Treatment of irregular menstruation due to liver and kidney deficiency

Liu Xia is just 26 years old this year, but she has been suffering from irregular menstruation for several years. Liu Xia and her boyfriend are already discussing the wedding date, and she hopes to cure her irregular menstruation before the wedding.

Symptoms: Liu Xia's menstrual irregularities are mainly manifested by delayed menstruation, light color and small amount of menstruation, occasional purple patches, and each menstruation lasting only 2 days. She also has swollen breasts before menstruation, pain in the lower abdomen, soreness in the waist and knees, dizziness, palpitations, insomnia, poor appetite, pale complexion, thin body and fatigue.

TCM diagnosis: pale red tongue, thin yellow tongue coating, deep, fine and slightly stringy pulse. Syndrome differentiation is liver and kidney deficiency, qi stagnation and blood stasis, Chong and Ren disharmony.

When Liu Xia came for consultation, it was her menstrual period, so the doctor started with nourishing the liver and kidneys, relieving depression and stagnation, and calming the mind and nourishing the heart, and prescribed the following:

Angelica, Dipsacus asper, Salvia miltiorrhiza, Liu Ji Nu, Viscum album, Ligustrum lucidum, White peony root, Rubia cordifolia, stir-fried Semen Ziziphi spinulosus, Polygala tenuifolia, Polygonum multiflorum, Cyperus rotundus, Ligusticum chuanxiong. Decoction in water, 4 doses in total.

During the medication period, Liu Xia clearly felt that her menstrual flow increased, the color of her menstrual blood gradually turned red, and her breast swelling and abdominal pain symptoms were alleviated. However, she still felt sore waist and knees, poor appetite, and poor sleep.

During the follow-up visit, the tongue and pulse showed: thin and greasy tongue coating, deep and smooth pulse. The doctor believed that the treatment should still start from strengthening the liver and kidney to strengthen the foundation, regulating the spleen and stomach to increase appetite.

Prescription composition: Dipsacus asper, Angelica sinensis, Polygonum multiflorum, Ligustrum lucidum, Eclipta prostrata, stir-fried Atractylodes macrocephala, Cyperus rotundus, Poria cocos, Magnolia officinalis, stir-fried Shenqu, stir-fried Ziziphus jujuba seeds, Tangerine peel, Albizzia julibrissin, Polygala tenuifolia. Decoction, 6 doses in total. The doctor told Liu Xia to take pills after the decoction was finished, 1 dose of Babao Kunshun Dan every morning for 10 days.

After this period of treatment, when she had her next menstrual period, the cycle was within the normal range, and both the menstrual volume and the color of the menstrual blood had returned to normal. This menstrual period lasted for 5 days, and she did not have breast swelling or abdominal pain. She just felt a little backache, fatigue, and poor appetite and sleep. The doctor advised her to take 15 doses of Ginseng Guipi Pills and Babao Kunshun Pills, 1 dose each per day, with plain water, to consolidate the treatment and eliminate the remaining symptoms.