TCM Syndrome Differentiation and Classification of Delayed Menstruation in Patients with Irregular Menstruation

Delayed menstruation in patients with menstrual disorders refers to a delay of more than 7 days in the menstrual cycle, or even once every 40-50 days, for more than two consecutive cycles. According to traditional Chinese medicine, delayed menstruation can be caused by long-term illness, physical weakness, insufficient blood, or long-term chronic blood loss, improper diet, excessive fatigue, damage to the spleen and stomach, and insufficient biochemical source; or yang deficiency, or long-term illness, which leads to insufficient blood source, lack of nourishment to the internal organs, affecting the biochemistry and circulation of blood, so that the blood sea cannot overflow as expected, resulting in delayed menstruation.

TCM classification of delayed menstruation in patients with irregular menstruation

Type Menstrual changes General symptoms

Blood deficiency causes delayed menstruation, less blood volume, light color, thin texture, sallow or pale complexion, dizziness, palpitations, insomnia, and even dull pain in the lower abdomen that lasts for a long time and is prone to massage, pale lips and tongue, and a thin white coating.

Kidney deficiency causes delayed menstruation, less menstrual volume and thin menstrual volume, dark or dark color, lumbar pain, frequent urination at night, excessive leucorrhea, thin and light color, or dizziness and tinnitus, pale tongue, and thin white fur.

Blood cold - Exogenous cold or excessive cold food damages the Yang Qi, resulting in delayed menstruation, less menstruation, dark red color with clots. Cold pain in the lower abdomen, relieved by heat, or pale complexion, fear of cold, cold limbs, and white tongue coating.

Blood cold - deficiency and coldness. Insufficient congenital yang qi and excessive yin and coldness lead to delayed menstruation, less menstruation, light red color, thin texture without clots. Dull pain in the lower abdomen, preference for warmth, sore waist and weakness, clear and long urine, loose stools, pale tongue and white fur.

Menstruation is delayed due to Qi stagnation and emotional damage, with less menstrual volume, normal color or dark red with clots, and poor discharge. Mental depression, or lower abdominal distension and pain, or breast distension, chest and flank pain, slightly dark tongue, or thin yellow tongue coating.

Phlegm blocks the spleen and lung qi, causing delayed menstruation, light-colored and mucous menstruation, and more vaginal discharge before and after menstruation. The patient is obese, with dizziness, palpitations, abdominal distension, nausea, cough and sputum, poor appetite, and less food intake. The tongue is fat with tooth marks and has a greasy white coating.