中文版
基本概况
月经的规律与否，往往是身体整体健康状况的晴雨表。在中医看来，形体偏胖往往伴随着”痰湿”的问题，这会阻碍气血运行，从而导致月经紊乱。
患者信息
- 女性，38岁，体型偏胖
- 主诉：月经周期紊乱3年
- 症状：月经2-3个月来一次，经血色暗有血块，经期小腹胀满、腰部隐痛，白带量多质黏稠
问题分析
西医观点
过多的脂肪组织会影响激素分泌，导致胰岛素抵抗和雌激素、孕激素失衡，造成排卵不规律和月经周期紊乱，常见于多囊卵巢综合征（PCOS）。
中医观点
中医认为，月经规律与脾、肝、肾及冲任二脉密切相关。肥胖常与”痰湿”有关，痰湿内阻，气机不畅，使得经血运行受阻，正如河道被淤泥堵塞，水流自然不畅。
中医辨证
结合临床症状，辨证分析如下：
体型偏胖 + 白带黏稠 → 痰湿内阻 身体转化和运输水液的能力受损
月经延后 + 血块 → 气滞血瘀 气无法顺畅推动血液通过经络
病程长 + 腰痛 → 肾虚 长期疾病已影响主管生殖的肾系统
综合诊断：以痰湿内阻为本，肝郁血瘀为标，兼及肾虚
调理方案
治疗原则：从整体入手，恢复冲任的正常调控功能
治疗策略：健脾化湿 + 疏肝理气 + 活血调经 + 滋养肝肾
中药配方（在医师辨证指导下）：
- 苍附导痰丸 - 化痰祛湿、调理月经
- 桃红四物汤 - 活血化瘀、改善经行不畅
- 女贞子、旱莲草 - 滋养肝肾、稳定月经周期
- 益母草 - 活血利经、助经行顺畅
重要提示：具体药物组合与剂量因个体情况而异。本案例描述的是一位患者的调理方案，不应作为他人的处方使用。
调理效果
经一段时间调理后，患者反馈明显改善：
- 周期规律性 - 月经周期由2-3个月一次 → 约35天一次
- 经血质量 - 血块消失，经血流畅
- 症状缓解 - 经期腰酸及腹胀明显减轻
- 整体健康 - 身体更轻盈，疲劳感减轻，精力改善
案例启示
- 整体平衡 - 月经紊乱往往不是单一器官问题，而是整体失衡的表现
- 体质调理 - 对体型偏胖、月经稀发女性，祛湿+调气血+扶正尤为关键
- 长期稳定 - 症状改善后，应由”以通为主”逐步过渡到”以稳为要”
- 个体差异 - 效果因个人体质、病情严重程度及配合程度而异
总结
中医调经核心，不是强行干预月经时间，而是恢复身体自身节律与平衡。当痰湿得化、气机通畅、血脉流利，月经自然回归规律。
English version
Overview
Many women experience menstrual irregularities without realizing that their body constitution—specifically weight and metabolism—can be the root cause. In TCM, excess weight often indicates “Phlegm-Dampness” (痰湿) obstructing Qi and Blood flow.
Patient Information
- Female, 38 years old, overweight
- Chief complaint: Irregular menstrual cycles for 3 years
- Symptoms: Periods every 2-3 months, dark blood with clots, abdominal bloating and backache during periods, excessive sticky vaginal discharge
Problem Analysis
Western Medicine View
Excess adipose tissue influences hormonal production, leading to insulin resistance and imbalances in estrogen and progesterone, resulting in irregular ovulation and menstrual cycles (commonly seen in PCOS).
TCM Perspective
TCM recognizes that menstrual regularity relates to the Spleen, Liver, Kidneys, and Chong-Ren meridians. Obesity associates with “Phlegm-Dampness” which obstructs Qi flow, impeding menstrual blood circulation.
TCM Diagnosis
Based on clinical symptoms:
Overweight + Sticky Discharge → Phlegm-Dampness Obstruction Impaired ability to transform and transport fluids
Delayed Periods + Blood Clots → Qi Stagnation & Blood Stasis Qi cannot move Blood smoothly through channels
Chronic Condition + Backache → Kidney Deficiency Prolonged illness affecting the reproductive Kidney system
Comprehensive Diagnosis: Phlegm-Dampness as root, Liver Stagnation and Blood Stasis as manifestation, with underlying Kidney weakness
Treatment Approach
Treatment Principle: Restore the regulatory function of Chong-Ren meridians through holistic balance
Strategy: Invigorate Spleen & Remove Dampness + Soothe Liver & Regulate Qi + Activate Blood & Regulate Menses + Nourish Liver & Kidney
Herbal Formula (under professional guidance):
- Cangfu Daotan Wan - Transforms Phlegm and Dampness
- Taohong Siwu Tang - Activates Blood circulation, resolves stasis
- Nu Zhen Zi & Han Lian Cao - Nourishes Liver and Kidney
- Yi Mu Cao - Facilitates smooth menstrual discharge
Important: Herbal formulas are customized for each individual. This case describes one patient’s treatment and should not be used as a prescription for others.
Treatment Outcome
After several weeks of treatment, significant improvements were observed:
- Cycle Regularity - Improved from every 2-3 months → approximately 35 days
- Flow Quality - Blood clots disappeared, smoother flow
- Symptom Relief - Backache and bloating significantly reduced
- Overall Wellbeing - Feeling lighter, less fatigued, improved energy
Key Insights
- Holistic Balance - Menstrual disorders reflect whole-body imbalance, not isolated organ issues
- Constitutional Treatment - For overweight women with infrequent periods, resolving Dampness + regulating Qi-Blood + supporting core functions is crucial
- Long-term Stability - After improvement, shift from “clearing blockages” to “stabilizing balance”
- Individual Variation - Results vary by constitution, severity, and treatment compliance
Conclusion
TCM treatment restores the body’s natural rhythm rather than forcing menstrual timing. When Dampness clears, Qi flows smoothly, and Blood circulates freely, menstrual cycles naturally return to regularity.
有健康问题？Questions About Your Health?
如果您正经历月经不调或其他妇科健康问题，欢迎联系韓醫館预约咨询。
If you’re experiencing menstrual irregularities or other women’s health concerns, contact HanYiGuan TCM to schedule a consultation.
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