Patient's question:
Symptom Description: Current General Condition: Menstrual cycle is generally delayed by half a month or a whole monthMedical History: Had one induced abortion
Doctor's answer:
Analysis of the Condition: Hello, 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 etiology and pathogenesis of menstrual disorders are primarily caused by emotional distress (seven emotions), external pathogens (six evils), insufficient innate kidney qi, multiple childbirths, excessive sexual labor, or overexertion, leading to damage to the zang-fu organs, dysfunction of the liver, kidney, and spleen, imbalance of qi and blood, and subsequent damage to the Chong and Ren meridians, resulting in menstrual disorders.Qi and Blood Deficiency Type: Menstrual cycle may be advanced or delayed, volume may increase or decrease, duration may be prolonged, color may be pale, and quality may be thin. May also include lower abdominal pain, dizziness, blurred vision, fatigue, limb weakness, pale or sallow complexion, poor appetite, and loose stools. Tongue appearance is pale-red with a thin white coating, and pulse is fine and weak. Treatment should focus on replenishing both qi and blood. Medications such as Buzhong Yiqi Pills, Shiquan Dabu Pills, Wuji Baifeng Pills, Bazhen Yimu Pills, Babao Kunshun Pills, Nujin Pills, Danggui Tiaojing Pills, Danggui Jujube Granules, Guipsi Pills, and Siwu Heji can be used.
Blood Cold Type: Menstrual cycle is delayed, volume is insufficient, color is dark with blood clots. Lower abdominal pain with coldness, which alleviates with warmth, and aversion to cold with cold limbs. Tongue appearance is white, and pulse is deep and tight. Treatment should focus on warming the meridians and dispelling cold. Medications such as Aifu Nuangong Pills, Tianqi Tongjing Powder, and Jinkui Wenjing Pills can be used.
Blood Heat Type:
1. Excess Heat Type: Menstrual cycle is advanced, volume is excessive, color is deep red or purple, quality is thick and sticky, with blood clots. May also include irritability, flushed face, dry mouth, short and yellow urine, and dry constipation. Tongue appearance is red with a yellow coating, and pulse is rapid. Treatment should focus on clearing heat, cooling blood, and regulating menstruation to stop bleeding. Medications such as Fenglun Zhixue Tablets and Sihong Dan can be used.
2. Deficiency Heat Type: Menstrual cycle is advanced, duration is prolonged, volume is excessive, color is red, and quality is thick. May also include flushed cheeks and heat in palms and soles. Tongue appearance is red with a thin coating, and pulse