Late Periods

Diagnosis of Late Periods: 

Menstruation for 35 days or more in 3 consequitive months.   Late Periods are more common during menarche and menopause. Is pregnancy a consideration in your case? 

Etiology (causes) of Late Periods:

1. Blood deficiency - chronic illness, bleeding disorders

2. Yang deficiency (Kidney)– can’t warm organs – impairs production of blood – deficient Chong

3. Yin deficiency (Kidney) – deficiency Fire impair fluids and blood – deficient Chong blood

4. Cold stagnation – restrict blood circ – blood stasis

5. Qi stagnation turns to Blood Stasis – block Ren and Chong, Chong will not fill on time

6. Phlegm stagnation – overweight – phlegm damp retention can block Ren and Chong, Chong can’t fill – too damp (diabetes etc.)

Chinese Medicine Differentiation and Treatment of Late Periods:

Blood deficiency scanty bleeding that is pale in colour and thin in consistency, T – pale, thin P – thin, weak Plus – blood deficiency symptoms (see Appendix 1)

Principle of Treatment: – nourish blood to nourish Chong

Herbal Medicine Formula: Xiao Ying Jian

Kidney Yang deficiency cold symptoms, scanty purple pale thin menstrual blood, dull cold low abdominal pain, T – pale swollen, tender baby P – deep thin Plus – Yang deficiency symptoms (see Appendix 1)

Principle of Treatment: – warm up Kidney Yang to nourish Chong

Herbal Medicine Formula:– You gui wan

Kidney Yin deficiency scanty dark coloured menstrual blood with small clots, T – red, scant coat P – fine, rapid Plus – Yin deficiency symptoms (see Appendix 1)

Principle of Treatment: – nourish Kidney Yin to regulate period

Herbal Medicine Formula: Liu Wei Di Huang Wan

Full Cold stagnation scanty purple red blood with large clots, cold pain in low abdomen, complexion is white/blue, T – purple P – tense maybe uneven (stasis), deep (internal) Plus – whole body feels cold

Principle of Treatment: – warm meridians, expel cold, promote circulation to remove stagnation

Herbal Medicine Formula:– Wen Jing Tang

Liver Qi stagnation scanty or normal, if no heat colour normal, if heat – deep red, thick, start/stop bleeding during menses, small clots, distended pain in low abdomen, T – red on sides P – wiry Plus – Liver Qi stagnation symptoms (see Appendix 1)

Principle of Treatment: – regulate Liver Qi, remove stagnation to regulate menses

Herbal Medicine Formula:– Xiao Yao San

Phlegm stagnation more (Damp) or less (stagnation) blood quantity, mixed with sticky pale coloured leukorrhea, generally overweight, T – greasy thick coat P – slippery, wiryPlus – Phlegm symptoms (see Appendix 1)

Principle of Treatment: – transform Phlegm, dry Damp, promote blood circulation to regulate menses.

Herbal Medicine Formula: Er Chen Tang