Inquiring about menstruation and leukorrhea

Question 1

Early menstruation

Answer 1

1. 7-9 days early for more than 2 consecutive months
2. Flow: deep red, thick, heavy - heat in blood
3. Flow: pale, thin, heavy - qi deficiency

Question 2

Delayed menstruation

Answer 2

1. 7-9 days late for more than 2 consecutive months
2. Flow: pale, thin, scant - blood deficiency
3. Flow: purple-dark, clots, scant - cold congealing blood
4. Flow: deep red, clots, scant - blood stasis

Question 3

Irregular menstruation

Answer 3

1. 7-9 days early or late
2. Flow: purple-red, clots, scant; mastalgia - liver qi constraint/stagnation
3. Flow: pale-red, thin, uncertain amount
   a. Spleen and kidney deficiency
   
   • disorder of chong ren
   • spleen xu: early, heavy
   • kidney and blood xu: late, scant

Question 4

Painful menstruation (dysmenorrhea) - Before menstruation

Answer 4

Excess - blood and qi stagnation

Question 5

Painful menstruaiton - after menstruation

Answer 5

Qi, blood, kidney deficiency

Question 6

Menstrual block (amenorrhea)

Answer 6

1. Blood stasis
2. Liver qi “depression” and “binding”
3. Deficiency - deficiency taxation: xu lao

Question 7

Leukorrhea - Profuse, thin, white discharge with no odor

Answer 7

Cold damp - spleen and kidney yang deficiency with downward flow of cold damp

Question 8

Leukorrhea - Profuse, thick, yellow discharge with odor

Answer 8

Damp heat - downward flow of damp heat due to long term stasis of damp transforming into damp heat