Professor Yu Hongjuan's experience in the syndrome differentiation and treatment of intractable dysmenorrhea based on the theory of the heart-kidney-uterus axis
Intractable dysmenorrhoea mostly develops on the basis of primary dysmenorrhoea.Professor Yu Hongjuan believes that the causes of intractable dysmenorrhoea lie in cold invasion due to deficient kidney,prolonged stagnation of qi and blood stasis,and deficiency of the liver and kidney,which result in poor blood circulation in the uterus during menstruation,or deficiency of qi and blood and menstrual abdominal pain,as well as pain for a long period of time,caused by the over-excessiveness of the five wills,resulting in the heart fire over-exuberance,which makes the pain get worse and leads to the onset of the disease.The pathogeneses of the disease involve cold in the lower due to the deficient kidney,coupled with the exuberant heart fire in the upper,belonging to the disharmony between the heart and kidney,water failing to restrict fire,with the core of its pathogeneses lying in the heart fire hyperactivity.The onset of dysmenorrhea is characterised by a prolonged and severe pain,and conventional pain relief measures are ineffective,inducing psychological impacts on patients,which may in turn aggravate the degree of dysmenorrhoea.Therefore,Professor Yu Hongjuan proposes that the heart is the dominant factor in dysmenorrhoea,paying attention to the influence of emotional factors on it.She adheres to the principle of benefiting the kidney and reinforcing the essence,nourishing the heart and tranquillising the spirit.She treats dysmenorrhoea by nourishing the heart,regulating the blood,and dredging collaterals.In clinic,on the basis of an accurate syndrome differentiation,she observes the menstrual cycle,paying particular attention to its treatment before and during the menstrual period,applying moderate dosage and exquisite compatibility of medicines,with a remarkable result.
primary dysmenorrheaheart governing the spiritheart governing blood and vesselsheart-kidney-uterus axisintractable dysmenorrhea
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