APPENDIX K · GYNECOLOGY
痛经
痛經 · Tong Jing
Dysmenorrhea
考纲内科别 · 妇科考生手册 · Appendix K编号 K-092
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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
以下为常见复习选穴示例，列出标准编码与中文穴名；应随实际证型、体质与禁忌加减，不是处方或唯一正确答案。
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