Experience with prescriptions and medicines for the treatment of amenorrhea

Amenorrhea refers to the pathological absence of menstruation for more than three consecutive months. If a woman is over 18 years old or has not seen her first menstruation for more than two years after the secondary sexual characteristics mature, it is called "primary amenorrhea". This is mostly caused by congenital abnormalities of reproductive organs, so it is difficult to treat. The absence of menstruation in the late menopause, pregnancy and lactation is a normal physiological phenomenon and does not fall into the scope of "amenorrhea".

This article introduces secondary amenorrhea, the causes of which can be roughly divided into two categories: deficiency and excess. Deficiency is caused by insufficient blood and blood, the blood sea is empty, no blood can be discharged, and menstruation does not occur; excess is mostly caused by depression of the seven emotions, stagnation of qi, blood stasis due to qi stagnation, or cold and dampness in the uterus, blocking the meridians, all of which can cause menstruation to fail to come on time and cause amenorrhea. Therefore, when using OTC Chinese patent medicines, they should also be selected according to the cause and its clinical manifestations.

Evidence

① Cold stagnation in the meridians, menstruation has not occurred for several months, lower abdomen is cold and painful, relieved by warmth, cold limbs and fear of cold, loose stools, excessive leucorrhea, white fur, and deep and tight or slow pulse. Treatment should be to warm the meridians and dispel cold, and promote blood circulation. You can choose Ai Fu Nuan Gong Wan, which is composed of Artemisia argyi, Cyperus rotundus, Evodia rutaecarpa, Cinnamon bark, Angelica sinensis, Chuanxiong, White Peony Root, Rehmannia glutinosa, Astragalus membranaceus, and Chuan Duan. It has the functions of warming the palace and dispelling cold, regulating qi and nourishing blood. Usage: 1 pill (9 grams) each time, orally twice a day. Other options include Shier Wen Jing Wan, Nuan Gong Yun Zi Wan, etc.

② Phlegm-dampness blocking menstruation, which has gradually decreased for several months, obesity, chest tightness and abdominal distension, or dizziness and drowsiness, or white discharge, white fur, and slippery pulse. Treatment should be to dry dampness and eliminate phlegm, promote blood circulation and dredge menstruation. Xiangsha Pingwei Granules can be used. This product is composed of Atractylodes, Magnolia officinalis, Tangerine Peel, Aucklandia, Amomum villosum, and Licorice. It has the effects of strengthening the spleen and stomach, widening the chest and relieving distension, drying dampness and eliminating phlegm, opening the uterus, and making the qi and blood flow smoothly and menstruation go down. Usage: 1 bag (10 grams) each time, orally 2 to 3 times a day. Others such as Weisu Chongji, Weide'an Tablets, Pingwei Powder, etc. can also be used.

③ Qi stagnation and blood stasis, menstruation has not come for several months, depression, irritability, chest and flank distension, lower abdominal distension and pain or refusal to press. The tongue is purple or has petechiae, and the pulse is deep and stringy or heavy and astringent. The treatment should be to promote blood circulation and remove blood stasis, regulate qi and remove stagnation. You can choose to use Qizhi Xiangfu Pills and Yimucao Paste. Qizhi Xiangfu Pills are composed of Angelica, White Peony, Chuanxiong, Rehmannia, Atractylodes, Cyperus, Ejiao, Corydalis, Leonurus, Amomum, and Scutellaria. Usage: Take 1 pill (9 grams) of Qizhi Xiangfu Pills each time, twice a day. Yimucao Paste (made from Leonurus), 10 grams each time, orally 1 to 2 times a day. Other Chinese patent medicines such as Huoxue Tiaojing Pills, Women's Painful Menstruation Pills, Xuefu Zhuyu Oral Liquid, Tiaojing Huoxue Tablets, etc. can be used.

Deficiency syndrome

① Liver and kidney deficiency: If you are over 18 years old and have not had menstruation, or if you have less menstruation in the late stage of menstruation, you will be weak, have sore waist and weak legs, dizziness and tinnitus, pale red tongue, less moss, and weak or fine pulse. Treatment should be to nourish the liver and kidney, nourish blood and regulate menstruation. You can choose to use Turtle and Deer Immortal Paste and Donkey-hide Gelatin Blood-Replenishing Paste together. Turtle and Deer Immortal Paste is composed of tortoise shell, deer antler, Codonopsis pilosula, and wolfberry. Donkey-hide Gelatin Blood-Replenishing Paste is composed of donkey-hide gelatin, cooked rehmannia, Codonopsis pilosula, astragalus, wolfberry, and white atractylodes. Turtle and Deer Immortal Paste 10 grams each time, twice a day, taken with boiled water. Donkey-hide Gelatin Blood-Replenishing Paste 10 grams each time, twice a day, taken with boiled water. Others such as Wuji Baifeng Pills, Agui Yangxue Granules, Liuwei Dihuang Pills, etc. can be used.

② Qi and blood deficiency syndrome is characterized by delayed menstruation, less menstruation, pale blood color and thin texture, and then cessation, sallow or pale complexion, dizziness, fatigue, occasional headache, palpitations and insomnia, pale tongue, thin white fur. Weak pulse. Treatment should be to invigorate qi, nourish blood and regulate menstruation. Bazhen Yimu Pills can be used. This medicine is composed of motherwort, Codonopsis, Atractylodes, Poria, Angelica, White Peony, Chuanxiong, and Rehmannia. Dosage forms include tablets and pastes. Usage: 1 pill (9 grams) each time, twice a day, orally. This product has a mild medicinal property, nourishing but not greasy, and can be taken regularly. Other OTC Chinese patent medicines such as Wuji Baifeng Pills, Angelica Red Date Granules, Fukang Tablets, and Fukangbao Oral Liquid can be used.

Experts especially warn that long-term vegetarians are prone to secondary amenorrhea. The main clinical manifestation is that long-term vegetarianism will have a destructive effect on hormone secretion in the body, leading to abnormal hormone secretion and menstrual cycle disorders, and even infertility in severe cases. The main cause of this phenomenon is that the patient does not eat meat all year round. A simple vegetarian diet will lead to an imbalance in the proportion of food ingredients, causing endocrine disorders and ultimately amenorrhea. It will also be accompanied by malnutrition and gallstones.