How to treat menstrual irregularity due to Yin deficiency and hyperactivity of fire

The 19-year-old Li Yan is very pretty and has an enviable skinny figure. Her delicate appearance always reminds people of "Sister Lin". However, every time Li Yan hears the nickname "Sister Lin", she will smile bitterly because she is indeed as weak as Sister Lin.

Due to her weak constitution, Li Yan's development seemed to be relatively late, and she did not have her first menstruation until she was 15. When her menstruation did not come, Li Yan looked at her friends and classmates who had already had this symbol of female sex, and she could not help but feel anxious. However, when her menstruation came, so did her worries.

Li Yan's menstruation comes about ten days in advance each time, and it only lasts two days, sometimes even less than two days, and the amount of menstruation is very small. At the same time, it is accompanied by slight abdominal pain, lack of energy, poor appetite, thirst, poor sleep, hard stools, and yellow urine.

This summer, Li Yan's mother took Li Yan to a local Chinese medicine hospital for consultation, hoping to treat Li Yan with Chinese medicine.

TCM diagnosis: yellowish tongue coating with little fluid, fine pulse. Early menstruation with little menstrual flow, irregular menstruation caused by yin deficiency and hyperactivity of fire.

Treatment: The principle of treatment is to nourish yin and blood, while clearing away heat.

Ingredients of the prescription: raw rehmannia root, Chinese wolfberry bark, white peony root, Scrophularia ningpoensis, Ophiopogon japonicus, donkey-hide gelatin, and cooked rehmannia root.

Follow-up visit: After taking 6 doses of the above medicine, Li Yan went for a follow-up visit after her menstruation this month. At this time, Li Yan's menstrual flow increased compared to before, symptoms such as abdominal pain disappeared, her appetite increased, and her spirits improved. However, due to Li Yan's poor physical condition, the doctor advised her to continue taking 10 doses of the above medicine to consolidate her condition.