DiscussionDr. Wu: Let¡¯s analyses the case on the basis of her history.Dr. Zhang: I think this is a case of dysmenorrhea due to stagnation of cold anddampness. Her walking in rain and swimming in cold water constitute the causative factor for the invasion of cold and dampness into the body which stay in the uterus, leading to the stagnation of Qi and blood in the uterine collaterals, hence the pain.
Dr. Li: I share the same view with Dr. Zhang. I only wan to add two points. One is about menstruation. As has been differentiated by Dr. Zhang, this case is due to stagnation of pathogenic cold-dampness in the uterus. The pathogenic cold results in restrained flow of Qi and blood, thus scanty menstruation occurs, whereas stagnated coldness contributes to the formation of blood clots. Another point is about the pulse.
Dr. Wang: I agree with the analyses by both of you. I am not so clear either aboutDr. Li's two questions. Dr. Wu, would you please explain to us?Dr. Wu: First of all, I should say that you've given objective and exact analyses of this case. The questions raised by Dr. Li are of universal significance, and I would like to answer them one by one. First, the time of dysmenorrhea: Generally speaking, dysmenorrhea lasts the whole period of menstruation, but specific individuals vary in time.
Dr. Zhang: I think auricular points can be used in combination, such as Uterus, Endocrine, Sympathetic Nerve, Kidney, Liver and Spleen.
Dr. Wu: After hearing your discussion as well as your proposals, I have got a comprehensive view in terms of the treatment principle and methods. Now I have two points to add here. One is the time and length of treatment for dysmenorrhea. Sincedysmenorrhea is characterized by periodic pain, corresponding measures of treatment should be taken.
Treatment and ResultsThe above-mentioned acupuncture therapy was applied, with the uniform reinforcing-reducing method adopted for point Zhongii (CV 3) and Shuidao (ST 28), and moxibustion were also given. The reducing method was used for Sanyinjiao (SP 6), Hegu (LI 4), Taichong (LR 3), and the Ashi points on the lower limbs.