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.


Treatment Speciality:

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

 

Physician Ang Bee Yian
Monday 10:00am to 8:30pm
(Ang Mo Kio)
Tuesday
Wednesday 10:00am to 8:30pm
(Ang Mo Kio)
Thursday 10.00am to 8.30pm
(Clementi)
Friday By Appointment
Saturday 9.30am to 6.00pm
(Ang Mo Kio)
Sunday

 

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What are Pediatric massage (小儿推拿)?

Written by Physician Ang Bee Yian

Pediatric massage (also known as children tuina) is a Traditional Chinese Medicine (TCM) method for ailment treatment and health enhancement for young children, which is done through rubbing, massaging and pressing on the child's acupoints and meridians.

For treatment purpose, it has been used for issues relating to digestive system (indigestion, bloated stomach, constipation, etc.), respiratory system (cough, flu, fever etc.), slow child development, night-crying and myopia.  For health enhancement purpose, it helps to improve body constitution, to improve sleep quality, to strengthen immunity, to reduce flu frequency, to increase appetite, and to enhance child development.

Two effective health-enhancing massage movements that can be done at home: tummy massage and “Nie-Ji”(捏脊 spine pinching) are introduced.

洪医师为大家介绍两种小儿推拿保健手法,家长可以在家为小朋友操作,促进健康!

摩腹:
小朋友仰卧;以肚脐为中心,以四指并拢或用掌跟,顺时钟方向,按摩腹部,3-5分钟,每天1次。可以促进肠胃运作,化积通便,改善食欲。

如果孩子腹泻,腹部的按摩方向就必须改成逆时针方向。

捏脊:
小朋友俯卧;从尾椎开始,用双手拇指、食指和中指捏起脊柱两侧皮肉,轻轻往上推挤,到上背部为止,3-5次,每天1次。可以促进孩子生长发育,增强免疫力,对早产儿尤其有益。


 

What happen to me? “Oh, my skin is so itchy after taking prawns!” - “Fa Wu” (发物) & “Jie Kou” (忌口)

It’s common to hear people around us complaining about:

“Oh, my skin is so itchy after taking prawns!” Or “My pulse becomes inflamed after taking beef or mutton.”

Indeed, food allergy is very common among people with skin sensitivity. TCM classified this kind of foods as “Fa Wu” (发物). It can cause skin problems or result in recurrence of certain diseases; or worsen skin conditions. Therefore, often in TCM clinics TCM doctors will advise patients with skin problems to abstain from certain foods while receiving TCM treatment. “Jie Kou” (忌口) is a crucial step to take in the treatment of skin diseases.

“Fa Wu” (发物) have some common characteristics.
In TCM, “Fa Wu” (发物) is known to cause wind, phlegm and induce fire in our bodies. These, in turn, result in flare up of skin issues. If patients are willing to abstain from “Fa Wu” (发物) during their treatment, the effect is much better!

So after mention so much about “Fa Wu” (发物), what exactly are they?
We have categorized them into the following categories:
- Edible mushrooms: Button mushroom, shiitake mushroom etc
- Seafoods: Prawn, dried shrimp, crab, shellfish like scallop, oyster, lala etc
- Vegetables: Chives, onion, garlic, bamboo shoot, yam etc
- Fruits: Mango, durian, pineapple, lychee etc
- Poultry: Beef, duck, rooster, mutton, dog etc
- Others: Spicy foods, alcohol, egg, fermented tofu, peanut, wheat, soup boiled from cow bones etc

Although some people are sensitive towards “Fa Wu” (发物), but readers should take note that most of us are not sensitive to it. If you are not one of those sensitive individuals there is no need to abstain from it. “Fa Wu” (发物) is only problematic for certain individuals. Those with genetic inclination towards developing adverse effect after taking these foods. It’s mainly safe to most general public.

Perhaps, if you have a body constitution that is prone to skin issues, avoiding these foods is not a bad idea. For instance, if are currently suffering from or used to have issues like eczema, dermatitis, psoriasis, urticura, you may consider. This is particularly true during the time when the disease flare up, whereby itchiness is at its peak. At this period of time, abstaining from “Fa Wu” (发物) is crucial for your healing.

Besides, a gentle reminder to readers. You may be sensitive to some of the listed foods and not all. You may conduct an experiment yourself to find out which food you are sensitive to. We suggest not to over restrict your diet. A strict diet limits the variety of foods and may end up causing malnutrition for some individuals. This is utmost important to take note of!


 

Treatment Speciality:

Diabetes, insomnia, vertigo, headache, digestive issues, flu, cough, general, Flu, cough, digestive issues, eczema, psoriasis, hives, shingles, irregular menstruation, infertility, menopause syndrome, stiff neck, frozen shoulder, backache, slipped disc, numbness of limbs, heel pain.

 

Physician Lee Lin Fong
Monday
Tuesday 10:00am to 8:30pm
(Ang Mo Kio)
Wednesday 10.00am to 8.30pm
(Clementi)
Thursday  10:00am to 8:30pm
(Ang Mo Kio)
Friday
Saturday
Sunday 9:30am to 6:30pm
(Clementi)

 

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