There are two types of amenorrhea, primary and secondary. If a woman is over 18 years old and her secondary sexual characteristics have matured two years ago, but her menstruation has not come yet, it is primary amenorrhea. If she once had regular menstruation but then stopped for more than half a year, it is secondary amenorrhea. (1) Liver and kidney deficiency type Symptoms: No menstruation after the age of 18, or gradual progression from scanty menstruation in the late stages of menstruation to amenorrhea. Systemic symptoms: weak constitution, sore waist and weak legs, dizziness and tinnitus, pale red tongue, less coating, weak or thready pulse. Treatment principle: To nourish the kidney, liver and regulate menstruation. The prescription can be Guishen Pills or Zuogui Pills to nourish kidney qi, essence and blood, and regulate liver and spleen. (2) Qi and blood deficiency type · Symptoms: Menstruation gradually becomes delayed, less in volume, lighter in color and thinner in consistency, and then stops. Systemic symptoms: dizziness, palpitations, shortness of breath, fatigue, limb weakness, loss of appetite, dull and falling hair, emaciation and sallow complexion, slow or weak pulse, pale tongue with little or thin white coating. Treatment principle: To replenish qi and blood is called menstruation. The prescription can be Ginseng Yangrong Decoction or Shengyu Decoction. To replenish qi, generate blood and nourish the body to benefit the vital energy, so that yang will grow and yin will grow. When the essence is full and the blood is abundant, the menstruation will run normally. 3) Yin deficiency and blood dryness type · Symptoms: Menstrual blood decreases gradually and eventually stops Systemic symptoms: fever in the five parts of the body, flushing of the cheekbones, night sweats, bone steaming and fever, coughing and spitting blood, red tongue with little coating, and thready pulse. Treatment principle: nourishing yin and clearing away heat is called meridians. Prescriptions such as Jiajian Yiyin Decoction or Zhibai Dihuang Pills can be used to nourish kidney water and reduce heat, eliminating fatigue. (4) Qi stagnation and blood stasis type Symptoms: Menstruation has not occurred for several months Systemic symptoms: depression, irritability, chest and flank distension, abdominal distension or pain that refuses to be pressed, dark purple or petechiae on the sides of the tongue, deep and stringy or heavy pulse Treatment principle: Regulate Qi and activate blood circulation, remove blood stasis and dredge menstruation. The prescriptions and medicines that can be used are Xuefu Zhuyu Decoction or Jiawei Xiaoyao Powder, which can soothe the liver and strengthen the spleen, nourish blood and dredge collaterals, and guide blood to dredge menstruation. (5) Phlegm-dampness blocking type · Symptoms: amenorrhea · Systemic symptoms: obesity, chest and flank fullness, nausea and vomiting with phlegm, fatigue, puffy face and feet, heavy vaginal discharge, white greasy tongue coating, slippery pulse · Treatment principle: clear phlegm and dampness, regulate qi, activate blood circulation and regulate menstruation. The prescription can be Cangfu Daotan Pills combined with Foshou Powder or Xiangsha Liujunzi Decoction with modifications to clear phlegm and dampness, regulate qi, promote blood circulation and unblock menstruation. · |
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