How to treat severe abdominal pain during menstruation?

Every woman will experience abdominal pain during menstruation, especially one or two days before and one or two days after menstruation. Not only is the abdominal pain severe, but it is also accompanied by back pain and abdominal bloating. This is because everyone's physical constitution is different, and it is caused by changes in hormone levels during menstruation. When you have severe menstrual pain, you should avoid catching cold and eating some raw and cold food.

There are several aspects of traditional Chinese medicine treatment for severe menstrual pain:

1. Qi stagnation and blood stasis

Treatment method: Promote blood circulation, remove blood stasis, promote qi circulation and relieve pain.

Prescription: Xuefu Zhuyu Decoction with modifications. Angelica root 10g, Chuanxiong 10g, peach kernel 15g, safflower 15g, Achyranthes bidentata 10g, Corydalis 15g, Cyperus rotundus 10g, Linderae 15g. If accompanied by bitter taste in the mouth, yellow tongue coating, prolonged menstruation, and dark and thick menstrual blood, it is a sign of liver depression turning into heat. Add Gardenia 10g and Prunella Vulgaris 10g. If accompanied by chest tightness and poor appetite, it is caused by the liver invading the spleen. Add Scorched Atractylodes 15g, Poria 15g, and Tangerine Peel 15g.

2. Cold condensation in cells

(1) Yang deficiency and internal cold

Treatment method: Warm the meridians and dispel cold, warm the uterus and relieve pain.

Prescription: Wenjing Decoction with modifications. Evodia rutaecarpa 10g, fennel 10g, cinnamon twig 15g, angelica 15g, white peony root 20g, donkey-hide gelatin 10g (separate package), licorice 10g, jujube 10g, asarum 3g, eucommia 10g, and aconite 5g. For those with sore waist and legs, add 15g of Eucommia ulmoides and 25g of Dipsacus asper; for those with scanty menstruation, add 15g of Safflower.

(2) Stagnation of cold and dampness

Treatment method: Warm the meridians, dispel cold and dampness, promote blood circulation, regulate qi and relieve pain.

Prescription: Shaofu Zhuyu Decoction with modifications. Angelica 15g, red peony root 15g, Chuanxiong 10g, meat hanging 10g, roasted ginger 15g, fennel 10g, Corydalis 15g, Aconiti lobata 15g, Pollen 15g (separate package), Toosendan fruit 10g, Poria 15g, Pinellia 10g, Atractylodes 15g. For those with low back pain, add 15g of Chuanduan and 15g of Eucommia.

3. Dampness and heat

Treatment method: Clear away heat and dampness, resolve blood stasis and relieve pain.

Prescription: Qingre Tiaoxue Decoction with modifications. White peony root 15g, Chuanxiong 10g, Angelica 15g, Moutan bark 15g, Coptis chinensis 10g, Rehmannia glutinosa 15g, peach kernel 15g, safflower 15g, Corydalis yanhusuo 15g, Red vine 15g, Patrinia 15g, Coix seed 15g, Atractylodes macrocephala 15g, Poria 15g. For those with abdominal distension and pain, add 15g of Yuanhu and 15g of Chuanlianzi; for those with multi-color yellow discharge, add 15g of Plantago.

4. Weak Qi and blood

Treatment method: tonify qi, replenish blood and relieve pain.

Prescription: Shengyu Decoction with modifications: Codonopsis pilosula 20g, Astragalus membranaceus 30g, Ligusticum chuanxiong 15g, Angelica sinensis 15g, Rehmannia glutinosa 15g, Corydalis yanhusuo 15g, Cyperus rotundus 15g. For patients with dizziness, palpitations and insomnia, add 15g of Polygonum multiflorum and 15g of Lycium barbarum; for patients with soreness of waist and knees, add 15g of Eucommia ulmoides and 15g of Chuanduan.

5. Liver and kidney deficiency

Treatment method: Nourish the kidney and liver and relieve pain.

Prescription: Tiaogan Decoction with modifications. Angelica 15g, white peony root 20g, cornus officinalis 15g, yam 25g, Chuanduan 15g, Morinda officinalis 15g. If there are also hot flashes, add 10g of Artemisia annua, 15g of turtle shell, and 10g of Rehmannia glutinosa. If there is coldness in the lower abdomen, add 10g of Aconitum. If there is abdominal pain and lumbar pain, frequent and clear urination at night, add 15g of Alpinia oxyphylla and 30g of Silkworm Cocoon.