Delayed Menstruation Again This Month (10 Days Late), Last Period Was Half a Year Ago...
Why DoPeriods Transition from Delay to Absence? Six Key Risk Factors
Kidney Qi Deficiency: The "Fountain of Life" Dries Up
Harmful habits: Staying up past midnight daily, frequent abortions, extreme dieting
Body signals: Sore lower back/knees, frequent nighttime urination, severe hair loss, reduced libido
Blood Stasis Blockage: Menstrual Blood Pathways Obstructed
Sedentary office workers: Sitting >8 hours/day → 60% slower pelvic blood flow
Visible signs: Prominent sublingual veins, dark menstrual blood with clots, stabbing lower abdominal pain
Phlegm-Dampness Blockage: Obesity "Suffocates" Menstruation
PCOS warning: Body fat >30% → soaring androgens → oligomenorrhea
Typical signs: Cottage cheese-like discharge, oily face/scalp, sticky stool
Liver Qi Stagnation: Emotional Stress Halts Menstruation
Career women at risk: Anxiety/depression → blocked liver meridian → breast distension, premenstrual migraines
Vicious cycle: Missed periods worsen anxiety → anxiety aggravates amenorrhea
Cold-Induced Blood Stasis: Uterus Becomes a "Freezer"
Summer culprits: Exposed waist in AC rooms + iced milk tea → cold invasion directly attacks uterus
Palpation findings: Cold rigid lower abdomen, pain relief with heat packs
Qi-Blood Deficiency: Body Enters "Energy-Saving Mode"
Overexertion: Prolonged breastfeeding, heavy periods left untreated
Warning signs: Sallow complexion, breathlessness climbing stairs, pale brittle nails
TCM Treatment for Delayed Menstruation to Amenorrhea
Singapore Gong Fang Tang TCM gynecology expert Dr.Que Poh Yuen Albert employs the classic Bushen Huoxue Tiaojing Decoction (Kidney-Tonifying Blood-Activating Menstruation-Regulating Decoction) to restore menstrual cycles.
This proven formula contains:
Rehmannia glutinosa praeparata (熟地黄), Cuscuta chinensis (菟丝子), Lycium barbarum (枸杞子) – monarch drugs: Nourish kidney yin/yang, replenish essence
Angelica sinensis (当归), Ligusticum chuanxiong (川芎), Salvia miltiorrhiza (丹参), Prunus persica (桃仁), Carthamus tinctorius (红花) – minister drugs: Activate blood circulation, dissolve stasis
Cyperus rotundus (香附), Bupleurum chinense (柴胡) – regulate liver qi
Atractylodes macrocephala (白术), Poria cocos (茯苓) – strengthen spleen/stomach
Glycyrrhiza uralensis (甘草) – harmonize formula
Modifications:
Yang deficiency with cold intolerance: Add Cinnamomum cassia 6g + Carbonized Artemisia argyi leaves 10g
Yin deficiency with hot flashes: Add Ligustrum lucidum 15g + Testudinis Carapax Colla 10g
Phlegm-damp obesity: Add Atractylodes lancea 12g + Gleditsia sinensis spines 9g
Case Study
Patient: Ms. Zhang, 31
Complaint: Nightshift live-streaming for 3 years → menstrual cycle lengthened to 6 months → complete amenorrhea for 1.5 years. Western diagnosis: Diminished ovarian reserve (AMH 0.8).
Initial exam: Purple-dark tongue with stasis spots, deep-thin-choppy pulse.
TCM pattern: Kidney deficiency with blood stasis, liver depression & spleen deficiency.
Prescription: Bushen Huoxue Tiaojing Decoction + Cinnamomum cassia twig 10g + Degelatined deer antler 15g.
Outcomes:
Day 7: Complexion visibly improved
Day 14: Increased egg-white-like discharge (sign of recovering kidney qi)
Day 21: Persistent mild lower abdominal pain (premenstrual signal)
Day 28: Menstruation resumed, moderate flow with dark red blood and small clots
After 2 months consolidation: Cycle stabilized at 33-38 days, AMH increased to 1.2.
