Patient's question:
Patient Age:27
Detailed Medical Condition and Purpose of Consultation:
Menstruation has been irregular for 14 cycles, sometimes occurring once every 4 months or once every 7 months. Hormonal imbalances and ultrasound results have been normal.
Duration of Current Illness:
Started in August and has not occurred since.
Current General Condition:
No discomfort, but sometimes experiences pain near the left hip bone and intestines.
Other:
What could be the reason? What medication can help?
Doctor's answer:
Hello: According to the situation you described, it is highly unlikely that there are no abnormalities in your endocrine condition and B-ultrasound results, as you mentioned. However, if it is truly the case that there are no abnormalities, then herbal medicine regulation could be considered.Irregular menstruation refers to a category of diseases characterized by abnormalities in the menstrual cycle, duration, or volume. This includes early menstruation, delayed menstruation, irregular menstruation, prolonged menstrual period, excessive menstrual flow, and insufficient menstrual flow. The etiology and pathogenesis of menstrual disorders are primarily caused by emotional distress (seven emotions), external pathogens (six evils), insufficient innate kidney qi, multiple pregnancies, excessive sexual labor, or overexertion, which can damage the zang-fu organs, disrupt the functions of the kidneys, liver, and spleen, lead to imbalance in qi and blood, and ultimately injure the Chong and Ren meridians, resulting in menstrual disorders.
Qi and blood deficiency type: Menstrual cycle is advanced or delayed, menstrual volume increased or decreased, prolonged menstrual period, pale color, thin and watery texture. May also include lower abdominal pain, dizziness, blurred vision, fatigue, limb weakness, pale or sallow complexion, poor appetite, and loose stools. Pale red tongue with a thin, weak pulse. Treatment should focus on replenishing both qi and blood. Medications such as Buzhong Yiqi Pill, Shiquan Dabu Pill, Wuji Baifeng Pill, Bazhen Yimu Pill, Babao Kunshun Pill, Nüjin Pill, Danggui Tiujing Pill, Danggui Jujube Granules, Guipsi Pill, and Siwu Heji can be used.
Blood cold type: Delayed menstruation, insufficient volume, dark color with blood clots. Lower abdominal cold pain, pain relieved by warmth, aversion to 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 Pill, Tianqi Tongjing Powder, and Jinkui Wenjing Pill can be used.
Blood heat type:
1. Excess heat type: Advanced menstruation, excessive volume, deep red or purple color, thick and sticky texture with blood clots. May also include restlessness, flushed face, dry mouth, short yellow urine, and dry constipation. Red tongue...