Late periods

35+ day cycle for three months consecutively. Caution should be taken when a patient is usually regular and is suddenly late, this may indicate pregnancy. Chinese Medicine Differentiation and Treatment Stagnated Cold in Blood (Uterus) could be caused by deficient (Kidney Yang) or excess (Yin or external cold). Blood is usually dark with clots, pain that is eased by warmth, T- pale. Deficiency cases are relieved by lower abdominal massage/pressure, and excess strongly dislikes the idea of local pressure. Principle of Treatment: warm Yang to expel cold, promote circulation of blood Acupuncture points – the same points are used for either excess or deficiency Cold patterns, treatment is distinguished by the method of manipulation used, Moxa is recommended, Ren, Du, Ren 4 (primary point to tonify Yuan Qi), Du 4 (root of Yuan Qi), BL17 and Spleen 10(move blood), Spleen 6 - excess, dislike massage- Stomach 25, 29 - deficiency, like massage- Bladder 23 Herbal Medicine Formula: Wen Jing Tang (excess), You Gui Wan, Jin Gui Shen Qi Wan (deficiency) Blood deficiency pale scanty menses, pale dry skin and lips, blurred vision, dizziness, insomnia (trouble getting to sleep), palpitations, pale brittle nails, stiff tendons, forgetful, may have anxiety, someone who may be kind to others but not to themselves, palpitations, numbness in the limbs, T- pale, P- thin Principle of Treatment: nourish blood and fill Chong to regulate menses Acupuncture points – tonify, Shu, Bladder 17, 18, 23, Ren 4, Kidney 6, 13 (Chong connection), Spleen 6, 10 Herbal Medicine Formula: Gui Pi Tang, Ba Zhen Tang, Ren Shen Yang Rong Tang, Da Bu Yuan Jian, Xiao Ying Jian Liver Qi Stagnation delayed periods with clots, patient is stressed out, experiences PMS, breast tenderness, mood swings, depression, hypochondriac pain or fullness, frequent sighing, ‘Plum-pit’ syndrome, psychological feelings of being easily frustrated, a sense of being held down, digestive complaints, T- may be normal or have slight purple or red colour on the sides, P- wiry Principle of Treatment: soothe Liver Qi flow, invigorate blood Acupuncture points – foot Jueyin, Liver 3, 5, 14, Spleen 6, 8, 10, Zi Gong, Spleen 4 on the right and Pericardium 6 on the left Herbal Medicine Formula: Xiao Yao San, Chai Hu Shu Gan Tang Alternative Treatment Methods auricular- Nei Shen Zhi Qi (internal reproductive), endocrine, subcortex, LR, SP, KI, Yuan Zhong scalp- human reproductive system (electro) injection- Dang Gui, Dan Shen @ Zi Gong, 0.5ml daily for six days to stimulate ovulation