Patient's question:
Detailed medical condition and consultation purpose: I am already 24 years old today. I had my first menstrual period at the age of 15, but it was just a tiny amount, and I didn't have another period after that. When I was 18, I went to the hospital for treatment. The doctor prescribed ethinyl estradiol and progesterone cycle therapy. However, after taking it for more than half a year, my periods only came when I took the medication and stopped when I didn't. Later, I transferred to a larger hospital for further treatment. At first, I was prescribed Tai Shu Di Wan and progesterone, but the results were the same as before—my periods only came when I took the medication and stopped when I didn't. During this time, I also had various blood tests and ultrasounds, which showed no significant abnormalities. I remember that there were no follicles, and I am very sensitive to cold. After the Western medicine treatment failed, the Western and ChineseDoctor's answer:
Hello: Based on your situation, it is recommended to visit a hospital for an endocrine examination and provide detailed test results. According to your symptoms, there may be a possibility of kidney yang deficiency. The symptoms of kidney yang deficiency include lower back pain, cold limbs, aversion to cold, and even edema, which manifest as "cold" symptoms. Poor sexual function can also lead to kidney yang deficiency.For kidney yang deficiency, dietary supplements can include dog meat, lamb, chives, and loach. Medications include Shenbao, Yuchongrong, Jinkui Shenqi Wan, and Yougui Wan.
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 menstruation, excessive menstrual flow, and insufficient menstrual flow. The etiology and pathogenesis of irregular menstruation are primarily caused by emotional distress, external pathogens, congenital kidney qi deficiency, frequent childbirth, excessive labor, or fatigue, which damage the zang-fu organs, disrupt the functions of the kidneys, liver, and spleen, lead to qi and blood imbalance, and ultimately injure the Chong and Ren meridians, resulting in irregular menstruation.
Qi and blood deficiency type: Menstrual cycle may be early or delayed, menstrual volume may increase or decrease, menstrual period prolonged, pale color, thin and watery texture. Or lower abdominal pain, dizziness, blurred vision, fatigue, limbs weakness, pale or sallow complexion, poor appetite, and loose stools. Pale red tongue with a thin and weak pulse. Treatment should focus on replenishing both qi and blood. Medications include Buzhong Yiqi Wan, Shiquan Dabao Wan, Wuji Baifeng Wan, Bazhen Yimu Wan, Babao Kunshun Wan, Nüjin Wan, Danggui Tiao Jing Wan, Danggui Jujube Granules, Guipsi Wan, and Siwu Heji.
Blood cold type: Menstrual period delayed, reduced 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 and tight pulse. Treatment should focus on warming the meridians and dispelling cold. Medications include Aifu Nuangong Wan and Tianqi Tongjing San.