Patient:Ms Tan, Age 22
Date:20 Feb 2022,First Visit
Main Problem:Menstruation has extended for few months.
When this young lady walks into the room, she looks slim and weak. Her face looks pale. I guess she is anaemia type. Miss Tan tells: “Hi TCM Doctor, my problem is menstruation has extended for few months.”
I ask: “How many months?”
Miss Tan replies: “It stopped since so long ago; I did not record so I could not remember the exact date.”
The patient’s main issue is extended menstruation period for few months. She did not experience period stomach ache since young. Not much leucorrhea. She likes picky to food, take more meat than vegetable. Occasionally, she has irregular meal. For instance, she hardly takes breakfast in the morning. In additional, she is a fresh graduate, and having a transition period to adapt to the new working environment, so she is having some anxiety. The anxiety emotion has affecting the digestive system and causing a weakening functional system of the stomach.
Since young, the patient has a problem of indigestion, and always be sensitive to dairy products. Whenever she takes milk, she will get a diarrhea; heated milk will cause a stomachache. After meal, she will give a loud belch. She seldom drinks water. But she likes ice water and drinks it twice a week. Her lifestyle is like the contemporary youngster society. She weak up early and sleep early only during working days, but during the weekend she will sleep later than twelve o’clock, and wake up later than ten o’clock.
Since she is young, like others, girls love pretty. She observed there are some dark color speckles appearing on the skin. She is eager to know if by giving the treatment to the menstruation, whether it will helps to reduce the speckles.

I ask: ”How long the speckles been there on the skin?”
The patient answers: ”I don’t know.”
So I change my question, how is your bowel movement? Then I found that she has the problem of constipation since young.

Last time when she was young, she only gets a bowel movement twice in a week, now getting better as she has a bowel movement within 2-3days.
History: Floaters of eye for more than ten years.
06-03-2022 Revisit:
The patient revisits us. The issue of menstruation still not resolved.
03-04-2022 Revisit:
After twice prescriptions, the menstruation resume on mid of Mar. Lmp=17-20/3/2022. The volume of the period is heavy flow cum little blood clots.
17-04-2022 Revisit:
Lmp=15/4/2022 resume the second menstruation cycle. When the patient stand for long hours, she feels the stomach seem likes bearing down. Feel emotional before the menstruation cycle started. She encounters better bower movement during the menstruation cycle.
15-05-2022 Revisit:
Feels breast distended before menstruation cycle resume. Currently, she does not feel bloated stomach.
However, she always feels belching. The patient does mention the speckles issue on the skin.
29-05-2022 Revisit:
Lmp=21-28/5/2022. This time still no stomach ache during menstruation and no blog clots. Due to the three months regular cycle pattern of menstruation, the remedy of menstruation stopped for few months consider a successful one. We advise her to take good care of the body and maintain a healthy life style in the near future.
Diagnosis Analysis:
The patient main issue with extended menstruation for few months has been reported.
As per outlook, she is a slim lady which determined by pulse showing that her kidney is weak and digestive system as well. Her face is pale. The sleeping pattern of late night sleep and late waking up such as sleep after 12am and wake up at 10am is considered irregular lifestyle. She is picky at food, prefer much for meat and dislike vegetables. In the normal days, she has irregular meal styles at odd hours. She never has had her breakfast. She intend to drinks ice water twice in a week. Due to long period of neglecting to take good care of stomach, she encounters indigestion issues gradually. This issue cause her absorption of food nutrition in the stomach become weaker hence when she drinks milk she will have a diarrhea, when she drinks hot milk, she will get stomach ache. By using the oral prescription of herbal medicine, it helps to improve her bowel movement to a more frequent basis. It helps strengthening the movement of the intestine and colons , and also helps farting more than last time.
By taking the herbal medicine twice, the menstruation cycle tuned back to normal. She is co-operative and listening to our advice to adjust her lifestyle to a healthy lifestyle.
So what she has done during the treatment period?
Some tips for our daily life styles:
- We need to do more protection for body such as cover our neck, our waist and belly button, feet etc. Wear think jacket when we stay in a cold environment.

- Sleep earlier than last time, cultivate a good sleeping lifestyle, that is, sleep early and wake up early in the morning.

- Try make it a balancing meal and not choosy. Maintain a regular pattern of three meals per day with adequate volume of food.

- Dry the head right after washing the hair.
- Avoid cold drinks or icy drinks and cold food taken right from the refrigerator.

- If for a cold category of body, especially ladies, mostly advise to take warm and cooked food instead of cold one.

- Maintain a good habit of bowel movement.

- Maintain good relationship with family and friends, and always be a pleasant and calmful person.

Nourish blood with nutritious food :
For instance, brown sugar ginger tea, red bean soup, edible amaranth, red dates etc.

Fresh vegetables such as: rich iron spinach, black fungus, mushroom food. Although we do not gain the blood once we consume the vegetables, but these vegetables are rich in Vitamin C, enable the transform of iron and reuse it to make the hemoglobin.
In additional, we could obtain hemoglobin iron from the blood of animals, meat, and internal organ.
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