Patient's question:
Detailed medical condition and consultation purpose: I haven't had my period for several months after an abortion. I only get it after taking progesterone, but the amount is relatively small. Later, following the doctor's advice for regulating my period, I underwent a three-month course of treatment. In the first month, my period was light, in the second month it was relatively normal, lasting five days. In the third month, due to work-related reasons, I didn't take the medication or receive injections regularly—either discontinuously or less frequently. As a result, my period was light again. Now, the time for my period has come again, but it hasn't arrived. What could be the reason? How should it be treated? Do I still need to regulate my period? Thank you.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 four types: 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, tense pulse.
Treatment method: Warming the channels, dispelling cold, and regulating 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: Mild pain in the lower abdomen, preference for warmth and pressure, weak lower back, frequent clear urination, loose and watery stools, pale tongue with white coating, deep and slow or weak pulse.
Treatment method: Supporting yang, dispelling cold, and regulating 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, blurred vision, pale or sallow complexion, pale red tongue with weak pulse.
Treatment method: (Supplementing blood and regulating 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 method: Harmonizing qi and regulating 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, combining the four diagnostic methods (inspection, auscultation, inquiry, and palpation) for accurate diagnosis and treatment to achieve the best results. Wishing you a speedy recovery!