Lower abdominal pain is a common symptom among women, often stemming from gynecological conditions. Consider various gynecological scenarios based on the nature and characteristics of the pain. However, diseases originating from internal reproductive organs are not uncommon, warranting careful differentiation. Differentiation: 1. Onset speed 2.Location of lower abdominal pain 3. Duration of lower abdominal pain 4. Site of referred abdominal pain 5. Associated symptoms
Types:
I. Acute lower abdominal pain: Onset is sudden and severe, often accompanied by nausea, vomiting, fever, etc.
(1) Lower abdominal pain with vaginal bleeding: Presence or absence of amenorrhea history; often related to pathological pregnancy.
(2) Lower abdominal pain with fever: Commonly seen in acute pelvic inflammatory disease, endometritis, tubo-ovarian abscess, or acute appendiceal cystitis; may also occur with red degeneration of uterine fibroids.
(3) Lower abdominal pain with adnexal mass: Often due to torsion or rupture of ovarian tumors or non-neoplastic ovarian cysts, or torsion of subserosal uterine fibroids.
II. Chronic lower abdominal pain: Onset is gradual, often presenting as dull or aching discomfort with prolonged duration, sometimes related to the menstrual cycle. Cyclic chronic lower abdominal pain includes:
(1) Menstrual lower abdominal pain: Progressive, worsening menstrual-related heaviness or dragging pain in the lower abdomen, occasionally accompanied by dyspareunia, suggestive of endometriosis or adenomyosis.Lower abdominal pain before or after menstruation may also occur in cases of retroverted uterus, primary dysmenorrhea, cervical stenosis, or pelvic inflammatory disease.
(2) Ovulatory pain: Pain localized to one side of the lower abdomen, typically lasting 3–4 days and sometimes accompanied by light vaginal bleeding. This type of pain is termed ovulatory pain.
Lower abdominal pain is a common symptom in women, often caused by gynecological conditions.The nature and characteristics of lower abdominal pain should prompt consideration of various gynecological conditions. However, diseases originating from the internal reproductive organs are not uncommon, warranting particular attention to differential diagnosis.
Abdominal acupressure is a form of acupressure therapy that can be applied anytime, anywhere, without restrictions on location. It carries no drug-related side effects and is suitable for long-term treatment. This method is relatively safe and can be administered to individuals of all ages and genders, whether healthy or ill.
Method:
(1) Pressing Shangwan: The patient lies supine, with the practitioner positioned on the patient's right side. The practitioner uses the knuckle surface of the right thumb to repeatedly press and rub Shangwan for 3–5 minutes.
(2) Pressing Zhongwan: Immediately following the previous step. The practitioner places the right thumb on Zhongwan and repeats the same action for 3–5 minutes.
(3) Pressing Xiawan: Immediately following the previous step. The practitioner places the right thumb's knuckle on Xiawan and repeats the same action for 3–5 minutes.
(4) Rub and stroke the entire abdomen: Immediately following the previous technique. The practitioner places both palms on the patient's abdomen, moving from the area below and to the right of the navel upward to the area above and to the right of the navel, then to the area above and to the left of the navel, and finally to the area below and to the left of the navel. Rub and stroke the entire abdomen in a clockwise direction for 3–5 minutes.
(5) Pushing and Stroking the Conception Vessel: Immediately following the previous technique. Extend and align the right hand, using the thenar eminence or entire palm to gently push and stroke downward along the Conception Vessel from the manubrium of the sternum to the Zhongji point (CV3) 5–10 times.Effects: Warms and tonifies original yang, strengthens the spleen and stomach, aids digestion and relieves food stagnation, harmonizes the stomach and calms the spirit, nourishes qi and blood, regulates qi and alleviates pain, and promotes bowel and urinary function. Benefits: Long-term practice cultivates original qi, regulates and enhances visceral functions.
It demonstrates the most pronounced improvement in spleen and stomach function. It also offers significant preventive and therapeutic effects for conditions such as stomach pain, gastric and duodenal ulcers, gastrointestinal dysfunction, poor appetite, abdominal distension, constipation, chronic diarrhea, lower abdominal cold pain, chronic pelvic inflammation, dysmenorrhea, amenorrhea, irregular menstruation, low libido, and rectal prolapse.