《中国传统医学》课程PPT教学课件（Traditional Chinese Medicine）Diseases treatment——Dysmenorrhea

Dysmenorrhea Etiology,differentiation,and treatment

Dysmenorrhea Etiology,differentiation, and treatment

Etiology and pathogenesis Cold dampness obstruction in the uterus liver qi stagna Stasis of menstrual -tion,impairment of the blood in the uterus Chong and Ren meridians Dysmenorrhea Liver and kidney Yin defi- ciency depletion of essence Under nourishment and deficiency of bood of the uterus

Etiology and pathogenesis Cold dampness obstruction in the uterus ,liver qi stagna -tion ,impairment of the Chong and Ren meridians Liver and kidney Yin defi￾ciency ,depletion of essence and deficiency of bood Stasis of menstrual blood in the uterus Under nourishment of the uterus Dysmenorrhea

Differentiation ■ Cold Dampness Obstruction ■ Main manifestations:cold pain occurs in the lower abdomen before or during menstruation,the pain is aggravated when pressure is applied,and may radiate to the back,but it may be alleviated when heat is applied,in acute cases,the pain radiates to the lower back ■ Accompanying symptoms and signs:santy menstruation with dark menses,often with clots ■ Tongue and pulse:A thin and white tongue coating,a deep and tense pulse

Differentiation ◼ Cold Dampness Obstruction ◼ Main manifestations: cold pain occurs in the lower abdomen before or during menstruation,the pain is aggravated when pressure is applied,and may radiate to the back,but it may be alleviated when heat is applied, in acute cases,the pain radiates to the lower back ◼ Accompanying symptoms and signs:santy menstruation with dark menses, often with clots ◼ Tongue and pulse: A thin and white tongue coating, a deep and tense pulse

Liver Qi Stagnation ■ Main manifestations:distending pain in the lower abdomen before or during menstruation the feeling of distention being predominant to the pain,obstructed menstrual flow ■ Accompanying symptoms and signs:Scanty periods often with clotted blood,accompanied by distending pain in the chest, hypochondrium and breasts ■ Tongue and pulse:A dark tongue with ecchymosis,a thin and white coating,a deep and wiry pulse

Liver Qi Stagnation ◼ Main manifestations:distending pain in the lower abdomen before or during menstruation ,the feeling of distention being predominant to the pain, obstructed menstrual flow ◼ Accompanying symptoms and signs:Scanty periods often with clotted blood, accompanied by distending pain in the chest, hypochondrium and breasts ◼ Tongue and pulse: A dark tongue with ecchymosis, a thin and white coating, a deep and wiry pulse

Liver and kidney yin deficiency ■ Main manifestions:Dull pain in the lower abdomen during or after menstruation alleviated by pressure Accompanying symptoms:pink,clear and thin menstrual blood,soreness of the lower back,dizziness,tinnitus,pale complexion,mental fatigue ■ Tongue and pulse:A pale tongue a deep and thready pulse

Liver and kidney yin deficiency ◼ Main manifestions:Dull pain in the lower abdomen during or after menstruation ,alleviated by pressure ◼ Accompanying symptoms:pink,clear and thin menstrual blood, soreness of the lower back, dizziness,tinnitus, pale complexion, mental fatigue ◼ Tongue and pulse:A pale tongue ,a deep and thready pulse

treatment

treatment

Cold Dampness obstruction Principle:Dispersing cold and dampness, inducing menstruation to relieve pain, mainly selecting points from the Ren and the Foot Taiyin meridians Acupoint Zhongji(RN3),Shuidao (ST28), Diji(SP8).In case of acute pain,Ciliao (BL32)and Guilai (ST29)may be added.For abdominal pain radiating to the lower back,Ming-men (DU4)and Shenshu (BL23)may be added

Cold Dampness obstruction ◼ Principle: Dispersing cold and dampness, inducing menstruation to relieve pain, mainly selecting points from the Ren and the Foot Taiyin meridians ◼ Acupoint :Zhongji(RN3),Shuidao (ST28), Diji(SP8). In case of acute pain,Ciliao (BL32) and Guilai (ST29) may be added .For abdominal pain radiating to the lower back, Ming-men (DU4) and Shenshu (BL23) may be added

Liver Qi Stagnation Principle:Dispersing the stagnated liver qi for regulating the circlation of qi to promote menstrual flow ■ Acupoint:Qihai(RN6),Taichong (LR3),Sanyinjiao(SP6) ■ Method:Use reducing or even method

Liver Qi Stagnation ◼ Principle: Dispersing the stagnated liver qi for regulating the circlation of qi to promote menstrual flow ◼ Acupoint: Qihai(RN6), Taichong (LR3), Sanyinjiao(SP6) ◼ Method: Use reducing or even method

Liver and Kidney Yin Deficiency ■ Principle:Nourishing the liver and kidney Yin,regulating and reinforcing the Chong and Ren meridians ■ Acupoint:Ganshu(BL18),Shenshu (BL23),Guanyuan(RN4),Zusanli (ST36), Zhaohai (KL6) ■ Method:Reinforcing and moxibustion can be used

Liver and Kidney Yin Deficiency ◼ Principle: Nourishing the liver and kidney Yin, regulating and reinforcing the Chong and Ren meridians ◼ Acupoint: Ganshu(BL18), Shenshu (BL23), Guanyuan(RN4), Zusanli (ST36), Zhaohai (KL6) ◼ Method: Reinforcing and moxibustion can be used