Patient's question:
My girlfriend always has irregular menstruation and needs to take progesterone to induce it. This has been the case since she started experiencing it. How should it be treated?: Normal secretion. The uterus is normal, but there is disagreement among hospitals regarding its size.
Doctor's answer:
Hello, this is referred to as "delayed menstruation" in traditional Chinese medicine theory: Delayed menstruation refers to menstruation being delayed by more than 7 days or even 40-50 days, also known as "menstruation occurring later." It is divided into: blood deficiency, blood cold, deficiency-cold, and qi stagnation.Blood Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, dark color with clots.
General symptoms: Cold pain in the lower abdomen, pain relieved by warmth, aversion to cold, cold limbs, white tongue, and deep, tense pulse.
Treatment method: Warm the channels, dispel cold, and regulate menstruation.
Prescription: Wenyi Decoction.
Deficiency-Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, pale red color, thin and watery texture, no clots.
General symptoms: pain in the lower abdomen, preference for warmth and pressure, lower back soreness and weakness, clear and long urination, loose and watery stools, pale tongue with white coating, deep and slow or weak pulse.
Treatment method: Support yang, dispel cold, and regulate menstruation.
Prescription: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, no clots.
General symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale pink tongue with weak pulse.
Treatment method: Nourish blood and regulate menstruation.
Prescription: Da Bu Yuan Jiao.
Qi Stagnation Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, dark red color with small clots.
General symptoms: Bloating in the lower abdomen, or chest, abdominal, both sides of the waist, and breast pain, normal tongue coating, wiry pulse.
Treatment method: Harmonize qi and regulate menstruation.
Prescription: Wu Yao Tang.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner, combine the four diagnostic methods, and prescribe the correct medicine for effective treatment. Wishing you a speedy recovery!