LATE MENSTRUATION (DELAYED MENSTRUATION)

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
  • Ear: Internal Reproductive, Endocrine, Subcortex, Liver, Spleen, Kidney, Pituitary
  • Scalp: Human reproductive system (electro)
Clinical Manifestations
  • Late menstruation
  • Scanty, light red Blood or
  • Heavy non-stop bleeding
  • Dull pain in the lower abdomen
  • Pain alleviated by warmth
  • Lower back pain
  • Pale face
  • Cold limbs
  • Leg pain
  • T: Pale
  • C: Thin and white
  • P: Deep and thready or Deep and weak
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Regulate Qi
  • Pacify the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Early menstruation
  • Late menstruation
  • Scanty menses
  • Light-colored menses
  • Menses may be mixed with leukorrhea
  • Low back pain that can be severe
  • Soft stools
  • Distention in the lower abdomen
  • A sense of prolapse in the lower abdomen
  • Anorexia
  • Fatigue
  • Light headedness
  • Dizziness
  • Frequent erotic dreams
  • Tinnitus
  • Urinary frequency at night
  • Weakness in the lower limbs
  • Vertigo
  • T: Pale
  • C: Thin
  • P: Deep and frail
Treatment Principle
  • Enrich and tonify the Kidneys
  • Nourish the Liver
  • Regulate the Chong and Ren channels
  • Regulate menstruation
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Delayed periods with clots
  • Scanty or normal Blood flow
  • If no Heat the color is normal
  • If there is Heat the color is deep red and thick
  • The flow starts and stops during menses
  • The patient is stressed out
  • The patient experiences PMS
  • Breast tenderness
  • Distended pain in the lower abdomen
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • A sense of being held down
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Flank and breast discomfort
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Mood swings
  • Depression
  • Irritability
  • Plum-pit Qi Stagnation
  • Easily frustrated
  • Increased desire to sleep
  • Flatulence
  • Digestive complaints
  • T: Red edges
  • C:Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Regulate Liver Qi
  • Remove Stagnation
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish the Blood
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole Heat
  • Night sweats
  • Light menses or
  • Late menses or
  • Amenorrhea
  • T: Red
  • C: Little
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Liver
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Impaired vision
  • Night blindness
  • Tinnitus
  • Irascibility
  • Throbbing headache with distended feeling
  • Flushed face
  • Blurred vision
  • Red, dry eyes with feeling of grit in eye
  • Dry mouth and throat with bitter taste in mouth
  • Palpitations
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole Heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • T: Red and dry
  • C: Little or None
  • P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • Scanty dark colored menstrual Blood with small clots
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Delayed closing or unclosed fontanel in infants
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Dry throat
  • Blurred vision
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • T: Red
  • C: Little or none
  • P: Thready and rapid
Treatment Principle
  • Tonify the Kidneys
  • Nourish Yin
  • Regulate menstruation
Herb Formulas
Points
  • Ear: Internal Reproductive, Endocrine, Subcortex, Liver, Spleen, Kidney, Pituitary
  • Scalp: Human reproductive system (electro)
Clinical Manifestations
  • Cold symptoms
  • Scanty purple pale thin menstrual Blood
  • Dull cold lower abdominal pain
  • Exhaustion from long-term illness
  • Low energy
  • Lethargy
  • Aversion to Cold
  • Coolness of the extremities
  • Aching and weakness of the lower back and knees
  • Infertility
  • Loose stools (sometimes with undigested food)
  • Incontinence of urine
  • Edema of the lower extremities
  • Pale face
  • Spontaneous perspiration
  • Dizziness
  • Enuresis
  • T: pale, swollen and tender
  • C: White
  • P: Deep and thin or Deep, slow and weak
Treatment Principle
  • Warm the Kidneys
  • Tonify Yang
  • Nourish the Chong and Ren channels
Herb Formulas
Points
  • Moxa REN-4, DU-4, needle UB-17, BL 23, SP-10, SP-6, ST-25, ST-29
  • Ear: Internal Reproductive, Endocrine, Subcortex, Liver, Spleen, Kidney, Pituitary
  • Scalp: Human reproductive system (electro)
Clinical Manifestations
  • Amnesia
  • Palpitations
  • Feverishness
  • Anorexia
  • Emaciation
  • Pale face
  • Insomnia
  • Dyspnea on mild exertion
  • Fatigue
  • Shortness of breath.
  • Weight loss
  • Dry skin
  • Dry mouth
  • Dry throat
  • Dry lips
  • Uterine bleeding
  • Irregular menstruation
  • May suddenly lose consciousness
  • Slack jaw
  • Restless at night
  • Lassitude
  • Tendency toward being frightened easily
  • Weakness
  • Sallow complexion
  • Dizziness
  • Tremors in the limbs
  • Spontaneous perspiration
  • Fever and severe chills
  • General debility
  • Mental instability
  • Coughing and gasping.
  • Night sweats
  • Amnesia.
  • Diarrhea
  • Turbid urine
  • Nocturnal emission
  • Impotence
  • Constipation
  • Feeble breathing.
  • Tired limbs.
  • T: Pale
  • C:White
  • P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Strengthen the Spleen and Lungs
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • One or two days before or during first day of menses there is:
    Lower abdominal distension and pain
    Pressure makes worse
  • Generally scanty blood flow
  • The flow starts and stops
  • Dark-purple color with clots
  • When the clots pass the pain is relieved (or when menses stop)
  • Pre menstrual syndrome
  • Abdominal masses which are visible when lying down
  • Piercing hypochondriac pain
  • Irritability
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Breast distention
  • Abdominal tumors
  • Hypochondriac distention
  • T: Dark and red or Purple with purple spots on the side
  • C: White
  • P: Wiry or Wiry, choppy and tight
Treatment Principle
  • Regulate Qi
  • Invigorate the Blood
  • Break up Stasis
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Delayed menstrual period
  • Scanty bleeding that is pale in color and thin in consistency
  • Dull pain in the lower abdomen
  • Dizziness
  • Vertigo
  • Palpitations
  • Sallow complexion
  • Pale dry skin and lips
  • Blurred vision
  • Lusterless face
  • Dream-disturbed sleep
  • Afternoon fever
  • Dry skin
  • Insomnia (trouble getting to sleep)
  • Pale brittle nails
  • Poor memory
  • May have anxiety
  • Stiff tendons
  • Numbness in the limbs
  • Someone who may be kind to others but not to themselves
  • T: Pale and thin
  • C: White
  • P: Thin and weak or Thready and rapid
Treatment Principle
  • Nourish the Blood
  • Nourish the Chong
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Late menstruation
  • Scanty menstruation
  • Distension of the lower abdomen
  • Menstruation with purple blood and clots
  • Pain of the abdomen which is worse upon pressure and diminishes with menstruation
  • Pain is worse with pressure
  • Pain decreases with the passage of clots
  • Swelling and edema of the lower extremities
  • A feeling of oppression in the chest and epigastrium
  • Dry mouth
  • Dark, purplish menses with clots or Dark purple edges
  • T: Red or Purple
  • P: Deep and strong or Hesitant or Choppy and rough
Treatment Principle
  • Invigorate the Blood
  • Nourish the Blood
  • Move Qi
Herb Formulas
Points
Clinical Manifestations
  • Copious bleeding of dark purple blood
  • The blood is sticky during menstruation
  • May or may not have clots
  • Menstrual cycle is shortened (early menstruation)
  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Irregular menstruation with little flow
  • Fixed lower abdominal pain
  • Vertigo
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale
  • C: Normal
  • P: Thin and weak or Thin and choppy
Treatment Principle
  • Tonify and invigorates the Blood
  • Regulate Blood circulation
  • Break up Blood Stagnation
  • Regulate menstruation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
  • T: Purple or Purple spots
  • C: Normal
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Late menses
  • Painful menses with clots
  • The menstrual pain will be relieved by warmth and aggravated by Cold
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Scanty purple red blood with large clots
  • Cold pain in lower abdomen
  • Complexion is white/blue
  • Whole body feels cold
  • Cold limbs
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Cold-pain in the lower abdomen that is alleviated by warmth
  • Infertility
  • Dry lips
  • Dry mouth
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Pale or Purple with petechiae or Pale
  • C: White
  • P: Tight maybe choppy (stasis) and deep (internal) or Thready and choppy
  • Menstruation becomes delayed and the menses decreased
  • Menses are dark or grayish in color
Treatment Principle
  • Warm the channels
  • Expel Cold
  • Invigorate the Blood
  • Remove Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Menstruation is usually delayed
  • Menses are decreased, light in color and viscid
  • Palpitations of the heart
  • Shortness of breath
  • Epigastric fullness
  • Nausea
  • Increased vaginal discharge
  • T: Pale and plump
  • C: White and greasy
  • P: Slippery
Treatment Principle
  • Eliminate Phlegm,
  • Dry Dampness
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Menses may be days to months late
  • Light colored Blood
  • Decreased volume
  • Blood mixed with sticky pale colored leukorrhea
  • Continuous leukorrhea
  • Generally overweight
  • Cough with copious, dilute, white frothy or lumpy sputum
  • Profuse Phlegm
  • Chest and epigastric congestion
  • Palpitations
  • Headache
  • Pain and full feeling in chest
  • Dyspnea - worse lying down
  • Asthma
  • Throat rattle
  • Maybe anorexia
  • Lassitude
  • Nausea / vomiting
  • Dizziness / vertigo
  • Shortness of breath
  • Wheezing
  • Acute attack of panting with high pitched sound and rapid exhalation
  • Facial edema
  • Heaviness of the limbs
  • Weak extremities
  • T: Pale or Pink
  • C: Thick, white and greasy or sticky
  • P: Slippery or Soft or Slippery and wiry
Treatment Principle
  • Transform Phlegm
  • Dry Dampness
  • Promote blood circulation
  • Regulate menstruation
Herb Formulas
Points
  • REN-3, REN-12, SP-6, ST-25, ST-40
  • Ear: Internal Reproductive, Endocrine, Subcortex, Liver, Spleen, Kidney, Pituitary
  • Scalp: Human reproductive system (electro)