Intense and irritability symptoms before menstruation

A series of symptoms such as irritability, irritability, and insomnia occur before menstruation, and disappear after menstruation, which is called premenstrual stress disorder. Such symptoms are more common in women over the age of 35, or in patients with infertility and menstrual disorders. Only a few patients have severe symptoms that affect work and life.

Patients with pre-extensive tension usually begin to develop symptoms 7 to 14 days before menstruation, are aggravated by the first 2 to 3 days, and their symptoms are significantly reduced or completely disappeared after menstruation. Common symptoms include mental stress, nervousness, irritability or depression, general weakness, fatigue, insomnia, headache, and lack of concentration. Other patients have swelling of hands, feet and face. Abdominal wall and visceral edema and abdominal bloated feeling, gastrointestinal mucosal edema, diarrhea or soft stools, pelvic edema appeared abdominal bulge or pain, breast edema and pain. When the edema is obvious, the body weight increases a lot compared with before.

The cause of premenstrual stress symptoms is not fully understood. It may be related to emotional stress, unpleasant mental factors, or liver disease and retention of water and salt in the body.

Pay attention to work and rest before menstruation, avoid mental stress, eat less salt, can prevent and reduce symptoms. If symptoms of edema occur, oral hydrochlorothiazide may be taken orally within 10 days before menstruation or after symptoms appear, 25 to 50 mg per day, or 100 to 200 mg per day for oral administration of triamterene until menstruation. Note that potassium chloride should be added after even serving the diuretic for 5 days. Can also take sedatives, such as 0.03 grams each luminal, 3 times a day, or chlordiazepoxide 10 mg each time, 2~~3 times a day; night service 0.2~~0.4 grammyton can also be ; Oryzanol 10 ~ ~ 20 mg each time, 3 times a day, and even served 1 ~ ~ 2 months, there is regulation of autonomic function; 10 days before menstruation began oral lithium carbonate, 0.3 grams each time, 3 times a day Until the onset of menstruation, can change the excitability of the central nervous system, promote water, salinization, there is a certain therapeutic effect. Sex hormones and large amounts of vitamin A are taken in the first 14 days until menstruation.

The effect of TCM syndrome differentiation is better. Liver qi stagnation is a common type, manifested as premenstrual breast, nipple pain, and even can not touch clothes, headache, small abdominal fullness and chest threats, irritability, pulse string, tongue spasm, with Xiaoyao scattered Reduced; spleen and kidney yang deficiency, manifested as facial edema, dizziness, body fatigue, drowsiness, satisfied less, loose stools or premenstrual diarrhea, abdominal distension, backache, leg fat, toothed teeth, moss Bai Run, pulse Shen Thin and weak, the application of health solid soup; Yin deficiency liver Wang type, the performance of the former upset irritability, dizziness, forgetfulness, insomnia, red tongue, little coating, pulse string, application Qi Ju Di Huang Decoction; heart and spleen deficiency type, performance by Insomnia before the heart, Shenpi fatigue, thinking well, looking chlorosis, poor appetite, pale tongue, thin white fur, pulse breakdown, application of spleen soup.

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