One, Diagnosis
I. Premature Menstruation
1. Blood Heat Type
Main symptoms: Shortened menstrual cycle, deep red and sticky menstrual blood, heavy flow, chest tightness, irritability, red urine, red tongue with yellow coating, rapid strong pulse.
2. Qi Deficiency Type
Main symptoms: Heavy menstrual flow, pale color, shortened cycle, fatigue, palpitations, shortness of breath, feeling of emptiness and heaviness in lower abdomen, pale tongue with thin coating, weak pulse.
II. Delayed Menstruation
1. Blood Deficiency Type
Main symptoms: Delayed menstrual cycle, light flow, pale color, empty pain in lower abdomen, emaciation, sallow complexion, poor skin luster, dizziness, blurred vision, palpitations, insomnia, pale red tongue with little coating, fine weak pulse.
2. Cold Blood Type
Main symptoms: Delayed menstrual cycle, small amount of dark blood, pulling pain in lower abdomen, relieved by warmth, cold limbs, thin white coating, deep slow pulse.
3. Qi Stagnation Type
Main symptoms: Delayed menstrual cycle, small amount of dark red blood, distending pain in lower abdomen, emotional depression, chest tightness, belching, distension in chest and breasts, thin white coating, string pulse.
III. Irregular Menstrual Cycle
1. Liver Qi Stagnation
Main symptoms: Unpredictable menstrual cycle and flow, thick menstrual blood, dark purple color, difficult expulsion, distension in chest and breasts, lower abdominal distension and pain, depressed mood, frequent sighing, white coating, string pulse.
2. Kidney Deficiency
Main symptoms: Irregular menstruation, small amount of pale blood, dizziness, tinnitus, soreness and weakness in waist and knees, frequent nighttime urination, loose stools, pale tongue with thin coating, deep weak pulse.
Three, Treatment
I. Premature Menstruation
1. Blood Heat
Prescription: Quchi (LI11), Zhongji (CV3), Xuehai (SP10), Shuiquan (KI5).
Supplementary points:
2. Liver Fire due to Stagnation: Xingjian (LR2);
Yin Deficiency with Internal Heat: Rangu (KI2).
Use draining method to clear heat and cool blood, adjust Chong and Ren meridians.
3. Qi Deficiency
Prescription: Qihai (CV6), Sanyinjiao (SP6), Zhongwan (CV12), Zusanli (ST36).
Apply tonifying method.
II. Delayed Menstruation
1. Blood Deficiency and Cold Blood
Prescription: Guanyuan (CV4), Qihai (CV6), Sanyinjiao (SP6).
Supplementary points:
Dizziness and blurred vision: Baihui (GV20); Palpitations and insomnia: Shenmen (HT7).
For blood deficiency, apply tonifying method to nourish blood and qi. For cold blood, apply tonifying and mild draining method, or use moxibustion to warm channels and dispel cold.
2. Qi Stagnation
Prescription: Tianshu (ST25), Qixue (ST31), Diji (SP8), Taichong (LR3).
Chest tightness: Neiguan (PC6); Breast and chest distension: Qimen (LR17).
Apply draining method.
III. Irregular Menstrual Cycle
1. Liver Qi Stagnation
Prescription: Qihai (CV6), Siman (GB29), Jian Shi (SJ5), Ligu (LR5).
Add Zhongfu (CV17) for breast distension; add Shenmen (HT7), Taichong (LR3) for emotional depression.
Apply balanced tonifying and draining method.
2. Kidney Deficiency
Prescription: Guanyuan (CV4), Shenshu (BL23), Jiaoxin (SP8).
Soreness and weakness in waist and knees: Yaoyan (EX-B2), Yingu (KI10); Dizziness and blurred vision: Baihui (GV20), Taixi (KI3).
Apply tonifying method with moxibustion.
This condition includes irregular menstrual cycles caused by pituitary anterior lobe dysfunction or ovarian dysfunction.
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