Patient's question:
I am only 35 years old this year, and I stopped menstruating in November 2002. Despite undergoing various examinations and treatments, none have shown significant results. To this day, I still don't understand the true cause of my amenorrhea. I hope the experts can provide guidance!Doctor's answer:
Hello, this is known as "delayed menstruation" in traditional Chinese medicine theory: Delayed menstruation refers to menstruation being delayed by more than 7 days or even 40-50 days, also known as "menstruation occurring later." It is divided into: blood deficiency, blood cold, deficiency-cold, and qi stagnation.Blood Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced volume, dark-colored blood with clots.
General symptoms: Cold pain in the lower abdomen, pain with warmth, aversion to cold, cold limbs, white tongue, and deep, tense pulse.
Treatment method: Warm the channels, dispel cold, and regulate menstruation.
Prescription: Wenyi Decoction.
Deficiency-Cold Syndrome:
Clinical characteristics: Delayed menstruation, reduced volume, pale red color, thin, clear, and without 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 method: Support yang, dispel cold, and regulate menstruation.
Prescription: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome:
Clinical characteristics: Delayed menstruation, reduced volume, without clots.
General symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale red tongue with weak pulse.
Treatment method: Nourish blood and regulate menstruation.
Prescription: Da Bu Yuan Jiao.
Qi Stagnation Syndrome:
Clinical characteristics: 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 method: Harmonize qi and regulate menstruation.
Prescription: Wu Yao Tang.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner for diagnosis. Combining the four diagnostic methods (inspection, auscultation, inquiry, and palpation) and prescribing the right medicine can effectively treat the condition. Wishing you a speedy recovery!