Dysmenorrhea, adhesive capsulitis, and hot flashes

A case in which period pain, stiff shoulders, and hot flashes almost disappeared

Minoru Osawa (Department of Obstetrics and Gynecology, Maebashi Red Cross Hospital)(The author's affiliation is shown as it was at the time of publication)    

[Case] 
45 years old, female

[Chief complaint] 
(A) Dysmenorrhea (VAS: 9.0 [0-10]), (B) Hot flashes, (C) Stiff shoulders

[History] 
No special notes

[Current medical history] 
Dysmenorrhea has been present since the last childbirth (10 years ago), with (B) and (C) being more noticeable in the last year. I went to the hospital because I was concerned about menopause, and my NSAID use increased as a result.

[Current illness] 
Body temperature: 36.3 degrees, blood pressure: 138/88 mmHg, confirmation of uterine adenomyosis with a diameter of 1 cm on the anterior wall of the uterus by echo at the first visit.

[Treatment] 
GUIZHI FULING WAN 桂枝茯苓丸 
7.5 g / day for 3 days. We decided not to interfere with the use of NSAIDs during pain enhancement.

[Progress] 
(B) and (C) almost disappeared about 3 days after administration. Two weeks later, menstruation significantly reduced (A) (VAS: 1.0-2.0), and NSAIDs became almost unnecessary. The lower body's coldness has become much better. 
Currently, the dosage has been reduced to 5.0 g / day and is ongoing.

[Discussion] 
GUIZHI FULING WAN  桂枝茯苓丸 
In reality, this is a medication that can be used by anybody, regardless of their physical appearance, and is said to be especially effective in the treatment of systemic microcirculatory disorders.
As a result, it can help with dysmenorrhea caused by endometriosis/adenomyosis and uterine fibroids to some degree.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease. We can’t guarantee the treatment result, as the symptoms of conditions are unpredictable and vary greatly from person to person. The treatment length and recovery time also varies for individual.

This article introduces 25 Chinese medicines that have been adopted in clinical training designated hospitals nationwide in a Q & A format, which was published in the "Handbook of Chinese Medicine for Residents" (supervised by Dr. Kiyoshi Kitamura, International University of Health and Welfare). Thing.
For the purpose of supporting the learning of residents who are new to clinical practice, only the information directly related to clinical practice is selected and edited for the Chinese medicines that are often encountered in the field.

keyword : #Dysmenorrhea #period pain #menstrual pain #red face #hot flashes #cold #lower abdominal pain #coldness of lower body #blood stasis #menopause #irregular menstruation #headache #dizziness  #sore shoulders #stiff shoulder #GUIZHIFULINGWAN #桂枝茯苓丸  

reference : https://www.kampo-s.jp/web_magazine/back_number/278/handbook-278.htm