Patient's question:
Why do people usually see a 28-day menstrual cycle? I usually get my second period more than a week after a month, at least 35 days. Is this normal? If so, how do you calculate the safe period?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: blood deficiency, blood cold, deficiency-cold, and qi stagnation.
Blood Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, dark color with clots.
Systemic symptoms: Cold pain in the lower abdomen, pain with warmth, aversion to cold and cold limbs, white tongue, and deep, tight pulse.
Treatment method: Warm the channels, dispel cold, and regulate menstruation.
Prescription: Wenyi Decoction.
Deficiency-Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, pale red color, thin and watery texture, without clots.
Systemic symptoms: 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, and deep, slow or weak pulse.
Treatment method: Support yang, dispel cold, and regulate menstruation.
Prescription: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, without clots.
Systemic symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale pink tongue, and fine, weak pulse.
Treatment method: Nourish blood and regulate menstruation.
Prescription: Da Bu Yuan Decoction.
Qi Stagnation Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, dark red color with small clots.
Systemic symptoms: Distension in the lower abdomen, or distension and pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, and wiry pulse.
Treatment method: Harmonize qi and regulate menstruation.
Prescription: Wu Yao 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, and palpation), and prescribe the correct medicine for effective treatment. Wishing you a speedy recovery!