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LOWER ABDOMINAL MASSES

GENERAL

Clinical Manifestations	Masses in the lower abdomen may be accompanied by pain in the lower abdomen or low back, distension, bloating, infertility, irregular vaginal bleeding, irregular menses, leukorrhea and miscarriage. They may be fibroids, tumors or cancer.
Treatment Principle
Herb Formulas
Points

LIVER QI STAGNATION

Clinical Manifestations	A mass that moves from time to time Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Xiang Leng Wan
Points

BLOOD STAGNATION

Clinical Manifestations	A very hard mass in the lower abdomen that is fixed and painful Pain is worse with pressure Dark complexion Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots Dark clotted, delayed, heavy menses T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation
Herb Formulas	Gui Zhi Fu Ling Wan Da Huang Zhe Chong Wan Dai Di Dang Wan Zhe Chong Yin With Heat: Qian Gen San
Points

BLOOD AND PHLEGM STAGNATION

Clinical Manifestations	Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Ling Xiang Liu Wan
Points

STAGNATION OF PHLEGM AND DAMPNESS

Clinical Manifestations	A mass that is soft and fluid filled or hard Large amounts of leukorrhea that is sticky white Cold body Poor appetite Uterine fibroma Pain in the abdomen or low back Infertility Irregular vaginal bleeding Irregular menses Miscarriage May be tumor, or cancer Dizziness Obesity T: Purple C: Greasy and white P: Slippery and Deep
Treatment Principle
Herb Formulas	Kai Yu Er Chen Tang Da Huang Mu Dan Tang
Points