Women’s Health · Dysmenorrhea · Clinical Monograph

Acupuncture & TCM for Dysmenorrhea

How Do They Work

§ Abstract

Dysmenorrhea, also known as painful menstruation, is a common condition that affects many adolescent females and women seeking fertility treatments. It is characterised by painful uterine contractions, which may be accompanied by symptoms such as headaches, nausea, and abdominal or back pain. There are two types: primary (recurrent cycle-related pain) and secondary (pain caused by other gynaecological disorders).

I.

The Western Medical View

Primary dysmenorrhea is caused by the over-production of inflammation modulators — prostaglandins (PGs) and leukotrienes (LTs) — in the endometrium after ovulation. These chemicals cause myometrial contractions and vasoconstriction, leading to local tissue ischaemia and cramping.

II.

The TCM View

Traditional Chinese Medicine views dysmenorrhea as a result of emotional factors, cold and damp exposures, blood and/or energy deficiencies, and deficiencies in other organs such as the liver and kidneys. It is seen as an imbalance of Qi and blood flow in the body, often caused by emotional stress, poor diet, and exposure to cold and damp environments.

Acupuncture and moxibustion are effective treatments for dysmenorrhea. They can provide relief from all symptoms and regulate the cycle to resolve dysmenorrhea. In addition, Chinese herbal medicine formulas may be prescribed for acute and long-term solutions.

III.

Acupuncture & Herbal Treatment

TCM therapies treat dysmenorrhea by calming the mind and increasing proper blood flow to the uterus to regulate hormones and ease pain. Specific acupuncture points and herbal formulas are used based on the individual’s presentation and pattern of dysmenorrhea.

Acupuncture involves the insertion of thin needles at specific points on the body to regulate the flow of energy or Qi, while TCM utilises herbal formulas and dietary recommendations to promote overall health and balance in the body. Acupuncture and TCM aim to correct these imbalances by promoting the flow of Qi and blood to the reproductive organs and balancing the hormones responsible for menstruation.

IV.

Common Acupuncture Points

  1. Lower Abdomen & Lower Back

    Acupuncture at these points can help regulate blood flow and relieve pain.

  2. Spleen 6 (SP 6)

    Located on the inner ankle and believed to regulate the menstrual cycle and alleviate cramping.

  3. Stomach 36 (ST 36)

    Located on the lower leg and can help improve digestion, boost energy, and relieve pain.

  4. Liver 3 (LV 3)

    Located on the top of the foot and believed to relieve stress and anxiety, both of which can contribute to dysmenorrhea.

V.

Chinese Herbal Formulas

Chinese herbal formulas may include ingredients such as Dang Gui, Bai Shao, and Chuan Xiong, which are believed to nourish the blood and promote circulation to the reproductive organs. One common formula is Dang Gui Shao Yao San, which includes Chinese angelica root (Dang Gui) and peony root (Shao Yao) among other herbs. Another formula, Tao Hong Si Wu Tang, contains peach kernel (Tao Ren), safflower (Hong Hua), and other herbs.

Chinese herbal medicine should only be prescribed by a qualified TCM practitioner, as the specific formula used may depend on the individual’s unique diagnosis and constitution.

Begin Your Care

At Huatuo Clinic, our doctors will evaluate each patient’s individual situation and create a customised treatment plan utilising acupuncture, moxibustion, and/or herbal formulas to address dysmenorrhea and other underlying health concerns.

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