What is the reason for delayed menstruation and twitching pain in both left and right breasts?

Patient's question:

Doctor, my menstrual cycle has always come on time every month, but recently it has been delayed by 5 days without any bleeding. Additionally, I have been experiencing shooting pain in both my left and right breasts, and my nipples are very painful, to the point where I cannot wear a bra. I have never had this kind of issue before. Could you please tell me what is wrong with me?

Doctor's answer:

Hello: Breast tenderness and pain during menstruation, according to traditional Chinese medicine theory, can be divided into two cases:
1. Liver Qi stagnation: Symptoms include breast tenderness and pain before menstruation, chest tightness and side rib fullness, depression, frequent sighing. Treatment: Soothe the liver, regulate Qi, and relieve pain. Prescription: Chai Hu Shu Gan San plus Fu Ling.
2. Liver and Kidney Yin deficiency: Symptoms include breast pain during or after menstruation, lower back and knee weakness, dry eyes, dry throat, mouth dryness, and five-palm heat. Treatment: Nourish Yin and tonify the liver. Prescription: Yi Guan Jian.

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