How to regulate irregular menstruation and dysmenorrhea

Patient's question:

I want to buy some regulating and period-pain-relieving herbal remedies. There are so many brands on the market that it's overwhelming. Could you recommend a few? Of course, the best would be those that are affordable and of good quality. Main symptoms: irregular periods, always delayed or coming a few days early, severe abdominal pain on the first day of the period. Additionally, there are always a few days each month with excessive white discharge, and it has a slight odor. Thank you in advance!

Doctor's answer:

Hello!
Please refer to the following suggestions.
Irregular menstruation refers to the irregularity of the menstrual cycle. Traditional Chinese Medicine (TCM) believes that the causes of irregular menstruation are multifaceted, but the main reasons are insufficient vital Qi and disharmony of Qi and blood. In treatment, the focus should be on regulating the menstrual cycle to address the root cause. If irregular menstruation is caused by certain diseases, the underlying disease should be treated first, and once the disease is resolved, the menstrual cycle will naturally regulate. If the irregular menstruation leads to diseases, the priority should be to regulate the menstrual cycle, and once the cycle is regulated, the disease will naturally subside. Clinically, irregular menstruation can be broadly categorized into three types:
1. Premature Menstruation: When the menstrual cycle occurs 8–9 days earlier, or even twice within a month, it is called "Menstruation Coming Too Early."
2. Delayed Menstruation: When the menstrual cycle is delayed by 8–9 days, or occurs only once every 40–50 days, it is called "Menstruation Coming Too Late."
3. Chaotic Menstruation: When menstruation does not follow a regular cycle, either coming too early or too late.
In medication treatment, syndrome differentiation and treatment can be applied based on the underlying causes.
For premature menstruation with excessive volume, pale color, and thin, watery discharge, it is often due to Qi deficiency. To treat this type of menstrual disorder, the following Chinese patent medicines can be used:
- Bazhen Yimu Pill (), 1–2 pills per time, taken twice daily;
- Wuji Baifeng Pill (), 1 pill per time, taken twice daily;
- Yixian Jiuku Jin Dan (), 1 pill per time, taken twice daily;
- Babao Kunshun Dan (), 1 pill per time, taken twice daily;
- Menstrual Regulation Pill (), 1–2 pills per time, taken twice daily;
- Nüjin Dan (), 1 pill per time, taken twice daily.
For delayed menstruation with dark red, scanty flow, lower abdominal pain, and chills, it is often due to cold. In this case, Aifu Nuangong Pill () can be used, 1 pill per time,
(Note: The original text contains some formatting issues, such as "" and "," which appear to be typos or placeholders. The translation assumes these are not part of the intended meaning.)

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