The so-called menstrual disorders refer to some conditions that are basically normal in terms of menstrual cycle and menstrual flow, but accompany menstruation and appear around the time of menstruation. Such as menstrual asthma, menstrual migraine, menstrual rash, menstrual pneumothorax, menstrual nosebleed, menstrual angina, menstrual arthritis and so on. I. Possible mechanisms of menstrual diseases: 1. Increased secretion of endogenous prostaglandins (increased PGF2a); 2. Decreased levels of luteinizing hormone and estrogen in the body; 3. Dysmenorrhea; 4. Changes in the immune status of the pre-menstrual period in relation to the menstrual period. 5, common menstrual diseases and their mechanisms II, menstrual headache Some women feel headache during menstruation, and at the same time, the menstrual blood volume is also relatively high, there are several reasons: First, under the action of hormones, the expansion of small blood vessels throughout the body, and intracranial vasodilatation can cause headache, and at the same time, vasodilatation of the reproductive system can also trigger the increase in the volume of menstrual blood. Secondly, hormonal action may lead to mild intracranial edema, resulting in increased intracranial pressure and consequent headaches. Oral ergotamine caffeine, ghrelin or Yuanhu pain relieving tablets and Jiawei Yuwan have been shown to be effective. There are also cyclic migraine, this headache reaction is due to the decline in estradiol levels before menstruation, in addition to women’s vascular response to abnormalities. Third, menstrual arthritis Some women may experience joint pain during menstruation, especially knee pain, which may be accompanied by mild swelling and deep pressure pain in the joints, aggravated by walking (especially down the stairs). Menstrual arthritis is most common in adolescent women. The occurrence of menstrual arthritis is closely related to the imbalance of water and electrolyte metabolism caused by the change of hormone levels in menstruating women. Due to the retention of water, swelling of varying degrees occurs, which is most noticeable in the face, hands, feet and other parts of the body. Inside the patella of the knee joint, there is a triangular-shaped gap filled with adipose tissue, called the “infrapatellar fat pad”. When water and sodium retention occurs, the infrapatellar fat pad swells, causing pressure on the local nerve endings and causing pain. Because menstrual arthritis of the knee with the end of the lunar fat and gradually alleviate, so many patients do not take it seriously, however, with the gradual increase in age, after middle age, the fat pads will gradually become milky thick and fibrosis, and activities with the surrounding joint bursa friction, resulting in bursitis, then the knee pain becomes persistent, and even affect the activities of the knee joint. Fourth, menstrual rash Some women every menstrual period before and after the onset of no other cause, in the lips or around the nose appeared millet granular herpes, burning, itching, or in the chest and back, limbs and other parts of the pimples, erythema, blisters and other polymorphic rashes, these rashes and the menstrual cycle has a clear relationship. The reason may be due to the increase in ovarian secretion of progesterone caused by allergic reactions, so it is an allergic dermatosis. Fifth, menstrual toothache Some adolescent girls before and after menstruation can occur toothache, but mostly transient episodes. Some women are also accompanied by gum congestion, redness and spontaneous bleeding and other symptoms. This is mostly due to the increased concentration of estrogen in the body during menstruation, stimulating the gingival hormone concentration increases, stimulating the special receptors within the gums, resulting in the pulp and periodontal membrane vasodilatation, enlargement, and then compression of the local nerves and triggered. Generally to the menstrual clean, gum swelling can be relieved, toothache also disappeared. Six, menstrual asthma A few young women due to physical weakness, menstrual disorders, when menstruation, can often cause excessive vagus nerve excitation, a large amount of secretion of acetylcholine, prompting spasm of the bronchial smooth muscle, so that asthma attacks. Possible mechanisms of menstrual asthma: 1, menstrual asthma is associated with increased vagal excitability in patients; 2, low levels of luteinizing hormone during menstruation lead to contraction of bronchial smooth muscle, luteinizing hormone leads to microvascular leakage, etc.; 3, prostaglandin F2α increases significantly, bronchial smooth muscle contraction, inducing asthma attacks; 4, the body’s increased level of estrogen makes the body balance imbalance, which triggers asthma symptoms during the period of menstruation The increase of estrogen level in the body makes the balance of the body disordered, inducing asthma symptoms during menstruation. Seventh, menstrual pneumothorax There are a small number of women menstruation, can suddenly occur chest tightness, shortness of breath, or even dyspnea, lips and lips cyanosis and other symptoms. It is characterized by the patient’s age between 24-40 years old; chest lesions in the right side of the chest cavity; the onset of time is often in the 72 hours before menstruation to 72 hours after the onset of menstruation, non-menstrual period does not occur. Eight, menstrual psychosis Most of them occur in adolescence, usually before the onset of menstruation, there are insomnia, dizziness, sweating, dry mouth, cold hands and feet, poor appetite and other aura. There are also some girls who have sudden onset of psychosis, which manifests itself as abnormal behavior, frenzied excitement, irritability and talkativeness, crying, panic and restlessness, or dullness, fantasy, refusal of food and drowsiness. The symptoms are similar to those of psychiatric patients, and lasts for about a week or so without any special treatment, and then stops after menstruation to return to normal. The characteristics of menstrual cyclic psychosis are: 1. Sudden onset 2 weeks before menstruation (ovulation or luteal phase); 2. Rapid remission at the onset of menstruation or at the time of menstrual cleansing; 3. The condition is not limited to mood fluctuations, and psychotic symptoms, especially hallucinations, may occur. Obviously incoherent motor excitement, a few for motor inhibition; behavioral disorders with mild impaired consciousness; fragmentary hallucinations, delusions and language disorders; obvious emotional high or low. Nine, menstrual angina Some women have angina due to changes in the menstrual cycle. Journal of the American Medical Association has introduced such typical cases: a middle-aged woman angina pectoris for 5 years, despite a variety of tests, still not a clear diagnosis, until she reviewed the medical history after a violent attack, only to realize that each angina pectoris are almost always in the menstrual period before the onset of 2-3 days after the doctor followed up, the results of the diagnosis of “menstrual-associated angina pectoris”. Menstruation-related angina”. Ten, menstrual stomach pain Someone menstruation stomach pain, mostly caused by endometriosis. Because the uterus position excessive posterior tilt and flexion, vaginal atresia, cervical opening narrow, multiple abortions, menstrual intercourse, etc., resulting in the endometrium through the fallopian tube “flow” to the ovaries, gastric mucosa, nasal mucosa, etc., there will be stomach pain, nosebleeds and so on. Endometriosis can be treated with medication or surgery. But the more important thing is prevention, should be as little as possible to do abortion surgery, do not have intercourse during menstruation, do not take a bath, do not swim, do not do pelvic examination, before menstruation is prohibited to do a variety of tubal patency test. XI, acupuncture treatment of menstrual diseases to regulate the nerves innervating the internal genital organs, in order to promote the inner secretion of related hormones, so as to reduce or even eliminate the symptoms. Therefore, acupuncture points can be considered lumbosacral, and lower abdomen points mainly. This is also well justified from a TCM perspective. According to TCM, menstruation is mainly related to the reproductive function of the kidneys, therefore, points related to the kidneys should be considered. The lower abdomen is where the uterus is located, where the qi of yuan yin and yuan yang occurs, therefore, lower abdominal acupuncture points, Job Guan Yuan, Qi Hai, and Qi Point – Uterus are all considered. Secondly, the lumbosacral area is innervated by the sacral plexus, and the innervation of the genitourinary system mainly originates from this, and the sacral medulla oblongata is one of the centers of the parasympathetic nerves, therefore, the lumbar bone area acupuncture points are also very important, such as the kidney Yu, the fate of the door, Guanyuan Yu, Qi Hai Yu and so on, are very important. Secondly, according to the specific symptoms, the relevant acupoints can be appropriately matched. It is best to treat with electroacupuncture or use acupoints to bury the threads.