Zhang, female, was born on 1983-9-20. Beijing Pinggu native, employee. Initial diagnosis on 2013-6-24: Complaint: menstrual irregularities for 3 months. Last 2013-3-20, with menstruation for 4-5 days, with poor color, quality and quantity. Pain in the left temple, easily bored, dizzy and easily awake. No overflow of milk, food intake and stool are normal. Married with a son. Sexual life 1-2 times a month. Denies other diseases. The tongue is red with greasy coating and a thin pulse. Prescription: 1. Check sex hormones. 2. Chai Hu 10, Dry Lotus 10, Chaste Tree 15, Huo Su Stem 10, Chuanxiong 6, Angelica Dahurica 6, Agaricus 10 (closed), Acacia 10, Chrysanthemum 10, Xia Gu Cao 10, Bai Shao 30, Lycopodium 10, Salvia 30. 7 payments. 13-7-23 Follow-up: Headache, low nasal intake. PRL:59.9ug/L (reference value: 5.18-26.53 ug/L). Prescription: Tu Fu Ling 30, Kun Cao 15, Chicken Nei Jin 10, Chai Hu 6, Huo Su Stem 10, Jiao Si Xian 10, Chicken Blood Vine 30. 7 payments 13-7-30 Follow-up: last menstruation 7.26, low volume, color and quality, 3 days finished. PRL: 25.09 ug/L. MRI: no abnormality in pituitary gland. Prescription: Araliaceae 10, Radix et Rhizoma Polygonatum 20, Radix et Rhizoma Malva 15, Poria Cocos 30, Rhizoma Bamboo Leaf 10, Radix et Rhizoma Chicken Blood 10, Radix Hopsophora 10, Radix Puerariae 10, Radix Salviae Miltiorrhizae 30, Radix et Rhizoma Tortoise 20 (first), Radix Cuscutae 10, Radix et Rhizoma Sempervis 15, Radix Paeoniae 15. 7 treatments. 13-8-6 Follow-up: Occasional headache. Red tongue with greasy coating in the center and thin pulse. Prescription: Dry lotus herb 10, Chasteberry 30, Tu Fu Ling 30, Wei Ling Xian 10, Pig Fu Ling 20, Huo Su Stem 10, Pueraria Mirifica 10, Salviae Miltiorrhiza 30, Paeoniae 30, Chrysanthemum 30, Radix Rehmanniae 10, Glycyrrhiza Glabra 6, Fried Job’s Tears 30. 7 payments 13-8-13 Follow-up: Headache, acne, pain in the temples, restless sleep, leucorrhoea, waist not sore. Tongue red, moss thin, pulse thin. Prescription: Bacopa monniera 6, Chuanjian 6, Yinhua 20, Fu Ling 15, Chuanxiong 6, Ge Gen 20, Atractylodes macrocephala 15, Acanthopanax 10, Salvia 20, Dry Lotus 30, Muxiang 6, Acorus calamus 6. 7 treatments. 13-8-27 follow-up: PRL: 19 ug/L. Occasional headache, leucorrhea normal, last 8.22, color, quantity and quality are all acceptable. Pale tongue with white coating and thin pulse. Prescription: Jiao Si Xian 10 each, Huo Su Stem 10 each, Cinnamon 4, Lady’s Mantle 10, Dry Lotus Grass 10, Chicken’s Blood Vine 10, Pueraria Mirifica 10, Cuscuta 20, Poria 20, Sha Ren 6, Salviae 15. 7 payments. Case study: Hyperprolactinism is a common clinical condition. In women, it causes amenorrhea, overflowing breast, infertility, and in men, decreased libido, lack of erection, breast development, etc. In this case, the main complaint is irregular menstruation, and the combination of pulse and symptoms should be: deficiency of essence and blood, liver qi stagnation, and spleen failure to transport and transform. …. The “Suwen” Shanggu Tianzhen said, “The Ren pulse is open, the Taichong pulse is strong, and the menstrual events are under the time.” Liver Qi does not soothe and kills Spleen and Earth, injuring Essence and Blood and stagnating the source of transformation. Treatment should be to tonify essence and blood, dredge the liver and strengthen the spleen. Erzhi Pill with added flavor. After 2 months of treatment. Menstruation returned to normal.