-IBIS-1.5.0-
tx
reproductive system
dysmenorrhea
nutrition
dietary guidelines
eating principles:
Alter the diet to include a high percentage of complex carbohydrates and low fat intake, especially from arachidonic acid sources, which is the substrate for prostaglandin. (Marz, p. 430, 1997)
Vegan diet of 75% complex carbohydrates, 15% protein, 10% fat
High fiber diet
therapeutic foods:
Increase foods rich in Sodium, Iron, Calcium and Magnesium
Increase omega-3 and omega-6 fatty acids: vegetable, nut, seed oils, salmon, herring, mackerel, sardines, walnuts, flaxseed oil, evening primrose oil, black currant oil
» for Liver Xue Xu (Blood Deficiency):
Increase foods that nourish Xue (Blood) and tonify the Spleen and Stomach; bland foods
Blackberries, beets, blueberries, parsley, raspberries
specific remedies:
Irregular menstruation: boil 3 oz. raw brown sugar, 3 oz. dried dates and 1/2 oz. ginger in l pt of water until reduced to half. Drink once per day (Butt and Bloomfield, p. 148)
Cook 60 g black soybeans, 2 unshelled eggs and 120 g rice wine over low Heat; peel eggs after cooking and then cook eggs again; add rice wine. Eat the eggs and drink the hot soup to relieve pain. (Lu, p. 150)
Boil 50 g fresh parsley in 3 cups water until the water is reduced to l cup; crack 1 egg into the boiling water and add some seasoning. Eat to relieve pain. (Lu, p. 151)
fresh juices:
Carrot juice (Walker, p. 146)
Carrot and spinach juice (Walker, p. 146)
Carrot, beet, and cucumber (Walker, p. 146)
therapeutic foods
for Stagnant Liver Qi or Stagnancy in the Liver channel type:
Foods that invigorate the Qi, Liver foods, sour foods, Dispersing foods, foods that open channels
Foods rich in Vitamin B-complex and Calcium
Foods rich in Magnesium
therapeutic foods
for Cold in Uterus or Meridians type :
Warming or Heating foods, foods that open the channels, Liver foods
specific remedies:
Boil 30 g dried ginger in water along with 30 g brown sugar and 30 g seeded red dates and drink (Lu, p. 150)
Prepare 24 gr fresh ginger, 30 g red dates, and 9 g red pepper. Cut the ginger and pepper as you would in normal cooking; boil the 3 ingredients in 3 glasses water until the water is reduced by half. Drink hot to relieve pain
(Lu, p. 150)
Boil 5 g cinnamon twigs, 15 g hawthorne fruits, and 30 gr brown sugar in 3 glasses water until water is reduced by half; add brown sugar and continue to boil for a few seconds. Drink hot to relieve pain (Lu, p. 151)
avoid:
Coffee, caffeine, food intolerances
supplements
Essential fatty acids: 2 Tbsp per day
Magnesium: 500-800 mg per day (Abraham, G. Clin. Obstet. Gynecol. 21(1):139-45, 1978)
Vitamin B6: 100 mg three times daily
Calcium: 1000-1500 mg per day
Vitamin E: 1200 IU per day (Butler, McKnight. Lancet 1:844-47, 1955)
Vitamin B3 100 mg twice daily (will cause flushing)
Bromelain: crush tab into KY jelly and insert in vagina to relax os
Magnesium IV 2 cc for acute IM 2-3 cc for acute
» drug interaction:
Potassium and indomethacin (Indocin): as a prostaglandin inhibitor, indomethacin reduces renin and aldosterone, and consequently reduces potassium excretion and causes hyperkalemia (Goldszer, et al., 1981; 141: 802-804; Tan, et al., 1979; 90: 783-785; MacCarthy, et al., 1979; 1: 550)
footnotes
Abraham, G. Primary dysmenorrhea Clin. Obstet. Gynecol. 21(1):139-45, 1978.
Abstract: Patients received amino-acid chelated magnesium and B6 100mg of each every 2 hrs as needed during menses and 4x daily throughout the cycle until RBC magnesium returned to normal. There was a progressive decrease in intensity and duration of menstrual cramps over 4-6 months.
Butler, McKnight. Vitamin E in the treatment of primary dysmenorrhea. Lancet 1:844-47, 1955.
Abstract: 100 young women 18-21 with spasmodic dysmenorrhea received either 50mg vitamin E three times per day or placebo for 10 days premenstrually and for the next 4 days. After 2 cycles, 34/50 (68%) in the experimental group improved compared to 9/50 (18%) of the controls.