In herbal medicine, the treatment of endometriosis not only provides medicine for pain but also emphasizes the underlining reason causing the pain.
1. Prostaglandins hormone treatment
Uterine tonic are important herbs that are used to treat pain for women with endometriosis pain. By improving the uterine tones, it helps to regulate the production of prostaglandins and keep them in check. By balancing the hormone prostaglandins in the reproductive organ during the menstrual cycle, it maintains the level of movement of uterus muscles making it easier for women with endometriosis to manage pain. Herbs used include dong quai(335)(336).
2. Anti muscle spasmodic herbs
If the woman feels pain only in the cervix area caused by crampy flow or very little flow then a special herb or a group of herbs will be given to reduce the uterine muscle spasm and pain by bringing on menstrual flow. Herbs used include Rosa damascena(337) and Xiang-Fu-Si-Wu Decoction(338)
3. How to bring on period flow(335)
Congestive symptoms such as heavy dragging pain with late onset of period, then some herbs will be given to relieve the pain by bringing on menstrual flow. Herbs used in this group include all herbs classified as emmenagogues(339).
4. Hormone regulators
Herbs that are used to regulate prostaglandins, estrogen, and progesterone hormones such as vitexagus castus(337) to reduce levels of congestive period and endometriosis pain.
5. Prostaglandins inhibitors
Herbs that are used to inhibit the excess level of prostaglandins hormone causing over-activity of uterine muscles include curcuma longa(343)(344) and ginger(340)(341).
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(335) Anti-inflammatory and analgesic activity of R.A.P. (Radix Angelicae Pubescentis) ethanol extracts by Li X1, Wang J, Gao L.(PubMed)
(336) [Antidysmenorrheic effects of Radix angelica and Rhizoma Chuanxiong with different proportions and preparation methods on dysmenorrhea model mice].[Article in Chinese]by Wang H1, Tang Y, Guo J, Ding A, Li W, Jiang W, Duan J.(PubMed)
(337) The Effect of Rosa Damascena Extract on Primary Dysmenorrhea: A Double-blind Cross-over Clinical Trial by Bani S1, Hasanpour S1, Mousavi Z1, Mostafa Garehbaghi P2, Gojazadeh M3.(PubMed)
(338) Plasma metabolic profiling of normal and dysmenorrhea syndrome rats and the effects of Xiang-Fu-Si-Wu Decoction intervention by Liu P1, Duan JA, Guo JM, Qian DW, Shang EX, Tang YP, Su SL.(PubMed)
(339) [Treatment of cyclical mastodynia using an extract of Vitex agnus castus: results of a double-blind comparison with a placebo].[Article in Czech]by Halaska M1, Raus K, Bĕles P, Martan A, Paithner KG.(PubMed)
(340) Plants used as abortifacients and emmenagogues by Spanish New Mexicans by Conway GA, Slocumb JC.(PubMed)
(341) Comparison of the Effect of Ginger and Zinc Sulfate on PrimaryDysmenorrhea: A Placebo-Controlled Randomized Trial by Kashefi F1, Khajehei M2, Cher MT3, Alavinia M4, Asili J5.(PubMed)
(342) Effect of Zingiber officinale R. rhizomes (ginger) on pain relief in primarydysmenorrhea: a placebo randomized trial by Rahnama P1, Montazeri A, Huseini HF, Kianbakht S, Naseri M.(PubMed)
(343) Uterine relaxant effects of Curcuma aeruginosa Roxb. rhizome extracts by Thaina P1, Tungcharoen P, Wongnawa M, Reanmongkol W, Subhadhirasakul S.(PubMed)
(344) Medicinal plants for women's healthcare in southeast Asia: a meta-analysis of their traditional use, chemical constituents, and pharmacology by de Boer HJ1, Cotingting C2.(PubMed)