A famous Chinese medicine expert answers: How to distinguish the types of dysmenorrhea?

Student: You often emphasize that the main symptom of dysmenorrhea is "pain", and it is an important link to distinguish the deficiency from the excess of pain. So can it be judged according to the patient's dysmenorrhea?

Yin Xi

Can dysmenorrhea with deficiency syndrome be dialectical? How to distinguish dysmenorrhea types

The old Chinese doctor replied: Abdominal pain is one of the basis for distinguishing dysmenorrhea from excess. However, like to contact is false, and refusing to press is true. Generally, it can only be applied to patients who are not serious, and the more serious situation is not.

Exactly.

. In the treatment, although some of them belong to depression syndrome, they will also have abdominal pain and will not refuse to press.

Because of the pain

Most patients who refuse to press the button belong to the serious syndrome of blood stasis, and their abdomen is swollen and hard, even burning and painful to the touch. Generally, abdominal pain with irregular menstruation, although there is blood stasis, is not too painful to refuse to press. On the contrary, I like to massage, even warm. Massage can make blood stasis discharged smoothly, especially for those with cold coagulation and blood stasis, making them warm and comfortable. Because blood is hot, it is ok, and the general principle is painless, so the pain potential is reduced.

Therefore, to distinguish between shortage and surplus, we can't just decide whether to like or refuse to press. Usually, in addition to referring to the pulse and tongue picture, we should also pay attention to whether the abdominal pain is relieved or blood stasis after menstrual blood discharge, so as to distinguish between excess and deficiency. If you just like to press, you can press virtual to deal with it. It is often difficult to achieve the desired results. Besides, weak,

insufficiency of Qi and Blood

Qi deficiency can not promote blood circulation, leading to irregular menstruation.

Blood stasis

The phenomenon of refusing pressure when it hurts belongs to the type of insufficient clamping and firm clamping. In addition, some patients often like to press and refuse to press at the same time. This situation can be divided into two situations: one is light pressure is relaxation, the other is pain, the other is light pressure is pain, and the other is heavy pressure is relaxation. The former has both cold and blood stasis, cold is light and blood stasis is heavy, while the latter has blood stasis deficiency and less blood stasis deficiency. This case is clinical.

on night duty

Often encountered.