↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Fixed, stabbing lower abdominal pain worse with pressure; dark, clotted menstrual blood; premenstrual worsening; irritability and mood swings; chest or breast distension.
Tongue: Purple or dark with stasis spots, distended sublingual veins. Pulse: Wiry, Choppy.
Treatment principle: Vigorously move Qi and Blood in the lower abdomen, relieve stabbing pain and regulate menstruation.
Note: no moxa. Matches
Liver-Blood stasis — dark, clotted menstrual blood and painful periods are shared, gynecologically-framed hallmarks.
Clinical manifestations: Burning or heavy pelvic pain; thick, yellow, foul-smelling vaginal discharge; urinary urgency or burning; heaviness in the legs and lower body.
Tongue: Red, slightly swollen, thick yellow greasy coating. Pulse: Slippery, Rapid, often Soggy.
Treatment principle: Clear Damp-Heat from the Liver channel and Lower Burner, relieving the burning pain and abnormal discharge.
Note: no moxa. Matches
Damp-Heat in the Liver — yellow vaginal discharge and urinary burning are both explicitly listed there together.
Clinical manifestations: A cold sensation in the lower abdomen; a heavy, dragging pelvic feeling; profuse white, watery vaginal discharge without odor; dull lower back pain worsening with cold and damp; cold limbs.
Tongue: Pale, swollen, tooth marks, thick white greasy coating. Pulse: Deep, Slow, Soggy, especially at the rear positions.
Treatment principle: Warm the uterus, dispel Cold and dry Dampness to relieve the cold-damp pelvic pain and watery discharge.
Note: moxa applicable. Matches
Bladder Deficient and Cold — the white discharge and cold, Kidney-Yang-deficiency-driven picture line up closely.
Clinical manifestations: A dull, cold lower abdominal pain improving with warmth; lower back soreness and weak knees; feeling cold all over, especially the lower body; frequent urination, especially at night; fatigue and low spirits.
Tongue: Pale, puffy, tender, tooth marks, wet white coating. Pulse: Deep, Slow, weak, especially at the rear (Chi) positions.
Treatment principle: Warm and tonify Kidney-Yang to dispel Cold and relieve chronic pelvic pain.
5. Qi and Blood Deficiency
Clinical manifestations: A dull, lingering pelvic ache worsening with fatigue and improving with rest; a pale or sallow complexion; scanty, light-colored menstrual flow; general fatigue and weakness; dizziness and heart palpitations.
Tongue: Pale, possibly thin, teeth marks, thin white coating. Pulse: Fine, weak, especially at the Spleen position.
Treatment principle: Simultaneously replenish Qi and Blood, nourishing the pelvic organs and relieving deficiency-type pain.
Note: moxa applicable. No deck on this site combines a generic Qi and Blood deficiency pattern, so no pattern link is given here.