Jia Wei Si Wu Tang on the clinical observation of treatment of dysmenorrhea

Author: Li Fang-product gold Like Jin Liu Haitao Pili

[Abstract] <<Su asked Elder naive theory>> said: twenty-seven and menstruation to women, Ren Tong, Taichong pulse-sheng Yueshian to nowadays, if the actual situation the red blood runs sluggish. "No pain, General do not wing the pain ", where during menstruation and walking around, cyclical abdominal pain or pain cited lumbosacral pain or syncope, called" dysmenorrhea ", it is always square with gynecological" four things soup "syndrome quite harvest and more. now order in the next, to satisfy the fellow.

[Keywords] dysmenorrhea: TCM therapy: Modified Siwutang: Clinical applications

[Abstract] "Element Asked that Antiquity Discusses Naively" said: Female 27, but menses to, no matter what the arteries pass, too flushes the arteries abundant menstruation by present, if has the empty regulations to flush no matter what the vitality movement is impeded. "not general rule pain, not Rong Zetong", every around the menstrual period and passes by, has the periodic lower abdomen ache or the pain directs the waist shinbone, even severe pain fainting, is called "the painful menstruation", therefore "four soup" the diagnosis and treatment harvests with the gynecology department total side quite a lot. Presently reorganizes under, shows appreciation the person of same belief.

[Keywords] Painful menstruation: Chinese medicine pharmacotherapy: Adds the taste four soup: Clinical practice

<<Su asked Elder naive theory>> said: twenty-seven and menstruation to women, Ren Tong, Taichong pulse-sheng Yueshian to nowadays, if the actual situation the red blood runs sluggish. "Not pain, not wing the pain ", where during menstruation and walking around, cyclical abdominal pain or pain cited lumbosacral pain or syncope, called" dysmenorrhea ", it is always square with gynecological" four things soup "syndrome learned a lot. now order in the next, to satisfy the fellow.

1 Pathogenesis
Irregular menstruation, dysmenorrhea rests within the impassioned of the injury, outside the six evils of flu or lack of blood, yin and yang imbalance, either due to poor impulse.

2 Differential Treatment
2.1 Deficiency lack of qi and blood of such patients, diet or fatigue cause organs Deficiency, the Chong and Ren is not sufficient, overflowing sea of ​​blood on time, [1] and therefore see the menstrual cycle after the fault, less, pale , thin, Yang and the uterus, loss of cellular connections in the warmth Ruyang, so the line of waist and knees, palpitations, shortness of breath, disinclination to talk, abdominal pain, heat that is light, pale, thin, weak pulse late.

Treatment: nourishing menstruation, warm the Fu-yang. Tonga taste four things: Rehmannia, angelica root, white peony root, Evodia, cinnamon, ginger, Xuan Hu, Xiang Fu Fang Rehmannia, Angelica nourishing blood, blood reconcile Chuanxiong , white peony root, Cyperus rotundus priorities menstruation pain, Evodia, cinnamon, ginger, Xuan Wu cold pain played a total of menstruation effect.

2.2 dysmenorrhea woman hot hot in interference Yu Chong and Ren, forcing the blood ahead of the line, Yu resistance poor, or less by volume, color purple, sometimes small, abdominal pain refused to press, the two sides of the lower abdomen as the most important, urine red or yellow stool, red tongue, yellow coating, pulse string.

Treatment: heat menstruation. Tonga taste four things: habitat, white peony root, Chuan Xiong, angelica, Coptis, Phellodendron, mountain branches, Anemarrhena, rhubarb, Fang reuse habitat Qingreliangxue, Angelica, white peony root nourishing liver, Chuanxiong reconcile the blood, Coptis, Phellodendron, mountain branches, Anemarrhena diarrhea triple burner fire, rhubarb laxative purging fire, cold medicine that should be non-menstrual, but guilty of the blood heat Wang Xing, so Yuhan only [2] (if menorrhagia is to Chuanxiong of various drugs, the effect is very good.

Links to free download http://www.hi138.com 2.3 dysmenorrhea stagnation of qi stagnation of blood for gas, red blood run blocked, overflowing sea of ​​blood on time, so the delay through the line, less color, dark There are blocks of red, abdominal pain and discomfort Xiongxie. depression, pulse string, white fur.

Treatment: qi stagnation line, blood circulation to regulate menstruation. Tonga taste four things: Rehmannia, angelica root, white peony root, Toosendan, fennel, blue, aggregata, Cyperus rotundus, Fang Rehmannia, Angelica nourishing blood to regulate menstruation, Chuanxiong through transfer of blood stagnation, qi stagnation line pharmacological Wu, Cyperus rotundus liver qi. Qingpi qi stagnation line, Toosendan qi and blood circulation, TGP priorities pain, cumin warm in the stomach, spleen and stomach in order to enhance the function of sodium transport as a junior into the Fang, Chang received a surprise move effect.

2.4 dysmenorrhea disease disease because of congestion and blood stasis block, new blood is difficult jump and Wang Xing, so menstruation, the amount of more or less, the color dark purple or have small blood clots, abdominal pain refused to press, the line of pain reduction after the tongue dark purple or small petechia, pulse string astringent or astringent.

Treatment: blood circulation, stop bleeding menstruation. Tonga taste four things: angelica root, white peony root, Rehmannia, raw land, peach kernel, safflower, madder, Zeeland, Fang Rehmannia, Chuanxiong, white peony root, angelica nourishing menstruation, peach kernel, safflower, Zeeland stasis, habitat, madder stasis to stop bleeding, such as dialectical exact, indeed blood circulation, regulate menstruation analgesic medicine.

2.5 Pain management deficiency anemia less red blood shortage, so pale complexion, dizziness, mind dystrophy, heart palpitations, fatigue, skin does not run, the line of fault, the less, the endless line of belly ache. Pale white coating, pulse small and weak.

Treatment: blood to regulate menstruation. Four things Tonga flavor components: Rehmannia, angelica root, white peony root, Radix, Huang Jing, Fang Siwutang reuse Rehmannia, Angelica blood to regulate menstruation. Radix [3] nourish liver and kidney, fill lean blood, Polygonatum [3] fill all empty, fill in essence, marrow is the source of the blood, so your temporary card in the pathogenesis of control, flexibility and treatment, in the blood to regulate menstruation has a unique exact outstanding effect.

Three typical cases
Zoumou, female, 31 years old, Jiangzuicun, married, March 5, 1997 newly diagnosed, thirteen years after menarche, 24 years of marriage, has always been wrong, after menstruation, blood less, pale, the rain line abdominal ache , pale complexion, dizziness, palpitations, fatigue. recall one child 5 years ago, abortion bleeding, birth to a baby boy in 1993, thin weak pulse, pale tongue, thin, former Angelica nourishing cream with no avail, by the blood of menstruation Siwutang plus Radix, Polygonatum fill up the essence of all true, then the deficiency caused by menstruation dysmenorrhea self-healing.

References
[1] Chinese gynecology People's Health Press, June 2005 edition.

[2] were the treatment of refractory gynecological medicine side singular magic bullet Science and Technology Literature Press, July 2005 edition.

[3] People's Health Publishing House of Pharmacy in December 2004 edition. Links to free download http://www.hi138.com