Patient's question:
Detailed medical condition and consultation purpose: This condition has lasted for two or three years. The first two days of menstruation are light in flow, gray or light coffee-colored, while heavier flow is purple or black. The following days return to gray or light coffee-colored (occasionally with red in the middle of the period). Menstruation occurs approximately every 26 days, lasting 7-8 days each time. Sometimes the abdomen pain is severe, coming in waves, with varying intensity (when she was younger, she also experienced abdominal pain during menstruation, but the color of her period was normal at that time. She consulted a traditional Chinese medicine doctor and took herbal medicine, but it never fully cured the condition).Duration and current status of the illness:
Current general condition:
Disease
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 that is resistant to pressure, reduced menstrual volume, difficult menstruation, dark purple menstrual blood with clots, pain relief after passing clots, and pain disappearance after menstruation ends. Treatment should focus on regulating Qi, resolving stasis, and relieving pain. Prescription: Modified Geshen Xuyu Decoction.Cold Congealing in the Uterus Syndrome:
- Yang deficiency internal cold: Symptoms: Lower abdominal cold pain before or during menstruation, relieved by pressure, and relieved by warmth, reduced menstrual volume, and dark 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 dampness congealing: Symptoms: Lower abdominal cold pain before or during menstruation, pain relief when warmed, increased pain upon pressure, reduced menstrual volume, and dark pale menstrual blood with clots. Treatment should focus on warming the meridians, dispelling cold and dampness, resolving stasis, and relieving pain. Prescription: Shaofu Xuyu Decoction with atractylodes rhizome and poria.
Damp-heat Lowering Syndrome: Symptoms: Lower abdominal pain before menstruation that is resistant to pressure and feels hot, or abdominal pain worsening during menstruation, dark red menstrual blood with clumps and a viscous texture. Treatment should focus on clearing heat, removing dampness, resolving stasis, and relieving pain. Prescription: Qingre Tiaoxue Decoction with polygonum multiflorum and patrinia.
Qi and Blood Deficiency Syndrome: Symptoms: Lower abdominal pain after menstruation for one or two days, or a sense of emptiness and heaviness in the lower abdomen and vagina, 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 rehmannia removed, plus white peony root, safflower, and croton.
Liver and Kidney Deficiency Syndrome: Symptoms: Lower abdominal pain after menstruation for one or two days, dark pale menstrual blood, reduced volume, and thin and watery texture. Treatment should focus on tonifying the kidneys and nourishing the liver to relieve pain. Prescription: Tiaogan Decoction with modifications.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine department and combine the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) for accurate treatment to achieve the best results. Wishing you a speedy recovery!