If you are 49 years old and don’t have your period, you can rule out pregnancy and other causes, and then you can consider that it is a normal menopause. If there is any discomfort, it should belong to the symptoms before and after menopause, and can be treated with traditional Chinese medicine. Before and after menopause, along with menstrual disorders, there may be symptoms such as “five heart-heat” (heat in the hearts of the hands and feet, and feeling hot in the heart and chest), paroxysms of baking heat and sweating, palpitations (rapid heartbeat, often accompanied by panic attacks) and insomnia, etc. Such symptoms are evidence of pre and post-menopause, and the common causes are kidney yin deficiency and kidney yang deficiency. 1. Kidney yin deficiency can be treated with Liu Wei Di Huang Wan, which has the effect of nourishing yin and tonifying the kidneys, and can be used to treat dizziness and tinnitus caused by kidney yin deficiency, lumbar and knee soreness and weakness (a feeling of soreness and weakness of the lumbar and knee), and night sweating (abnormal sweating after falling asleep, but sweating stops after waking up). The adverse reactions and contraindications of this drug are not clear. It is noted that cold and flu medicines should not be taken while taking this drug. 2. Kidney-Yang deficiency can be treated with Right Angelica Pill, which warms and nourishes Kidney-Yang (warming and replenishing the kidney’s yang qi), fills the essence and stops ejaculation (filling up and stabilizing the essence, preventing spermatorrhea and ejaculation). It is used for soreness and coldness of the waist and knees, mental weakness, timidity, coldness and fear of cold, loose stools, frequent and clear urination due to deficiency of kidney yang (lack of yang qi in the kidneys). The adverse effects and contraindications of this drug are not known. If you are 49 years old and your menstruation has been absent for a long time, go to the hospital as soon as possible, and cooperate with the doctor’s examination to clarify the specific cause of the disease to be treated accordingly. Do not take medication on your own.