1, often treat dysmenorrhea according to four points.
Secondary dysmenorrhea
More common in postpartum and middle-aged women, caused by pelvic inflammatory disease, tumor or endometriosis. Endometriosis refers to the growth of endometrial tissue outside the uterine cavity, such as myometrium, ovary or other parts of the pelvic cavity, and periodic changes and bleeding. During menstruation, pain is caused because blood cannot flow out, and dysmenorrhea is gradually aggravated because of adhesion with adjacent tissues and organs. Internal diagnosis can find that the uterus is hard and inactive, or hard irregular nodules or masses are found in the uterine rectal fossa, with obvious tenderness.
Dysmenorrhea massage
When treating dysmenorrhea by massage, rub the acupoints with your thumb and abdomen respectively, and massage each acupoint for 5 minutes, so as to feel sore. Generally, it starts one week before menstruation and stops after menstrual cramps.
Taichong point
Located between the big toe and the second toe of the foot. Rub the right Taichong point with your left thumb and the left Taichong point with your right thumb.
Sanyinjiao point
It is located on the inside of the calf, 3 inches above the ankle tip of the medial foot and behind the medial edge of the tibia.
Xuehaijiao
Bend your knees, the inner thigh is 2 inches, and the inner end of the patellar base is the protrusion of the inner head of the quadriceps femoris.
Uterine point
Located in the lower abdomen, about 4 inches below the umbilicus and 3 inches from the midline. When massaging, press the uterine points on both sides with the index finger and middle finger of both hands, apply a little pressure, and gently massage until you feel sore.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
Massage these acupoints during non-menstrual period can prevent dysmenorrhea, and if it is combined with moxibustion, the effect will be better. In the treatment of dysmenorrhea, we should pay attention to keep warm and avoid cold diet; Emotional stability, spiritual pleasure; Reasonable and balanced diet, regular life; Take part in moderate exercise.
2, dysmenorrhea small remedies
Treatment of dysmenorrhea: Motherwort boiled eggs.
Dysmenorrhea can be divided into five types: qi stagnation and blood stasis, cold-dampness stagnation, downward flow of damp-heat, deficiency of qi and blood, and deficiency of liver and kidney. For dysmenorrhea patients with qi stagnation and blood stasis, eating motherwort and boiled eggs is a good treatment.
The typical clinical manifestations of dysmenorrhea patients with qi stagnation and blood stasis are: menstrual cycle is often irregular, inexplicable upset and chest tightness begin to appear 2~3 days before menstruation, and they often lose their temper over trivial matters, accompanied by chest pain, abdominal pain before or during menstruation, less menstrual flow and dark color.
The specific method of cooking eggs with motherwort: Take 2 eggs, motherwort 30g, Rhizoma Corydalis 15g, put them in a casserole and add a proper amount of water to cook them together. After the eggs are cooked, shell them and cook for a while, then go to the dregs to eat eggs and drink soup. Take 1~2 days before menstruation, daily 1 dose for 5~7 days.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
Motherwort boiled eggs treatment principle: eggs have the function of nourishing yin and enriching blood; Motherwort is an important medicine for treating gynecological diseases in past dynasties, which has the functions of relaxing uterine spasm and diminishing inflammation. Corydalis yanhusuo has the functions of promoting qi circulation, promoting blood circulation, removing blood stasis and relieving pain, and is a commonly used drug for treating dysmenorrhea in clinic. The combination of the three can promote qi circulation, nourish blood, promote blood circulation, remove blood stasis and relieve pain, and is a good diet therapy for dysmenorrhea patients.
Patients with dysmenorrhea due to qi stagnation and blood stasis should not only insist on eating boiled eggs with motherwort, but also eat more foods with the functions of soothing liver and regulating qi, promoting blood circulation and regulating menstruation, such as white radish, citrus, bergamot and fennel.
Dysmenorrhea can be divided into primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea is periodic dysmenorrhea without organic diseases, while secondary dysmenorrhea is common in endometriosis, myoma, pelvic inflammatory disease, adenomyosis, endometrial polyps, menstrual outflow tract obstruction and so on. Therefore, secondary pain is often accompanied by other gynecological symptoms, such as atrial difficulty, dysuria, abnormal bleeding, uterine fibroids or infertility.
Compared with secondary dysmenorrhea, primary dysmenorrhea often begins after menstrual cramps. There is no difference in the characteristics of pain, and the diagnosis of primary dysmenorrhea can only be made after excluding organic lesions. This chapter focuses on primary dysmenorrhea.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
Epidemiological characteristics
Primary dysmenorrhea is most common in women in their 20-30 s, and then the incidence gradually decreases with age, while secondary dysmenorrhea gradually increases. Recently, it has been reported that the incidence of dysmenorrhea in the world is about 17-80%. Because of the different definitions and investigation methods, it is difficult for us to know the true incidence of dysmenorrhea. Unless the symptoms of dysmenorrhea affect the quality of life, women will not go to see a doctor.
Etiological research
The occurrence of primary dysmenorrhea has nothing to do with age, race and socioeconomic status. However, early menarche, long menstrual cycle, smoking and high body mass index (BMI) make the pain worse and last longer. The symptoms of prolific patients are relieved.
The exact cause of dysmenorrhea is not clear, and there is no theory that can completely explain this syndrome. Different patients have different responses to treatment, and there may be many reasons to consider the cause.
It has long been known that dysmenorrhea is related to the menstrual cycle of ovulation. The mechanism of dysmenorrhea is related to prostaglandin activity. The content of prostaglandin in patients with dysmenorrhea is higher than that in patients without dysmenorrhea. Increased prostaglandin (PG) release: abnormal increase of PGF2a in endometrium and blood during secretion period, which induces uterine muscle contraction/spasmodic pain; It can also cause gastrointestinal reactions. Oxytocin is the strongest uterine contractile agent known at present. After oxytocin and its receptor are coupled with G protein, phospholipase C is activated, and intracellular phosphoinositide signaling system induces the increase of cytoplasmic Ca2+ concentration, which leads to strong uterine contraction during labor. In addition, oxytocin may also act on uterine artery. Recent studies have shown that oxytocin may play an important role in uterine artery contraction. In addition to regulating the normal function of uterus, oxytocin may also produce temporary uterine ischemia [4], and this mechanism may also be involved in the occurrence of primary dysmenorrhea.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
Another study confirmed that the increase of leukotrienes is related to dysmenorrhea. Increased vasopressin: The high estrogen level in the late luteal phase stimulates the posterior pituitary gland to release excessive vasopressin, causing excessive uterine contraction.
Mental factors may also be one of the causes of dysmenorrhea, including the influence of mothers on their daughters. It is best for girls to know about menstruation before menarche, which can be conveyed by parents, teachers or doctors. Anxiety from study or society may also be one of the reasons. At the same time, it is reported that about 50% patients can relieve symptoms only with placebo.
Pathophysiological characteristics and high risk factors
When the endometrium falls off during menstruation, endometrial cells will release prostaglandin. Prostaglandins stimulate contraction and ischemia of uterine myometrium. The more severe the dysmenorrhea, the higher the prostaglandin level in menstrual blood, reaching a peak two days before menstruation. Prostaglandin can also be released in secondary dysmenorrhea, and its level changes according to the organic lesions in pelvic cavity.
Common high-risk factors of primary dysmenorrhea are:
1. Puberty;
2. Stress anxiety;
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
3. Body mass index 30kg/_;
4. Depression related to eating disorders;
5. Family history;
6. Early menarche;
7. Excessive menstrual flow;
8. Irregular uterine bleeding;
9. Unmarried women;
10. Smoking.
symptom
The response to pain is subjective, and doctors should not exaggerate or ignore the patient's discomfort. It is important to ask about the medical history, which should include the following questions: When did the pain occur? But what measures does the patient take when the pain occurs? Any other symptoms? Can oral contraceptives relieve pain? Will the pain get worse?
Because dysmenorrhea is related to ovulation cycle, it generally does not occur at menarche, but in the late adolescence. 14_26% of adolescent women can't go to school or work because of dysmenorrhea. Usually, pain occurs on the first day of menstruation, usually at the beginning of menstruation, but some people don't feel pain until the second day of menstruation. Pain is spasmodic and paroxysmal. In severe cases, pale face, cold sweat, general weakness and cold limbs. Nausea, vomiting, diarrhea and headache are also common.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
general treatment
Pay attention to exercise on weekdays to enhance physical fitness. Do a good job in mental health education during menstruation. Bed rest during dysmenorrhea, you can hot compress the lower abdomen.
Dysmenorrhea diet menu
(A) liver and kidney deficiency
Braised rabbit meat with medlar
The raw materials are medlar 15g and rabbit meat 250g. Put Lycium barbarum and rabbit meat into proper amount of water, stew with slow fire and season with salt. Eat soup and meat once a day 1 time. Has effect in nourishing live and kidney, invigorating qi and nourishing blood.
Fried lamb liver with leek
The raw materials are 150g leek and 200g sheep liver. Cut lamb liver into small pieces, stir-fry with leek in an iron pan, and season with salt and monosodium glutamate. Eat with meals. Every day 1 time, continuous eating 1 week is 1 course of treatment. Eat 5 days before menstruation. Has that effect of warming and tonify liver and kidney.
Stewed pigeon with tortoise shell
Raw materials are 50 grams of tortoise shell and white dove 1. Suffocate the pigeon with water, remove the hair and internal organs, wash the turtle shell and pound it into pieces, and put it into the pigeon's stomach. Put pigeons in a bowl, add ginger, onion, salt, yellow wine and water, then put the bowl in a pot and stew until the pigeon meat is cooked. Eat with meals. Has effect in invigorating live and kidney, and regulating chong and ren.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
(2) Deficiency of both qi and blood
Hu Xuan motherwort poached chicken
The raw materials are 20 grams of Rhizoma Corydalis, 50 grams of Herba Leonuri and 2 eggs, which are boiled with water. After the eggs are cooked, shell them, then put them back in the pot and cook for about 20 minutes. Eat soup and eggs. Has effect in dredging menstruation, relieve pain, nourishing blood, caring skin, and beauty beauty.
Danggui ginger mutton soup
The raw materials are 500 grams of mutton, 60 grams of angelica, 30 grams of astragalus and 5 slices of ginger. Cut the mutton into pieces, stew the soup with angelica, astragalus and ginger, and season with salt. Eat meat and drink soup. Has that effect of benefiting qi and nourish blood, and is suitable for dysmenorrhea due to deficiency of both qi and blood.
Wudoudan JIU decoction
60 grams of black beans (black beans), 2 eggs, rice wine or rice wine 100 ml. Boil black beans and eggs in water. Has the functions of regulating middle energizer, lowering qi and relieving pain. It is suitable for dysmenorrhea caused by deficiency of qi and blood in women, and has the effects of nourishing blood and moistening skin.
(3) Qi stagnation and blood stasis
Leonurus heterophyllus and Cyperus rotundus decoction
The raw materials are motherwort and nutgrass galingale rhizome100g, 250g of chicken and 5 shallots. Mash onion, stir-fry with chicken, motherwort and Cyperus rotundus in water. Eat soup and chicken. It is suitable for dysmenorrhea and can brighten the skin color.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
Hawthorn and red jujube soup
50 grams of hawthorn, 0/5 grams of ginger/kloc-and 0/5 pieces of red dates/kloc-are decocted in water. Daily 1 dose, taken twice. Has effect in promoting blood circulation, remove blood stasis, warming channels, relieving pain, promote qi circulation and resolving hard mass.
Black bean safflower beverage
30 grams of black beans, 6 grams of safflower and 30 grams of brown sugar. Add appropriate amount of water to black beans and safflower, cook for 4 minutes on high fire, then cook with slow fire until black beans are cooked, remove black beans and safflower, and add brown sugar to taste. Take 2 cups each time, twice a day. It is suitable for promoting blood circulation, removing blood stasis and relieving pain.
Leek, rose and brown sugar beverage
Ingredients: fresh leek 30g, Chinese rose 3, brown sugar10g, washed leek and Chinese rose, juiced to remove residue, and seasoned with brown sugar. Take it with yellow wine and lie prone for half an hour after taking it. It is suitable for regulating qi, promoting blood circulation and relieving pain.
Boiled eggs with chuanxiong rhizome
The raw materials are 2 eggs and 9 grams of Ligusticum chuanxiong. Add appropriate amount of water to the eggs and Chuanxiong, and cook them together until the eggs are cooked. Shell the eggs, put them back into the medicinal soup, simmer for 5 minutes, and add appropriate amount of yellow wine. Eat eggs and drink soup, take 1 dose every day for 5 days as a course of treatment, and start eating and drinking every 3 days before menstruation. Suitable for promoting qi and blood circulation.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
(D) Stagnation of cold and dampness
Ginger, jujube and pepper soup
The raw materials are 25g of ginger, 30g of jujube and 0/00g of pepper/kloc. Ginger is peeled, washed and sliced, jujube is washed and pitted, put into a earthen pot with pepper, add 1 bowl of half water, fry with slow fire until more than half of the bowl is left, and remove residue to leave soup. Drink, one dose a day. Has that effect of warming middle energizer and relieving pain. It is suitable for patients with cold dysmenorrhea and has the effect of smoothing skin.
Wudoudan JIU decoction
The raw materials are 60g black beans, 2 eggs, yellow rice wine or rice wine 100ml. Boil black beans and eggs in water. Has the functions of regulating middle energizer, lowering qi and relieving pain. It is suitable for dysmenorrhea caused by deficiency of qi and blood in women, and has the effects of nourishing blood and moistening skin.
Jiang ai yi ren porridge
The raw materials are dried ginger, mugwort leaves10g, and coix seed 30g. Boil the first two ingredients in water to get juice, cook the coix seed porridge until it is 80% mature, and add the medicinal juice to cook it until it is 80% mature. Eat porridge in the morning and evening. Has effect in warming meridian, removing blood stasis, dispelling cold, removing dampness, and caring skin. It is suitable for dysmenorrhea due to cold-dampness stagnation.
Braised pork tripe with pepper
The raw materials are150g pork tripe, 2g aconite, 2g Sichuan pepper and 30g japonica rice. Grinding Radix Aconiti Lateralis Preparata and Fructus Zanthoxyli. Wash pork belly, add flour, japonica rice and appropriate amount of onion, plunge into the pot, add appropriate amount of water, and cook on low heat until pork belly is cooked thoroughly. Eat with meals. It is suitable for warming channels, dispelling cold and relieving pain.
Dysmenorrhea massage: treat dysmenorrhea by pressing four acupoints.
Is dysmenorrhea good for your health?
So what can you eat to relieve dysmenorrhea? After dysmenorrhea, it can be relieved by supplementing foods rich in vitamin E, drinking properly and regulating syndromes.
1, suitable for drinking
Alcohol can warm yang, dredge veins, promote qi and dispel cold. Drink some rice wine, sake, fermented wine, red wine and so on. Appropriate can dredge meridians, dilate blood vessels and relieve dysmenorrhea. If 100g safflower is soaked in 400 ml white wine for a week to make safflower wine, taking 10 ml every day (a small amount of brown sugar can be added) can have the effect of warming meridians and promoting blood circulation, and is suitable for patients with blood stasis and dysmenorrhea.
2. supplement foods rich in vitamin e.
Vitamin e, also known as tocopherol, has the function of maintaining the normal function of reproductive organs and muscle metabolism. Foods with high content include grain embryos, wheat embryos, egg yolks, beans, nuts, leafy vegetables, sesame oil, etc. These foods should be eaten more.
3. Certificate of food conditioning.
According to the different syndrome manifestations of dysmenorrhea, the products of warming, removing blood stasis and tonifying deficiency were given respectively. Those who are cold and afraid of cold should eat some foods that warm the meridians and dispel the cold, such as chestnuts, lychees, brown sugar, ginger, fennel and pepper. People with qi stagnation and blood stasis should eat more foods with ventilation and blood stasis, such as celery, shepherd's purse, spinach, leek, coriander, water spinach, ginger, carrots, oranges, dried tangerines, bergamot, bananas and apples. Those who are weak and lack of qi and blood should eat some products for invigorating qi, enriching blood and tonifying kidney, such as walnut kernel, litchi, longan, jujube, mulberry, medlar, yam and various beans.
4. You can eat more high-protein foods such as beans and fish, increase green leafy vegetables and fruits, drink plenty of water, keep your stool unobstructed, and reduce pelvic congestion.
Women should avoid salty food before menstruation. Because salty food will increase the salt and water storage in the body, progesterone will increase before menstrual cramps, which is prone to edema and headache. If you start eating low-salt food before menstruation 10 day, the above symptoms will not appear.
Is dysmenorrhea best not to eat those foods?
1. Strong tea and persimmon-hinder the absorption of iron
Tea contains tannic acid, which especially likes to combine with iron ions, which greatly hinders the body's absorption of iron, which is not a good phenomenon during menstruation. So is persimmon. Tannic acid in persimmon is no less than tea.
2. Caffeine-containing drinks-stimulate nerves and aggravate pain.
Caffeine can stimulate the nervous and cardiovascular system, make you feel nervous and aggravate the pain, or lead to excessive menstrual blood, such as coffee, cola, tea and so on. And warm water is the safest and most comfortable choice.
3. carbonated drinks-affect nutrient intake and reduce body resistance.
Some carbonated drinks contain phosphate, which will also hinder the absorption of iron. Sodium bicarbonate will have a neutralization reaction when it meets gastric juice, and it will cause loss of appetite during menstruation. If it affects the intake of dietary nutrition and lacks resistance, dysmenorrhea will be more arrogant.
4. Beer and excessive liquor-affect the overall state of menstruation.
Alcohol is incompatible with B vitamins, and the lack of B vitamins in the body will seriously affect the overall state of the menstrual body. Alcohol is sweet and warm, which can dispel cold and dampness, promote blood circulation and dredge menstruation, and you can drink less appropriately.
5. Cheese dessert-affecting the absorption of magnesium
Cheese, butter, cream, yeast milk and other sweets, the biggest problem is that it will affect the body's absorption of magnesium, and dysmenorrhea is also related to magnesium deficiency in the body. Magnesium can activate various enzymes in the body and inhibit nerve excitement. Magnesium deficiency will directly lead to emotional tension.
6. Cool seafood-cool food, aggravating dysmenorrhea
Crabs and shellfish in seafood are cold foods. If you are afraid of cold, don't eat these seafood during menstruation, so as not to aggravate menstrual pain.