This is a gynaecological condition found in women over 18 years of age without menarche, or in women whose regular menstruation has stopped for over three months.
Differential diagnosis: Patients with depletion of blood may suffer from gradual retardation of menstruation and gradual reduction of vaginal discharge until the menstrual flow is stopped. If accompanied by dizziness, tinnitus, soreness and weakness of waist and knees, dryness in mouth and throat, hotness in heart, palms and soles, tidal fever with sweating, red tongue, and wiry and thready pulse, it is caused by deficiency of liver and kidney. If accompanied by heart palpitations, mental fatigue and physical weakness, loss of appetite, passage of loose stool, pale tongue, and thready and weak pulse, it is caused by deficiency of spleen and stomach.. And if accompanied by pale complexion, pathological leanness of body, pale tongue, and thready pulse, it is caused by blood deficiency. Patients with stagnation of qi and blood may suffer from amenorrhea, mental depression, restlessness, anger, distension of chest and flank, distension of lower abdomen with pain, dark purple tongue with petechiae, and deep and wiry pulse. Patients with coagulation of blood by cold pathogens may suffer from cold body and limbs, cold and pain in lower abdomen,
white tongue coating, and deep and slow pulse. Patients with blockage of phlegm and dampness may suffer from obesity, distress and fullness in chest and flank, mental and physical fatigue, profuse discharge of leukorrhea, greasy tongue coating,, and rolling pulse.
Treatment:
Foot massage: The massage is applied to pituitary gland (4), kidney (22), reproductive gland (36), thyroid gland (12), coeliac plexus (20) and adrenal gland (21) reflecting areas. The foot is held by the physician with one hand and the knuckle of flexed first interphalangeal joint of the other index finger is used to apply massage from the toes to heel or on the correspondent reflecting areas on foot 4-6 times (Fig. 80).
Foot acupuncture:
Meridianal acupoints: At Xiaxi (GB43), Shuiquan (KI 5), Dadun (LR 1), Xingjian (LR2), a reinforcing technique with moxibustion is applied to patients with depletion of blood, and a reducing technique without moxibustion is applied to patients with stagnation of blood. The needles are retained for 20 minutes and the moxa cone is changed 3-5 times.
External application of drugs:
1) Radix et Rhizoma Rhei (Dahuang) 128 gm, Natrii Sulfas (Mangxiao) 64 gm, Radix Bupleuri (Chaihu) 32 gm, Fructus Trichosanthis (Gualou)">Fructus Trichosanthis (Gualou) 32 gm, Semen Persicae (Taoren) 32 gm, Radix Angelicae Sinensis (Danggui) 32 gm, Radix Rehmanniae (Shengdihuang) 32 gm, Flos Carthami (Honghua) 32 gm, Squama Manitis (Chuanshanjia) 32 gm, Rhizoma Zedoariae (Ezhu) 32 gm, Rhizoma Sparganii (Sanleng) 32 gm, Chuanxiong (Rhizoma Chuanxiong) 32 gm, Olibanum (Ruxiang) 22 gm, Myrrha (Moyao) 22 gm, Cortex Cinnamomi (Rougui) 22 gm and Radix Aconiti (Chuanwu) 10 gm are fried in sesame oil with Huangdan (yellow lead) and finally mixed with Huaruishi (ophicalcite) 32 gm and Xuejie (dragon's blood) 15 gm to prepare a paste for application over the reproductive gland (36) and other correspondent reflecting areas on foot for patients with qi and blood stagnation.
2) The powder of Hujiao (white pepper) 9 gm, Huangdan (yellow lead) 9 gm and Huoxiao (saltpetre) 9 gm is mixed to prepare three small cakes for application over the reproductive gland (36) and other correspondent reflecting areas on foot for patients with accumulation of cold and damp pathogens.
3) Fresh Wutongpi (bark of Chinese parasol tree) 150 grn is boiled in water with Awei (asafetida) 90 gm to prepare a paste for application over the coeliac plexus (20) and other related reflecting areas on foot.