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Om internal D
Dysmenorrhea
| pathology | clinical symptom | tongue/pulse | tx plan | herbal tx |
|---|---|---|---|---|
| Cold accu at Uterus | low abdm pain before or after mens, pain central, pain diminish by heat, feel cold & back sore, weak knee, clear urine | T. pale bluish or bluish purple P. choppy or deep & wiry Cycle: delay amount: hypo or scanty color: bright red quality: thin small dark clot | warm chnl, warm uterus, expel cold, activate blood and releive pain | Wen Jing Tang |
| Cold Damp accu in uterus | cold sense & pain at low abdm several day before period or during period, pain reduce by heat & worse by pressure, body ache, intolerance cold | T. white greasy t/c P. deep tense cycle: normal or delay mens period amount: hypo color: dark black quality: some clots | warm chnl, dispel cold damp & releive pain | Shao Fu Zhu Yu Tang |
| Damp heat accu in lower Jiao | low abdm pain before mens & sometime on mid cycle, pain worse by pressure, burn sense extend to sacrum, heat feel, pain usually aggravated by mens, low grade fever, yellow thick, leukorrhea, dark scantu urine | T. red t. yellow gresy t/c P. soft rapid Cycle: regular or irre amount: hyper or hypo color: red quality: thick with clots | dispel damp heat, remove stag & releive pain | Qing Re Tiao Xue Tang |
| Qi & blood Def | dull pain low abdm during period or 1-2 day after period, bear down sense at lower abdm, pain reduce by pressure & massage, pale face, poor appetite, general weak, fatique, loose stool | T. pale P. choppy cycle: regular or delay amount: hypo or scant color: pale red quality: thin no clot | tonify qi, nourish blood, strengthen Sp & releive pain | Sheng Yu Tang |
| Def of liver & kd | vague dull pain at low abdm during period or 1-2 day after period, back soreness, tidal fever, pain releive by pressure & massage, blurr vision, tinnitus | T. red t. w/o t/c P. floating empty cycle: regular or delay amount: hypo or scant color: pale red quality: thin no clots | nourish Yin, benefit kd, nourish Liv & releive pain | Tiao Gan Tang |
| Qi stag & blood stag | sharp pain at low abdm 1-2 day before mens or on 1st day, pain worse w/ pressure, hypo distend or pain, breast distend, abdm pain diminish after discharge clots, pain reduce when mens finish | T. dark purple t. w/ purple spot P. wiry or wiry slippery cycle: regular or irre mens period amount: normal or hypo color: dark purple red quality: lots of clots | regulate Qi flow, remove blood stag and relieve pain | Ge Xia Zhu Yu Tang |
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djraspberry
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