Ms. Chen is 25 years old and has been married for one year, but she is still not pregnant. Before marriage, her menstruation was normal and came on time every month. Six months after marriage, her menstruation started to be delayed by 5 to 6 days, and she experienced breast pain before menstruation, irritability, scanty menstruation and unbearable dysmenorrhea. Ms. Chen suspected that her infertility was related to delayed menstruation and dysmenorrhea, so she went to the hospital for examination. Ultrasound examination showed: left ovarian cyst (6.1 cm × 4.0 cm). Physical examination: There were petechiae on the edge of the tongue, yellow fur, stringy and slightly astringent pulse, which was caused by liver depression and qi stagnation, and uterine yin stasis. Treatment should be to promote qi and blood circulation, and dissipate blood stasis and resolve nodules. Prescription: seaweed, white mustard seeds, three-edged lancea, zedoaria, coix seeds, selfheal, peach kernel, arisaema, red peony root, liquorice, turmeric, cyperus, tangerine seed, bupleurum. Decoction in water, 1 dose per day. After taking the above prescription for 30 doses, Ms. Chen was re-examined: in the one-month period, she had her period once, breast pain was significantly relieved, the menstrual volume increased, the volume was normal, and the dysmenorrhea was relieved. B-ultrasound examination showed: left ovarian cyst (2.1 cm × 2.0 cm). The original prescription remained unchanged and continued to be taken. After taking the medicine for another 3 months, the third visit showed that the patient had regular menstruation every month, and her breasts felt slightly swollen before menstruation. The subjective symptoms disappeared, and the cyst was completely gone after another B-ultrasound examination. The patient continued to take the medicine for 2 months to consolidate the effect. After the third visit, Ms. Chen went to the hospital for a check-up because she had amenorrhea for 2 months, and the pregnancy test showed a positive result. |
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