Menstrual disorder is a common gynecological disease, manifested by abnormal menstrual cycle or bleeding volume, or abdominal pain and systemic symptoms before and during menstruation, which may be caused by organic lesions or functional disorders. The main manifestations are: 1. Early menstruation: The menstrual cycle is normally normal, but suddenly the menstrual cycle is shortened, shorter than 21 days, and more than 2 cycles in a row, but the menstrual volume is normal. 2.Delayed menstruation: usually regular menstruation, delayed menstruation for more than 7 days, or even 40-50 days a line, and more than two consecutive menstrual cycles, but the amount of menstruation is normal. 3.Prolonged menstruation: normal menstrual cycle, normal menstrual volume, but prolonged menstruation, more than 7 days, or even 2 weeks. Those with inflammation usually have pain in the abdomen, which is aggravated during menstruation. The usual leucorrhea is abundant, yellow or yellowish white, thick and tasty. 4.Menstrual disorders: irregular menstruation, early or delayed menstruation, cycles shorter than 21 days, or longer than 35 days. 5.Midmenstrual bleeding (also called intermenstrual bleeding, ovulatory bleeding): refers to bleeding that occurs in the middle of two regular and normal menstrual cycles, which is caused by the loss of hormonal support of the endometrium due to a brief drop in estrogen levels. The main types of TCM treatment for menstrual disorders are as follows: 1. Qi and blood deficiency type: early or delayed menstrual cycle, increased or decreased menstrual volume, prolonged menstrual period, light color, thin texture. The pain in the abdomen, dizziness, fatigue, pale or yellowish face, loose stools. The tongue is light red and the pulse is weak. Treatment is recommended to tonify both Qi and Blood. Representative formula: Gui Spleen Tang. Atractylodes Macrocephala, Radix Angelicae Sinensis, Poria Cocos, Radix Astragali, Longan Flesh, Yuan Zhi, Zizyphus Sour, Muxiang, Licorice, Ginseng, plus ginger and jujube. 2, blood cold type: delayed menstruation, low volume, dull color with blood clots. Cold pain in the abdomen, relieved by heat, cold in the extremities. White fur, sunken and tight pulse. Treatment is to warm the menstruation and disperse cold. Representative formula: Warming the Menstrual Flow with Addition. Radix Angelicae Sinensis, Paeonia lactiflora, Chuanxiong, Gui Zhi, Ginseng, Dampi, Curcuma longa, Mugwort, Niubizi, Licorice, etc. 3. Blood-heat type: early menstruation, bright red or purple or deep red menstrual blood, viscous and thick, heart and chest distress, red face and dry mouth, dry throat and dry mouth, flushed face, yellow urine and constipation, red tongue with yellow fur. Treatment is to clear heat and cool the blood. The representative formula is Zhi Bai Liu Wei Di Huang Wan Plus. Radix Rehmanniae Praeparata, Cornu Cervi Pantotrichum, Yam, Mudanpi, White Poria, Zeligia, Phellodendron, Zhi Mu, etc. 4.Qi stagnation and blood stasis: irregular menstrual flow, high or low menstrual flow, purple-red color, blood clots, and irregular menstruation. It may be accompanied by pain in the abdomen and refusal to press, or distension and pain in the chest, breasts and abdomen, stuffiness in the epigastric region, purple and dull tongue or stasis points, thin white or thin yellow coating, string or astringent pulse. Treatment is to activate blood circulation, resolve blood stasis, regulate qi and relieve pain. The representative formula is Prosperity San combined with Blood Mansions and Blood Stasis Soup plus reduction. Radix Angelicae Sinensis, Peach kernel, Safflower, Citrus Aurantium, Radix Paeoniae Alba, Radix Bupleurum, Fructus Fructus, Hersheypi, Poria, Yuanhu, Chuanxiong, Niubizi. 5. Deficiency of spleen and kidney: irregular menstrual cycle, low volume, light red or dull red color, thin texture. Soreness and weakness of the waist and knees, heel pain, dizziness and tinnitus, or cold abdomen, or excessive nocturia. The tongue is pale, the pulse is weak or sluggish. Treatment is to tonify the kidney and regulate menstruation. Representative formula Warming Menstruation Tang. Wu Zhuyu, Angelica sinensis, Chuanxiong, Paeonia lactiflora, Ginseng, Gui Zhi, Agaricus, Mudanpi, Ginger, Licorice and Semen. Patients with menstrual disorders should pay attention to self-care in daily life: 1. Maintain hygiene and prevent infection: for long-term menstrual disorders should pay attention to the hygiene and cleanliness of the external genitalia and never have sex during menstruation. Pay attention to keep warm and avoid cold stimulation. Avoid overwork. Avoid eating brown sugar if you have a lot of menstrual blood. 2. Prevent excessive dieting, quit smoking and limit alcohol: pay attention to your diet structure, consume more lean meat, cereals, dark green leafy vegetables and calcium-rich foods. 3, keep a happy spirit, avoid mood swings: long-term menstrual disorders do not need to worry too much, individual in the menstrual period with lower abdominal distension, lumbar acidity, breast pain, mild diarrhea, easy fatigue, drowsiness, emotional instability, irritability or depression, etc., are normal, do not need to be overly nervous. 4, should not eat cold, sour and spicy food and other irritating food, drink more water, keep the bowel movement smooth. 5, pay attention to the underwear soft, cotton, ventilation and good performance, to wash and change, change of underwear should be put in the sun dry.