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Acupuncturist Study CentrePMING.CA · TCM STUDY LIBRARY
APPENDIX K · GYNECOLOGY

痛经

痛經 · Tong Jing

Dysmenorrhea

Discipline · GynecologyHandbook · Appendix KID K-092
FROM KNOWLEDGE TO CLINICAL REASONING

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01症状 / Symptoms & signs

经前或经期下腹痛,辨胀痛刺痛、得热得按与否

Lower abdominal pain before or during menses; assess distension, stabbing pain and response to warmth or pressure.

02病因病机 / Etiology & mechanism

气滞血瘀、寒凝胞宫、湿热或气血虚使冲任不畅

Qi stagnation and blood stasis, uterine cold, damp-heat or qi-blood deficiency disrupt Chong-Ren circulation.

03辨证分型 / Pattern differentiation
01
气滞血瘀
Qi stagnation and blood stasis

经前胀痛、块后痛减

Premenstrual distension relieved after clots pass

02
寒凝
Cold congealing

得温减

Relieved by warmth

03
虚证
Deficiency pattern

经后隐痛

Dull postmenstrual pain

04针灸配穴 / Acupuncture point selection
CV4关元Guanyuan
SP6三阴交Sanyinjiao
SP8地机Diji
LR3太冲Taichong

Illustrative study point combinations, not a prescribed treatment or official answer key.

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