Modern literature research shows that different medical practitioners have their own interpretations of the etiology and pathogenesis of dysmenorrhea.

Furthermore, it further elaborates on the timing and nature of pain: "Abdominal pain after menstruation indicates deficiency of qi and blood; pain before menstruation indicates stagnation of qi and blood. Qi stagnation causes abdominal distension, while blood stagnation leads to pain. It is even more important to distinguish between deficiency and excess, cold and heat." Meanwhile, the "Women's Medical Guide" recognizes that "excessive worry, rumination, indignation, and anger can all lead to qi stagnation; when qi stagnates, blood also stagnates. Intense indignation and anger can cause qi to become blocked, which in turn causes blood to become blocked as well. When qi and blood are stagnant, they cannot flow smoothly." "Blood moves with qi; when qi flows, blood flows; when qi stops, blood stops; when qi flows smoothly, blood flows smoothly; when qi flows against the grain, blood flows against the grain." This meticulously explains the relationship between the seven emotions and the mechanism of dysmenorrhea. Modern literature research shows that different medical practitioners have their own interpretations of the etiology and pathogenesis of dysmenorrhea.