Menstrual Pain and Ice Craving: A Traditional Chinese Medicine Perspective

I experience pain every month?

Hello doctor, I have severe anemia and experience pain every month during my menstrual period, although the menstrual flow is not heavy and I occasionally have small blood clots.
I have a peculiar habit of craving ice cubes regardless of the weather or whether I am thirsty.
I do not enjoy cold drinks, sugary ice cream, or raw cold foods like salads, but I really like eating ice cubes.
Chewing ice helps me relieve stress, and I feel that there is no food better than ice cubes.
I consume about one tray of ice cubes from a standard ice maker each day, which contains around 15 small cubes, and I don't think that's excessive.
I wonder if my ice cube consumption and anemia are contributing to my menstrual discomfort.
I have undergone an ultrasound at the gynecologist, and everything was normal.
I would like to ask the doctor, from a traditional Chinese medicine perspective, what might be the issue with my habit of eating ice cubes, and is it okay to consume sesame oil during my menstrual period? Thank you for your response.

donna, 30~39 year old female. Ask Date: 2009/04/11

Dr. Peng Peilun reply Traditional Chinese Medicine

Eating ice cubes can lead to poor blood circulation, which may result in reduced menstrual flow and cause dysmenorrhea.
It is advisable to limit or avoid consuming ice.
Symptoms should improve as a result.
A preference for eating ice may be due to internal heat in the body, which may require medication for treatment.
During menstruation, consuming sesame oil can help alleviate symptoms.
Thank you.

Reply Date: 2009/04/11

More Info

Menstrual pain, also known as dysmenorrhea, is a common issue that many women face, and it can be particularly challenging for those with underlying health conditions such as anemia. From a Traditional Chinese Medicine (TCM) perspective, menstrual pain is often attributed to imbalances in the body’s energy (Qi), blood, and the functioning of the organs involved in menstruation, particularly the liver, spleen, and kidneys.

Your experience of severe menstrual pain, coupled with anemia and the craving for ice, suggests a few potential issues. In TCM, the craving for ice or cold substances can be indicative of a deficiency in Yang energy, which is associated with warmth and vitality. When the body is deficient in Yang, it may struggle to maintain proper circulation and warmth, leading to symptoms such as cold extremities, fatigue, and menstrual discomfort. The craving for ice could be a way for your body to seek relief from this perceived coldness, even though consuming cold substances can further exacerbate the underlying deficiency.

Additionally, the presence of small blood clots in your menstrual flow, along with the pain, could indicate stagnation of Qi or blood in TCM terms. This stagnation can lead to pain and discomfort during menstruation, as the flow of blood is impeded. The fact that you have been diagnosed with anemia adds another layer, as it suggests that your body may not be producing enough blood to nourish and support the menstrual cycle adequately.

Regarding your question about consuming sesame oil (麻油) during menstruation, TCM often views sesame oil as a warming and nourishing substance. It can help to promote blood circulation and alleviate pain, making it generally acceptable to consume during your menstrual period. However, moderation is key, and it’s essential to listen to your body’s responses.

To address your concerns holistically, here are some recommendations based on TCM principles:
1. Dietary Adjustments: Focus on warming foods that nourish the blood, such as cooked vegetables, whole grains, and lean proteins. Avoid excessive cold foods and drinks, including ice, as they can hinder digestion and exacerbate cold conditions in the body.

2. Herbal Remedies: Consider consulting with a qualified TCM practitioner who can prescribe herbal formulas tailored to your specific needs. Herbs like Dang Gui (Angelica sinensis) and Bai Shao (Paeonia lactiflora) are often used to nourish the blood and alleviate menstrual pain.

3. Acupuncture: This ancient practice can help to balance the body’s energy, improve circulation, and relieve pain. Regular acupuncture sessions may help to regulate your menstrual cycle and alleviate discomfort.

4. Lifestyle Modifications: Incorporate gentle exercises like Tai Chi or yoga to promote circulation and reduce stress. Stress can exacerbate menstrual pain and contribute to Qi stagnation.

5. Monitor Your Symptoms: Keep a journal of your menstrual cycle, noting the severity of pain, dietary habits, and any other symptoms. This information can be valuable for both you and your healthcare provider in managing your condition.

6. Consult a Healthcare Provider: Since you have a history of anemia, it’s crucial to work with a healthcare provider to monitor your blood levels and overall health. They can provide guidance on managing your anemia and any necessary treatments.

In summary, your craving for ice and the associated menstrual pain may reflect deeper imbalances in your body according to TCM principles. By addressing these issues through dietary changes, herbal remedies, acupuncture, and lifestyle modifications, you may find relief from your symptoms and improve your overall well-being. Always consult with a qualified practitioner to ensure that any treatments align with your specific health needs.

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