Patient's question:
After giving birth, my period often doesn't come. Now my daughter is three years old, and I don't want to take progesterone anymore (after taking it for three cycles and stopping, it only came once). But is Chinese medicine effective?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. It is also called "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, relief with warmth, aversion to cold, 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, clear quality, no clots.
General symptoms: Mild 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: Support yang, dispel cold, and regulate menstruation.
Medication: Ai Fu Nu Gong Wan (Blessing the Palace Decoction).
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 red tongue with weak pulse.
Treatment: Nourish blood and regulate menstruation.
Medication: Da Bu Yuan Jiao (Great Nourishing Decoction).
Qi Stagnation Syndrome:
Clinical features: Delayed menstruation, reduced amount, dark red color with small clots.
General symptoms: Distension in the lower abdomen, or pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, wiry pulse.
Treatment: Harmonize qi and regulate menstruation.
Medication: Wu Yao Tang (Dampness-Dispelling Decoction).
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, palpation), and prescribe medication according to the specific symptoms for effective treatment. Wishing you a speedy recovery!