Discussion On Primary Dysmenorrhea Due To Deficiency Of Kidney-Yang

It was said in Fu Qing-zhu's Gynecology and Obstetrics that menstruation came from the kidney, which indicated that the sufficiency of kidney qi has indispensable functions on the normal start of menstruation. If the kidney qi is sufficient, it can stimulate and promote the circulation of blood in vessels, the menstruation is normal because of the fluency of qi and blood, and then there is no pain. If the kidney qi is not sufficient, the function of qi transmission and promotion is abnormal. The circulation of qi and blood of the uterus is not smooth due to the stagnation of blood, and this is "pain due to stagnation". This is the same with what Corrections on the Errors of Medical Works said: "the original qi can not reach the blood vessels once it is deficient, and it must cause deficiency if there is no qi in blood vessels." Therefore, it should be treated by replenishing kidney and nourishing the original qi. so as to make the blood vessels smooth, and there is no pain when the menstruation is normal. The traditional literatures pointed out that the sufficiency of kidney qi is the way of treating dysmenorrhea. This article discussed the effects of the decoction for warming meridians with additions on the patients with primary dysmenorrhea due to kidney-yang deficiency before and after treatment.1. Formula: Decoction for warming meridians with additions (Wu-Zhuyu, Dang-Gui, Shao-Yao, Chuan-Xiong, Ren-Shen, Gui-Zhi, E-Jiao, Mudan-Pi, Sheng-Jiang, Gan-Cao, Ban-Xia, Mai-Dong, Ba-Jitian, Tu-Sizi, Yin-Yanghuo).2. Functions: Replenish kidney and warm meridians, nourish blood and remove stasis, dispel cold and relieve pain.3. Regimen: Take 16g per day by dividing into 4 times (after three meals and before sleep). Begin to take about 7 days before the menstruation, and stop using till the start of menstruation. Keeping on taking for three menstrual cycles composes one course, and summarize the therapeutic effect after one course. As to the fully recovered patients, summarize the therapeutic effect three menstrual cycles after stopping taking the medicine.4. Results: 30 cases of patients with dysmenorrheal after treatment: fully recovered 12 cases (account for 40.00%), excellent effect 11 cases (account for 36.67%), effective 5 cases (account for 16.67%), invalid 2 cases (account for 6.67%), total effective rate is 93.33%. Effect of TCM syndromes: fully recovered 13 cases (account for 43.33%), excellent effect 11 cases (account for 36.6?%), effective 5 cases (account for 16.67%), invalid 1 case (account for 3.33%), total effective rate is 96.67%. Relation between the degree of dysmenorrhea and effect: among 8 cases of slight degree: fully recovered 4 cases (account for 50.00%), excellent effect 2 cases (account for 25.00%), effective 2 cases (account for 25.00%), invalid 0 case (account for 0.00%); among 17 cases of middle degree: fully recovered 7 cases (account for 41.18%), excellent effect 8 cases (account for 47.06%), effective 2 cases (account for 11.76%), invalid 0 case (account for 0.00%); among 5 cases of severe degree: fully recovered 1 case (account for 20.00%), excellent effect 1 case (account for 20.00%), effective 1 case (account for 20.00%), invalid 2 cases (account for 40.00%).Conclusions: The effects on patients of dysmenorrhea and syndromes of kidney-yang deficiency are satisfactory when the decoction of warming meridians with additions was used to the patients primary dysmenorrhea due to kidney-yang deficiency, which confirmed the overall property of traditional Chinese medicine in dealing with diseases. In addition, the medication is safe without any adverse reaction during the courses. This method of replenishing kidney and warming meridian, nourishing blood and removing stasis, dispelling cold and relieving pain is expected to be widely used to the patients with dysmenorrhea. Treating symptom and root cause simultaneously is the blessing of all the women with dysmenorrhea.