LYCOS RETRIEVER 
Endometriosis: Menstruation
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At another site in Shanghai, the Shanghai College of Traditional Chinese Medicine, Dai Deying worked with 30 cases of endometriosis and reported his results in 1982 (6). The basic formula for patients with endometriosis having dysmenorrhea as the main symptoms was: bupleurum, cyperus, saussurea, and melia for qi stagnation; red peony, moutan, salvia, corydalis, typha, and trogopterus for blood stasis and pain; and patrinia, prunella, and oyster shell for resolving the abdominal masses. During the week before menstruation and during menstruation, the corydalis dosage would be increased (to help alleviate pain), and the remainder of the formula would be modified slightly. The basic formula for patients with endometriosis having heavy menstrual bleeding as the main symptom was: codonopsis, astragalus, and atractylodes for tonifying qi; peony, moutan, and salvia for circulating blood; oyster shell and prunella for resolving the abdominal masses, and eclipta, fried typha, agrimony, and raw rehmannia for inhibiting bleeding. The formula would ... be adjusted somewhat during and after menstruation. The effective rate for treating the symptoms addressed was reported to be 80%.
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[One] theory is that endometriosis is a genetic birth abnormality in which the endometrial cells develop outside of the uterus during fetal development. Once this female is grown and begins to experience menstruation, these misplaced cells become lesions or implants that cause pain and discomfort.
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The causes of endometriosis are not clearly understood, although the most accepted one is the theory of retrograde ( back flow ) menstruation and implantation. Endometriosis tends to cluster within families. It is six to seven times more prevalent among the first degree relatives of affected women than in the general population.
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The exact cause of endometriosis is unknown... there are a few theories on the cause of endometriosis. One theory is that the endometrial tissue results from remnants of embryotic tissue. Another possible theory is retrograde menstrual flow. With this theory, it is believed that during menstruation, menstrual flow backs up into the fallopian tubes.
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Dysmenorrhea or menstrual cramping may be a symptom of endometriosis. Primary dysmenorrhea, which occurs during the early years of menstruation and tends to decrease with age and after childbearing, is usually unrelated to endometriosis. Secondary dysmenorrhea, which occurs later in life and may increase with age, should be viewed as a possible warning sign of endometriosis.
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The cause of endometriosis is still unknown. One theory is that during menstruation some of the menstrual tissue backs up through the fallopian tubes into the abdomen, where it implants and grows. Another theory suggests that endometriosis may be a genetic process or that certain families may have predisposing factors to endometriosis. In the latter view, endometriosis is seen as the tissue development process gone awry.
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