Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Should I get checked if my period comes every two months and the flow is light?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 "Delayed Menstruation." It is divided into four types: blood deficiency, blood cold, deficiency-cold, and qi stagnation.
Blood Cold Syndrome:
Clinical features: Delayed menstruation, reduced volume, dark color with clots.
General symptoms: Cold pain in the lower abdomen, pain with warmth, aversion to cold, cold limbs, white tongue, and deep, tight pulse.
Treatment method: Warming the channels, dispelling cold, and regulating menstruation.
Prescription: Warming the Channels Decoction.
Deficiency-Cold Syndrome:
Clinical features: Delayed menstruation, reduced volume, pale red color, thin, watery texture, no clots.
General symptoms: Mild, pain in the lower abdomen, preference for warmth and pressure, lower back soreness and weakness, clear and copious urine, loose and watery stools, pale tongue with white coating, deep and slow or weak pulse.
Treatment method: Supporting yang, dispelling cold, and regulating menstruation.
Prescription: Ai Fu Nu Gong Wan (Bupleurum and Angelica Sinensis Warm Palace Pill).
Blood Deficiency Syndrome:
Clinical features: Delayed menstruation, reduced volume, no clots.
General symptoms: Empty pain in the lower abdomen, dizziness, blurred vision, pale or sallow complexion, pale pink tongue with weak pulse.
Treatment method: (Supplementing blood) and regulating menstruation.
Prescription: Da Bu Yuan Jian (Great Tonifying Decoction).
Qi Stagnation Syndrome:
Clinical features: Delayed menstruation, reduced volume, 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.
Prescription: Wu Yao Tang (Lindera Root Decoction).
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner for a comprehensive clinical diagnosis (the four diagnostic methods: inspection, auscultation/olfaction, inquiry, and palpation) to prescribe the correct medication for effective treatment. Wishing you a speedy recovery!