Patient's question:
Detailed medical condition and consultation purpose: Why does menstruation sometimes come once a month and sometimes every three months.Doctor's answer:
Hello: Based on your menstrual cycle, it should be considered menstrual irregularity. However, there are many causes of menstrual irregularity, which refers to a category of diseases characterized by abnormalities in the menstrual cycle, duration, or volume. This includes early menstruation, delayed menstruation, irregular menstrual cycle, prolonged menstrual period, excessive menstrual flow, and scanty menstrual flow. The etiology and pathogenesis of menstrual irregularity are primarily due to emotional distress, external pathogens, insufficient innate kidney qi, multiple pregnancies, excessive physical exertion, or damage to the zang-fu organs, leading to dysfunction of the kidneys, liver, and spleen, imbalance of qi and blood, and damage to the Chong and Ren meridians, resulting in menstrual irregularity.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 pink tongue with a thin white coating and a weak, thready pulse. Treatment should focus on replenishing both qi and blood. Medications such as Bu Zhong Yi Qi Wan (Strengthen the Middle and Restore Energy Pill), Shi Quan Da Bu Wan (Ten-Tonics Major Rejuvenating Pill), Wu Ji Bai Feng Wan (Black Chicken White Phoenix Pill), Ba Zhen Yi Mu Wan (Eight-Tonics Materia Medica for Women), Ba Bao Kun Shun Wan (Eight-Jeweled Women's Comfort Pill), Nu Jin Wan (Women's Gold Pill), Dang Gui Diao Jing Wan (Angelica Sinensis Regulation Pill), Dang Gui Hong Zao Ke Li (Angelica Sinensis Jujube Granules), Gui Pi Wan (Spleen-Nourishing Pill), and Si Wu He Ji (Four-Ingredient Mixture) can be used.
Blood cold type: Delayed menstrual period, reduced volume, dark color with blood clots. Lower abdominal cold pain that worsens with heat, aversion to cold, and cold limbs. White tongue with a deep, tense pulse. Treatment should focus on warming the meridians and dispelling cold. Medications such as Ai Fu Nu Gong Wan (Mugwort and Aconite Warming Palace Pill), Tian Qi Tong Jing San (Tian Qi Pain-Relieving Powder), and Jin Gui Wen Jing Wan (Golden Cabinet Warming Meridian Pill) can be used.
Blood heat type:
1. Excess heat type: Advanced menstrual period, increased volume, deep red or purple color, thick and sticky texture with blood clots. Accompanied by irritability, flushed face, dry mouth, short, yellow urine, and dry constipation. Red tongue with a yellow coating and a rapid pulse. Treatment should focus on clearing heat, cooling blood, and regulating menstruation to stop bleeding. Medications such as Feng Lun Zhi Xue Pian (Wind Wheel Hemostatic Tablet) and Si Hong Dan (Four-Red Powder) can be used.
2. Deficiency heat type: Advanced menstrual period,