Patient's question:
Patient Gender:Detailed Condition and Consultation Purpose:
My period never comes, and there's nothing wrong with the tests. The doctor said it's due to blood deficiency and endometrial atrophy, with insufficient hormones. What should I do? It never comes naturally; I always have to take medication or get injections for it. The longest it's been without coming is up to six months?
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 "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.
Systemic symptoms: Cold pain in the lower abdomen, pain with warmth, aversion to cold, cold limbs, white tongue, and deep, tense pulse.
Treatment method: Warming the channels, dispelling cold, and regulating menstruation.
Prescription: Warming the Channels Decoction.
Deficiency-Cold Syndrome:
Clinical features: Delayed menstruation, reduced volume, pale red color, thin, watery texture, without 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 weak pulse.
Treatment method: Supporting yang, dispelling cold, and regulating menstruation.
Prescription: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical features: Delayed menstruation, reduced volume, without clots.
Systemic symptoms: Empty pain in the lower abdomen, dizziness, blurred vision, pale or sallow complexion, pale red tongue with weak pulse.
Treatment method: Blood-tonifying and menstruation-regulating.
Prescription: Da Bu Yuan Jiao.
Qi Stagnation Syndrome:
Clinical features: Delayed menstruation, reduced volume, dark red color with small clots.
Systemic symptoms: Distension in the lower abdomen, or distension and 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, combining the four diagnostic methods for a precise prescription to achieve effective treatment. Wishing you a speedy recovery!