introductory

Because women face a lot of pressure, coupled with emotional discomfort, childbirth and other physical deficits brought about, more often than not, triggered by a variety of gynecological problems.

Adults do not recover as fast as children. It is often closely related to the adult's physical condition, work and rest and diet, and the cases I have recorded are all taken from real cases without the slightest modification.Some have longer treatment cycles, but that should be the objective clinical case.

Because there are different degrees of deficiency, especially those who are weak, the body 臓腑都亏虚的,想要一下恢复是不现实的。

Patients need to know enough about their constitution to be patient enough to face the problem head on and to be able to really regulate it well.

Chinese medicine can be done to see results very quickly, but only if the patient himself is in good health.

When we look at articles or videos online, quite a few of them are about how noticeable the results are in a very short period of time, and I've never denied the authenticity of these cases.But objectively speaking, such cases are after all in the minority.Because people are generally weak these days.

If you are in good health, you will recover quickly from serious illnesses. If you have a poor constitution, you will recover slowly from minor illnesses. This is the common sense of the world.

When we go to a doctor for treatment or conditioning, we should not make recovery a myth. Don't make "supposed to be getting better" a "stumbling block" that prevents you from continuing your recovery.

Of course, as a medical practitioner, I have never forgotten to pursue the continuous improvement of my diagnostic and treatment skills, and I should never feel that I don't need to make progress just because of the long duration of treatment for some diseases.

I. The "slow and slow cooking" required for the management of imaginary people: a 2-year road to recovery for a 36-year-old woman

36-year-old Xiao Lin (a pseudonym) suffered from impaired qi and blood after a miscarriage in 2022, which was compounded by a long-term cold-drinking habit, and she had problems with scanty menstrual flow and dull dark color since 2023. At the initial diagnosis, her tongue was pale with white moss and her pulse was fine, typical of Qi and Blood deficiency with Yang deficiency. According to TCM, abortion causes damage to the flushing period and cold drinks directly hit the uterus, resulting in cold condensation and blood stasis.Astragalus, Cinnamon, Semen Cuscutaeetc. to warm the spleen and kidneys, supplemented byChicken Blood Vine, Goji BerryNourishes and invigorates the blood.
[Initial diagnosis and prescription]Astragalus Membranaceus 50g Cangzhu 15g Fahanxia 15g Jiang Houpu 20g Poria Cocos 30g Paeonia lactiflora in wine 20g Chicken Blood Vine 30g Fructus Lycium Chinense 15g Cinnamomum cinnamomum 5g Heishun Tablet xxg Salt Codonopsis Pinnatifida 30g Salt Cuscuta Semen 30g 5 dosages (rules omitted)

Key Points for Conditioning::

1. ​The treatment is linked to the body type
   • The patient's qi and blood were damaged by the abortionThe cold is also a good source of cold drinks, and the cold is directed at the uterus, causing the blood to run poorly, so the amount of menstruation is low and the color is dark. Insufficient qi and blood, can not moisten the mind, so sleep is not good; Yin Jin insufficient, triggered by dry mouth want to drink. Before menstruation, qi and blood injected into the uterus, its own qi and blood has been weak, plus that time to do a large area of gua sha physiotherapy, more apparent fatigue, lazy speech.
   • Recovery from deficiency should follow the principle of "what is lost is gained", for example, Professor Jiang Huizhong emphasized that "tonifying the kidney and filling up the essence should be done in a gradual and orderly manner", and Xiao Lin changed to using the cream formula for consolidation after 2 consecutive months of tonic treatment, reflecting the idea of "slow tonification". This reflects the idea of "slow tonification".
     • Poor health such as the patient in the case, colds and dietary errors (e.g., drinking cold water) can directly lead to repeated healing and require long-term follow-up.
2. ​Lifestyle "invisible remedies"
   • ​abstain from certain food (as when ill): Cold drinks hurt the spleen and yang, aggravating the deficiency of qi and blood biochemistry, e.g. webpage7It is stated that "avoid sweet and fatty foods for phlegm-dampness type of menorrhagia".
   • ​protect against the cold: Sanjiao is a channel for qi and blood, the invasion of cold will block the operation of menstrual blood, need to pay attention to the waist and abdomen, foot warmth.
3. ​The cornerstone of doctor-patient trust
   • When the patient's menstrual flow increased in August, it was due to the amount of cream taken up to the standard; the decrease in September was due to the lack of adherence, corroborated by the webpage5Opinion: "Fluctuations in efficacy are normal when the course of treatment is not completed."

---

​Second, Chinese medicine regulating low menstrual flow 4 practical strategies

​type of certificate (e.g. medical certificate)	​typical symptom	​Conditioning program	​Case References
​deficiency of both qi and blood (TCM)	Low menstrual flow + weakness + dizziness	Astragalus + Angelica Sinensis + Chicken Blood Vine to replenish Qi and nourish Blood, together with the cream formula for long-term conditioning15	Kobayashi Case
​deficiency of kidney yang	Pale menstrual color + low back pain + nocturia	Cuscuta chinensis + Morinda citrifolia + Zihechuan to warm kidney yang, e.g. webpage5Use deer antler slices to fill the essence and replenish the marrow	web page5case (law)
​Blood stasis and phlegm obstruction	Dark menstrual blood + clots + bloated abdomen	Peach kernel + Safflower + Fragrance adder to invigorate Blood circulation and remove Blood stasis, together with Tongcheng and Regulate Menstruation Combination (webpage)3(a tested prescription)	web page3case (law)
​an excess of dampness in the spleen	Low menstrual flow + obesity + heavy leukorrhea	Atractylodes macrocephala + Poria + Semen Coicis strengthens the spleen and dispels dampness, e.g. webpage7Three Bean Porridge Dietary Program	web page7suggestion

---

​Third, baby moms must see: 3 at home regulating menstruation "lazy man trick".

1. ​therapeutic formula
   • ​Jujube and Longan Congee: 5 jujubes + 10g longan meat + 100g round-grained rice, to replenish qi, blood and tranquilize the mind (suitable for blood deficiency type).
   • ​Stewed Chicken with Squid: 200g of squid fish + 150g of chicken + 15g of wolfberry, 2 times a week, tonifying the kidney and nourishing blood.
2. ​acupressure
   • ​the three阴交 (TCM)(3 inches above the tip of the inner ankle): press and knead for 10 minutes daily to regulate the menstrual cycle.
   • ​Zhongsanli (Chinese medicine)(3 inches below the knee): Enhances the spleen and stomach's function of transportation and digestion, and promotes the production of qi and blood.
3. ​Guide to avoiding the pit
   • ❌ Hormones: short-term effects but damage to the liver and kidneys (e.g. webpage)5(Criticized as the "blood-breaking method").
   • ❌ Blind gua sha: gua sha will aggravate fatigue when the deficiency of yang qi in a deficient person (e.g., gua sha worsened the symptoms during Xiao Lin's initial diagnosis).

---

​Fourth, Chinese medicine enthusiasts must read: the treatment of menorrhagia 3 cognitive misunderstandings

1. ​Myth 1: Low menstrual flow = premature aging
   • Truth: Decreased menstrual flow may be due to deficiency of qi and blood or phlegm-dampness blockage, which needs to be diagnosed and treated. As the page3Case of successful pregnancy through 3 months of conditioning.
2. ​Myth 2: Mild cases can heal themselves
   • Truth: Modern women generally have "invisible deficiency", such as webpage5Miscarriages/late nights/stress were identified as the three main causes requiring proactive intervention.
3. ​Myth 3: Winter is not a good time to take tonic
   • Truth: winter closed for the key to health, you can take cream (such as Kobayashi case) or angelica ginger mutton soup warm tonic

A deficiency of qi and blood does not form overnight, just like saving money, not all at once, and deficits do not appear instantly.

The loss of qi and blood is the result of a slow accumulation, so the recovery can only be slowly, do not be in a hurry to think of a good complement. For example, some baby moms may be long-term labor, stay up late with the baby or work, or irregular diet, or emotional internal consumption, all of which will deplete qi and blood.

It would be unrealistic to think that a few doses of tonic medicine or a few meals of nourishing food will replenish your qi and blood. Restoring qi and blood requires long-term adherence to a good lifestyle, such as a proper conditioning program, regular work and rest, a proper diet, and a relaxed mood in order to see results.

Often times, the condition itself is not difficult to treat, but if you don't adhere to the correct treatment, it can easily become a major problem.

A lot of what regulates low menstrual flow is that the overall qi and blood are deficient.In fact, you should usually feel that all other aspects will not be too good, if you feel that it is a pity to give up without immediate results.

Just like watering a flower, you can't just water it once and stop watering it without seeing it bloom. Adhere to the treatment program, with healthy lifestyle habits, the body can slowly get better.

Let's talk about this patient again, she had 2 periods in the middle where her menstrual flow became less again, and this is what we need to pay attention to: in September, Xiao Lin's menstrual flow had become less, and she herself mentioned that she drank cold water.Cold water can do a lot of things to your bodyThe

Human yang qi is like a small sun, maintaining the normal functioning of the body. Drinking cool water often will aggravate yang deficiency, and when yang is insufficient, the qi and blood will not be able to circulate well and flow, and it will be difficult to generate. So we must try to drink warm water on a daily basis, and in the summer as well.

That period in February was low, and I had a bad cold during that time. For those who are weak in qi and blood themselvesColds do affect menstruation.Once the cold enters the San Jiao, it will disrupt the flow of qi and blood throughout the body. Sanjiao is the body's qi and blood and water running channel, cold invasion, channel blocked, qi and blood can not properly nourish all parts of the body, menstruation will naturally be affected. So partners usually must pay attention to keep warm, strengthen the body, prevent cold, guard their own qi and blood.

Learning tips written for TCM enthusiasts

To regulate menstrual disorders, it is important to follow a course of treatment, especially when you first begin to see a patient who has a very high deficit, and you must emphasize two points:

1,Find the cause of the previous deficiencyIs it because of childbirth or miscarriage? Is it the long term use of western medicine or bad habits? Is it emotional depression or family internal conflict.If you don't help the other person find her leaks and fix them in time, you may keep taking the medication all the time and it will never work.In the end, it's a lack of confidence on the part of both the patient and the doctor.

2,State the course of treatment in advance, don't pack your patients' bags, because they must believe what you say, and once you don't deliver, they immediately lose confidence.

Nowadays, many of the methods of regulating low menstrual flow are mostly the methods of quick fixes, either on the hormone, or to activate the blood to break the blood.

So it adds to the patient's already deficient qi and blood. Often it just comes right after taking the medicine, but the next month it's not normal again.

Or good on one end and bad on the other.

Treating imaginary people is like the Tao Te Ching: if you cook a small dish.

It must be prudent to take care of the body's base, gradually replenish qi and blood, and at the same time, patients are instructed to pay attention to daily taboos to maintain health and so on.This way to regulate, not only regulate the menstruation, in fact, the whole person is regulated, and in the end, to see, in fact, slow is also fast.