Dysmenorrhea can be caused by either liver depression or spleen deficiency. Dysmenorrhea can be caused by a variety of reasons, and you should consult your doctor for details. 1. Dysmenorrhea caused by liver depression is often accompanied by abdominal distension during or before menstruation, refusing to be pressed, small amount of blood, purplish color of blood, breast distension and pain, like sighing, distension and pain in the epigastric region (stomach and abdomen), dullness (lack of appetite, reduced food intake), belching (burping), or even a sense of obstruction in the throat. 2. Dysmenorrhea caused by spleen deficiency is often accompanied by vague pain in the abdomen, like to press, small amount of menstruation, pale color, palpitation, dizziness, reduced diet, loose stools, emaciation, body fatigue, fatigue (mental fatigue, body fatigue), less breath and lazy speech (lack of strength, do not want to talk) and other symptoms. If there is any manifestation of dysmenorrhea, it is recommended to consult a doctor in time to identify the cause of the disease and then carry out targeted treatment.