Understanding and Treating Period Pain (Dysmenorrhea) with Chinese Medicine  


Period pain, or dysmenorrhea, is a common concern for many individuals, characterized by cramping and discomfort during menstruation. While conventional medicine often focuses on symptomatic relief, Traditional Chinese Medicine (TCM) takes a holistic approach, addressing the underlying imbalances that contribute to the pain.  

This article explores how TCM diagnoses and treats dysmenorrhea, emphasizing the importance of identifying individual patterns rather than applying a one-size-fits-all approach.  


Chinese Medicine Diagnostic Patterns for Dysmenorrhea  

In TCM, the treatment of dysmenorrhea is guided by the identification of specific diagnostic patterns. Each pattern represents a unique set of imbalances within the body, and treatment is tailored accordingly. Common patterns associated with period pain include:  

  • Blood Stagnation: Often associated with sharp, stabbing pain that may be localized. Blood stagnation is a key factor in obstructed flow and is addressed by promoting circulation and relieving blockages.  
  • Liver Qi Stagnation: Linked to emotional stress and tension, this pattern manifests as cramping pain, irritability, and mood swings. Treatment focuses on soothing the liver and ensuring the smooth flow of qi.  
  • Spleen Deficiency: Characterized by dull pain and fatigue, often accompanied by digestive issues or a sense of heaviness. Strengthening the spleen and improving energy levels are the primary goals of treatment.

By identifying and addressing these patterns, TCM provides a personalized approach to managing period pain, offering relief while promoting overall balance and well-being.  


Conclusion

Dysmenorrhea can significantly impact quality of life, but the holistic framework of TCM offers effective and individualized solutions. Consulting with a qualified practitioner ensures an accurate diagnosis and a tailored treatment plan to alleviate pain and restore harmony.

The commonly used points include: KI6 Fuliu, SP10 Xuehai, SP6 Sanyinjiao, SP8 Diji, ST25 Tianshu.

The commonly used herbs include: Chishao, Chuanxiong, Danshen, Danggui, Guizhi, Niuxi, Mudanpi, and Yanhusuo. The core herbal formula is Si Wu Tang.


Research

Acupuncture is effective and acupressure may be effective for pain relief; acupuncture trials had low to moderate risk of bias (Chen et al, 2013 – MA of 3 acupuncture and 4 acupressure RCTs(1)

Acupoint stimulation superior to controls for pain relief; low to moderate quality evidence (Xu et al, 2014 MA of 20 RCTs of acupoint stimulation)(2)

Acupuncture and acupressure (vs placebo, waitlist or medication) reduced pain intensity, while acupuncture also improved quality of life; moderate quality evidence (Abaraogu 2015 – SR of 8 RCTs and MA of 4 RCTs)(3).


References

1. Chen MN, Chien LW, Liu CF. Acupuncture or Acupressure at the Sanyinjiao (SP6) Acupoint for the Treatment of Primary Dysmenorrhea: A Meta-Analysis. Evid Based Complement Alternat Med. 2013;2013:493038.

2. Xu T, Hui L, Juan YL, Min SG, Hua WT. Effects of moxibustion or acupoint therapy for the treatment of primary dysmenorrhea: a meta-analysis. Altern Ther Health Med. 2014 Jul-Aug;20(4):33-42.

3. Abaraogu UO, Tabansi-Ochuogu CS. As Acupressure Decreases Pain, Acupuncture May Improve Some Aspects of Quality of Life for Women with Primary Dysmenorrhea: A Systematic Review with Meta-Analysis. J Acupunct Meridian Stud. 2015 Oct;8(5):220-8.