T/CACM 1120-2018 Practice Guidelines for Preventive Medicine in Traditional Chinese Medicine: Premenstrual Dysphoric Disorder

Scope

Main technical content: Premenstrual dysphoric disorder, also known as premenstrual anxiety disorder (PMDD), refers to severe mental and physical symptoms that affect women's functioning in work, study, family, social activities, or interpersonal relationships. This disease is more common in women of childbearing age, and it can also occur in women in menopause. Among women of childbearing age, 80% to 90% report premenstrual symptoms, and the incidence of PMDD is 3% to 8%. PMDD is stable across different menstrual cycles and has long-term stability over five years or more. The impact of PMDD on women mainly manifests in aspects such as quality of life, functional ability, and economic costs. This disease is episodic, and patients appear normal when not in an attack phase, but it causes great suffering during attacks. Therefore, it is very important to intervene before the disease occurs to prevent its onset or reduce the severity of attacks. This is consistent with the concept of "preventing disease before it happens" in traditional Chinese medicine. However, there are currently no standardized interventions for PMDD in traditional Chinese medicine, and the level of intervention varies greatly, which is not conducive to leveraging the unique advantages of traditional Chinese medicine. Therefore, the implementation of this standard will help standardize early intervention for PMDD in traditional Chinese medicine and guide the development of this field.

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