Patient's question:
Medical Description: Over the past six months, my menstrual cycle has been delayed with variable intervals. I have had excessive white discharge with a milky color and no odor. Recently, due to diarrhea, I have felt weak and noticed that my white discharge has increased in amount, remaining milky and odorless, sometimes flowing like water. I would like to know why this is happening and if there are any recommended Chinese herbal remedies?Doctor's answer:
Analysis of the Condition: Hello, menstrual irregularities can be treated as follows:Qi and Blood Deficiency Type: Menstrual cycle is either advanced or delayed, menstrual volume increases or decreases, menstrual period extends, color is pale, texture is thin. Or accompanied by lower abdominal pain, dizziness, blurred vision, fatigue, limb weakness, pale or sallow complexion, poor appetite, and loose stools. Tongue is pale-red with a thin, weak pulse. Treatment should focus on replenishing both qi and blood. Medications such as Buzhong Yiqi Pills, Shiquan Dabu Pills, Wuji Baifeng Pills, Bazhen Yimu Pills, Babao Kunshun Pills, Nujin Pills, Danggui Tiao Jing Pills, Danggui Jujube Granules, Guipi Pills, and Siwu Heji can be used.
Blood Cold Type: Menstrual period is delayed, volume is small, color is dark with blood clots. Lower abdominal cold pain, pain alleviates with warmth, fear of cold, and cold limbs. White tongue with a deep, tight pulse. Treatment should focus on warming the meridians and dispelling cold. Medications such as Aifu Nuangong Pills, Tianqi Tongjing Powder, and Jinkui Wenjing Pills can be used.
Blood Heat Type:
1. Excess Heat Type: Menstrual period is advanced, volume is large, color is deep red or purple, texture is thick and sticky, with blood clots. Accompanied by irritability, flushed face, dry mouth, short, yellow urine, and dry, hard stools. Red tongue with yellow coating and a rapid pulse. Treatment should focus on clearing heat, cooling blood, and regulating menstruation to stop bleeding. Medications such as Fenglun Zhixue Pills and Sihong Dan can be used.
2. Deficiency Heat Type: Menstrual period is advanced, period extends, volume is large, color is red, texture is thick. Or accompanied by flushed cheeks, heat in palms and soles. Red tongue with little coating and a fine, rapid pulse. Treatment should focus on clearing heat, nourishing yin, and regulating menstruation to stop bleeding. Gujing Pills can be used.
Qi Stagnation and Blood Stasis Type: Menstrual cycle is irregular, volume is variable, color is purplish-red with clots, and menstruation is not smooth. Or accompanied by lower abdominal pain that resists pressure, or pain in chest, ribs, breasts, or lower abdomen, stuffy abdomen. Purple or dark tongue with petechiae, thin white or yellow coating, and a wiry or pulse. Treatment should focus on activating blood to resolve stasis and regulating qi to relieve pain. Medications such as Xiaoyao Pills and Qizhi Xiangfu can be used.