Having a baby is as sacred as a girl’s duty, but after giving birth, entering the breastfeeding stage is a special period because your physical condition will also have some impact on your health. Small menstrual flow during lactation is one of the common diseases among many women. Don’t worry if your menstrual flow is light. Here are some solutions for you. Principles of TCM syndrome differentiation and treatment 1. Syndrome differentiation is based on kidney deficiency and blood deficiency. For late menstruation and scanty menstruation, traditional theory believes that syndrome differentiation should be divided into deficiency and excess. Deficiency includes kidney deficiency, blood deficiency, yin deficiency, and yang deficiency. There is cold stagnation, qi obstruction, and phlegm stagnation. Based on my long-term clinical experience, I believe that although scanty menstruation in the late menstrual period can be divided into deficiency and excess, deficiency is the main symptom, and kidney deficiency, blood deficiency, and Chong and Ren disorders are the main pathogenesis. Because menstruation is regulated by the kidney-tiangui-chongren-uterus axis, any abnormality in any link will lead to menstrual disorders. The fullness of kidney essence and qi is the driving force and material basis for the production of menstruation and maintaining a regular and constant period volume, so the role of the kidney is particularly important. Clinically, the common causes are late menstruation or oligomenorrhea due to congenital deficiency, weak constitution or multiple childbirths, multiple curettages damaging Chong and Ren meridians and wasting kidney essence, or blood deficiency, long-term illness leading to Qi and blood deficiency, weak spleen and stomach, insufficient Qi and blood, and failure to fill the blood sea on time. Treatment regulates the kidney and replenishes essence, treats the root cause, nourishes blood, replenishes Qi and cultivates its source. In response to the above-mentioned pathogenesis and syndrome differentiation, I have formulated a treatment method based on regulating the kidney and replenishing essence, warming and moistening the menstruation, nourishing blood and replenishing qi, based on the basic formula for regulating menstruation, with additions and subtractions to the formula. The combination of these medicines can regulate the kidney, improve essence, replenish qi and nourish blood. It can make the kidney essence sufficient and the qi strong, the qi and blood overflowing, the Chong and Ren meridians be nourished, and the menstrual blood will naturally be full and flow out on time. The formula focuses on kidney deficiency and blood deficiency, and regulates the kidney mainly by invigorating essence, while nourishing blood while not forgetting to invigorate qi. At the same time, when using medicine, pay attention to warming the blood, activating blood circulation, and cooling blood such as Cortex Moutan, Red Peony Root, Salvia Miltiorrhiza, etc. Do not use yin-softening, nourishing, and cold products to avoid blood stasis and blood circulation affecting the circulation of Qi and blood. In modern medicine, most people think that the scanty menstrual flow is related to poor follicular development or anovulation. Therefore, ovulation induction is the main part of menstrual regulation treatment. In addition to the basic prescriptions for regulating the kidney and benefiting the essence, nourishing the blood and invigorating the qi, I think the medication should be added or subtracted according to the patient's physical constitution. Integrating the knowledge and using the collateral-activating products to promote ovulation, if the patient is obese and has much phlegm or is hairy, the expectorant drugs should be combined with the addition or subtraction of drugs to eliminate phlegm, eliminate dampness and dredge the collaterals. If the phlegm and dampness turn into heat or if there is exogenous damp-heat, the products that clear away heat, eliminate dampness and dredge the collaterals should be appropriately added. If the patient is depressed and irritable by nature, the products that soothe the liver and dredge the collaterals should be added. The products that activate blood and dredge the collaterals can be used in the middle of the menstrual period or throughout the entire menstrual period. Menstruation is a physiological characteristic of girls. The small amount of menstruation during lactation may be caused by cold factors, so you need to nourish your body and adjust your own condition. You should also think more about the health of your baby. Eat more blood-enriching foods to promote blood circulation and unblock the meridians. Red dates and brown sugar are the first choice for promoting blood circulation. |
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