TCM Case Summary
Patient: Beatrice, 32, Financial Analyst
Chief Complaint:
Irregular menstruation for one year: delayed cycle, scanty/pale flow, lower abdominal pain, back/knee soreness.
High-stress job, irregular lifestyle, prefers cold/raw foods.
TCM Diagnosis:
Pattern: Liver Qi Stagnation, Spleen Deficiency, Qi-Blood Deficiency
Symptoms: Delayed/scanty menses, sallow complexion, fatigue, anxiety, pale tongue, wiry-thin pulse.
Treatment Plan:
1. Herbal Medicine: Modified Xiaoyao San + Sijunzi Tang
Base: Chai Hu, Bai Shao, Dang Gui, Fu Ling, Bai Zhu, Zhi Gan Cao, Bo He, Sheng Jiang, Da Zao
Modifications:
Cold pain: +Ai Ye, Xiang Fu
Qi-Blood Deficiency: +Shu Di, Huang Qi
2. Acupuncture (2x/week): CV4, SP6, LR3, ST36, SP10
Effects: Soothe liver, tonify Qi/blood, regulate cycles.
3. Diet & Lifestyle:
Avoid cold/raw foods; eat Qi-blood nourishing foods (red dates, longan, yam, goji berries).
Improve sleep, avoid late nights, do yoga/Tai Chi.
Outcome:
After 2 months, menstruation normalized, symptoms improved, energy and mental state enhanced.
Conclusion:
Liver Qi Stagnation & Spleen Deficiency-induced menstrual irregularities can be effectively treated with TCM (herbs, acupuncture, and lifestyle changes) to restore balance and regulate cycles.
