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Re:dysmenorrhea and blood stasis

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" In a clear cut case of blood stasis menstrual pain -- sharp

>stabbing, to the point of emergency care being necessary, has anyone

>experienced occasionally that the patient will worsen during her

>first cycle after starting therapy or does this mean the formula was

>too strong or not strong enough. "

--

 

From Sharon: I've heard people talk about an increase of pain after the

first month of herbal therapy for dysmenorrhea as a healing crisis of sorts.

I don't really know but it has happened to me with patients. What I think

when this happens is that there is more deficiency there than I accounted

for. If this patient has primary dysmenorrhea, i.e. Pain since menarche,

than I would say she has some Jing deficiency and herbs to supplement Jing

should be used (tu si zi, nu zhen zi). If it is more liver blood

deficiency, (effecting tendons and sinews) then I use Bai Shao, Gan Cao and

Huai Niu Xi as well. On the other hand, if the yellow moss on her tongue is

thicker then moving blood could exacerbate damp heat stasis. Could it be

she needs something like Yin Qiao Hong Jiang Jie Du Tang - this includes Da

Huang (cooked longer) Ren Dong Teng, Hong Teng....... Just thoughts.

 

Sharon

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