↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Spasmodic, distending pain during intercourse; pain worse with emotional stress or frustration; breast tenderness and rib-side distension; irritability, frequent sighing, or mood swings.
Tongue: Normal or slightly dark body, red or slightly purple sides, thin white coating. Pulse: Wiry, taut like a guitar string.
Treatment principle: Smooth Liver-Qi stagnation, relieve emotional tension, ease pelvic spasm.
Clinical manifestations: Burning pain during intercourse; a heavy, dragging sensation in the lower abdomen and legs; foul-smelling yellow or greenish vaginal discharge; pain worse with warmth and humidity.
Tongue: Red body, yellow greasy coating thickest at the root, slightly swollen. Pulse: Slippery and rapid, more pronounced at the Chi position.
Treatment principle: Clear Damp-Heat inflammation from the Liver and Gallbladder channels.
3. Blood Stagnation in the Directing and Penetrating Vessels
Clinical manifestations: Fixed, stabbing deep pelvic pain; dark purple menstrual blood with clots; pain worse with pressure and at night; palpable masses or lumps in the lower abdomen.
Tongue: Purple or dusky body, possible stasis spots, engorged sublingual veins, thin white coat. Pulse: Choppy, often wiry at the left Guan position.
Treatment principle: Warm the uterus and move Blood to relieve fixed stabbing pain.
Note: moxa applicable on Ren-4. No deck on this site has a Chong/Ren-vessel-specific Blood-stasis category, so no pattern link is given here.
Clinical manifestations: Dryness and burning pain with friction; night sweats and hot flushes; a dry mouth and throat, especially at night; soreness and weakness of the lower back and knees; dizziness and ringing in the ears.
Tongue: Red, thin body with little or no coating, dry surface, possible cracks. Pulse: Fine and rapid, especially weak at the left rear position.
Treatment principle: Deeply nourish Kidney-Yin and replenish the body's foundational fluids.
5. Qi and Blood Deficiency
Clinical manifestations: Dull, aching pain during intercourse; post-coital exhaustion and dizziness; a pale complexion and lips; poor appetite; heart palpitations; generalized fatigue and weakness.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, lacking force.
Treatment principle: Tonify both Qi and Blood, addressing the root deficiency behind dull, malnourishment-type pain.
Note: moxa applicable. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.