Is all menstrual pain (Dysmenorrhea) caused by "cold uterus"? What exactly is "cold uterus"(“宫寒Gong Han”)?

It is not. Traditional Chinese Medicine generally divides diseases into different syndrome types, some are with deficiency/with excess, some are cold/heat. For "Dysmenorrhea", the syndrome types are to be first identified.  When the qi and blood are weak, the liver and kidneys functions are depleted, and the essence and blood are weak, the uterine is not properly nourished by qi and blood , therefore leading to pain.  When the daily routine is not in proper manner, or emotion in distress, or due to other external reasons, the uterine qi and blood do not flow smoothly, therefore leading to pain.

The classification of dysmenorrhea can be simplified as follows:
Dysmenorrhea Type Cold in nature Hot in nature Neither Cold nor hot/ Cold and hot coexist
Deficiency syndrome  Yang deficiency with inner cold (inner cold)  Liver and kidney functions depleted  Weak Qi and Blood
Excesss syndrome Stagnation of cold and dampness (external cold) Damp heat and stasis Stagnant Qi and Blood

In Singapore, patients with dysmenorrhea due to "cold uterus" are quite common, but there are also patients with other causes/syndrome types.

"Cold uterus"(“宫寒Gong Han) can be understood as “ the uterus is cold“.  In Traditional Chinese Medicine, "the uterus" consists of the internal reproductive system organs of women and their physiological functions. "Cold uterus" has a certain connection with Dysmenorrhea. The "cold" can be divided into "external cold" (causing excess syndrome) and "inner cold" (causing deficiency syndrome).

External cold refers to the fact that the blood in the body is slowed down by cold pathogens from outside the body. Instances such as over-consumption of cooling food and beverages, wearing thin clothes, exposure to long-term air conditioning, and dampness in residence lead to poor blood flow and blockage to meridian around the uterus, resulting in dysmenorrhea, menstrual disorder/amenorrhea, etc.

Inner cold refers to the lack of yang qi in the body. Cold is generated internally, which leads to dysfunction of the viscera and affects the uterus, resulting in symptoms such as dysmenorrhea, irregular menstruation/amenorrhea.


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Digestive System, Respiratory system, Paediatrics, Gynaecology, Oncology, Sub-health & Chronic Conditions, Pain Management(Frozen Shoulder, lower back and leg pain).

 

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