menstrual abdominal pain
Introduction
Introduction Menstrual abdominal pain is one of the clinical manifestations of spleen deficiency, spleen deficiency, TCM terminology. It refers to a series of pathological phenomena and syndromes of spleen physiological dysfunction caused by spleen deficiency. Including spleen qi deficiency, spleen yang deficiency, medium gas subsidence, spleen and blood syndrome. Due to eating disorders, work and rest, or long illness and physical weakness. The spleen has the functions of transporting nutrients in food, transporting water and regulating blood. Spleen deficiency is transported abnormally, and there may be nutritional disorders. The water is lost in the water and is wet and brewed, or blood loss is caused.
Cause
Cause
1, spleen qi deficiency: more due to diet, or excessive fatigue, or worry for a long time, damage the spleen, or lack of resistance, physical weakness.
2, spleen yang deficiency: more due to the further development of spleen qi deficiency, but also due to eating disorders, overeating cold, or because of cold medicine too much, damage spleen yang, or lack of kidney yang, life door fire, fire not Born earth.
3, the gas is depressed: the gas also refers to the temper. The temper rises, and the water valley is sent to the lungs in order to raise other organs. If the spleen is in the air, it may cause chronic diarrhea, rectal prolapse, and uterine prolapse.
4, the spleen does not control the blood: the temper is weak, can not take blood, then the blood does not follow.
Examine
an examination
Related inspection
Gynecological ultrasound examination
Traditional Chinese medicine spleen deficiency refers to the disease caused by the weak spleen of Chinese medicine. Although its condition is more complicated, it mainly includes vomiting, diarrhea, edema, hemorrhage, amenorrhea, vaginal discharge, cold limbs, and sputum in children.
1, spleen qi deficiency: less abdominal distension, swelling after eating, limb burnout, Shenpi fatigue, less lazy words, body weight loss, or obesity edema, pale tongue.
2, spleen yang deficiency: loose stools, less abdominal distension, abdominal pain, like warm, happy, chilly, limbs are not warm, faceless or edema, urinary shortness or vaginal discharge more clear white, white tongue slippery.
3, the gas subsidence: such as long-term diarrhea, rectal prolapse, uterine prolapse and so on.
4, spleen is not unified blood: more common in chronic bleeding syndrome, such as menorrhagia, uterine bleeding, blood in the stool, blood stasis, subcutaneous bleeding. In addition to bleeding, you must also see some symptoms of temper weakness.
Diagnosis
Differential diagnosis
1. Back pain during menstruation: Back pain during menstruation is one of the symptoms of dysmenorrhea, dysmenorrhea, dysmenorrhea, after detailed gynecological clinical examination failed to find abnormal pelvic organs, said primary dysmenorrhea, also known as functional Dysmenorrhea. Secondary dysmenorrhea refers to those with obvious lesions in the reproductive organs, such as endometriosis, pelvic inflammatory disease, and tumors.
2, before and after menstruation, abdominal pain: before and after menstruation, abdominal pain refers to abdominal pain before menstruation, is one of the symptoms of dysmenorrhea, dysmenorrhea refers to women in the menstrual period and before and after, there are abdominal or waist pain, and even pain and lumbosacral. Every time with the menstrual cycle, severe cases can be accompanied by nausea and vomiting, cold sweats, cold hands and feet, and even fainting, affecting work and life. At present, it is often divided into primary and secondary in clinical practice. Primary dysmenorrhea refers to those with no obvious lesions in the reproductive organs, so it is also called functional dysmenorrhea. It is more common in adolescent girls, unmarried and married. This type of dysmenorrhea can relieve or disappear after normal childbirth. Secondary dysmenorrhea is caused by organic lesions in the reproductive organs. The disease is a common disease in gynecological clinics. According to relevant investigations, the incidence of dysmenorrhea is 33.19%.
3, cold abdomen cold pain: pre-abdominal pain more than cold blood stagnation, often manifested as abnormal abdominal pain. Dysmenorrhea is one of the common diseases in women, and many women are very upset. In the menstrual period, some painkillers are often used to deal with them. Although they can solve the urgent need, they do not cure the problem. Chinese medicine pays attention to syndrome differentiation and treatment in the treatment of dysmenorrhea.
