Patient's question:
Detailed medical condition and consultation purpose: Since the expired miscarriage, my menstrual cycle has been very irregular, sometimes coming every 33 days, sometimes 35 days, and sometimes 38 days. Is this normal? Are there any methods to improve it? Thank you.Duration of the current illness: Over a year
Medical history: Had one case of fetal demise
Doctor's answer:
Hello, this is known as "Menstruation Delayed" in traditional Chinese medicine theory:Menstruation Delayed refers to a delay of 7 days or more, or even 40-50 days or more, and is also called "Menstruation Occurring Late." 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, relief with warmth, aversion to cold, cold limbs, white tongue, and deep, tight pulse.
Treatment method: Warming the channels, dispelling cold, and regulating menstruation.
Prescription: Warming the Channels Decoction.
Deficiency-Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, pale red color, thin and watery quality, without 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, and slow or weak pulse.
Treatment method: Supporting yang, dispelling cold, and regulating menstruation.
Prescription: Ai Fu Nu Gong Wan (Moxa-Fu Warming Palace Pill).
Blood Deficiency Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, without clots.
General symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale red tongue with weak pulse.
Treatment method: (Supplementing blood) and regulating menstruation.
Prescription: Da Bu Yuan Jiao (Greatly Tonifying Original Decoction).
Qi Stagnation Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, dark red color with small clots.
General symptoms: Fullness and distension in the lower abdomen, or distension pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, and wiry pulse.
Treatment method: Harmonizing qi and regulating menstruation.
Prescription: Wu Yao Tang (Davana Decoction).
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) for accurate diagnosis and treatment to achieve the best results. Wishing you a speedy recovery!