Patient's question:
Detailed medical condition and consultation purpose: Irregular menstruation, generally delayed, sometimes delayed by half a month, sometimes by a month. Now, in the past half year, most of the time it is delayed by more than a month, and the face is particularly prone to breakouts. During adolescence, there were no breakouts at all. Please ask which part of the body is affected by the disease? Thank you!Doctor's answer:
Hello, this is referred to as "Menstruation Delayed" in traditional Chinese medicine theory:Menstruation Delayed refers to menstruation being delayed by 7 days or more, or even 40-50 days or more, also known as "Menstruation Occurring Later." 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.
General symptoms: Cold pain in the lower abdomen, pain relieved by warmth, aversion to cold, cold limbs, white tongue, and deep, tight pulse.
Treatment method: Warming the meridians, dispelling cold, and regulating menstruation.
Prescription: Warming the Meridians Decoction.
Deficiency-Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, pale red color, thin and 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 urination, loose and watery stools, pale tongue with white coating, and deep, slow or weak pulse.
Treatment method: Supporting yang, dispelling cold, and regulating menstruation.
Prescription: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, no clots.
General symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale pink tongue with thin and weak pulse.
Treatment method: (Supplementing blood and regulating menstruation).
Prescription: Da Bu Yuan Jiao.
Qi Stagnation Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, 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 method: Harmonizing qi and regulating menstruation.
Prescription: Wu Yao Tang.
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 the right medicine accordingly will ensure effective treatment. Wishing you a speedy recovery!