Patient's question:
Okay, here is the translation following your instructions:? Born:
I? married for more than a year, my period has always been abnormal. Before? it was about 45 days apart. Recently??? it's been 60 days each time. My period was also abnormal before I? got married.??? I?? have not been able to conceive? yet.
Doctor's answer:
Hello, this is known as "Menstruation Delayed" in traditional Chinese medicine theory:Menstruation Delayed refers to menstruation being delayed by more than 7 days or even 40-50 days, also known as "Menstruation Occurring Late." 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, tense pulse.
Treatment: Warm the channels, dispel cold, and regulate menstruation.
Medication: Wēnjīng Decoction.
Deficiency-Cold Syndrome:
Clinical features: Delayed menstruation, reduced volume, pale red color, thin and watery texture, no clots.
General symptoms: Mild pain in the lower abdomen, preference for warmth and pressure, weak lower back, clear and copious urination, loose and watery stools, pale tongue with white coating, and deep, slow or weak pulse.
Treatment: Support yang, dispel cold, and regulate menstruation.
Medication: àifù Nuǎngōng Wán.
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: Nourish blood and regulate menstruation.
Medication: Dàbǔ Yuánjiān 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, and wiry pulse.
Treatment: Harmonize qi and regulate menstruation.
Medication: Wūyào Decoction.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner for diagnosis. Combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) and prescribing medication based on the specific symptoms will ensure effective treatment. Wishing you a speedy recovery!