1, clinical data Clinical symptoms: bouts of fever, redness, fever in the hands and feet, spontaneous sweating and night sweating, palpitation and chest tightness, shortness of breath and dizziness, insomnia and headache, emotional instability, irritability, sadness and weeping, arthralgia or back pain, memory loss, loss of libido, menstrual disorders in non-menopausal patients, abnormal skin sensation, dry stools, dry mouth and red tongue, thin and dry moss or little moss, thin or fine pulse. The number of symptoms: 52 cases of hot flashes, accounting for 61.2%; 48 cases of palpitations, accounting for 56.5%; 72 cases of insomnia, accounting for 84.7%; 42 cases of chest tightness and chest pain, accounting for 49.4%; 68 cases of emotional instability, accounting for 80.0%; 57 cases of menstrual disorders, accounting for 67.1%; 37 cases of abnormal skin sensation, accounting for 43.5%; 54 cases of sweating, accounting for 63.5%; 44 cases of shortness of breath and vertigo, accounting for 63.5%. The percentage of patients with shortness of breath and vertigo was 44 (51.8%); headache was 36 (42.4%); memory loss was 64 (75.3%); joint and back pain was 38 (44.7%); decreased libido was 21 (24.7%); and dry stool was 28 (32.9%). It can be seen that the symptoms of plant nerve dysfunction are more common. 2. Treatment method: The composition of the formula of Sanjia Yishen Tang: turtle nail 10~15g, turtle nail 10~15g, raw oyster 30~50g, raw stone cassia 15~45g, raw ochre 15~45g (the first 5 drugs are first decocted for 0.5h), raw dihuang 10g, raw peony 10g, aromatic herb 10g, scutellaria 10g, tribulus terrestris 10g, chrysanthemum 10g, far celandine 10g, nightshade 15~30g. 1 dose/d, decoction in water, divided into morning and evening, 15d for 1 course, stop all symptomatic and hormonal treatment during the treatment period. For Qi deficiency, add Radix Astragali and Radix Codonopsis; for Blood deficiency, add Radix Angelicae Sinensis and Agaricus; for Hanchu, add Rhizoma Pinelliae, Zhi Mu and Fructus Wheat; for dizziness and headache, add Rhizoma Ligustici and Rhizoma Ligustici; for menstrual disorders and loss of libido, add Epimedium Lonicerae and Zi He Che powder; for chest congestion and irritability, add Citrus Aurantium and Psidium Guajava; for insomnia, add Fructus Schisandrae, Ziziphus Macrocephalae and Radix Lamiae; for dry stools, add Rhizoma Cistanches and Phellodendron; for fecal congestion, add Rhizoma Rheum. 3.Efficacy observation Efficacy criteria Refer to the “Diagnostic Efficacy Criteria of Chinese Medicine” formulated by the State Administration of Traditional Chinese Medicine. Cured: After taking 2 courses of medicine, the above abnormal symptoms such as bouts of fever, sweating and insomnia are eliminated, and there is no recurrence within 1 year. Improvement: Most of the symptoms disappear after 2 courses of medication, but there are occasional attacks within 1 year. Not cured: After 2 courses of medicine, the symptoms did not change or were reduced, but after stopping the medicine, the symptoms were sometimes light and sometimes heavy, or became other diseases. Treatment results: 58 cases were cured, 23 cases were improved, and 4 cases were not cured out of 85 cases, of which 1 case was transferred to a psychiatric hospital for treatment of schizophrenia due to stimulation, with an overall efficiency of 95.3%. 4.Experience Menopause syndrome is a group of comprehensive symptoms of perimenopause and menopause in women due to the decline of ovarian function to disappear and endocrine disorders. As stated in Suwen Shanggu Tianzhen, “When a woman is in her seventh year, the Ren vein is deficient, the Tai Chong vein is weak, the Tianjue is exhausted, and the earth is blocked, so her form is bad and she has no children.” The phrase “bad form and no children” not only illustrates the disappearance of ovarian ovulation and the decline of the body’s functions in menopausal women, but also reflects the complexity and diversity of symptoms during this period of illness. During menopause, women experience the loss of yin and blood through birth and menstruation, and most of them show the evidence of “Yang is always surplus and Yin is always deficient”. This is consistent with the dysfunction of the hypothalamic-pituitary-ovarian-uterine axis in Western medicine in regulating the body’s endocrine function. However, most patients worry that taking hormones may lead to breast cancer and endometrial cancer, so they switch to Chinese medicine for treatment.