Diagnostic steps of causal amenorrhea in traditional Chinese medicine

The diagnosis of causal amenorrhea should be based on a combination of traditional Chinese medicine and modern medicine, taking into account five aspects: genetics, environment, physical constitution, trauma and pathology. Through dialectical analysis, the root cause should be identified and a treatment plan should be developed.

1) Screening for genetic factors

Some patients with amenorrhea may have a family history, which involves genetic influences, such as congenital ovarian insufficiency or chromosomal abnormalities. Modern diagnosis can clarify family genetic problems through genetic testing; Chinese medicine emphasizes regulating congenital deficiency of essence and blood, and can use prescriptions for strengthening the spleen and kidney, such as Liuwei Dihuang Pills or Zuogui Pills to improve basic physical constitution.

2) Influence of external environmental factors

Long-term mental stress, improper diet, sudden and drastic weight loss or excessive exercise can easily lead to endocrine disorders in the body and cause amenorrhea. Chinese medicine believes that this is related to spleen and stomach disorders and poor circulation of qi and blood. It is recommended to reduce stress sources, eat a reasonable diet, avoid cold foods, and drink red dates and wolfberry tea frequently to strengthen the spleen and nourish the blood; if necessary, Xiaoyao Powder or Guipi Decoction can be taken for conditioning under the guidance of a Chinese medicine practitioner according to individual conditions.

3) Analysis of the impact of physiological constitution

Traditional Chinese medicine focuses on observing the patient's overall physical condition. Qi deficiency, yang deficiency or blood stasis may affect the menstrual cycle. In terms of syndrome differentiation, Xuefu Zhuyu Decoction can be used for amenorrhea of ​​Qi stagnation and blood stasis type; Jinkui Shenqi Pills are often used for amenorrhea of ​​spleen and kidney yang deficiency type; Siwu Decoction and Bazhen Decoction are often used for both Qi and blood deficiency.

4) Trauma and damage to endocrine organs

Previous reproductive system surgery, infection or trauma may damage the uterus and ovaries, causing amenorrhea. Such cases often require modern medical examinations, such as ultrasound or blood hormone level testing, combined with traditional Chinese medicine syndrome differentiation and treatment. For example, for blood stasis and menstrual stasis, Danggui Shaoyao San can be used to promote blood circulation and remove blood stasis.

5) Screening for pathological factors

Pathological amenorrhea is often associated with systemic diseases, such as polycystic ovary syndrome, pituitary dysfunction or thyroid disease. These diseases can be clearly diagnosed through modern testing methods, such as six hormone tests or thyroid function monitoring. Traditional Chinese medicine focuses on adjusting the functional balance of the five internal organs and resolving pathological problems. For example, for patients with liver depression type polycystic syndrome, Chaihu Shugan San, which can relieve liver depression, can be used; for patients with phlegm-dampness stagnation type, Erchen Decoction or Cangfu Daotan Pills can be used to resolve phlegm and dampness.

Through the diagnosis method of combining traditional Chinese and Western medicine, we can more comprehensively understand the root cause of amenorrhea, so as to provide personalized treatment according to the specific situation. If you encounter amenorrhea, you should seek medical attention in time and do not delay, so as to avoid affecting the female reproductive function or even the recovery of overall health.