The diagnosis of amenorrhea is complex and the treatment is difficult. As far as the concept is concerned, primary amenorrhea in women over 18 years of age who have not yet had their first menstruation is mostly due to congenital deficiency of endowment or other diseases, and is considered a deficiency. Secondary amenorrhea for menstruation stopped more than 6 months, the actual symptoms of the treatment is easy to disappear, and with the prolongation of the disease, can be from the actual to deficiency, so the amenorrhea symptoms purely real evidence is rare, mostly deficiency and deficiency mixed evidence. For the recognition of deficiency, there is a difference between the deficiency of local Qi and blood and the deficiency of Qi and blood of the whole body, sometimes, the whole body does not have obvious deficiency symptoms, but manifests as local deficiency of Qi and blood. Clinically, in addition to the body fat full of phlegm and dampness amenorrhea, are deficiency evidence. The scriptures say: “The woman is seven years old, the kidney is strong, …… two seven and the heavenly sebum to, the Ren vein is open, the Tai Chong vein is strong, the menstruation to time down”. The kidney division of reproduction, menstruation stopped is a sign of low or lost reproductive function, so the basic pathogenesis of amenorrhea is kidney deficiency. In addition, due to the long duration of amenorrhea, stasis can eventually occur regardless of the etiology of the disease, either due to deficiency causing stasis or due to actual stasis. Thus, the deficiency of the kidney and blood stasis are the root cause of the disease, but blood stasis is only manifested at a certain stage of amenorrhea. I have been in the medical field for more than 30 years and have accumulated some experience in the treatment of this disease, and now I would like to collect the main points and present them below. 1, focus on the treatment of the kidney, as well as regulating the liver and spleen, adjuvant to resolve blood stasis “menstrual water out of the kidney”, kidney deficiency is the cause of the disease, so the treatment of amenorrhea should focus on nourishing the kidney, the clinical prescription is often raw earth yellow, Shu Di Huang, He Shou Wu, Chinese wolfberry, Cornus officinalis, Mulberry, Turtle Board Gum, as well as Cuscuta, Baji Tian, Chuan Jian, Du Zhong, Epimedium, Raspberry, Purple Quartz The main medicine. The liver collects blood, is responsible for draining and regulating the qi flow, and the impulse is attached to the liver, which is closely related to menstruation in women; the main component of menstruation is blood. The spleen is the source of Qi and blood biochemistry, and is the master of blood control. Menstruation depends on the water and grain essence of the latter part of the body to produce, and the spleen has the middle qi to control. Because stagnation can occur at any time during amenorrhea, in addition to treating the kidneys, the liver and spleen should be regulated to resolve stasis. In clinical practice, we often use Xiang Xiang, Chai Hu, Citrus Aurantium, Mu Xiang, Chen Pi, Sha Ren, Jiao Shan Zha, Mudan Pi, Dan Shen, Chuan Xiong, and Chuan Niu Kne in the kidney tonics, so that the liver qi can be released, the spleen qi can be healthy, the stagnation can be removed, and the menstrual flow can be smooth, so that the menstruation can follow the time. 2, according to the phases of the menstrual cycle, the prescription of medicine, timing and attack Menorrhagia in the treatment of fashion must be based on the law of Yin and Yang in the menstrual cycle, grasp the characteristics of each phase of the cycle, according to the timing of medicine, timing and attack. The author summarized decades of clinical experience and formulated a treatment pattern of the cycle of “tonifying the kidney (kidney yin-based) – tonifying the kidney and activating the blood – tonifying the kidney (kidney yang-based) – activating the blood and moving the qi”. The basic formula is Angelica Sinensis, Radix Paeoniae, Radix Rehmanniae, Cornus Officinalis, Epimedium, Radix Aromaticae, and Radix et Rhizoma. In the late menstrual period, Fructus Lycii, Radix et Rhizoma Polygonati, Radix Polygonati, Rhizoma Polygonati and Radix et Rhizoma Tortoise; in the ovulation period, Radix Salviae Miltiorrhizae, Radix Salviae Miltiorrhizae, Rhizoma Cyperus and Radix Astragali are added to promote ovulation. During menstruation, we use Blood Activation and Menstruation Soup (Radix Angelicae Sinensis, Chuanxiong, Radix Paeoniae Alba, Tao Ren, Safflower, Zelenia, Salviae Miltiorrhizae, Radix Aromaticus, Chuan Niu Kne) as an addition and subtraction. If it is cold, add Ocimum sanctum, ginger, cumin and cinnamon; if it is hot, add Dampi, Rhubarb, Shengdi and Yujin. In order to guide treatment, patients should undergo necessary and systematic western medical examinations, such as routine gynecological examination (internal examination), ultrasound, diagnostic scraping and endometrial biopsy, hysterosalpingogram, laparoscopy, hysteroscopy, basal body temperature (BBT) measurement, vaginal exfoliated cells and cervical mucus crystallization examination, endocrine function measurement, pteroangiography or CT CT examination, etc. If the uterus is dysplastic, we can use blood and flesh products such as deer horn gum and purple river carp in the kidney tonic. If the patient has polycystic ovary syndrome, it often manifests as obesity, hirsutism, bilateral ovarian enlargement, ovarian envelope thickening, LH/FSH ratio greater than 2?5, mostly due to kidney deficiency and Qi-transformation disorder, fluid coalescing into phlegm in the lower jiao. The amenorrhea of hyperlactatemia, often with breast overflow and breast pain, is due to the loss of liver drainage, liver blood can not be injected into the uterus for menstrual blood, but upward rebellion for breast, should be liver and kidney treatment, the proposed method of tonifying the kidney and liver, often in the kidney tonic with Xia Gu Cao Cao, Chai Hu, Citrus aurantium, green peel, malt, peppermint, etc.; Western medicine can be added to take bromocriptine, vitamin B6 as appropriate. In the case of Silhan’s syndrome, the body is commonly wasted, the face has no color, the skin is not lustrous, hair loss If the syndrome is due to postpartum hemorrhage, blood loss, loss of essence and loss of nourishment, ginseng nourishing glory soup with Zihe Che, Epimedium and Deer horn gum should be used to nourish essence and blood; western medicine can be supplemented with estrogen, progesterone, testosterone, prednisone and thyroxine as appropriate. In case of high insulin and high testosterone anovulatory syndrome, amenorrhea, leucorrhea, dry mouth, constipation, and black echinoderma on the back of the neck, axilla, and vulva in a few patients are mostly due to deficiency of liver and kidney yin and dryness of the flush. In case of premature ovarian failure, in addition to amenorrhea, menopausal syndromes such as fever and sweating, irritability and insomnia, vaginal dryness, and atrophy of the reproductive organs are also seen, the Chinese medicine treatment should be applied to nourish Yin and lower fire, harmonize Ying and Wei, nourish the heart and spleen, and sweeten and nourish the body. Western medicine can be used to stimulate follicle development followed by HCG to induce ovulation, and prednisone can be added for those with premature immune failure. In addition, estrogen and progestin replacement therapy is still available. Because of the long duration of amenorrhea and the complexity of its diagnosis, Chinese medicine treatment is slow but has no side effects. Western medicine treatment sometimes has immediate effect, but has certain side effects. Therefore, sex hormone therapy should not be applied for more than 3 months to avoid disuse degeneration of ovarian function.