: spleen and kidney qi deficiency type
Main symptoms: menstrual cycle disorder, or early arrival, or late arrival, or uncertain, prolonged menstrual period, more menstrual flow, less menstrual flow, pale color, pale face, listlessness, shortness of breath, soreness of waist and knees, dizziness and tinnitus, abdominal cold, anorexia in loose stool, and nocturia. The tongue is light and fat with teeth marks, white fur, thin and weak pulse and weak ulnar pulse.
Treatment: invigorating spleen and kidney, benefiting qi and regulating menstruation.
Prescription: Orange Garden Decoction and Guishen Pill.
20g of Radix Codonopsis, 20g of Radix Astragali, Atractylodis Rhizoma 15g, 6g of Radix Glycyrrhizae Preparata, Radix Dipsaci 15g, Fructus Psoraleae 15g, 20g of Semen Cuscutae, Folium Artemisiae Argyi 10g, 30g of Polygonum Multiflori Radix, and 0/2g of Radix Angelicae Sinensis.
Solution: The prescription uses Radix Codonopsis, Radix Astragali and Atractylodis Macrocephalae to strengthen spleen and replenish qi, Radix Rehmanniae Preparata, Fructus Psoraleae, Semen Cuscutae, Radix Dipsaci to tonify kidney, Folium Artemisiae Argyi to warm channels to stop bleeding and regulate menstruation, Radix Polygoni Multiflori and Radix Angelicae Sinensis to nourish blood and regulate menstruation, and Radix Glycyrrhizae Preparata to regulate various drugs.
Addition and subtraction: When the menstrual period is heavy, remove Angelica sinensis, and add Ejiao 12g, cuttlefish bone 12g, Rosa laevigata 30g and charcoal of Artemisia argyi to stop bleeding. Prolonged menstrual period, continuous, add fried Pollen Typhae 10g, motherwort 30g, remove blood stasis and stop bleeding. Eat less, add 20 grams of yam, 9 grams of Amomum villosum, 6 grams of dried tangerine peel, promote qi, strengthen spleen and stomach. If the menstrual period is not too late, add 9 grams of Morinda officinalis, 9 grams of Achyranthes bidentata 12 grams, 30 grams of Spatholobus Spatholobus, and 0/0 grams of Chuanxiong/kloc-0 to dredge menstruation.
Yin deficiency of liver and kidney
Main symptoms: menstrual cycle is advanced or uncertain, menstrual period is prolonged, menstrual flow is more or less, flushing, fever in hands and feet, dry mouth, insomnia and dreaminess, yellow urine and constipation. The tongue is red, with little moss and thin pulse.
Treatment: nourishing liver and kidney, clearing heat and regulating menstruation.
Prescriptions: Erzhi Pill and Liangdi Decoction.
Ligustrum lucidum 15g, Eclipta prostrata 18g, Eclipta prostrata 20g, Radix Paeoniae Alba 15g, Radix Scrophulariae 15g, Radix Ophiopogonis 15g, Fructus Corni 12g, and Semen Cuscutae1.
Solution: This prescription nourishes liver and kidney with Ligustrum lucidum, Eclipta prostrata, Cornus officinalis and Cuscuta chinensis, while Radix Rehmanniae, Radix Paeoniae Alba, Radix Scrophulariae and Radix Ophiopogonis nourish yin and clear heat, and Schisandra chinensis communicates with heart and kidney, which has astringent and hemostatic effects.
Addition and subtraction: menstrual period, large amount of menstruation. Adding Colla Corii Asini 12g for dissolution, Radix Paeoniae Rubra 30g, cuttlefish bone 12g, and Fructus Rosae Laevigatae 30g for nourishing blood and stopping bleeding. Motherwort 30g, madder15g, Sanguisorba officinalis15g, Schizonepeta tenuifolia charcoal10g and calcined oyster 30g can be added for removing blood stasis, cooling blood and stopping bleeding.
At the end of menstrual period or in an uncertain order, add Mulberry 15g, Rosa laevigata 30g, Pinctada 20g and Dioscorea opposita 15g. And angelica 9g for tonifying kidney and regulating menstruation.
: deficiency of both qi and blood
Main symptoms: delayed menstrual cycle, less menstrual flow, pale color, emaciation, dizziness, palpitation, sallow complexion, abdominal deficiency, pale tongue, thin and white fur and thready pulse.
Treatment: Yiqi Yangxue Tiaojing.
Prescription: Zi Xue soup.
Angelica sinensis 15g, Radix Rehmanniae Preparata 30g, Radix Paeoniae Alba 12g, Rhizoma Chuanxiong 10g, Radix Codonopsis 15g, Radix Astragali 15g, Rhizoma Atractylodis Macrocephalae 12g, Poria 20g, Caulis Spatholobi 30g, Rhizoma Polygonati 20g and Polygonum Multiflori 20g.
Solution: This prescription uses Angelica sinensis, Radix Rehmanniae Preparata, Radix Paeoniae Alba, Rhizoma Chuanxiong, Caulis Spatholobi, Radix Polygoni Multiflori and Rhizoma Polygonati to enrich blood and nourish blood.
Radix Codonopsis, Radix Astragali, Rhizoma Atractylodis Macrocephalae, Poria and Radix Glycyrrhizae Preparata are the sources of invigorating qi, strengthening spleen and assisting biochemistry, and have the functions of invigorating qi and blood and regulating menstruation.
Addition and subtraction: 20 grams of Salvia Miltiorrhiza and 9 grams of Achyranthes bidentata can be added before the late menstrual period to promote blood circulation and dredge menstruation. Semen Ziziphi Spinosae 15g, Caulis Polygoni Multiflori 20g, Fructus Jujubae 10g, and Fructus Schisandrae 9g can be added to nourish the heart and soothe the nerves.
: liver depression and qi stagnation type
Main symptoms: menstrual cycle disorder, or early arrival, or late arrival, or uncertain, more or less menstrual flow, poor menstrual flow, purple menstrual flow, mixed blood clots, chest and hypochondriac pain, * * *, abdominal distension, occasional sighing, eating less than warm, red tongue, thin white fur and thready pulse.
Treatment: soothing the liver, regulating qi and regulating menstruation.
Prescription: Xiaoyao San.
Bupleurum chinense 12g, Paeonia lactiflora 15g, Angelica sinensis 12g, Poria cocos 15g, Atractylodis Rhizoma 9g, Rhizoma Cyperi 12g, Radix Curcumae 12g, Radix Aucklandiae 6g, Radix Glycyrrhizae 6g,/kloc-.
Solution: This prescription uses Bupleurum, Cyperus rotundus, Radix Curcumae, Radix Aucklandiae to soothe the liver and regulate qi, Angelica sinensis and Radix Paeoniae Alba to nourish blood and regulate menstruation, and Poria and Atractylodes macrocephala to strengthen spleen and regulate middle energizer.
Addition and subtraction: For patients with liver depression and heat, premenstrual period and menorrhagia, Cortex Moutan 12g, Fructus Gardeniae 10g, Fructus Toosendan 10g can be added to soothe liver and clear heat, and madder 15g and Sanguisorba officinalis 15g can be added to cool blood and stop bleeding. See qi stagnation and blood stasis in the later period of menstruation, and menstrual disorder. Add 20 grams of Salvia Miltiorrhiza, 0/5g of Achyranthes bidentata12g of peach kernel12g, 6g of safflower and 30g of motherwort to promote blood circulation and regulate menstruation. The menstrual disorder due to liver depression and spleen deficiency aggravated Poria 30g, and Chinese yam15g strengthened the spleen and benefited qi. Add Ligustrum lucidum 15g and Cuscuta chinensis 15g to tonify kidney and regulate menstruation.
: blood cold type
The main symptoms: delayed menstrual cycle, less amount, dark color, blood clots, cold pain in the lower abdomen, reduced heat pain, and cold limbs. The tongue is pale and dark, with white fur and heavy pulse.
Treatment: Warming channels, dispelling cold and regulating channels.
Prescription: Wenjing decoction.
Ramulus Cinnamomi 10g, Folium Artemisiae Argyi 10g, Radix Aconiti Lateralis Preparata 9g, Radix Angelicae Sinensis 15g, Rhizoma Chuanxiong 12g, Radix Glycyrrhizae Preparata 6g, Radix Codonopsis 20g, Rhizoma Atractylodis Macrocephalae 15g, and Radix Achyranthis Bidentatae 12g.
Solution: This prescription uses cassia twig, mugwort leaf and cooked aconite root to warm channels and dispel cold and regulate menstruation, angelica sinensis and Ligusticum chuanxiong to nourish blood and promote blood circulation and regulate menstruation, Dangshen, Atractylodes macrocephala and Radix Glycyrrhizae Preparata to replenish qi and regulate menstruation, and Achyranthes bidentata to promote blood circulation and remove blood stasis and regulate menstruation.
Addition and subtraction: For patients with abdominal pain and blood clot, add 6 grams of Evodia rutaecarpa, 9 grams of Linderae, 9 grams of Cyperus rotundus, and 0/0 gram of fried Pollen Typhae/kloc-to dispel cold, remove blood stasis and relieve pain. For patients with menorrhagia, remove Achyranthes bidentata, add processed ginger10g, and Folium Artemisiae Argyi12g, and warm channels to stop bleeding.
: blood stasis type
Main symptoms: delayed menstrual cycle, more or less menstrual flow, prolonged or shortened menstrual period, dark purple menstrual flow, blood clot, abdominal pain, and pain relief after blood clot discharge. The tongue is purple and dark, with petechiae and ecchymosis, thin and white fur, thin and astringent pulse or string.
Treatment: promoting blood circulation to remove blood stasis and regulating menstruation.
Prescription, Taohong Siwu Decoction, No Laughter.
Angelica sinensis 12g, Ligusticum chuanxiong 9g, Radix Paeoniae Rubra 12g, Radix Rehmanniae Preparata 15g, Semen Persicae 10g, Flos Carthami 6g, Pollen Typhae preparata 10g, Oletum Trogopterori 10g, and Herba Leonuri 30g.
Solution: This prescription uses Siwu decoction to nourish blood, promote blood circulation and regulate menstruation, peach kernel and safflower to promote blood circulation and remove blood stasis, and stir-fry Pollen Typhae, Oletum Trogopterori and Leonurus japonicus to promote blood circulation and remove blood stasis to stop bleeding.
Addition and subtraction: for patients with menorrhagia, remove peach kernel, safflower, Ligusticum chuanxiong and Radix Paeoniae Alba, add 3 grams of Panax Notoginseng, 0/0 gram of carbonized hair/kloc-0, and 20 grams of halloysitum rubrum, and stop astringency, remove blood stasis and stop bleeding; For those without menstrual period, remove Pollen Typhae and Oletum Trogopterori, and add 20 grams of Radix Salviae Miltiorrhizae, 30 grams of Achyranthes bidentata 15, and Spatholobus Spatholobus to promote blood circulation, nourish blood and regulate menstruation. For patients with severe abdominal pain, add Xiangfu 12g, Yuanhu 12g, and Lindera root 9g to regulate qi and relieve pain.
Phlegm-dampness type
The main symptoms: delayed menstrual cycle, little amount, red color, sticky as phlegm, obesity, chest tightness and nausea, more leucorrhea, and sticky white matter. The tongue is light and fat with teeth marks, the coating is white and greasy, and the pulse is slippery.
Treatment: Eliminating phlegm and dampness and regulating menstruation.
Prescription: Cangfu Daotan Pill.
Faxia 15g, Pericarpium Citri Tangerinae 6g, Poria 20g, Rhizoma Atractylodis 10g, Rhizoma Atractylodis Macrocephalae 10g, Arisaema cum bile 12g, Rhizoma Cyperi 12g, Fructus Aurantii 12g and Radix Angelicae Sinensis/kloc-0.
Solution: This prescription uses Pinellia ternata, Pericarpium Citri Tangerinae and Poria to eliminate phlegm and eliminate dampness, and regulates stomach and spleen, and Atractylodes lancea and Atractylodes macrocephala to eliminate dampness.
Cavity and spleen, Arisaema cum bile dry dampness and eliminate phlegm, Cyperus rotundus and Fructus Aurantii regulate qi and relieve depression, Angelica sinensis and Chuanxiong promote blood circulation and regulate menstruation.
Addition and subtraction: 20g of Salvia Miltiorrhiza, 30g of Spatholobus Spatholobus, 30g of Achyranthes bidentata 15g, and 30g of Leonurus japonicus can be added before the late menstrual period to promote blood circulation and nourish blood, and dredge channels and collaterals. For patients with spleen deficiency and anorexia, Radix Codonopsis 15g and Fructus Amomi 9g are added to strengthen spleen and regulate stomach. For patients with nausea and vomiting, add 4 slices of ginger to warm the stomach and stop vomiting.