Abdominal pain before menstruation is what we call premenstrual abdominal pain. Many women will experience lower abdominal pain before menstruation. Some pains are more severe than others. Severe dysmenorrhea can affect normal life and requires timely treatment. Pay attention to exercise regularly. 1. General treatment of premenstrual abdominal pain: 1. For patients with dysmenorrhea, especially adolescent girls, they should be patiently informed of the physiological knowledge of menstruation so that they understand that menstruation is a physiological phenomenon during the development to sexual maturity. Some physiological changes will occur during menstruation, such as mild back pain, lower abdominal distension and other symptoms, so as to eliminate their fear and anxiety. 2. Avoid mental stress, fatigue and coldness before and during menstruation. 3. For those with weak constitution, they should increase nutrition appropriately, pay attention to physical exercise and strengthen their physical fitness. 2. Symptomatic treatment of premenstrual abdominal pain: 1. Analgesics and antispasmodics: To prevent the onset of dysmenorrhea, antispasmodics and analgesics can be taken orally 12 to 24 hours before menstruation. Patients with mild dysmenorrhea can take painkillers or 60 mg of codeine phosphate orally; patients with severe dysmenorrhea can receive 0.5 mg of atropine sulfate subcutaneously. In addition, barbiturates are also effective for dysmenorrhea. 2. Sedation: For patients with severe dysmenorrhea accompanied by mental tension and emotional instability, a small amount of chlorpromazine can be taken orally. 3. Premenstrual abdominal pain For women , generally they will have abdominal pain more or less before or after menstruation, which is a disease name. It is also called abdominal pain before menstruation or pain when menstruation is about to come. See “Collection of Essentials of Gynecology, Volume 1” by Shen Yaofeng of the Qing Dynasty. It refers to women who experience regular lower abdominal pain before their menstrual period, which is relieved during their menstrual period. Chen Yaofeng: "Premenstrual abdominal pain must be caused by some stagnation. The pulse will be deep if there is qi stagnation, tight if there is cold, and moist if there is dampness stagnation. If there is both cold and heat, one should consider the surrounding symptoms. If wind evil enters the pulse from the lower part, it can also cause pain. The pulse will be sometimes large and sometimes small, and sometimes there will be ridges. Ye used 1 qian each of saposhnikovia divaricata, schizonepeta tenuifolia, platycodon grandiflorum, and licorice (add ginseng for those with deficiency), roasted until black, and took the powder to drink with wine, which was very effective." It is mostly caused by qi stagnation, blood stasis, cold and dampness stagnation, or internal invasion of wind evil. "Ye Tianshi's Secret Prescriptions for Diagnosis and Treatment of Gynecology": "When menstruation comes, there is umbilical and abdominal cramps. This is because the blood is not flowing smoothly and causing pain. It is advisable to take Tongjing Decoction (Siwu Decoction plus Chuanlianzi, Fennel, Areca Nut, Corydalis, and Costus Root. Boil in water and take before meals)." Please refer to the articles on dysmenorrhea due to qi stagnation, dysmenorrhea due to blood stasis, and dysmenorrhea due to cold and dampness stagnation. |
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