Patient's question:
Patient Age: 41Detailed Condition and Purpose of Consultation: Reduced menstrual flow, decreased vaginal discharge, is it menopause?
Duration of Current Illness: None
Medical History: Two years
Doctor's answer:
Hello, this is a condition of reduced menstrual flow in traditional Chinese medicine theory, which refers to: relatively normal menstrual cycles with significantly reduced menstrual volume, or even minimal bleeding, or shortened menstrual periods of less than two days with reduced volume. It can also be referred to as excessive menstrual volume reduction.It is divided into: blood deficiency syndrome, kidney deficiency syndrome, blood stasis syndrome, and phlegm-dampness syndrome.
Blood Deficiency Syndrome:
Clinical features: Reduced menstrual volume, or minimal bleeding, with pale and unclotted blood. General symptoms: Dizziness, blurred vision, palpitations, a hollow sensation in the lower abdomen, pale pink tongue, and thin pulse. Treatment: Nourishing blood and regulating menstruation. Prescription: Zixue Decoction.
Kidney Deficiency Syndrome:
Menstrual volume is reduced, with pale red or dark red, thin blood. General symptoms: Lower back and knee weakness, heel pain, dizziness and tinnitus, cold lower abdomen, frequent nighttime urination, pale tongue, and deep, weak pulse. Treatment: Tonifying the kidneys, nourishing blood, and regulating menstruation. Prescription: Guishen Pills.
Blood Stasis Syndrome:
Clinical features: Reduced menstrual volume, dark purple-black blood with clots. General symptoms: Painful and tender lower abdominal swelling, reduced menstrual pain after clot expulsion, purple or dark tongue with petechiae, and wiry or thready pulse. Treatment: Promoting blood circulation and resolving stasis to regulate menstruation. Prescription: Taohong Siwu Decoction (modified).
Phlegm-Dampness Syndrome:
Clinical features: Reduced menstrual volume, pale red, viscous, mucus-like blood. General symptoms: Obesity, stuffy chest, nausea, or excessive sticky leukorrhea, pale tongue with greasy white coating, and slippery pulse. Treatment: Resolving phlegm, drying dampness, and regulating menstruation. Prescription: Cangfu Daotan Pills.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner for a comprehensive clinical diagnosis (including inspection, auscultation, inquiry, and palpation) to prescribe the correct medication for effective treatment. Wishing you a speedy recovery.