Patient's question:
I haven't had my monthly period for 80 days, but when I went to the hospital for a check-up, the results were negative (both test strips and urine tests). But why has it been delayed for so many days?Is there any medicine that can treat this?
Irregular anechoic areas can be seen surrounding the uterus, with the deepest part located in the rectouterine pouch, showing an irregular liquid dark area measuring 4.5cm 3cm (pelvic effusion).
No obvious abnormalities were found in the bilateral adnexa. Could it be an ectopic pregnancy? If so, why are the test results still negative?
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 "Delayed Menstruation." 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, 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.
Systemic symptoms: 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 fine-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.
Systemic symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale-red tongue, and fine-weak pulse.
Treatment method: Blood-tonifying and menstruation-regulating.
Prescription: Da Bu Yuan Jiao.
Qi Stagnation Syndrome:
Clinical characteristics: Delayed menstruation, reduced amount, dark-red color, or small clots.
Systemic symptoms: Distending pain in the lower abdomen, or distending pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, and wiry pulse.
Treatment method: Qi-regulating and menstruation-regulating.
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) to prescribe the correct medicine for effective treatment. Wishing you a speedy recovery!