Primary dysmenorrhea refers to menstrual pain without obvious organic lesions in the reproductive organs, also known as functional dysmenorrhea. It often occurs soon after the first menstruation, mostly in unmarried or pregnant women, and is relieved or disappears after childbirth. The disease belongs to the category of “dysmenorrhea” and “abdominal pain during menstruation” in Chinese medicine. The principle of treatment for dysmenorrhea is to regulate qi and blood, but the cause of the disease is different, and the evidence of deficiency and reality, the treatment varies. The pain and distension in the abdomen 1-2 days before or during the menstrual period, low menstrual flow or irregular menstruation, purple and dull menstruation with clots, the pain decreases after the clots are discharged, often accompanied by swelling in the chest and breasts, purple and dull tongue or petechiae, and string pulse. The evidence belongs to Qi stagnation and blood stagnation. The treatment is to promote the flow of Qi and activate blood circulation to relieve pain. Select Qi Hai, Zhong Level, Guan Yuan, and Belt Vein and use the diarrhea method of acupuncture. It can also be treated with plum blossom acupuncture cluster Guan Yuan and Qi Hai, plus cupping. Premenstrual distension and pain in the abdomen refusing to press, with burning sensation, or with lumbosacral distension and pain, dull red menstruation, thick and lumpy quality, usually or with yellow and thick banding, short yellow urine, red and yellow and greasy tongue, string or slippery pulse is damp-heat downward injection, treatment is to clear heat and remove dampness, resolve stasis and relieve pain. Qihai, Guangyuan, Tianshu, Sanyinjiao, Mangjiao, Hegu, and Feosanli are selected for acupuncture with the diarrhea method. The above points can also be punctured with a trigeminal needle, plus cupping treatment. Cold pain in the abdomen before or during menstruation, reduced by heat, painful when pressed, low menstrual flow, dull red and not fresh with stasis, or like black bean juice, purple tongue, white greasy moss, sunken and tight pulse. The evidence belongs to cold and dampness stagnation, the treatment should be to warm the menstruation to disperse cold and remove dampness, invigorate the blood to dispel blood stasis and relieve pain. Select Guan Yuan, Yang Jiao, Nei Ting, He Gu, Kidney Yu, Guan Yuan can be added to the sizzling method, moxibustion method as below. Cold pain in the abdomen during or after menstruation, preferring to press, relieved by heat, low menstrual flow, dull menstrual color, cold fear of cold limbs, soreness and weakness of the waist and legs, clear and long urine, white tongue coating, sunken pulse. The evidence belongs to Yang deficiency and internal cold. The treatment is to feed the uterus with wet menstruation, resolve stasis and relieve pain. The treatment is based on the Yang acupuncture method with warm acupuncture; the Guan Yuan point is taken 3 inches below the umbilicus, and the acupuncture point is pierced 1.5 inches deep with a milli-needle, and then strongly stimulated with a lifting and twisting technique after obtaining Qi. Take a moxa segment of 1-20cm long, put it on the needle handle and light it, and use 2-3 moxa segments on each needle once a day. After 1-2 days of menstruation or during menstruation, vague pain in the abdomen, like to rub and press, low menstrual flow, pale and yellowish, or fatigue, pale or yellowish face, pale and weak pulse, the evidence belongs to the weakness of qi and blood, the treatment is to benefit qi and replenish blood, regulate menstruation and relieve pain. Select Bai Lao, Kidney Yu, Guan Yuan, Guilai and Ji, and use the tonic method of acupuncture. How to prevent dysmenorrhea? Women, due to the special physiological phenomena of menstruation, belt, fetus and childbirth, can easily lead to the attack of disease and evil and the occurrence of dysmenorrhea. Therefore, pay attention to personal hygiene and health care, is an effective measure to prevent dysmenorrhea. 1, learn to master the knowledge of menstrual hygiene The onset of menstruation is a sign of women entering puberty, however, some young women due to lack of understanding of the phenomenon of menstrual bleeding, will produce unnecessary fear, nervousness and shyness and other psychological changes. These undesirable psychological changes, excessive and persistent stimulation, it is easy to cause Qi disorders, blood flow and induce dysmenorrhea. Therefore, young women learn more about physiological health, to remove the misunderstanding of menstruation, eliminate or improve the adverse psychological changes, is the primary problem of preventing dysmenorrhea. As stated in the Suwen Shanggu Tianzhen: “Tranquility and emptiness, the true energy from it, the spirit within the guard, the disease is safe from.” 2, life and living to have a certain rule “Suwen – Shanggu Tianzhen said:” its know, the law in the yin and Yang, and in the art, diet, regular living, not delusional labor, so the form and the gods, and the end of its natural life, degree 100 years is to go.” It means that in order to maintain good health, we must observe certain laws, adapt to the changes of the natural environment, and have moderation and scientific arrangements in diet, living and working, in order not to fall ill. Due to the special physiological phenomenon of women, it is necessary to make reasonable arrangements and have certain rules in life, living and working. It is not advisable to eat too much cold, should not live in a cold and wet place, should not be overworked or too easy, especially the menstrual period need to avoid cold stimulation, rain and water, strenuous exercise and excessive mental stimulation, etc.. 3, actively do five periods of health care five periods of health care refers to women’s menstruation, pregnancy, puerperium, lactation, menopause health care. In these five periods, women’s ability to resist disease and evil is reduced, which can easily lead to disease and evil attack. It is important to do a good job of health care during these five periods to prevent dysmenorrhea, especially in patients with secondary dysmenorrhea, which is often caused by unfavorable health care during these five periods. In these five periods, whether it is personal hygiene, or diet and living, emotional conditioning, labor and exercise, etc., we must adhere to certain protective measures, not to cause women’s disease, so as to ensure health. 4, exercise to improve health Regular exercise can enhance physical fitness, reduce and prevent the occurrence of disease. For example, the Han Dynasty medical doctor Hua Tuo has long recognized that physical exercise can promote the circulation of blood vessels, fluent joints, and smooth qi flow, which can prevent and control diseases, and thus created the “Five Animal Play” for the world to use for fitness. Women often participate in some physical exercise, for the prevention and treatment of abdominal pain during menstruation is also beneficial. 5, active gynecological diagnosis and treatment Active and correct examination and treatment of gynecological diseases, is an important measure to prevent dysmenorrhea. First of all, you should try to avoid unnecessary gynecological examinations and various surgeries during menstruation. If you have an IUD, fluid transfer and gynecological examination, they should be performed within 3 to 7 days after menstruation, so as to prevent bacterial infection. Then, when performing caesarean section and hysterotomy, suturing the muscular layer, the suture should not pass through the endometrium to avoid causing endometriosis. The key is to find suffering from gynecological diseases, to do active treatment to get rid of the hidden problems that cause dysmenorrhea. In conclusion, the prevention of dysmenorrhea should be actively carried out from before the first menstruation until after menopause to avoid dysmenorrhea. In particular, middle-aged women should not let down their guard because they mistakenly believe that they do not have dysmenorrhea, but this is the stage of high incidence of secondary dysmenorrhea, so they must pay attention to personal hygiene and take preventive measures, and if dysmenorrhea occurs, they should be actively examined and treated to ensure their health.