Patient's question:
I haven't had my monthly period for 80 days, but when I went to the hospital for a check-up, the results were negative (both the test strips and urine test). But why has it been delayed for so many days?Is there any medication that can treat this?
Irregular anechoic areas can be seen surrounding the uterus, with the deepest part located in the rectouterine pouch, showing an irregular liquid dark area measuring 4.5cm 3cm (pelvic effusion).
No obvious abnormalities were found in the bilateral adnexa. Could it be an ectopic pregnancy? If so, why were the test results still negative?
Doctor's answer:
Hello, this is known as "Menstruation Delayed" in traditional Chinese medicine theory:Menstruation Delayed refers to a menstrual period delayed by more than 7 days, or even 40-50 days or longer, also known as "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, relief with warmth, aversion to cold, cold limbs, white tongue, and deep, tight pulse.
Treatment: Warm the channels, dispel cold, and regulate menstruation.
Medicine: Weng Jing Decoction.
Deficiency-Cold Syndrome:
Clinical features: Delayed menstruation, reduced volume, pale red color, thin and watery texture, no clots.
General symptoms: pain in the lower abdomen, preference for warmth and pressure, lower back soreness and weakness, clear and long urination, loose and watery stools, pale tongue with white coating, deep and slow or weak pulse.
Treatment: Support yang, dispel cold, and regulate menstruation.
Medicine: 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 a weak pulse.
Treatment: Nourish blood and regulate menstruation.
Medicine: 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, wiry pulse.
Treatment: Harmonize qi and regulate menstruation.
Medicine: Wu Yao Decoction.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, palpation) for accurate diagnosis and treatment to achieve the best results. Wishing you a speedy recovery!