Dysmenorrhea needs to be identified according to the patient’s symptoms before prescribing medication, e.g. Shao Abdominal Blood Stasis Tang for cold-congealed blood stasis syndrome.
Cold-congealed blood stasis syndrome: before or during menstruation, the abdomen is cold and painful and refuses to be pressed, and the pain is reduced by heat, or the cycle is delayed, the amount of menstrual blood is small, the color is dark and there are lumps; the fear of cold limbs is cold, and the face is blue and white, etc., can be used in Shao Abdomen and Expel Blood Stasis Soup.
Qi stagnation and blood stasis: before or during menstruation, abdominal distension and pain refusing to be pressed, scanty menstrual flow, poor menstrual flow, purplish color with lumps, pain decreasing under the lumps, distension and pain in the chest and ribs, breasts, etc., can be used in Diaphragm-Under-Extracting Blood Stasis Tang.
Dampness-heat accumulation (dampness and heat evils accumulate in the body) syndrome: pain or distension in the abdomen before or during menstruation, with burning sensation or pain in the lumbar-sacral region, or pain in the abdomen in normal times, which is aggravated before menstruation, heavy menstruation or long menstruation period, with dark red color, thick texture or blood clots, etc., can be treated by adding subtractions of Clearing Heat and Reducing Blood Soup.
Weakness of qi and blood: during or after menstruation, hidden pain in the abdomen and liking to be pressed, small amount of menstruation, pale color and thin texture; fatigue (mental exhaustion, physical weakness), dizziness and palpitation, pallor, insomnia and dreaminess, etc., can be used in Shengjie Tang.
Liver and Kidney Deficiency Certificate: during or after menstruation, the abdomen is painful, like to be pressed, accompanied by lumbosacral pain, menstruation is scanty, pale in color and scanty in texture; dizziness, ringing in the ears, dark face, insomnia and forgetfulness, or accompanied by hot flashes, etc., can be used to regulate menstruation with Beneficial Kidney and Regulating Menstruation Soup.
It is recommended that patients seek timely medical treatment and use medication under the guidance of a doctor.