Dysmenorrhea is a commonly seen gynecological disorder marked by pain in
the lower abdominal region before, during or after menstruation. it is
classified into primary and secondary types. In primary dysmenorrhea lower
abdominal pain commences with onset of the menarche with no abnormal genital
conditions present. It is caused primarily by hypoplasia of the uterus,
mental injury, or endocrine disorder. In secondary dysmenorrhea lower
abdominal pain commences some time after the menarche. it is caused
primarily by organic problems of the internal genitals. Manifestations of
both primary and secondary dysmenorrhea include cramps in the lower
abdominal region during menstruation, sometimes radiating to the vulva,
anus, and back, and often accompanied by nausea, vomiting, headache,
dizziness, pale complexion, and sweating and coldness of the hands and feet.
a) Body Acupuncture
Prescription : Sanyinjiao ( SP 6 ), Zhongji ( RN 3 ), Qihai ( RN 6 ),
Guanyuan ( RN 4 ), Guilai ( ST 29 ), Zusanli ( ST 36 ).
Supplementary points : Add Xuehai ( SP 10 ) for coldness and pain at
the lower abdomen and scanty menses with clots. taichong ( LR 3 ),
Neiguan ( PC 6 ), and Yanglingquan ( GB 34 ) for distension and pain at
the lower abdomen, Zhaohai ( KI 6 ), Shenshu ( BL 23 ), and Ququan ( LR
8 ) for dull pain int he abdomen, dizziness, tinnitus, and thin menses.
Method : Apply filiform needles with even movement. Retain the
needles for 30 minutes manipulating them 3 ~ 4 times.
b) Ear Acupuncture
Prescription : Internal Genitals, Pelvis, Abdomen, Liver, Endocrine,
Midpoint of Rim, Subcortex, Shenmen.
Method : Apply filiform needles with strong stimulation and retain
the needles for 30 minutes. Auricular taping is also applicable.
Prescription : Guanyuan ( RN 4 ), Qugu ( RN 2 ), Sanyinjiao ( SP 6 ).
Method : Apply ginger moxibustion to each point using 3 ~ 5 cones or
moxibustion with a moxa stick to each point for 10 ~ 15 minutes at the
period one or two days before the menstruation or on menstruation once
or twice a day.
d) Wrist-Ankle Puncture
Prescription : Bilateral lower 1.
Method : Stretch the local skin with the thumb and index finger of
the left hand. Insert a No. 30 needle 1.5 cun long held with the right
hand into the skin at an angle of 30o to the skin. After
piercing through the skin, place the needle horizontally and push it
beneath the skin upwards for 1.4 cun. Then, it is retained for 30
Prescription : Guanyuan ( RN 4 ), Zhongji ( RN 3 ), Sanyinjiao ( SP 6
), Qiahi ( RN 6 ), Shenshu ( BL 23 ).
Method : Select 2 points each treatment season. Apply dense-sparse
wave or dense wave to each point for 10 ~ 20 minutes with medium
strength stimulation once a day.
f) Point Injection
Prescription : Shenshu ( BL 23 ), Qihai ( RN 6 ), Guanyuan ( RN 4 ),
Sanyinjiao ( SP 6 ), Xuehai ( SP 10 ).
Method : Inject 0.5 mL of Radix Angelizae Sinensis injection into
each point once a day.
g) Laser Therapy
Prescription : Guanyuan ( RN 4 ), Zhongji ( RN 3 ), Zusanli ( ST 36
), Taixi ( KI 3 ), Jiaoxin ( KI 8 ).
Method : Radiate each point with He-Ne laser beams for 5 minutes once