
Dislike to be touched
Purplish or Dk. Red color Blood
Pain Relieved after passing clot
Bad mood, low spirit (LV)
Dark & Clotted Blot
T: Purplish on both sides (LV) P: Wiry, choppy

Dysmenorrhea - Excess

Qi and/or Blood Stagnation (may turn to heat)

LV QI Stagnation going to Blood Stagnation going to Pain

Treatment Principle for Dysmenorrhea d/t LV QI Stagnation producing Blood Stagnation & Pain

Regulate LV qi, Move Blood, Stop Pain

Points for Dysmenorrhea d/t LV Qi Stagnation - Blood Stagnation - Pain

SP6 (regulate period), SP8(regulate uterus, harm. blood for both stag & bleeding, LV3, REN4 & REN6=tonify & move qi & Blood, ST29, SP10, GB 34, SP14, LU7 & KD6 (open Ren & regulate Qi)
PC6 & SP4 (open Chong & regulate blood)

Herbs for Dysmenorrhea d/t LV Qi Stagnation - Blood Stagnation - Pain

Qi Stagnation = Xiao Yao San (Rambling Powder)

Blood Stagnation = Tao Hong Si Wu Tang (four substance decoction with Safflower & Peach Pit)

Low abd. pain beofre, during, or after period started
Pain & cold lower abd. referred to waist & back (uterus connected to KD)
Alleviated by WARMTH
Blood color is Dark Red, Scanty, with clots
T: Pale or Pale Purple P: Deep, tight or deep choppy

Excess Cold
Deficiency COLD (SP &amp; KD Yang Def) - may be also Damp Cold

TP for Dysmenorrhea d/t Excess Cold

Warm Uterus, Dispel Cold, Activate Blood, Stop Pain

Points for Dysmenorrhea d/t Excess Cold

SP6, LU7, KD6, RN4&RN6 (Moxa), ST29 (Period Point), SP8, UB23(moxa) ST36, DU4

Formula for Dysmenorrhea d/t Excess Cold

Wen JIng Tang (Warming the Menses Decoction) Moves Blood, Activates Blood, Tonifies Yin Also treats Whole Body Yin Deficiency * Cold is EXCESS * Body Constitution is Deficient

1. Abdominal Pain before or during Period 2. Refuses to be Touched 3. Period is THICK, Heavy Yellow Vaginal discharge, Foul Smelling 4. Short Cycle 5. Heavy Thick Period (Heat in Blood) 6. Bright red blood with small clots 7. Burning sensation extend to sacrum 8. Feeling of Heat, Thirst, Scanty dark urine 9. Irritability & mental restlessness T: Red with sticky yellow coat P: rapid,slippery

Damp Heat with Blood Heat (Toxicity) Excess

TP for Dysmenorrhea d/t Damp Heat with Blood Heat

Clear Heat, Resolve Damp, Eliminate blood stasis to stop pain

Points for Dysmenorrhea d/t Damp Heat with Blood Heat

SP6, LU7, KD6, RN3, SP9, ST28(water passage), UB32, LI11, SP8, LV3, SP10, RN12 (Reg. SP/Damp)

Formula for dysmenorrhea d/t Damp Heat with Blood Heat

Er Miao San variation (Two Wonderful Powder Variation)

1. Dull Pain (during, at end, or after period) 2 Empty & pulling dragging down on lower abd. 3. Blood color is light, scanty 4. Pale Face, Pale lips and Tiredness 5. Dizziness, Loose Stool T: Pale P: Weak (thready) and/or choppy

Dysmenorrhea d/t QI & BLOOD DEFICIENCY | After Chronic Disease creates manifestations of Yang Deficiency

TP for Dysmenorrha d/t Qi & Blood Def

Tonify Qi & Blood

Points for Dysmenorrhea d/t Qi & blood Def

SP6, 8, ST36, REN4, UB17, UB32, RN6 (t. qi & blood) LV8, UB18, 20, 23,

Formula for dysmenorrhea d/t Qi & Blood Def

Ba Zhen Tang (Eight Precious Decoction) 4 substance plus 4 gentlemen

1. Lower abd. pain at the end or after period 2. Pain radiates to Back 3. Dizziness 4. During period, scanty flow, pale, no clots 5. Pain relieved by massage, pressure & warmth 6. Dull Headache, blurred vision, dizziness 7. Feels Cold 8. Tired & Loose Stool T: Pale, swollen P: Fine & Deep

Dysmenorrhea d/t LV BLOOD & SP YANG DEFICIENCY

TP for dysmenorrhea d/t LV Blood & SP Yang Deficiency

Tonify LV & SP Warm Yang Nourish Blood

Points for Dysmenorrhea d/t Lv Blood & SP Yang Deficiency

SP6, RN4, 6, 12, LV8, UB17, 18, 20. | LU7, KD6

Formula for Dysmenorrhea d/t LV Blood & SP Yang Deficiency

Dang Gui Jian Zhong Tang (Angelica Strengthening the Centre Decoction)