Patient's question:
Medical Description: Over the past half year, the delay in menstruation has been irregular, with excessive white discharge that is colorless and odorless. In recent days, after experiencing diarrhea, I have felt weak in my body and noticed that the white discharge has increased in amount, remaining colorless and odorless, sometimes flowing out like water. I want to know why this is happening? Are there any recommended Chinese herbal remedies?Doctor's answer:
Analysis of the Condition: Hello, menstrual irregularity can be treated as follows.Qi and blood deficiency type: Menstrual cycle is either advanced or delayed, menstrual volume increased or decreased, prolonged menstruation, pale color, thin and watery texture. Or accompanied by lower abdominal pain, dizziness, blurred vision, fatigue, limb weakness, pale or sallow complexion, poor appetite, and loose stools. Tongue has a light red coating, and pulse is fine and weak. 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, Nüjin Pills, Danggui Tiaojing Pills, Danggui Jujube Granules, Guipi Pills, and Siwu Heji can be used.
Blood cold type: Menstrual cycle delayed, reduced volume, dark color with blood clots. Lower abdominal cold pain, pain relieved by warmth, aversion to cold, and cold limbs. White tongue, deep and 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: Menstruation occurs prematurely, increased volume, deep red or purple color, thick and sticky texture with blood clots. Accompanied by irritability, flushed face, dry mouth, short and yellow urine, and dry constipation. Red tongue with yellow coating, rapid pulse. Treatment should focus on clearing heat, cooling blood, and regulating menstruation. Medications such as Fenglun Zhixue Pills and Sihong Dan can be used.
2. Deficiency heat type: Menstruation occurs prematurely, prolonged menstruation, increased volume, red color, thick texture. Or accompanied by flushed cheeks, heat in palms and soles. Red tongue with little coating, fine and rapid pulse. Treatment should focus on clearing heat, nourishing yin, and regulating menstruation. Medications such as Gujing Pills can be used.
Qi stagnation and blood stasis type: Menstrual cycle irregular, variable volume, purplish-red color with clots, and obstructed menstruation. Or accompanied by lower abdominal pain resistant to pressure, or pain in chest, hypochondria, breasts, and lower abdomen, stuffy abdomen. Purple or dark tongue with petechiae, thin white or yellow coating, wiry or pulse. Treatment should focus on activating blood circulation, resolving stasis, and regulating qi to relieve pain. Medications such as Xiaoyao Pills and Qizhi Xiangfu can be used.