TCM Diagnosis of Delayed Menstruation

Different doctors have different opinions about delayed menstruation, especially in traditional Chinese medicine and Western medicine. Because the causes of delayed menstruation in women are very complex, it is related to many physical conditions. Many women choose to seek treatment from traditional Chinese medicine when their menstruation is delayed, because the side effects of traditional Chinese medicine on women's bodies are much smaller than those of Western medicine. So what is the dialectic of delayed menstruation in traditional Chinese medicine?

Traditional Chinese medicine can treat delayed menstruation by regulating the liver, spleen, and kidneys, including replenishing kidney essence if kidney deficiency occurs, warming and unblocking spleen yang if spleen yang is cold, and unblocking liver qi if liver qi is stagnant. Traditional Chinese medicine believes that menstrual fluid comes from the kidneys. If the kidney qi is sufficient, the essence and blood will be abundant, and menstruation will naturally be regulated. The function of the spleen is to produce blood. Nourishing the spleen and stomach can replenish the body's blood supply. The purpose of soothing the liver and regulating qi is to regulate qi and unblock qi and blood; only when qi and blood are harmonized can it help regulate menstruation. Traditional Chinese medicine often uses dialectical treatment of tonifying the kidney and replenishing essence, using Liuwei Dihuang Pills to treat kidney deficiency patients with common symptoms such as sore waist and weak legs, insomnia, dizziness, tinnitus, dry throat and mouth, scanty menstruation, darker color and thin texture, red tongue with little fluid or even cracks and red spots on the tongue, and a thin and rapid pulse.

If the patient is spleen yang deficiency, it is common to have edema of the lower body, watery stool or diarrhea, preference for hot drinks, dizziness, loss of appetite, heavy menstruation, lighter color and thinner texture, pale tongue with white coating or teeth marks on the edge of the tongue, and thin and deep pulse. Treatment should be aimed at tonifying spleen yang and strengthening spleen qi, and ginseng nourishing soup can be used with modifications. If the patient is of the liver qi stagnation type, he often has bitter taste in the mouth, breast swelling before menstruation, irritability, chest tightness, frequent sighing, scanty menstruation, blood clots, sticky and dark color, dark red or purple tongue coating, and stringy pulse. He can use Jiawei Xiaoyao Powder with modifications.

Self-massage method:

First lie on your back, use the thenar of your right hand to rub the Qihai point on the abdomen for about 1 minute, then use the ribbed surface of the right thumb to press the Sanyinjiao points on both lower limbs in turn, press each point for one minute, and finally massage the lower abdomen with the palm of one hand for about 1 minute.

Then change to prone position, first use the palms of both hands to massage the lumbar sacral area up and down repeatedly for 2 minutes, then use the thumb tips of both hands to press the Shenshu, Mingmen, Baliao and other acupoints in turn for 30 minutes each, until you feel soreness and swelling, and finally use the five fingers of both hands to press the bilateral Shenshu acupoints 3 times each

Adjustment in life

Keep a happy spirit and avoid mental stimulation and mood swings. During menstruation, you should keep warm and avoid catching cold. Eat more nutritious foods and avoid raw, cold, spicy and irritating foods. Pay attention to hygiene and prevent infection. Pay attention to the hygiene and cleanliness of the external reproductive organs.