Patient's question:
I am 42 years old. Recently, my menstrual period was delayed by 10 days compared to usual, and it lasted for 10 days without stopping, with dark and scanty blood. I have no discomfort. Before the menstrual period, I had itchy symptoms in the vaginal area.I hope to get an answer.
Doctor's answer:
Hello, this is referred to 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 known as "Menstruation Occurring Later." It is divided into: blood deficiency, blood cold, deficiency-cold, and qi stagnation.
Blood Cold Syndrome:
Clinical features: Delayed menstruation, reduced amount, dark color with clots.
General symptoms: Cold pain in the lower abdomen, pain with warmth, aversion to cold and cold limbs, white tongue, and deep, tight pulse.
Treatment: Warm the channels, dispel cold, and regulate menstruation.
Medication: Warming the Channels Decoction.
Deficiency-Cold Syndrome:
Clinical features: 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, weak lower back, clear and long urination, loose and watery stools, pale tongue with white coating, deep and slow or weak pulse.
Treatment: Support yang, dispel cold, and regulate menstruation.
Medication: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical features: 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: Nourish blood and regulate menstruation.
Medication: Da Bu Yuan Jiao.
Qi Stagnation Syndrome:
Clinical features: Delayed menstruation, reduced amount, dark red color with small clots.
General symptoms: Distension in the lower abdomen, or distension and pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, and wiry pulse.
Treatment: Harmonize qi and regulate menstruation.
Medication: 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 (inspection, auscultation/olfaction, inquiry, and palpation), and prescribe medication according to the specific symptoms for effective treatment. Wishing you a speedy recovery!