Managing Severe Menstrual Pain: Insights from Traditional Chinese Medicine - Traditional Chinese Medicine

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Chronic dysmenorrhea


Since I was young, my menstrual periods have been extremely painful, causing vomiting, diarrhea, cold sweats, and dizziness, to the point where I feel like I want to die.
I often can't do anything and sometimes the pain is so severe that I can't sleep.
This February, I need to start an internship, so I began seeing a traditional Chinese medicine doctor near my home in November of last year.
Initially, the doctor prescribed me 70g of Warming the Meridians Decoction and 21g of Gui Zhi Fu Ling Wan.
After two menstrual cycles, although I no longer experienced vomiting, diarrhea, or cold sweats, the pain was still so intense that I couldn't stand or do anything.
During my follow-up appointment today, the doctor prescribed me 70g of Warming the Meridians Decoction and 21g of Zhi Bo Di Huang Wan.
I'm unsure if this will be effective.
How can I manage my lifestyle to alleviate menstrual pain?

Matcha, 20~29 year old female. Ask Date: 2016/01/01

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear Netizen Matcha: How to manage menstrual pain effectively.
My suggestion is: in addition to seeking help from both traditional Chinese and Western medicine practitioners, refrain from consuming any cold foods, such as cold fruits, cold beverages, cold salads, and cold jelly, during the week leading up to your menstrual period.
Instead, focus on eating warmer foods, such as ginger black sugar tea, ginger duck, sesame oil chicken, medicinal herbal pork ribs, and rice wine chicken.
Give it a try.
Wishing you health and peace! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2016/01/01

More Info


Managing severe menstrual pain, also known as dysmenorrhea, can be a challenging experience, especially when it significantly impacts daily life. Traditional Chinese Medicine (TCM) offers various approaches to alleviate this condition, focusing on restoring balance and promoting overall well-being.
From your description, it seems that you have been experiencing severe menstrual pain since your first period, accompanied by symptoms such as vomiting, diarrhea, cold sweats, and dizziness. These symptoms can be debilitating and may indicate a more complex underlying issue. It’s good to hear that you have sought help from a TCM practitioner, and it sounds like you have already started treatment with herbal formulas.

The herbal prescriptions you mentioned, such as 温经汤 (Wen Jing Tang) and 桂枝茯苓丸 (Gui Zhi Fu Ling Wan), are commonly used in TCM to warm the meridians, promote blood circulation, and alleviate pain. These formulas are particularly beneficial for conditions associated with cold and stagnation in the body, which can contribute to menstrual pain. The transition to using 知伯地黄丸 (Zhi Bai Di Huang Wan) suggests that your practitioner is addressing potential deficiencies in kidney and liver yin, which can also play a role in menstrual discomfort.

In terms of lifestyle adjustments, there are several strategies you can implement to help manage and potentially reduce the severity of your menstrual pain:
1. Dietary Changes: Focus on a balanced diet rich in whole foods, including fruits, vegetables, whole grains, and lean proteins. Avoid excessive caffeine, sugar, and processed foods, as these can exacerbate inflammation and pain. Incorporating warming foods, such as ginger and cinnamon, may also be beneficial.

2. Regular Exercise: Engaging in regular physical activity can help improve circulation and reduce stress, which may alleviate menstrual pain. Activities such as yoga, swimming, or walking can be particularly effective.

3. Stress Management: High stress levels can contribute to increased pain perception. Techniques such as mindfulness meditation, deep breathing exercises, or tai chi can help manage stress and promote relaxation.

4. Heat Therapy: Applying heat to the lower abdomen can provide immediate relief from menstrual cramps. You can use a heating pad, hot water bottle, or even take a warm bath to help soothe discomfort.

5. Acupuncture: This TCM practice involves inserting thin needles into specific points on the body to promote energy flow and alleviate pain. Many women find acupuncture to be an effective treatment for menstrual pain.

6. Herbal Supplements: In addition to the formulas prescribed by your TCM practitioner, you might consider discussing other herbal remedies known for their pain-relieving properties, such as Dong Quai (Angelica sinensis) or Chaste Tree (Vitex agnus-castus).

7. Regular Check-ups: Since you have experienced severe symptoms, it is essential to continue monitoring your condition with your healthcare provider. If your pain persists or worsens, further evaluation may be necessary to rule out conditions such as endometriosis or fibroids.

In conclusion, while TCM offers valuable insights and treatments for managing severe menstrual pain, it is crucial to adopt a holistic approach that includes lifestyle modifications, stress management, and possibly complementary therapies like acupuncture. Always consult with your healthcare provider before making significant changes to your treatment plan, especially if you are considering additional herbal supplements or therapies. With time and the right strategies, you can work towards alleviating your menstrual pain and improving your quality of life.

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