Dysmenorrhea
Etiology
As one of the common gynecological diseases, dysmenorrhea is mainly due to stagnation of qi and stasis of blood caused either by mental stress such as anxiety and anger or by cold evil
affection. It may be classified into two types-deficiency type and excess type.
Symptoms
1. Dysmenorrhea of Execess Type
Patients with dysmenorrhea of excess type have the symptoms of pain in the lower abdomen prior to menstruation or constant pain in the lower abdomin, interior heat, dry mouth, dark violet menstrual blood, advanced menstrual period and taut and rapid pulse. Flat-palm detection often reveals densified, stagnated, distending and tingling sensation of qi at the lower abdomen.
2. Dysmenorrhea of Deficiency Type
Patients with dysmenorrhea of deficiency type have the symptoms of pain in the lower abdomen after menstruation which can be alleviated by warming and hand— pressing, scanty and thin mentrual blood, delayed menstruation period, aversion to cold and fine and slippery pulse. Flat—palm detection often reveals cold, densified and tingling sensation of qi at the lower abdomen.
Treatment
1. Emission of Outgoing-Qi (Waiqi)
(1) Press and knead with the fingertips Qihai (Ren 6), Guanyuan (Ren 4), Zhongwan (Ren 12) and Shenshu (UB 23) to open through these points.
(2) Emit qi, with fiat-palm or middle-finger-propping gesture and vibrating manipulation, towards Zhongwan (Ren 12), Qihai (Ren 6) and Guanyuan (Ren 4) for 8 - 16 respiratory cycles. Then conduct rotating massage on the lower abdomen, followed by pressing and kneading Sanyinjiao (Sp 6).
(3) Emit qi towards the Lower Dantian with flat-palm gesture and pushing- pulling—rotating manipulation, and guide qi to whirl around the umbilicus.Rotate clockwise lor cases with deficiency syndrome and counterclockwise for those with excess syndrome.
Modification•. To treat the execess type, add flat-palm hand gesture and pulling and leading manipulations to guide the channel qi to flow from Dantian (Extra) downward to the lower limbs along the Liver Channel of Foot-Jueyin and the Stomach Channel of Foot-Yangming. To treat the deficiency type, add flat—palm hand gesture and pushing and leading ma nipulations to emit qi to Guanyuan (Ren 4) and Qihai (Ren 6) and guide the channel qi to flow along the Spleen Channel of Foot-Taiyin and the Stomach Channel of Foot-Yangming to balance qi.
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