1. Coagulation of cold-dampness
Cold pain in the lower abdomen before or during menstruation, rejection to pressure and preference for warmth, unsmooth and scanty menorrhea with purplish and blackish clot, accompanied by cold body and limbs, aching joints, whitish greasy tongue fur, deep and tense pulse.
2. Qi stagnation and blood stasis
Distending pain in the lower abdomen before or during menstruation, unsmooth and scanty menorrhea with purplish and blackish clot, accompanied by distension in
the chest, hypochondria and breast, purplish tongue or with ecchymoses, deep and taut pulse.
3. Insufficiency of qi and blood
Vague pain in the lower abdomen during or after menstruation, preference for pressure, light-colored and thin menorrhea, accompanied by pale complexion, lassi-tude, dizziness, light-colored tongue and thin and weak pulse.
4. Asthenia of both the liver and kidney
Vague pain in the lower abdomen after menstruation, irregular menstruation, profuse or scanty menorrhea with light-red color and no blood clot, accompanied by aching and weakness of the loins and knees, restless sleep in the night, dizziness and tinnitus, reddish tongue with scanty fur and thin pulse.
Treatment:
1. Body acupuncture
Prescription: Zhongji (CV 3), Ciliao (BL 32), Diji (SP 8) and Sanyinjiao (SP 6).
Modification: For coagulation of cold-dampness, Guanyuan (CV 4) and Shuidao (ST 28) are added with heavy and frequent moxibustion; for qi stagnation and blood stasis, Taichong (LR 3) and Xuehai (SP 10) are added; for insufficiency of qi and blood, Pishu (BL 20) and Zusanli (ST 36) are added; for asthenia of both the liver and kidney, Ganshu (BL 18), Shenshu (BL 23) and Taixi (KI 3) are added; for nausea and vomiting, Neiguan (PC 6) and Zhongwan (CV 12) are added.
Performance: The treatment begins 3 - 5 days before menstruation. Ciliao (BL 32) is needled 1.5 cun into the posterior sacral foramen obliquely toward the spinal column with reducing needling technique and repeated manipulation to enable warm sensation to transmit to the lower abdomen; for severe pain, electropuncture can be used.
2. Ear acupuncture
Prescription: Internal Genitalia (TF2), Subcortex (AT4), Sympathetic Nerve (AH6a), Endocrine (C018), Liver (CO12) and Kidney (CO10).
Performance: Each time 2 - 4 acupoints are needled with medium and strong stimulation. Or Wangbuliuxingzi (Semen Vaccariae) is used for ear acupressure alterna-tively on both ears, 3 - 4 times a day. The treatment begins 3 days before menstruation to prevent relapse.
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source:http://www.tcmadvisory.com/index.asp
