Dysmenorrhea refers to severe abdominal pain before and after menstruation or during menstruation. Low back pain. Even nausea and vomiting, which is a common disease of women.
Dysmenorrhea always brings a lot of troubles to women, which directly affects normal work and life. It should be pointed out that general abdominal discomfort does not hinder work and life, and should not be called dysmenorrhea.
According to the etiology, dysmenorrhea can be roughly divided into two types: one is that there is no obvious lesion in the reproductive system, which is called primary dysmenorrhea. Primary dysmenorrhea usually occurs at the beginning of menarche, mostly due to neuropsychiatric pain caused by uterine contraction and ischemia, or due to uterine dysplasia and cervical stenosis. Improper position of uterus is caused by endocrine disorder. The latter kinds of dysmenorrhea mostly occur within three months after the onset of menstruation, which may last for the whole reproductive period, but many women will get obvious relief or even disappear after pregnancy and childbirth. The other is dysmenorrhea caused by definite disease, which is called secondary dysmenorrhea. Dysmenorrhea occurs after a period of normal menstruation (mostly three years). Genital inflammation, uterine fibroids. Reproductive diseases such as endometriosis can cause secondary dysmenorrhea.
Dysmenorrhea is very common. In most cases, the symptoms are very mild and do not require special treatment. Although dysmenorrhea itself is not life-threatening, it may be a sign of more serious diseases in many cases. Therefore, if you have dysmenorrhea, you should go to the hospital to see a doctor as soon as possible to determine the cause of dysmenorrhea. If it is secondary dysmenorrhea, we should actively treat the primary disease. Due to poor development and weak constitution, it is necessary to treat the whole body; Cervical dilatation is feasible because of cervical stenosis; Due to endocrine disorders, it should be adjusted.
Simple and wonderful prescription for treating dysmenorrhea:
(1) Under the guidance of doctors, some antipyretic and analgesic drugs such as Sanlitong and Naproxen tablets were taken orally to relieve pain. Oral belladonna tablets or atropine can relieve spasmodic pain.
(2) Take Angelica sinensis, slice it and decoct it in water.
(3) Take "gram" of Folium Artemisiae Argyi, add brown sugar and decoct in water.
(4) Take 65438±00g of fried Trogopterori, 6g of Pollen Typhae and 30g of Salvia Miltiorrhiza, and decoct in water.
(5) Take dried towel gourd strips, add water, and put them in a bowl for decoction.
(6) Take 250 grams of salt, fry the salt, wrap it in a cloth, and warm and iron the lower abdomen, and wrap it on the lower abdomen when it is not hot.
(7) Take 9 grams of Salvia miltiorrhiza, grind it into fine powder, and mix it with wine.
(8) Take 30 grams of Sophora flavescens, grind it into fine powder and swallow it with vinegar.
(9) Take ginger 15g and brown sugar 50g and decoct them in water.
(10) Take 60 grams of yellow flowers (golden yellow), 60 grams of mutton or lean meat, and 250 ml of rice wine, add appropriate amount of water to stew, and eat the soup and meat together. Daily: Take it for several days.
(1 1) Take 30g of small plant charcoal and 30g of brown sugar and decoct them in water. Daily: one dose, divided into two doses, taking 1-2 doses continuously.
After suffering from dysmenorrhea, you should pay attention to:
(1) Go to the hospital for examination as soon as possible, especially when there is severe pain accompanied by symptoms such as sweating, cold limbs, and blue face. It is necessary to find out whether it is primary dysmenorrhea or secondary dysmenorrhea, and be aware of it. When dysmenorrhea is severe, it is best to stay in bed for half a day or a day, which can greatly reduce abdominal pain.
(2) Keep warm before and after menstruation and avoid catching a cold. At the same time, it is not appropriate to overwork.
(3) Eat more light and digestible foods and avoid cold, spicy and irritating foods.
(4) Pay attention to vulva cleaning, rinse with clear water once a day, and frequently change the pad paper.
(5) pay attention to mental conditioning, eliminate psychological barriers, make the spirit happy and smooth.
Dysmenorrhea is more common. Dysmenorrhea is caused by abdominal pain before, during and after menstruation, which affects work and life. Pain usually occurs on the first 1 ~ 2 days of menstrual period, and abdominal pain also begins on the first 1 ~ 2 days before menstruation, which aggravates menstrual pain. Most of them are paroxysmal colic, lower abdominal pain and swelling pain, which can radiate to lumbosacral region, inner side, vagina and anus; Patients with membranous dysmenorrhea will have severe pain when they want to discharge a large piece of exfoliated endometrium, and once discharged, the pain will be relieved quickly. People with severe pain may have cold limbs, pale face and even collapse. It can also be accompanied by other digestive tract symptoms, such as nausea, diarrhea, vomiting, bladder and rectal irritation symptoms, such as frequent urination, urgency, anal distension, and discomfort such as headache, dizziness, fatigue or tension.
Up to now, due to different pain thresholds, high tolerance and lack of objective quantitative methods to accurately measure the degree of pain, the reports on the incidence of dysmenorrhea at home and abroad are very different. 1980, 33.2% of the 7 1746 women surveyed by China collaboration group on menstrual physiological constants suffered from dysmenorrhea. Among them, primary dysmenorrhea was 36. 1%, secondary dysmenorrhea was 3 1.7%, and unexplained dysmenorrhea was 32.2%. Severe dysmenorrhea affects life and workers 13.6%. Andersch and milsom reported in 1982 that 72% of Swedish urban young women aged 19 suffer from dysmenorrhea, and 15% of them need painkillers. It was reported in 1985 that about 50% American post-adolescent women have dysmenorrhea of different degrees, 10% need to rest every month because of dysmenorrhea 1 ~ 3 days. It can be seen that dysmenorrhea is a common disease in gynecological diseases. In recent years, it has been reported abroad that the incidence of dysmenorrhea in women increased significantly before 19 years old.
Strictly speaking, dysmenorrhea should be a clinical manifestation or a symptom. Generally divided into primary dysmenorrhea and secondary dysmenorrhea.
Primary dysmenorrhea is also called functional dysmenorrhea, that is, the patient's reproductive organs have no organic lesions, but dysmenorrhea occurs for some reason. It is the most common dysmenorrhea in unmarried women under 25 years old after the establishment of ovulation cycle at menarche.
Secondary dysmenorrhea, also known as organic dysmenorrhea, mainly refers to dysmenorrhea caused by organic lesions of female reproductive organs. The most common gynecological diseases that cause secondary dysmenorrhea are endometriosis, adenomyosis, submucous myoma of uterus, cervical or uterine cavity adhesion, cervical canal stenosis, genital tract malformation, placing contraceptive ring, pelvic inflammatory disease and so on.
Sometimes it is difficult to distinguish primary dysmenorrhea from secondary dysmenorrhea. For example, in patients with primary dysmenorrhea, it is difficult to determine whether the pain is primary dysmenorrhea or secondary dysmenorrhea because of the aggravation of reproductive organ diseases several years later. There is another situation, that is, the patient who was originally diagnosed with primary dysmenorrhea actually suffers from mild endometriosis. After laparoscopic examination, the disease was confirmed and immediately diagnosed as secondary dysmenorrhea. Primary dysmenorrhea and secondary dysmenorrhea are just two types of dysmenorrhea, and it is sometimes difficult to distinguish them accurately in clinic.
According to epidemiological investigation, the factors related to primary dysmenorrhea are:
(1) The morning and evening of menarche: According to the survey data, the degree of primary dysmenorrhea is obviously related to the age of menarche. The incidence of dysmenorrhea is higher and the degree of dysmenorrhea is more serious in people with early menarche.
(2) Marriage and childbirth: There are still two views on the relationship between primary dysmenorrhea and marriage. Most people think that marriage has no correlation with primary dysmenorrhea; However, a few people think that there may be a certain relationship between marriage and primary dysmenorrhea, and the dysmenorrhea of adolescent patients is relieved after marriage. Both of these views need a lot of clinical research to confirm.
(3) It may be related to overwork, nervousness, colds and allergies during menstruation.
The factors related to secondary dysmenorrhea are:
(1) Pay attention to the lack of hygiene during menstruation, pregnancy and puerperium; Began to have sex too early; Many sexual partners (after sexual openness) cause inflammation.
(2) Repeated induced abortion or intrauterine operation, causing adhesion and inflammation.
(3) Contraception: Dysmenorrhea has a certain relationship with contraception, especially the placement of intrauterine device -IUD, which can often aggravate the degree of dysmenorrhea. This may be due to the increase of prostaglandin (PG) production in endometrial tissue after IUD placement, which leads to the aggravation of dysmenorrhea. Contraceptive pills contain progesterone, which can relax uterine smooth muscle, so it can relieve the pain caused by spasm. Oral contraceptives can reduce the incidence and degree of primary dysmenorrhea.
(4) Influence of menstrual cycle and menstrual length: Generally speaking, the severity of dysmenorrhea is not affected by the length of menstrual cycle, but because dysmenorrhea itself manifests as menstrual abdominal pain, people with long periods often have a longer pain duration, which is most prominent in patients with endometriosis.
(5) Other factors: It is reported that obese people may be more prone to dysmenorrhea. It has also been reported that the degree of dysmenorrhea in smokers is often more serious than that in non-smokers, and the degree of dysmenorrhea is often aggravated with the increase of smoking, which may be because smoking often causes vasoconstriction, leading to ischemia and pain.
Dysmenorrhea is a group of gynecological diseases with pain as its clinical manifestation. Strictly speaking, dysmenorrhea should be a symptom rather than an independent disease. However, due to the unique manifestations of pain and the fact that it has constituted the onset of patients, it can also be classified as a gynecological disease at present.
There are many reasons for dysmenorrhea. From the perspective of traditional Chinese medicine, it is often considered that poor menstrual blood circulation, qi stagnation and blood stasis are the fundamental causes of dysmenorrhea, and "impassability leads to pain" is the most fundamental view of traditional Chinese medicine.
From the point of view of western medicine, there are many reasons for dysmenorrhea, and the manifestations of dysmenorrhea are often not exactly the same. For example, dysmenorrhea in patients with submucous myoma of uterus may be caused by occupying lesions in uterine cavity, which affect the smooth discharge of menstrual blood and produce spasmodic pain. Patients with abnormal reproductive tract, such as incomplete obstruction of reproductive tract, cervical stenosis, hymen atresia, etc. Abnormal contraction of uterine muscles can also occur, causing pain due to blocked menstrual blood flow. The presence of foreign bodies in the uterine cavity (such as placing intrauterine contraceptive ring) can also stimulate the uterus to cause abnormal contraction, leading to pain. Patients with endometriosis often have dysmenorrhea due to the increase of prostaglandin content in the body.
No matter which of the above conditions produces dysmenorrhea, the root cause can be roughly summarized as the following aspects:
(1) Excessive uterine contraction. Although the uterine contraction pressure of dysmenorrhea patients is normal? The same is true for women (the normal pressure is about 4.9Kpa), but the duration of uterine contraction is long and it is often difficult to relax completely, so dysmenorrhea caused by excessive uterine contraction occurs.
(2) Abnormal uterine contraction. Dysmenorrhea patients often have abnormal uterine contraction, which often leads to uterine smooth muscle ischemia, which in turn can cause uterine muscle spasmodic contraction, thus causing pain and dysmenorrhea. It has been reported recently that the increase of vasopressin in patients' blood may be an important factor causing abnormal uterine contraction.
(3) The contents of prostaglandin (PG) in endometrium and menstrual blood increase, and prostaglandin E2(PGE2) can contract uterine muscle fibers. A large number of experiments have confirmed that the content of PG in endometrial tissue and menstrual blood of dysmenorrhea patients is significantly higher than that of normal women (the content of PG in normal women is 395 ~ 435 ng/L 1 (ng/L)). In different periods of menstrual cycle, the contents of PGE2 and PGF2a are different, so the ratio of PGF2a/PGE2 is also different, and the contents of PGF2a and PGF2A are higher in the secretory phase. Therefore, under its stimulation, it can cause abnormal contraction of uterine muscles, resulting in increased uterine tension and aggravated pain.
In patients with endometriosis, the relationship between dysmenorrhea and PG content is more obvious. According to the literature, the contents of PGF2a metabolites in serum and peritoneal fluid of patients with endometriosis are higher than those without dysmenorrhea.
Treatment:
Massage and acupuncture, dietotherapy and medication can be used.
For functional dysmenorrhea, there can be:
(1) General treatment: First, persuade patients to eliminate fear, abandon ideological pressure, actively eliminate the causes, and pay attention to the adjustment of daily life, especially during menstrual period, and pay more attention to avoiding strenuous activities, cold food, mental stimulation, husband and wife life, etc.
(2) Antispasmodic and analgesic drug therapy: This is an urgent and effective clinical treatment. For those with mild pain, indomethacin, painkiller, belladonna, Rhizoma corydalis and atropine can be used appropriately. For those with severe pain, drugs such as codeine and demerol can be considered.
(3) Anti-prostaglandin drug therapy: With the gradual deepening of the research on dysmenorrhea in modern medicine, we have used drugs with antagonistic effect on prostaglandin to treat dysmenorrhea and achieved gratifying results. Commonly used drugs are indomethacin, indomethacin and anthranilic acid (such as flufenamic acid and formic acid). These drugs can prevent the synthesis of prostate and antagonize prostaglandin. In addition, some people use oral contraceptives to treat dysmenorrhea, which also has a good therapeutic effect. Experimental studies have proved that oral contraceptives can inhibit prostaglandin F? 2a synthetic release, so as to achieve the purpose of treating dysmenorrhea.
(4) Endocrine hormone therapy: Endocrine hormones that can be used to treat dysmenorrhea mainly include: ① Estrogen: There are many kinds of estrogen preparations, including natural estrogens (steroid hormones) and synthetic estrogens (non-steroid hormones), which have long-term and short-term effects. Ethiophenol is a synthetic estrogen, which is often used in clinic. Take 0.5 ~ 1 mg every day from the fifth day after menstruation, and 20 days is a course of treatment. Lasts 2 ~ 3 menstrual cycles. It is mainly suitable for dysmenorrhea patients with uterine dysplasia. ② Progesterone: Women have different sources of progesterone in different physiological periods. In the first half of menstruation, it mainly comes from adrenal gland. After ovulation, corpus luteum produces more progesterone. During pregnancy, except for jaundice, it mainly comes from placenta. Generally, 60 mg of pregnancy hormone is taken orally every day, divided into 2 ~ 3 times. Medication was started on the 4th day before menstruation and stopped on 1 ~ 2 days after menstruation. You can also start intramuscular injection of progesterone on the second day1day after menstrual cramps, 20 mg per day for 5 consecutive days. By supplementing progesterone, the balance of estrogen and progesterone can be restored, and the endometrium during menstrual period can be stripped into pieces normally. This kind of hormone is mainly suitable for treating membranous dysmenorrhea. ③ Contraceptive pills: Contraceptive pills can change the hormone level in the body, lead to ovulation inhibition, and change the mucus properties of the cervix and the cycle of the endometrium. You can take short-acting contraceptives once a day for 20 ~ 22 days from the fifth day of menstrual cycle, and stop taking them after taking 2 ~ 3 menstrual cycles.
(5) Surgical treatment: ① Cervical dilatation: For patients with cervical canal stenosis, the expansion of instruments can be conducive to the smooth discharge of menstrual blood to alleviate or relieve pain. This kind of operation is especially suitable for married infertile patients with dysmenorrhea, because at the same time, the endometrium can be examined pathologically to understand the ovarian function and whether there are organic lesions in the endometrium. According to statistics, about 1/4 cases can be cured. ② Uterine suspension: If the uterus flexes backward, the effect is not satisfactory after taking some treatment measures, and uterine suspension is feasible. After correcting the uterine position, it is beneficial to menstrual blood circulation, thus relieving pain. Especially for some infertile patients who are backward and backward after marriage, uterine suspension is helpful for pregnancy. ③ Resection of presacral nerve: The effective rate of this operation is not very high, and it is easy to cause menorrhagia after operation. Few patients are treated by this method.
The vast majority of organic dysmenorrhea is secondary dysmenorrhea, and the common factors that can lead to organic dysmenorrhea are chronic pelvic inflammatory disease, pelvic tuberculosis and endometriosis. For organic dysmenorrhea, there can be:
(1) Chronic pelvic inflammatory disease: To treat dysmenorrhea caused by chronic pelvic inflammatory disease, we should first pay attention to rest, hygiene, improve nutrition, strengthen exercise, and establish confidence in thoroughly treating the disease. Commonly used treatment measures are as follows: ① systemic medication: antibiotics are the main treatment, and the use of antibiotics and adrenocortical hormone can enhance the curative effect. Placental tissue fluid or placental globulin can also be injected into muscles to improve the body's disease resistance and promote the absorption of local inflammation. In addition, the use of progesterone, such as progesterone, progesterone and other drugs, also has certain effects. ② Local medication: Chronic pelvic inflammatory disease is easy to adhere around organs due to long-term inflammatory stimulation, and antibacterial drugs are not easy to enter diseased tissues. Local medication can effectively make up for this deficiency of systemic medication, and the selected drugs can be blocked in the lateral fornix and injected into the uterus. ③ Physical therapy: There are many methods and types of physical therapy, such as ultrashort wave, far infrared and audio. These treatments can promote blood circulation, reduce tissue adhesion, improve local nutrition and help inflammation dissipate. ④ Surgical treatment: Surgical treatment should be based on specific conditions, strictly grasp the indications, and perform hysterectomy and bilateral appendectomy as appropriate. This treatment method is mainly suitable for those who are over 40 years old, have no fertility requirements, and have an endless course of disease, which seriously affects work learners. Gynecological examination showed a large inflammatory mass or hydronephrosis, and the diameter of the mass was greater than 6 cm.
(2) Pelvic tuberculosis: Pelvic tuberculosis is also an inflammatory reaction, but it has its specificity. Generally, the following measures are taken for treatment. ① General treatment: Like tuberculosis in other organs, the body's resistance plays an important role in controlling the development of the disease, promoting the healing of the focus and preventing recurrence in the future. Therefore, patients should pay attention to the self-regulation of diet and daily life. For infertile patients caused by reproductive tuberculosis, more attention should be paid to the regulation of mental emotions to improve the body's resistance to the disease. ② Anti-tuberculosis drug therapy: Most anti-tuberculosis drugs are antibiotics or synthetic drugs, whose main function is to destroy or interfere with the metabolic process of Mycobacterium tuberculosis, thus inhibiting its growth, reproduction and toxin formation. The most commonly used isoniazid, streptomycin, rifamycin and pyrazinamide are fungicides, while others such as p-aminosalicylic acid and ethambutol are bacteriostats. Clinically, we generally insist on combined medication, regular medication and full medication. At present, most people advocate two-stage treatment: intensive period (1 ~ 3 months) and consolidation period. The total course of treatment is generally not less than one year. Due to the chronic and recurrent tendency of reproductive tuberculosis, the therapeutic effect varies with random body reactivity, bacterial toxicity and chemical drugs. If the treatment time is too short, the recurrence rate is high and the treatment time is too long, Mycobacterium tuberculosis is easy to form drug-resistant strains. In order to delay the emergence of drug-resistant strains and improve the therapeutic effect, streptomycin, isoniazid and p-aminosalicylic acid can be used in combination at the initial stage of treatment. Generally, even if there are drug-resistant strains, combined medication will have therapeutic effect. If the commonly used anti-tuberculosis drugs have developed drug resistance, they can be treated with drugs without drug resistance, such as rifampicin, kanamycin and ethambutol. ③ Surgical treatment: surgical treatment is not the first choice, but for patients with acute tubal empyema and ovarian abscess caused by tuberculosis, who are ineffective after treatment with anti-tuberculosis drugs or relapse after treatment; Postmenopausal menopause or genital tuberculosis, but no other active tuberculosis; Secondary infection, recurrent pelvic inflammatory disease, and serious involvement of pelvic organs; There are persistent positive bacteria in menstrual blood or tuberculous endometritis with menorrhagia that cannot be cured for a long time; Long-term treatment of tuberculous fistula. , you can consider total hysterectomy and accessories. It should be noted that anti-tuberculosis drugs must be given before operation to avoid tuberculosis activity and spread caused by operation.
(3) Endometriosis: The treatment principle of endometriosis depends on the patient's symptoms, location, scope, age, fertility requirements and whether it is complicated with other gynecological diseases. The specific treatment methods of modern medicine are as follows:
① Synthesis of Progesterone: Drugs such as norethindrone, norethindrone, megestrol acetate and chlormadinone can be used for periodic treatment to make ectopic endometrium degenerate. Generally, from the 6th day to 25th day of menstrual cycle, one of the above drugs is taken orally 5 ~ 10 mg, once a day, and the course of treatment depends on the therapeutic effect. This method can inhibit ovulation. If you want to have a baby, you can take it from 16 to 25 days of menstruation, with norethindrone 10 mg once a day. This can not only control dysmenorrhea caused by endometriosis, but also not affect ovulation. In addition, some people argue that the application of high-dose synthetic progesterone for 3 ~ 10 months will cause pseudopregnancy, which will make ectopic endometrial tissue take off membrane reaction, then necrosis, and finally be absorbed and disappeared. The dosage should be gradually increased from small to large, starting from one week before the expected menstrual cramp, taking megestrol acetate 4 mg twice a day, for a total of 1 week; The second week 1 time 4 mg, 3 times a day; The third week 1 time 8 mg, twice a day; After the fourth week, the dose was gradually increased to 20 mg 1 time a day. Or take norethindrone or norethindrone 5 mg daily 1 time; In the second week, it was 10 mg, daily 1 time; Third, 15 mg or so, 1 time per day; 20 mg in the fifth and sixth weeks, once a day/kloc-0; Seventh and eighth weeks, 30 mg, daily 1 time; 40 mg per day/kloc-0 times in the ninth and tenth weeks until the symptoms and signs are improved or relieved. Pseudopregnancy treatment lasts for at least 3 months and at most 2 years. About 80% patients can obviously improve symptoms and signs, but about 20% patients relapse after half a year of treatment. ② Testosterone: It also has a certain effect on endometriosis. Dosage depends on tolerance. The initial dose can be 10 mg twice a day. Oral administration started 2 weeks after menstrual cycle, which rarely affected the cycle and had positive side effects. But to achieve the purpose of pain relief, it often takes several cycles. After that, the dosage can be reduced, and after a period of continuous treatment, the drug can be stopped for observation. If you can get pregnant, the disease can be cured. There is also 10 mg of oral methyltestosterone 1 time/day, or 25 mg of testosterone propionate intramuscular injection, twice a week, with 6-8 weeks as 1 course of treatment. Stop taking drugs for at least 4 weeks between two courses of treatment. This treatment can cause delayed menstruation, decreased menstrual flow and even amenorrhea, but it can be recovered after stopping the drug. ③ Surgical treatment: Surgical treatment is an effective treatment. Those who respond to drugs or fail to respond to drug treatment can undergo surgery. If the patient is endometriosis, close to 40 years old, or has children with or without external endometriosis, total hysterectomy is feasible, and bilateral appendages are preserved. However, if there is external endometriosis and the lesion cannot be removed, the appendix should be removed. If young people want to preserve their fertility, and endometriosis is confined to a part of the uterus, it is feasible to remove the diseased area. ④ Radiotherapy: The focus is located in intestinal tract, urinary tract or pelvic connective tissue, and the operation is difficult, or endocrine therapy is ineffective, or close to menopausal recurrence cases, or the patient's physical condition is poor, or other reasons, such as obesity, have great concerns about the operation. You can also take radiotherapy to cause artificial menopause. General intrauterine radium therapy or cobalt 60 radiotherapy can destroy ovarian function and shrink ectopic endometrium.
In addition, many diseases can also form organic dysmenorrhea, and the key to its treatment lies in treating the primary disease. As long as the primary disease causing dysmenorrhea is cured, its dysmenorrhea will naturally be alleviated or disappeared.
The occurrence of dysmenorrhea is often emotional injury, careless living, or six-sex, or insufficient congenital endowment, which leads to the poor operation of Chong Ren and uterine qi and blood, and it hurts if it doesn't work; Or it may lead to rush to work, loss of uterine support, and humiliation.
(1) Qi stagnation and blood stasis: Suduo is depressed, or anger hurts the liver, qi stagnation and blood stasis hinder blood circulation, and the normal excretion of menstrual blood is affected, so dysmenorrhea occurs. (2) Yang deficiency and internal cold: Yang deficiency is congenital, yin cold is endogenous, and chong ren and uterus stagnate due to lack of warming, so they can't be unblocked and suffer from dysmenorrhea. (3) Stagnation of cold and dampness: too greedy for cold, or living in a humid place, or trauma wind, cold and dampness, cold and dampness rushing into the uterus, leading to poor circulation of qi and blood and dysmenorrhea. (4) Damp-heat betting: commonly known as damp-heat, the damp-heat flows to Chongren, blocking the movement of qi and blood; Or feel the evil of damp heat during menstruation and postpartum, stay in Chongren or Hakka, and struggle with menstrual blood to cause dysmenorrhea. (5) Loss of qi and blood: spleen deficiency, weak stomach and insufficient qi and blood metaplasia; Or serious illness and long-term illness damage qi and blood, menstrual qi and blood deficiency, chong ren, uterine dystrophy, thus causing dysmenorrhea. (6) Deficiency of liver and kidney: deficiency of liver and kidney due to vegetarian body, or damage of liver and kidney due to labor pains, deficiency of essence and blood, deficiency of chong and ren, pulse dystrophy, and even more impairment of essence and blood after menstruation, and dysmenorrhea due to chong and ren.
Dietotherapy is simply what food patients with dysmenorrhea should eat and what food they should not eat. Dysmenorrhea patients have different syndromes, and food has four flavors. In daily life, especially before and after menstruation, patients can eat scientifically, use the food bias to correct the yin-yang bias of the body, coordinate the function of viscera, and promote the recovery of dysmenorrhea.
Menstruation is a unique physiological phenomenon of women, during which special attention should be paid to diet regulation. For dysmenorrhea patients, it is necessary to avoid eating cold food and spicy food. Otherwise, the phenomenon of poor menstrual flow will be more serious, which is not only not conducive to the recovery of the disease, but will aggravate the pain. You can eat more warm food, and then choose meals with different smells and attributes according to different syndromes.
(1) Qi stagnation and blood stasis type: You can eat more foods that promote qi and blood circulation, such as radish, litchi, orange, hawthorn, loofah, peach kernel, endothelium corneum Gigeriae Galli, celery, rape, shad, cuttlefish, peanut, fennel and so on.
(2) Cold-dampness stagnation type: You can eat more foods with the functions of dispelling cold and dampness, warming meridians and dredging veins, such as ginger, onion, fennel, star anise, pepper, sorghum, lentils, leek, mustard, pepper, litchi, peach, chestnut, mutton, venison, chicken, dog meat, carp, crucian carp, eel, sea snake, pepper and so on.
(3) Yang deficiency and internal cold type: In Yiyang, you can eat more foods with the functions of warming spleen and kidney and dispelling cold, such as soybean oil, pepper, star anise, fennel, leek, mutton, beef, dog meat, animal kidney, pigeon meat, sparrow, grass carp, shrimp and hippocampus.
(4) Damp-heat betting type: You can eat more damp-heat foods with the function of clearing away heat and reducing coke, such as bitter gourd, bitter vegetable, purslane, eggplant, cucumber, wax gourd, rape, spinach, mung bean, apple, pear, coix seed, tea, laver, adzuki bean, day lily, clam and so on.
(5) Deficiency of qi and blood: You can eat more foods that are angry with blood, such as sea cucumber, chicken, jujube, black beans, mushrooms, medlar, longan, milk, eggs, grapes, animal liver, octopus, loach and yellow croaker.
(6) Liver and kidney deficiency type: You can eat more foods that can tonify liver and kidney, such as medlar, tremella, auricularia, coconut, walnut, animal kidney, pig bone marrow, bovine bone marrow, sheep liver, beef tendon, deer tail, chicken liver, quail, hairtail, turtle, scallop, abalone, placenta, duck eggs, tortoise and so on.
When using medicated diet to treat dysmenorrhea, we should pay attention to several points: firstly, we should choose medicated diet reasonably according to the specific syndromes of patients to play a therapeutic role, otherwise it will aggravate the condition and be unfavorable to rehabilitation. Secondly, we should master the dose of food. If you eat blindly regardless of the changes in your condition and overeat as much as possible, you will suffer. Thirdly, according to the physiological characteristics of menstruation, different medicated diets should be arranged and made reasonably in stages, which not only embodies the characteristics of traditional Chinese medicine, but also prevents patients from eating one medicated diet, causing boredom and great harm.
(1) Qi stagnation and blood stasis type: ① Motherwort boiled eggs: 60g motherwort, 20g corydalis tuber and 2 eggs. Boil in water, peel the eggs before boiling, and eat the eggs and soup after removing the residue. Start using it 3 ~ 5 days before menstruation and keep it for 7 days. ② Radish Chen Pizhou: 200g of white radish, 20g of dried tangerine peel, and proper amount of flour and seasoning. Eat as porridge. ③ Motherwort porridge: motherwort (fresh) 100g, 50g of japonica rice and appropriate amount of brown sugar. Cook porridge to eat. ④ Eggs from distiller's grains: 6 eggs, 50g of distiller's grains, 0/2g of Rhizoma Cyperi, 65,438g of peach kernel and 65,438g of Rhizoma Chuanxiong. After the eggs are cooked, they are shelled and cooked with the medicine for about 1 hour. Start using 3 days before menstruation, eat 1 egg in the morning and evening, and drink a small amount of soup. ⑤ Peach kernel cake: 50g peach kernel, 20g endothelium corneum Gigeriae Galli, 20g dried tangerine peel and 20g Rhizoma Corydalis. * * * is a fine powder, and it is eaten with a proper amount of flour pancakes.
(2) Cold-dampness stagnation type: ① Angelica mutton soup: Angelica 30g, Cinnamomum cassia 10g, fennel 65438 g, Sichuan pepper 65438 g and mutton 200g. Add water and cook together. When the meat is cooked, add appropriate seasoning and drink soup. Start using it 3 ~ 5 days before menstruation and keep it for 7 days. ② Foeniculum argyi eggs: 30g of Folium Artemisiae Argyi, 30g of fennel and 2 eggs. Cook the eggs in water, shell them after cooking, and then cook them. Start eating 3 ~ 5 days before menstruation, lasting 1 week. ③ Sanjiao Chicken: Zanthoxylum bungeanum, Illicium verum, Zanthoxylum bungeanum 10g, chicken 200g, and proper seasoning. Cook the chicken before eating meat and soup.
(3) Yang deficiency and internal cold type: ① Osmanthus-scented pork loin: cinnamon, pepper 10g, Morinda officinalis 6g, pork loin 1 pair, and proper seasoning. Add water and cook together. When the meat is cooked, eat the meat and drink the soup. ② Fennel and sparrow soup: fennel, fennel, Amomum villosum 10g, two sparrows, and proper amount of seasoning. Add water to stew soup, eat meat and drink soup. ③ Guiwu egg soup: aconite 10g, cinnamon 6g, pepper 5g, 2 black eggs and a little onion and ginger. Decoct the medicine, add eggs, season with salt, and eat.
(4) Damp-heat betting type: ① Portulaca porridge: 30g dried Portulaca oleracea and proper amount of rice. * * * Cook porridge to eat. ② Corn and red bean porridge: 50 grams of Coix seed and red bean, and 6 grams of Amomum villosum. * * * Eat after cooking porridge. 3 fresh lotus root and towel gourd soup: fresh lotus root, towel gourd, fresh dandelion and seasoning. Make soup to eat. ④ Mussel and winter melon soup: 500g of winter melon, 250g of mussel meat, and appropriate amounts of yellow wine, onion, ginger, salt and monosodium glutamate. Stew soup to eat. ⑤ Ercao porridge: 30g Patrinia, 30g Plantago (fresh) and proper amount of flour. Make porridge to eat.
(5) Qi and blood deficiency type: ① Astragalus longan chicken: Astragalus membranaceus 60g, longan 60g, Rhizoma Corydalis 20g, 1 hen, boiled in water, cooked with seasoning and served with soup. ② tremella soup: 30 grams of tremella, 20 jujubes and appropriate amount of lean pork. Add water to the soup, add seasoning and eat. ③ Stewed chicken with astragalus and donkey-hide gelatin: chicken 250g, astragalus 30g, donkey-hide gelatin 15g, onion, ginger and salt, which can be made into soup. ④ Guiqi mutton soup: 500 grams of mutton, 60 grams of angelica, 30 grams of astragalus, and proper amount of seasoning. * * * Change the soup. ⑤ Mushroom and pigeon soup: 30g of mushrooms, pigeon 1 piece, cooked with seasoning.
Clinical application of medicate liquor in dysmenorrhea
① Danshen Qutong Liquor: Salvia Miltiorrhiza and Rhizoma Corydalis 30g, Radix Cyathulae, Carthami Flos, Radix Curcumae 15g, and 500ml wine. Cold dip or hot dip method. Take it three days before menstruation, three times a day, each time 15 ~ 20ml. ② Danggui Yuanhu Liquor: Danggui, Yuanhu, Myrrha, Carthamus tinctorius each 15g, liquor 1000ml. Cold soaking method. Three times a day, each time10 ~15ml. Take it 3 days before menstruation. ③ Tianqi Danshen wine: Tianqi 30g, Danshen 60g and yellow rice wine 500ml. Hot dip method. 20 ~ 30ml twice a day, starting 3 days before menstruation. ④ Hawthorn and litchi wine: 50 grams of hawthorn and litchi seeds each, and 600 ml of wine. Cold dip or hot dip method. 2 ~ 3 times a day, each time 15 ~ 20ml. Start using it three days before menstruation.
【 Cold-dampness stagnation type 】 ① Fennel cinnamon wine: fennel 30g, cassia twig 15g, and white wine 300ml. Cold soaking method. Take 15 ~ 25ml three times a day, starting from 3 ~ 5 days before menstruation. ② Brown sugar: brown sugar 10g, 50ml yellow rice wine. Decocting with slow fire, once a day, 1 dose. ③ Tiaojing Liquor: Angelica sinensis, Ligusticum Chuanxiong and Evodia rutaecarpa each 65438±02g, Radix Paeoniae Alba, Poria, Pericarpium Citri Tangerinae, Rhizoma Corydalis and Cortex Moutan each 9g, Radix Rehmanniae Preparata and Rhizoma Cyperi each 65438±08g, Fructus Foeniculi and Fructus Amomi each 6g, Chinese liquor 65438±0500ml and yellow wine 65438±0000ml. Hot dip method. Take 15 ~ 25ml twice a day, starting 5 days before menstruation.
① Stomach stasis-removing wine: fennel, dried ginger, cinnamon, Oletum Trogopterori and Pollen Typhae each 20g, Rhizoma Corydalis, Radix Angelicae Sinensis, Rhizoma Chuanxiong and Radix Paeoniae Rubra each 30g, myrrh10g, and Chinese liquor1500ml. Cold soaking method. Take 10 ~ 15 ml twice a day, starting 3 days before menstruation. ② Warm wine of Lindera root: Lindera root 30g, Cinnamomum cassia, Ligusticum chuanxiong, dried ginger 15g, and white wine 500ml. Cold soaking method. Take it twice a day 15 ~ 20ml, and start taking it before menstruation 1 week. ③ Walnut wine: walnut kernel 120g, fennel and Eucommia ulmoides. 60 grams of Psoralea corylifolia and 2000 ml of white wine. Cold soaking method. Twice a day, each time?