Syndrome Differentiation and Treatment of Menstrual Disorders in TCM
Abnormal menstrual cycles, premature or delayed menstruation, irregular periods, excessive or insufficient menstrual flow, dark purple or pale red color, thick or thin consistency—collectively referred to as menstrual disorders.
Western medicine considers menstrual disorders mostly due to mild endocrine imbalance, with few effective adjustment methods. Based on TCM syndrome differentiation, suitable Chinese patent medicines may be selected for regulation:
(1) For blood stasis type: symptoms include delayed menstruation, reduced flow, dark purple blood with clots, distending pain in the lower abdomen that resists pressure, or sharp pain, with pain easing after clot expulsion. The tongue appears dark purple or has ecchymoses. Treatment should focus on activating blood and resolving stasis. Recommended medicines include San Qi Xue Shang Ning (Sanqi Trauma Medicine), Gui Zhi Fu Ling Wan (Cinnamon and Poria Pill), and Yi Mu Wan (Motherwort Pill).
(2) For blood deficiency type: symptoms include delayed menstruation, scanty flow, pale color, thin consistency, dizziness, blurred vision, palpitations, insomnia, pale complexion, and pale tongue with little coating. Treatment should focus on replenishing blood and qi. Recommended medicines include San Qi Jin Fu Ke Chao Pian (Sanqi Gold Female Regulating Tablets), Jia Wei Yi Mu Cao Gao (Modified Motherwort Paste), and Fu Ke Shi Wei Pian (Female Ten-Ingredient Tablets).