DYSMENORRHEA (PAINFUL MENSTRUATION)

Clinical Manifestations
  • Recurring sharp or dull pain in the lower abdomen or pelvis 1-2 days before, during, or after the period
  • The pain can radiate to the whole abdomen, lower back and anal/genital area (Endometriosis can have a feeling of downward pulling on the anus)
  • The pain generally diminishes after the period ends
  • The pain can be stabbing, burning, squeezing, dull, down-bearing and in severe cases, can cause nausea, vomiting, cold sweating and fainting
  • This seems to happen mostly in younger women
Treatment Principle
  • Promote blood circulation
  • Warm the uterus
  • Enhancing the flow of Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Itching or tickling in the throat
  • Cough with expectoration of thin, watery or frothy white sputum
  • Chills with low grade fever
  • Anhidrosis
  • No thirst
  • Headache
  • Aversion to Wind
  • Blocked and / or runny nose with clear, watery nasal discharge
  • Sneezing
  • General body aches
  • Maybe asthma
  • T: Pink
  • C: Thin, white and moist
  • P: Superficial and tight
Treatment Principle
  • Expel Wind
  • Dispel Cold
  • Resolve Phlegm
Herb Formulas
Points

Clinical Manifestations
  • Itching or tickling in the throat
  • Wheezing
  • Sneezing
  • Gasping
  • Cough with expectoration of thin, watery or frothy white sputum
  • General body aches
  • No thirst
  • Dyspnea
  • Headache
  • Body aches
  • A sensation of heaviness
  • Chills with low grade fever
  • Maybe asthma
  • Intolerance of Cold
  • Anhidrosis
  • Blocked and/or runny nose with watery nasal discharge
  • Chest discomfort
  • Neck stiffness
  • Irritability
  • T: Pink
  • C: Thin, white and moist
  • P: Superficial and tight
Treatment Principle
  • Disperse Wind-Cold
  • Induce diaphoresis
  • Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Intermittent attacks of abdominal pain
  • Stifling sensation in the chest and epigastrium
  • A sensation of warmth in the chest and epigastrium
  • Irritability in the chest and epigastrium
  • Vomiting after eating
  • Extremely Cold extremities
  • Vomiting of roundworms
  • Incessant diarrhea
  • Hunger with no desire to eat
  • Vomiting immediately after eating
  • Heat in the Stomach with Cold in the Intestines
  • Bitter taste in the mouth
  • Frequent urination
  • Anxiety
  • Abdominal pain (better with warmth and pressure)
  • Pain beneath the Heart
  • Borborygmus
  • Unquenchable thirst
  • Running piglet Qi
  • Pain and Heat in the Stomach
  • Discharge of small amounts of pus
  • Irritability
  • Recurrent nausea and vomiting
  • Diarrhea
  • Dry throat
  • Turbid urine
  • Polydipsia
  • T: Red or geographic or pale
  • C: White
  • P: Hidden or Wiry and tight
Treatment Principle
  • Warm the Internal organs
  • Warm the Middle Jiao
  • Warms the Intestines
  • Drains Heat
  • Replenishes Qi
  • Dispels parasites
  • Calms roundworms
  • Drains the Liver
  • Calms the Stomach
  • Promotes Blood circulation
  • Relieves pain
Herb Formulas
Points
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold.
Herb Formulas
Points
Clinical Manifestations
  • Chronic, intermittent, dull abdominal pain which is better with warmth and pressure and ingesting warm fluids
  • Waxy, pale or sallow lusterless complexion
  • Anorexia (maybe with vomiting)
  • Easily satiated
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations relieved by warmth
  • Intolerance of Cold
  • Cold limbs
  • Feeling chilled
  • Lethargy
  • Fatigue
  • Mental fatigue
  • Depression
  • Low spirits
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale maybe swollen
  • C: White or Thin and white or White and greasy
  • P: Deep, thready and forceless or Deep and weak or Thready and weak
Treatment Principle
  • Warm the Middle Jiao
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Sudden, violent pain
  • Pain responds to warmth
  • Loose stools
  • Diarrhea
  • Nausea
  • No thirst
  • Clear urine
  • T: Normal
  • C: White or White and sticky
  • P: Deep and tight or Deep, wiry and slow
Treatment Principle
  • Warm the abdomen
  • Disperse Cold
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Dysmenorrhea
  • Burning, throbbing pain before and during menstruation
  • Irregular period, either earlier or later
  • Abdominal pain before or during period
  • Menses with dark red clots or sticky mucous
  • Dark menstrual blood
  • Dry stools
  • Dry sore eyes
  • Heavy period
  • Abdominal distention
  • Distending pain in breasts
  • Chest distention
  • Dry mouth with a bitter taste
  • Headache
  • Insomnia
  • Irritability
  • Outbursts of yelling or anger
  • Thirst
  • Scarce and yellow urine
  • General feeling of Heat
  • May be acne related to the period
  • T: Red body (redder on sides)
  • C: Yellow and sticky
  • P: Wiry and rapid or Thready and taut
Treatment Principle
  • Soften the Liver
  • Removing Blood Stasis
  • Dredge the channels
  • Clear away Stagnant Heat
  • Drain Fire
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Chest and abdominal distention
  • A stifling sensation in the chest and abdomen
  • Fixed pain in the hypochondria
  • Belching with a fetid odor
  • Nausea
  • Vomiting
  • Headache
  • Epigastric and abdominal fullness and pain
  • Acid reflux
  • Mild coughing with copious sputum
  • Reduced appetite
  • Indigestion
  • T: Normal
  • C: Thin and white or Greasy or Slippery,
  • P: Wiry and taut or Running
Treatment Principle
  • Regulate Qi
  • Release Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (better with warmth)
  • Stifling sensation in the chest
  • Hypochondriac pain
  • Lack of thirst
  • Likes to drink warm fluids
  • Vomiting
  • Painful menstruation
  • T: Pink
  • C: White
  • P: Wiry and tight or Deep and slow
Treatment Principle
  • Warm the Middle Jiao
  • Dispel Cold
  • Promote Qi movement
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • One or two days before or during first day of menses there is:
    Lower abdominal distension and pain
    Distention and pain in the lower chest and the breasts
    Pressure makes worse
  • Generally scanty Blood flow
  • The flow starts and stops
  • Dark-purple color with clots
  • When the clots pass the pain is relieved (or when menses stop)
  • Premenstrual syndrome
  • Abdominal masses which are visible when lying down
  • Piercing hypochondriac pain
  • Irritability
  • Stomach distention and upset
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Hypochondriac distention
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark and red or Purple with purple spots on the side and possible sublingual vein distention
  • C: White
  • P: Wiry or Choppy or Wiry, choppy and tight or Deep and wiry, or Slippery and wiry or Wiry, choppy and strong or Wiry, choppy and slow
Treatment Principle
  • Regulate Qi
  • Soothe the Liver
  • Invigorate the Blood
  • Break up Stasis
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Contractions and cold sensations of scrotum which are alleviated by warmth
  • Pain, distention, fullness and cold sensation in lower abdomen
  • Cold limbs
  • Dislike of cold and preference for warmth
  • Lower abdominal pain radiating to the testicles
  • May be localized sensation of Cold
  • Menstrual pain and hardness
  • Hypochondriac pain
  • Abdominal pain
  • Mobile abdominal masses
  • Flank pain
  • Leukorrhea
  • T: Pale
  • C: White or White and greasy
  • P: Deep and slow or Wiry and tight or Deep and wiry or Slow or Deep and Excess
Treatment Principle
  • Warm the Liver
  • Dispel Cold.
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Easily angered
  • Regurgitation of gastric acid
  • Stomach pain
  • Hungers easily
  • Dry mouth
  • Bitter taste in mouth
  • T: Red
  • C: Yellow
  • P: Wiry and Rapid
Treatment Principle
  • Reduce Liver Fire
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • Menstrual pain relieved by pressure and massage
  • Dull hypogastric pain towards end or after period
  • Persistent indistinct lower abdominal pain either proceeding or following menstruation
  • Clear leukorrhea
  • Delayed puberty
  • Irregular menstruation which is scanty or profuse and red in color or
  • Menses that are pale, with small volume
  • Scanty leukorrhea
  • Sensation of Cold in the lower abdomen
  • Stunted growth
  • Sore and aching lower back and spine
  • Dizziness
  • Pale complexion
  • Pail nails
  • Tinnitus
  • Blurred vision
  • General fatigue
  • Exhaustion
  • Increased clear urine
  • Dusky complexion
  • In some cases tidal fever
  • Scanty urination
  • Poor memory
  • Insomnia
  • A flushed face
  • Hot flashes
  • T: Red or Dark red or Pale
  • C: Little or None
  • P: Weak and fine or Fine and faint or Floating, empty or Deep and thready or Thready and tight
Treatment Principle
  • Nourish Liver and Kidney Yin
  • Regulate menstruation
  • Nourish Kidney Jing
  • Tonify the Blood
  • Strengthen Kidney Yang
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Irregular periods
  • Dysmenorrhea
  • Possibly profuse bleeding
  • Amenorrhea
  • Depression
  • Sighing
  • Irritability
  • T: Normal or Slightly red on the sides
  • C: Normal
  • P: Wiry
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Regulate menstruation
  • Tonify the Kidneys
  • Benefit the Spleen
  • Nourish the Liver
  • Spread Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
    Ascites
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky
  • P: Deep and thready
  • With Water Flooding the Lungs:
    Cough with copious, thin watery phlegm
    Asthma with phlegmy sound (wheezing)
    Dyspnea
    Facial edema
    Edema of limbs
    Dysuria
    T: Pale and swollen
    C: White and moist or White and greasy
    P: Superficial and tight
Treatment Principle
  • Warm Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • The lower abdominal pain is vague and occurs during or following menstrual flow
  • There is preference for pressure
  • The menses are decreased and are light and thin
  • Dizziness
  • Tinnitus
  • Aching weakness in the waist and legs
  • Increased clear urine
  • Dusky complexion
  • T: Pale
  • C: Thin and white
  • P: Deep and thready
Treatment Principle
  • Strengthen the Kidney
  • Replenish Jing
  • Generate blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Severe abdominal pain occurs the first day of period accompanied
  • Normally a history of irregular period is present
  • Lower back soreness
  • Delayed period
  • Purple dark menstrual Blood
  • Scanty menses mixed with blood clots
  • T: Red
  • C:P White
  • P: Thready and taut
Treatment Principle
  • Tonifying the Kidneys
  • Remove Blood Stasis
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Irregular periods
  • Scanty bleeding
  • Clots in the menstrual Blood
  • Abdominal distention
  • Breast distention
  • Premenstrual tension
  • Depression
  • Sighing
  • Irritability
  • T: Normal or Slightly red on the sides
  • C: Normal
  • P: Wiry
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Regulate menstruation
  • Tonify the Kidneys
  • Benefit the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Kidney Yang Deficiency:
    Abdominal pain during or after the period
    The pain has a dull quality
    Pressure and warmth helps
    Pale, watery menses with small volume or dull-dark red blood
    Mild persistent uterine bleeding
    Irregular menstruation (either early or late)
    Prolonged menstruation
    Amenorrhea
    Metrorrhagia
    Extended or continuous menstrual flow
    Lower abdominal distention
    Lower abdominal Cold
    Lower abdominal pain
    Patients maybe overweight or present with bloating
    Infertility
    Dry lips
    Dry mouth
    Pale complexion
    Leukorrhea
    Low grade fever at dusk
    Irritability
    Five sole Heat
    No desire to drink
    Distending breast pain
    Low back coldness and pain
    Weak aching lower back and legs
    Copious clear urine or long-drawn-out urination with a thin stream
    Loose stools
    Cold limbs
    Aversion to Cold
    This pattern is more common with elderly patients
    T: Pale or Purple with petechiae
    C: White and moist
    P: Deep or Thready and choppy or Deep, thready and choppy
  • Cold-Damp Blocking the Lower Jiao:
    Cold and pain of the lower abdomen either proceeding or during menstruation
    Aggravation of pain upon external pressure
    Some relief with external application of Heat
    Whole body aches
    Palpable masses that may or may not be painful
    Lower abdominal pain without palpable masses
    Lower abdominal distention
    Lower back pain
    Lower abdominal distention during menstruation
    Frequent menstruation (3-5 timer per month)
    Spotting
    Dark purple menstrual Blood (usually with clots)
    Abnormal uterine bleeding with abdominal soreness and pain
    Aversion to Cold
    Depression
    Cold extremities
    White vaginal discharge
    T: Normal or Pale
    C: White or Greasy and white
    P: Choppy or Tense or Deep and tight or Wiry and tight or Wiry and slippery or Deep and slippery
Treatment Principle
  • Kidney Yang Deficiency:
    Warm the Chong and Ren channels
    Warm the uterus
    Regulate menstruation
    Alleviate pain
  • Eliminate Blood Stasis
  • Cold-Damp Blocking the lower Jiao:
    Expel Cold
    Eliminate Damp
    Warm meridians
    Relieve pain
    Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Distension and pain before or during menses
  • Burning abdominal pain which precedes or follows the menstrual flow with guarding
  • The pain extends to the sacrum
  • Soreness and distention of the lower back
  • Pressure makes the pain worse
  • There may be constant lower abdominal pain that worsens with menstruation
  • Hot sensations
  • A feeling of heat in the abdomen
  • Aversion to Heat
  • Yellow smelly vaginal discharge between periods
  • Dark-red or purple thick Blood with clots
  • Maybe heavy bleeding
  • Maybe dark, scanty, concentrated urine
  • May be a mild fever
  • T: Red
  • C: Yellow and greasy
  • P: Wiry and rapid or slippery and rapid or soft and rapid
Treatment Principle
  • Cool Heat
  • Eliminate Dampness
  • Eliminate Blood Stasis
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Painful menstruation
  • the period is either scant or normal in volume
  • It starts out slowly
  • Dark in color
  • Small clots
  • Sensitivity to pressure
  • The pain comes and goes
  • T: Dusky
  • C: White
  • P: Wiry and thready
Treatment Principle
  • Nourish the Blood
  • Regulate the Liver
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Amnesia
  • Palpitations
  • Feverishness
  • Anorexia
  • Emaciation
  • Pale face
  • Insomnia
  • Dyspnea on mild exertion
  • Fatigue
  • Shortness of breath
  • Weight loss
  • Dry skin
  • Dry mouth
  • Dry throat
  • Dry lips
  • Uterine bleeding
  • Irregular menstruation
  • May suddenly lose consciousness
  • Slack jaw
  • Restless at night
  • Lassitude
  • Tendency toward being frightened easily
  • Weakness
  • Sallow complexion
  • Dizziness
  • Tremors in the limbs
  • Spontaneous perspiration
  • Fever and severe chills
  • General debility
  • Mental instability
  • Coughing and gasping
  • Night sweats
  • Amnesia
  • Diarrhea
  • Turbid urine
  • Nocturnal emission
  • Impotence
  • Constipation
  • Feeble breathing
  • Tired limbs
  • T: Pale
  • C:White
  • P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle
  • TonifY Qi
  • Nourish the Blood
  • Strengthen the Spleen and Lungs
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Dull, empty, bearing-down pain with a straining sensation in the lower abdomen and pubic regions one or two days after menstrual onset or during the menstrual period or even after period
  • Preference for pressure
  • The menses are decreased and are light and thin
  • Lassitude
  • Tiredness
  • Weakness
  • Fatigue
  • Dizziness
  • Blurred vision
  • Palpitations of the Heart
  • Insomnia with dream-disturbed sleep
  • Pale complexion
  • Occasionally dull complexion
  • Loss of appetite
  • Loose stools
  • Diarrhea
  • T: Pale
  • C: Thin
  • P: Thready and feeble
Treatment Principle
  • Augment Qi
  • Generate Blood
  • Harmonize the Middle Jiao
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense and deep and slow
Treatment Principle
  • Invigorate the Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduce fixed abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • The lower abdominal pain has a cold quality
  • It precedes or accompanies the menstrual flow
  • There is guarding
  • Pain is alleviated by warmth
  • The menses are decreased
  • The Blood is a dark color and contains clots.
  • Cold-aversion
  • Cold limbs
  • Pale greenish complexion
  • T: Dark
  • C: White
  • P: Deep and tight
Treatment Principle
  • Warm the channels
  • Dispel Cold
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Irritability
  • Slight chills
  • Spasms of the calf muscles
  • Cramps in the hands
  • Weak legs
  • Hypertonicity of the extremities characterized by difficult flexion and extension
  • Wheezing
  • Coughing
  • Hiccup
  • Constipation
  • Vomiting
  • Diarrhea
  • Sciatic pain
  • Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder and uterus. Intestines
  • Shoulder pain
  • Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain
  • T: Normal or Reddish
  • C: None or Yellowish
  • P: Wiry and rapid or Thready and rapid
Treatment Principle
  • Soften the Liver
  • Nourish the Blood
  • Nourish Yin
  • Moderate painful spasms
  • Relieve pain
  • Harmonize the Middle Jiao
  • Replenish Body Fluids
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Late menstruation
  • Scanty menstruation
  • Distension of the lower abdomen
  • Menstruation with purple blood and clots
  • Pain of the abdomen which is worse upon pressure and diminishes with menstruation
  • Pain is worse with pressure
  • Pain decreases with the passage of clots
  • Swelling and edema of the lower extremities
  • A feeling of oppression in the chest and epigastrium
  • Dry mouth
  • Dark, purplish menses with clots or Dark purple edges
  • T: Red or Purple
  • P: Deep and strong or Hesitant or Choppy and rough
Treatment Principle
  • Invigorate the Blood
  • Nourish the Blood
  • Move Qi
Herb Formulas
Points
Clinical Manifestations
  • Severe pain during menses
  • Scanty flow
  • Small clots
  • T: Pale and purplish
  • C: White
  • P: Thready and wiry or Choppy
Treatment Principle
  • Nourish the Blood
  • Eliminate Blood Stasis
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain with icy cold hands and feet
  • Extremities are cyanotic and difficult to warm up
  • P: Thready or Imperceptible
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the Blood
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Early periods
  • Heavy menstruation
  • Profuse, thick, dark-red or purplish-red flow
  • Profuse bleeding
  • Dysmenorrhea
  • Anxiety
  • Feverish feeling
  • Purple clots in menses
  • Breast distention
  • Hypochondriac pain or
  • Abdominal distention
  • Irritability
  • Stifling sensation in the epigastrium or abdomen
  • May be a bad odor
  • Paroxysms of lower abdominal pain
  • Thirst
  • Preference for cold drinks
  • Burning sensation in the Heart
  • Red face
  • Sore and weak low back and knees
  • Dry mouth
  • Yellow urine
  • Constipation
  • Dry feces
  • May be red eyes
  • Oral ulcerations
  • Epistaxis
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Cool the Blood
  • Purge Fire
Herb Formulas
Points
 
Clinical Manifestations
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Lower abdominal Cold
  • Lower abdominal pain
  • Infertility
  • Dry lips
  • Dry mouth
  • Spermatorrhea
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • Low grade fever at dusk
  • Irritability
  • Five sole Heat
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Purple with petechiae
  • P: Thready and choppy
Treatment Principle
  • Warm the menses
  • Regulate menstruation
  • Dispel Cold
  • Warm the channels
  • Nourish the Blood
  • Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Afternoon fever
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Fixed lower abdominal pain in postpartum women
  • Incomplete expression of the placenta
  • Continual discharge of purple clotted lochia
  • T: Pale-purple
Treatment Principle
  • Activate the Blood
  • Break up Stasis
  • Warm the Uterus
  • Stop pain
Herb Formulas
Points