Chief Complaint: painful distension,fullness in chest and abdomen; constipation or tenesmus; emotional disturbance
Western Diagnosis: Dysmenorrhea
Medical History: age 40, has spasmodic pain in the lower abdomen,painful distension radiating in both flanks, severe and persistent low back pain some times accompanied with premenstrual tension, nausea, vomiting, headache and emotional disturbance before menstrual period for about 18 years.
Questioning exam: painful distension,fullness in chest and abdomen; constipation and tenesmus; emotional disturbance; lower abdomen reluctant to pressure; menstrual blood is dark in color, purple and lumpy. yellow urine.