Patient's question:
Doctor, hello. I am 23 years old, and my menstrual cycle is often delayed. However, it usually comes after a delay of two or three days. But this time, it hasn't arrived even on the fourth day. Last month, when I had my period, I felt dizzy and nauseous, and my period came with blood clots. I felt very tired. I went to the hospital for a check-up, and the result was pelvic effusion, diagnosed as pelvic inflammation. Then the doctor asked me to undergo microwave treatment on each drop point (during menstruation), which lasted for a total of seven days. The effusion subsided, and my energy levels improved significantly. The doctor said everything was fine and that no further treatment was needed. However, in the middle of this month, my leukorrhea became abnormal, so I had a routine leukorrhea test. The result showed mild cervical erosion, cervical inflammation, and a pea-sized nabothian cyst. ThenDoctor's answer:
Hello, this is referred to as "delayed menstruation" in traditional Chinese medicine theory: Delayed menstruation refers to menstruation being delayed by more than 7 days or even 40-50 days, also known as "menstruation occurring later." It is divided into: 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, relief with warmth, aversion to cold, cold limbs, white tongue, and deep, tight pulse. Treatment: Warming the channels, dispelling cold, and regulating menstruation. Medication: Warming the Channels 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 long urination, loose and watery stools, pale tongue with white coating, and deep, slow or weak pulse. Treatment: Supporting yang, dispelling cold, and regulating menstruation. Medication: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical features: Delayed menstruation, reduced volume, no clots. General symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale red tongue with weak pulse. Treatment:. Medication: Da Bu Yuan Jiao.
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: Regulating qi and regulating menstruation. Medication: Wu Yao Tang.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner, combining the four diagnostic methods for a precise diagnosis and prescription to ensure effective treatment. Wishing you a speedy recovery!