Irregular menstrual cycles, delayed by several days or even a week, what should I do?

Patient's question:

Acne on the face

Doctor's answer:

Hello, this is known as "delayed menstruation" in traditional Chinese medicine theory: Delayed menstruation refers to a menstrual cycle delayed by more than 7 days, or even 40 or 50 days, and is also called "menstruation occurring later." It is divided into: blood deficiency, blood cold, deficiency-cold, and qi stagnation.
Blood Cold Syndrome:
Clinical features: Delayed menstruation, reduced volume, dark color with clots.
General symptoms: Cold pain in the lower abdomen, pain relieved by warmth, aversion to cold, cold limbs, white tongue, and deep, tight pulse.
Treatment: Warm the channels, dispel cold, and regulate menstruation.
Medication: Wenyi Decoction.
Deficiency-Cold Syndrome:
Clinical features: Delayed menstruation, reduced volume, pale red color, thin and watery texture, no clots.
General symptoms: Mild pain in the lower abdomen, preference for warmth and pressure, lower back soreness and weakness, clear and copious urination, loose and watery stools, pale tongue with white coating, and deep, slow or weak pulse.
Treatment: Support yang, dispel cold, and regulate menstruation.
Medication: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical features: Delayed menstruation, reduced volume, no clots.
General symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale pink tongue with weak pulse.
Treatment: Nourish blood and regulate menstruation.
Medication: Da Bu Yuan Decoction.
Qi Stagnation Syndrome:
Clinical features: Delayed menstruation, reduced volume, dark red color with small clots.
General symptoms: Bloating in the lower abdomen, or pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, and wiry pulse.
Treatment: Harmonize qi and regulate menstruation.
Medication: Wu Yao Decoction.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner for a diagnosis based on the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation). Only then can the correct medication be prescribed for effective treatment. Wishing you a speedy recovery!

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