TCMdysmenorrhea 中医药和痛经.ppt

TCM  Dysmenorrhea General Information Uterine pain Sharp, cramping（抽筋）, throbbing（跳痛）, dull, constant ache Radiate to legs Common: headache, nausea, constipation（便秘）,diarrhea（腹泻）, lower back pain, urinary frequency Causes Emotional factors-----Stagnation of Qi Blood气滞血瘀 Cold/Damp exposure---- Accumulation of cold/damp冷湿聚积于体内 Existing Qi/Blood Deficiencies气血虚弱 Existing Liver/Kidney Deficiencies肝肾虚损 Deficiency of Yang and Internal Cold 阳虚内寒 Treatment 1. Abdominal pain before and during menstruation 2. menses of a purple or dark color 3. small volume and blood clots（血块） 4. decreased pain after passing blood clots 5. purplish spots（紫色斑点 ） on the tongue 6. wiry-choppy-strong pulse(脉象弦涩有力) Qi Stagnation and Blood Stasis 气滞血瘀 Herbs Aurantium fruit（枳壳） Lindera root（乌药） Cyperus tuber（香附） Regulate the Qi Cnidium（川穹） Persica seed（桃仁） Safflower （红花） Invigorate the Blood Abdominal pain during or after menstruation pale, watery menses with small volume soreness of the lower back and legs long-drawn-out urination with a thin stream white tongue coating deep pulse Deficiency Cold Pattern 虚寒型 Cinnamon bark（肉桂） Evodia bark（吴茱萸） Warm the uterus Abdominal pain before or during periods application of warmth reduces pain dark-colored menses with blood clots aversion to cold（恶寒） cold limbs white or white-sticky tongue coating（白腻苔） wiry-tight（弦紧脉） or wiry-slippery pulse（弦滑脉） Cold Dampness Pattern 寒湿型 Cinnamon bark（肉桂） Fennel seed（小茴香） Dry ginger（干姜） Warm property Remove dampness Abdominal pain after menstruation dull abdominal pain thin menses, with a pale color and small volume tiredness loose stools pale complexion（面色苍白） pale tongue body thin-weak pulse Qi Blood Deficiency Pattern 气血不足型 Ginseng（人参） Astragalus（黄芪） Angelica（当归） Rehmannia（地黄） Acupuncture Moxibustion Abdominal exercises: Lying face up, lift and bend the knees, and take two breaths from the lower abdomen, Do this exercise two to three times a day. 2. Lying face up, alternately lift and b