How to choose medication for dysmenorrhea

  Women experience periodic pain in the abdomen or lumbosacral region before and after menstruation or during menstruation, which may be accompanied by nausea and vomiting, cold sweat, cold hands and feet, or even fainting, affecting life and work, and this condition is called “dysmenorrhea”. Most of the pain occurs only on the first two days of menstruation and can be relieved on its own, after which everything returns to normal.  There are two types of dysmenorrhea, one is dysmenorrhea without lesions in the reproductive organs, called primary dysmenorrhea, also known as functional dysmenorrhea: the other is dysmenorrhea caused by diseases in the pelvic organs, such as endometriosis, pelvic inflammatory disease, etc.. It is called secondary dysmenorrhea. Primary dysmenorrhea is common in adolescent and unmarried women 2 to 3 years after the first menstruation, while secondary dysmenorrhea is common in women of childbearing age.  What is the cause of dysmenorrhea?  Normal menstruation in women is a regular cycle of uterine bleeding, which is a manifestation of the fullness of qi and blood after puberty, the sea of blood is full on time and regularly leaks. As the moon has a surplus and loss of general, month after month, as scheduled, often unchanged. Before menstruation, can appear chest breast slightly swollen, abdomen slightly fallen, waist slightly sore, emotional excitement and other performance, but does not affect work and study, generally after the menstrual flow since the elimination, as a normal physiological performance, do not need treatment. However, if you do not pay attention to health care during menstruation, it is easy to cause the local flow of Qi and blood in the uterus or the uterus is not moistened, which is what we often say in Chinese medicine “not pass is pain” and “not glory is pain”. The word “Tong” means smooth and orderly; “Rong” means flourishing and prosperous, and here it means nourishing and nourishing. Just like the river water rushing down the riverbed, if there is an obstacle to block, it will cause the local flow of water is not smooth. And if the river dries up and does not fill the entire riverbed, the river water flows slowly and does not flow smoothly, which is the reason for “not pass is pain” and “not glory is pain”.  The reason for “not pass” is many, if the usual or pre-menstrual often irritable anger or depression and anger, easy to lead to gas stagnation; usual or pre-menstrual, menstrual over-eating cold and cold products, such as summer, especially in winter during the period over-eating cold drinks, ice cream, or summer greedy cool, long stay in the air-conditioned room, the abdomen and legs and feet did not pay attention to protection, in the winter big Cold days wearing short skirts, sling, it is particularly easy to feel cold and wet, invasion of the uterus, resulting in cold and blood condensation; such as menstruation over-eating spicy and oily products or do not pay attention to menstrual hygiene, such as menstrual swimming, intercourse, are easy to feel the evil of damp heat, that is, bacteria or pathogens infect the uterus. These qi stagnation, cold and dampness and damp-heat factors can lead to the poor flow of qi and blood in the uterus, which will naturally “pass and hurt”. The characteristics of dysmenorrhea are pain in the abdomen 1-2 days before or during menstruation, mainly colic, stabbing pain, tugging pain, pain that does not like pressure, severe cold extremities, nausea and vomiting, cold sweat, menstrual blood is often not smooth, the color is dull, or there is a blood clot; after the menstrual blood is smooth or blood clot out, the degree of dysmenorrhea will be relieved. This type of dysmenorrhea is also called “actual dysmenorrhea”.  There are various reasons for “dishonor”, such as lack of endowment, weakness of the spleen and stomach, or after a serious illness, or diet, malnutrition, or staying up late at night and working overtime, or frequent intercourse, all of which lead to weakness of qi and blood, insufficient essence and blood to moisten the uterus, and inability to promote the flow of qi and blood, which results in “dishonor and pain”. “This causes dysmenorrhea. This cause of dysmenorrhea is often manifested as pain in the abdomen after the menstruation will be clean or menstruation, mainly hidden pain, cramping pain, like rubbing and pressing the abdomen, menstrual blood is often small, light-colored, can be accompanied by fatigue, palpitations, dizziness, insomnia and other symptoms. This type of dysmenorrhea is also called “deficiency dysmenorrhea”.  Why does abdominal pain occur only around the time of menstruation and why does it resolve on its own?  The reason why abdominal pain accompanies the menstrual cycle is related to the special physiological state during and around menstruation. During menstruation, because the Qi and blood are calm, the pathogenic factors are not enough to cause stagnation or deficiency of Qi and blood in the uterus, so the pain does not usually occur, before and after menstruation, the uterus Qi and blood from full and overflowing, Qi and blood from Sheng real and sudden deficiency, the uterus Qi and blood changes sharply than usual, easily disturbed by pathogenic factors, coupled with the influence of physical factors, resulting in the uterus Qi and blood does not run smoothly or loss of moistening, not pass or not honored and pain. The pain will stop when the qi and blood of the uterus are gradually restored after menstruation. However, if the cause is not removed and the condition of the body is not improved, the pain will return with the next menstruation.  Since the occurrence of dysmenorrhea varies from deficiency to actual cold and heat, treatment should be based on different medications and methods according to the cause and symptoms. Generally speaking, the majority of dysmenorrhea is caused by real evidence and less by deficiency evidence, but there are also cases with complex evidence, deficiency in the real, deficiency in the real, and mixed deficiency and real. These non-specialist physicians will not be able to judge, so you should go to the hospital and ask a professional physician to guide the treatment, rather than just go to the pharmacy to buy drugs to take.  The beautiful woman I met at the pharmacy mentioned earlier, who blindly bought Wuji Baifeng Pills to treat menstrual cramps, is a misconception in this regard.  The Uggs Baifeng Pill is a famous formula traditionally used in Chinese medicine for regulating menstruation and stopping belts, with a history of 100 years. It is widely used, and women of a certain age are no strangers to Wuji Baifeng Pills. It is a medicine used by women to regulate and cure their diseases, as generations of TCM doctors and women have said. Wuji Baifeng Pill includes more than 20 herbs such as Wuji, Ginseng, Astragalus, and Siwu Tang. It has the effect of tonifying qi and nourishing blood, regulating menstruation and stopping banding. It is used to treat women’s diseases such as deficiency of Qi and Blood, weakness of the body, soreness and weakness of the waist and knees, low menstrual flow, postponed menstruation, and excessive amount of menstrual discharge with really good effect. Dysmenorrhea is a common gynecological condition, and although most people have similar symptoms, the causes are not the same. Dysmenorrhea caused by deficiency of qi and blood and kidney deficiency can be treated with Wuji Baifeng Pill, but if it is caused by actual dysmenorrhea due to qi stagnation, cold dampness or damp heat, the condition may be more serious if Wuji Baifeng Pill is used.  Therefore, if women have symptoms of dysmenorrhea, they must not just buy medicine, they should go to a regular hospital for examination and treatment and use the right medicine. Only after checking that the uterus is free of lesions can you choose the appropriate over-the-counter Chinese medicine to relieve pain according to the type of dysmenorrhea at the pharmacy. The following are some of the types of dysmenorrhea and the Chinese medicines that can be used.  If dysmenorrhea occurs before or at the beginning of menstruation, the pain refuses to be pressed, the flow of menstruation is not smooth, the blood is dull and lumpy, or it is accompanied by breast swelling and pain, you can use Yimu Cao Paste (granules), Yuanhu Pain Relief Tablets, Gynecology Desheng Pill or Danzhu Women’s Health Decoction; if the cold pain refuses to be pressed, the pain is reduced by heat, the limbs are cold and cold, you can use Dysmenorrhea Tablets, Aihu Nuangong Pill, Dysmenorrhea Treasure Granules (Yueyueshu) or Shao Abdominal Stasis Capsules, Tianqi Dysmenorrhea Capsules. Dysmenorrhea caused by pelvic inflammatory disease, mostly due to damp heat, manifested as the usual abdominal pain, pre-menstrual and menstrual period, with more menstrual volume or prolonged periods, the usual leucorrhea in large quantities and yellow, can be used gynecological Qianjin tablets, Hua Hong tablets. If you have vague pain in the abdomen during or after menstruation, like to press, low menstrual volume and light, or with lumbosacral pain, fatigue, dizziness and tinnitus, you can use Wuji Baifeng Pill, Bajhen Yimu Pill, Ginseng Guixiangcuo Wan or Ginseng Yurong Wan.