Treatment of irregular menstruation of liver depression and qi stagnation type with Chinese herbal decoction

Aunt Lin, 47, has an enviable career, but a regrettable family. Aunt Lin divorced her husband early in life and raised her two children by herself. In order to provide a good environment for her two children to grow up, Aunt Lin devoted herself to her work and left her two children to the care of a nanny.

However, Aunt Lin's efforts brought her two children food and clothing, but also brought them rebellion and alienation. Aunt Lin began to regret that she was only focused on work and lacked attention to her children. Although she tried her best to make up for it, it was still useless.

In recent years, although her career was on the right track, Aunt Lin was also heartbroken because of her children, and even her menstrual period was affected by Aunt Lin's mood. Every time her menstrual period came, it was "violent", not only with heavy flow and purple color, but also accompanied by chest tightness, headache, insomnia and other symptoms.

According to traditional Chinese medicine, Aunt Lin's menstrual irregularity is due to her long-term liver depression and qi stagnation, which turns into heat over time. Liver and gallbladder depression and fire disturbance can easily lead to headaches and chest tightness.

TCM examination: red tongue with yellow fur, stringy pulse. For treatment, refer to Longdan Xiegan Decoction.

Prescription composition: Gentiana scabra, Bupleurum root, stir-fried Phellodendron chinense, Hematite, Scorched Gardenia jasminoides, Plantago seed, Magnetite, Scutellaria baicalensis, Alisma orientalis, Smilax glabra. Decoction in water, 1 dose per day, 5 doses in total.

After taking 5 doses of medicine, Aunt Lin's symptoms did not improve significantly. The doctor thought that the disease was serious and the medicine was not enough, so he changed the prescription to Longdan Xiegan Decoction combined with Danggui Longhui Pills.

Prescription composition: Chinese angelica, scorched gardenia, stir-fried fructus aurantii, gentian, aloe, scutellaria, cassia seed, oriental water plantain, processed fructus privetii. Decoction in water, 1 dose per day, 5 doses as usual.

When she visited the doctor again, Aunt Lin's symptoms had improved significantly, and the doctor adjusted her medication again based on her current condition.

During the fourth consultation, Aunt Lin's liver and gallbladder fire had been calmed by the liver-clearing and fire-clearing agent, she was not sleeping well at night, her pulse was slow, and her tongue was moist. The doctor prescribed a conditioning prescription for Aunt Lin again, and said that after taking the medicine this time, the irregular menstruation that had troubled her for many years would be completely cured.

Prescription composition: Chinese angelica, Radix Trichosanthis, Radix Bupleuri, Radix Gentianae, stir-fried white peony root, Rhizoma Alismatis, Rhizoma Poriae, Radix Rehmanniae, Magnetite, processed Polygala, raw licorice. Decoction, 1 dose per day, 7 doses in total.