Patient's question:
My girlfriend has very severe pain when her period comes, and she experiences blood clots.What could be the reason for this? Is there any treatment available?
Doctor's answer:
Hello, in traditional Chinese medicine theory, dysmenorrhea is divided into: Qi stagnation and blood stasis syndrome. Symptoms: Lower abdominal pain before or during menstruation, resistant to pressure, reduced menstrual volume, difficult menstruation, dark purple menstrual blood with clots, pain relief after clot expulsion, and pain disappearance after menstruation ends. Treatment should focus on regulating Qi, resolving blood stasis, and relieving pain. Prescription: Modified Geshen Zhuyu Decoction.Cold congealing in the uterus syndrome:
- Yang deficiency and internal cold: Symptoms: Lower abdominal cold pain before or during menstruation, relieved by pressure, relieved by warmth, reduced menstrual volume, dark and pale menstrual blood. Treatment should focus on warming the meridians and warming the uterus to relieve pain. Prescription: Wenyi Decoction with aconite, mugwort, and fennel.
- Cold and dampness congelation: Symptoms: Lower abdominal cold pain before or during menstruation, pain relief when warmed, increased pain upon pressure, reduced menstrual volume, dark and pale menstrual blood with clots. Treatment should focus on warming the meridians, dispelling cold and dampness, resolving blood stasis, and relieving pain. Prescription: Shaofu Zhuyu Decoction with atractylodes rhizome and poria.
Damp-heat lower-jiao syndrome: Symptoms: Lower abdominal pain before menstruation, resistant to pressure, with a sense of heat, or abdominal pain worsening during menstruation, dark red menstrual blood, thick and clotted. Treatment should focus on clearing heat, removing dampness, resolving blood stasis, and relieving pain. Prescription: Qingre Tiaoxue Decoction with rhubarb, polygonum, and coix seed.
Qi and blood deficiency syndrome: Symptoms: Lower abdominal pain after menstruation for one or two days, or during menstruation, dull lower abdominal and vaginal prolapse, relieved by massage, reduced menstrual volume, pale and thin menstrual blood. Treatment should focus on replenishing Qi and blood to relieve pain. Prescription: Shengyu Decoction with modified rehmannia, white peony root, safflower, and croton.
Liver and kidney deficiency syndrome: Symptoms: Lower abdominal pain after menstruation for one or two days, dull and continuous, dark and pale menstrual blood, reduced volume, thin and watery. Treatment should focus on tonifying the kidneys and nourishing the liver to relieve pain. Prescription: Tiangan Decoction with modifications.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine department, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) for accurate diagnosis and treatment to achieve the best results. Wishing you a speedy recovery!