A way to regulate menstruation for those with weak constitutions

The patient is physically weak, has poor appetite, often has backache and weakness, feels dizzy, has light-colored menstrual flow, and has the urge to defecate during the menstrual period. He has 2-3 or more diarrheas a day, accompanied by severe backache, deep and thin pulse, pale tongue with little coating. He returns to normal after the menstrual period.

Many patients have such symptoms themselves, and there are many such patients in the outpatient clinic. Such people are generally weak by nature, and have frequent bowel movements and backache during menstruation. During gynecological examinations, the uterus is often found to be retroverted. The uterus is connected to the kidneys and is related to the Chong and Ren meridians. The belt meridian wraps around the waist and binds the meridians in the lower abdomen. When the middle qi is insufficient, the belt meridian relaxes, and the kidney qi is deficient, the uterus tilts backwards and its position is close to the rectum. Usually, except for frequent backache, there is no effect on the bowel movements. However, when the menstrual water comes, the blood sea is full, the uterus is more swollen, and the rectum is compressed, so the backache is aggravated, and there is a desire to defecate. The feces in the intestines have not yet dried, and because the rectum is forced, it is discharged immediately, so the frequency of bowel movements increases, resulting in loose stools. After the menstrual period, the blood sea is relatively empty, the rectum is not compressed, and the bowel movements return to normal.

This type of patients has insufficient middle qi, kidney deficiency and weak spleen. The treatment is mainly to tonify the middle qi and lift the belt meridian, and Cimicifuga is the most important one. The Compendium of Materia Medica says that it can treat "long-term diarrhea, dysentery, heaviness in the lower back, turbidity, leucorrhea and metrorrhagia." It is nothing more than taking the power of lifting and lifting, which can tonify the stomach and stomach and consolidate the belt meridian, so it is the main medicine for this syndrome. Ginseng, Atractylodes, Poria, and Chen nourish the spleen and stomach and benefit the middle qi. When combined with Cimicifuga, the efficacy is more significant. Angelica regulates menstruation and replenishes blood, Cyperus regulates menstruation and benefits qi, Aucklandia strengthens the spleen and stops diarrhea, and Zhong, Duan, and Morinda officinalis consolidate kidney qi and strengthen the waist and knees. In addition, it is assisted by physical therapy. When sleeping, face down and back up so that the posteriorly tilted uterus can be corrected, which can achieve twice the result with half the effort, complement each other, and increase the efficacy.