TCM Pattern Differentiation Library
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Dysmenorrhea - Cold with Blood Stasis Pattern
Dysmenorrhea · Cold with Blood Stasis Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Pelvis
Pattern Overview
Cold with Blood Stasis is a common pattern in dysmenorrhea, characterized by cold-induced uterine vasoconstriction, menstrual pain relieved by warmth, cold extremities, and dark menstrual blood with clots. The core pathogenesis is Cold invading the uterus causing Blood stasis, leading to uterine vasoconstriction, ischemia, and severe cramping pain.