↑ reinforcing ↓ reducing ⊥ even method.
1. Blood Stagnation in the Lower Burner caused by Cold
Clinical manifestations: Fixed, stabbing lower abdominal pain; dark purple menstrual blood with clots; aversion to cold; cold hands and feet; pain worsens with cold exposure; pain relieved by warmth.
Tongue: W Pulse: a
Treatment principle: pale-purple or bluish-purple body, possible stasis spots, white slippery coat,deep, tight and choppy
2. Qi and Blood Stagnation
Clinical manifestations: Distending lower abdominal pain before the period; dark purple menstrual blood with clots; irritability, mood swings, or breast distension.
Tongue: M Pulse: o
Treatment principle: purple or dark body with stasis spots, distended sublingual veins, thin white coat,wiry and choppy
3. Qi Deficiency causing Blood Stagnation
Clinical manifestations: Profound fatigue and weakness; heavy, prolonged menstrual periods with dark clots; fixed, stabbing lower abdominal pain; pale, greyish complexion; shortness of breath on mild exertion; dizziness.
Tongue: T Pulse: o
Treatment principle: pale body with a dark or purplish hue, scattered purple spots, teeth marks, thin white coating,deep, fine and rough
4. Blood Stagnation and Phlegm in the Uterus
Clinical manifestations: Palpable mass or hardness in the lower abdomen; fixed, stabbing lower abdominal pain; copious thick, sticky vaginal discharge; sensation of heaviness and fullness; pain not relieved by warmth alone.
Tongue: D Pulse: r
Treatment principle: purple body with stasis spots, swollen with teeth marks, white greasy coating, distended sublingual veins,choppy and slippery, often wiry
5. Heat and Blood Stagnation in the Lower Burner
Clinical manifestations: Fixed, stabbing lower abdominal pain; palpable mass or hardness; dark purple menstrual blood with clots; irritability, mood swings, or breast distension; nighttime fever; dry mouth and throat.
Tongue: C Pulse: l
Treatment principle: reddish-purple body with stasis spots, distended sublingual veins, dry yellow coating,deep, choppy and rapid
6. Blood Stagnation in the Directing and Penetrating Vessels
Clinical manifestations: Fixed, stabbing lower abdominal pain; lower back soreness; dark purple menstrual blood with clots; pain eases after passing menstrual clots; irregular menstrual cycles.
Tongue: T Pulse: o
Treatment principle: purple or dusky body with possible stasis spots and engorged sublingual veins, thin white coat,choppy, wiry at the left middle position, deep at the rear positions