Periods - Late


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.

 

 

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.

P/T – warm Yang to expel cold, promote circulation of blood

Acupuncture

  • [RN4 - DU4 - BL17 - SP - SP6]
  • excess: ST25, ST29 (dislike massage)
  • deficiency: BL23 (like massage)

Comments: The same points are used for either excess or deficiency-cold patterns, treatment is distinguished by the method of manipulation used, moxa is recommended. RN4 is the primary point to tonify yuan qi, DU4 is the root of yuan qi, BL17 & SP10 move blood.

Rx

  • 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

P/T – nourish blood & fill Chong to regulate menses

Acupuncture

  • [BL17 - BL18 - BL23 - RN4 - KI6 - KI13 - SP6 - SP10]

Comments: KI13 is a chong connection

Rx

  • 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

P/T – soothe Liver Qi flow, invigorate blood

Acupuncture

  • [LR3 - LR5 - LR14 - SP6 - SP8 - SP10 - zi gong - SP4R - MH6L]

Rx

  • 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 at zi gong, 0.5ml daily for six days to stimulate ovulation