Patient's question:
Patient Age:27
Detailed Medical Condition and Purpose of Consultation:
Menstruation has been irregular for 14 months, occurring perhaps once every 4 months or once every 7 months. There have been no issues with endocrine function or ultrasound results.
Onset and Duration of Current Illness:
Started in August and has not occurred since.
Current General Condition:
No discomfort, but sometimes experiences pain near the left hip bone and intestines.
Other:
What could be the cause? What medication can help?
Doctor's answer:
Hello: According to the situation you described, it is highly unlikely that there are no abnormalities in your endocrine condition and B-ultrasound results, as you mentioned. However, if it is truly the case that there are no abnormalities, then herbal medicine regulation could be considered.Irregular menstruation refers to a category of diseases characterized by abnormalities in the menstrual cycle, duration, and volume. This includes early menstruation, delayed menstruation, irregular menstruation, prolonged menstruation, excessive menstruation, and insufficient menstruation. The causes and mechanisms of menstrual disorders are primarily due to emotional distress (seven emotions), external pathogens (six evils), insufficient innate kidney qi, multiple childbirths or excessive sexual activity, and excessive fatigue, which can damage the zang-fu organs, disrupt the functions of the kidneys, liver, and spleen, lead to disharmony of qi and blood, and ultimately injure the Chong and Ren meridians, resulting in menstrual disorders.
Qi and blood deficiency type: Menstrual cycle is advanced or delayed, menstrual volume increased or decreased, prolonged menstruation, pale color, thin and watery texture. May also include lower abdominal pain, dizziness, blurred vision, fatigue, limbs weakness, pale or sallow complexion, poor appetite, and loose stools. Pale red tongue and weak, thready pulse. Treatment should focus on replenishing both qi and blood. Medications such as Bu Zhong Yi Qi Wan (Strengthen the Middle and Replenish Qi Pill), Shi Quan Da Bu Wan (Ten-Treasure Great Replenishing Pill), Wu Ji Bai Feng Wan (Black Chicken White Phoenix Pill), Ba Zhen Yi Mu Wan (Eight-Treasure Motherwort Pill), Ba Bao Kun Shun Wan (Eight-Jewel Conducive to Menstruation Pill), Nu Jin Wan (Women's Gold Pill), Dang Gui Diao Jing Wan (Angelica Sinensis Regulation Pill), Dang Gui Hong Zao Ke Li (Angelica Sinensis Jujube Granules), Gui Pi Wan (Spleen-Regulating Pill), and Si Wu He Ji (Four-Ingredient Mixture) can be used.
Blood cold type: Delayed menstruation, reduced volume, dark color with blood clots. Lower abdominal cold pain, pain alleviated by warmth, aversion to cold, and cold limbs. White tongue and deep, tight pulse. Treatment should focus on warming the meridians and dispelling cold. Medications such as Ai Fu Nu Gong Wan (Mugwort and Aconite Warming Palace Pill), Tian Qi Tong Jing San (Tian Qi Pain Relieving Powder), and Jin Gui Wen Jing Wan (Golden Cabinet Warming Meridian Pill) can be used.
Blood heat type:
1. Excess heat type: Advanced menstruation, increased volume, deep red or purple color, thick and sticky texture with blood clots. Accompanied by irritability, flushed face, dry mouth, short, yellow urine, and dry, hard stools. Reddish tongue...