Main syndromes: Premenstrual swelling and pain or itching pain, pain that is too severe to touch the clothes, pain that refuses to be pressed, distending pain in the lower abdomen during menstruation, fullness in the chest and hypochondrium, irritability, and poor menstruation. , dark red color, red tongue, thin coating, stringy pulse.
Syndrome analysis: stagnation of liver qi, lack of drainage, poor qi and blood, liver meridian rushing, premenstrual qi flushing is excessive, flushing qi follows the liver meridian upward and reverse, liver meridian qi and blood are blocked , the breasts are not smooth, "blockage leads to pain", so the breasts are distended and painful or the breasts are painful and itchy, and the pain refuses to be pressed; the liver qi is not relaxed and the qi movement is not smooth, so it is irritable and irritable, the chest and hypochondrium are full, and the lower abdomen is distended and painful during menstruation; Qi stagnation leads to blockage of Chong and Ren, so menstruation is not smooth and the color is dark red. A red tongue, thin coating, and stringy pulse are also signs of liver stagnation and qi stagnation.
Treatment principles: soothe the liver and regulate qi, unblock collaterals and relieve pain.
Examples of prescriptions: Bupleurum Shugan Powder ("Jingyue Complete Book") plus Wangbuliuxing and Chuandongzi.
Bupleurum, Citrus aurantium, licorice, white peony root, Ligusticum chuanxiong, Cyperus rotunda, dried tangerine peel
In the prescription, Bupleurum and Sodium Chewane soothes the liver, relieves depression and regulates menstruation; Citrus aurantium, Fragrance Attached, tangerine peel regulates qi and relieves stagnation and distension; white peony root and licorice relieve pain and relieve pain; Chuanxiong promotes qi in the blood, combined with Wangbuliuxing to unblock meridians and relieve stagnation. The combined use of various medicines can soothe the stagnation of the liver and unblock the collaterals of the breasts, so the swelling and pain in the breasts can be eliminated.
If the patient has severe lumps and pain, add Prunella vulgaris and seaweed to soften and disperse the lumps; for patients with kidney deficiency and low back pain, add Cuscuta, Dipsacus and Eucommia ulmoides.
If liver stagnation transforms into heat and causes blood stasis, the symptoms include premenstrual breast swelling and pain, lumps in the breast, pain that refuses to be pressed, early menstruation, heavy volume, red color, thick texture, blood clots, or menstrual bleeding. For fever, treatment should be to soothe the liver, clear away heat, cool blood, remove blood stasis, regulate menstruation and relieve pain. Use Xuefu Zhuyu Decoction plus honeysuckle and forsythia, or use Danzhi Xiaoyao Powder modified.