Menstrual cessation

　　Menstruation cessation caused by environmental factorsIt is a temporary endocrine dysfunction that usually does not exceed 6 months, and the menstrual cycle can recover naturally.

　　Pituitary amenorrhea: In addition to amenorrhea, there are other symptoms, such as Sheehan's syndrome caused by postpartum hemorrhage, accompanied by alopecia of pubic hair and vulvar atrophy; patients with pituitary prolactinoma are accompanied by breast milk secretion in addition to amenorrhea.

　　Ovarian amenorrhea:This kind of amenorrhea is very common, such as Turner syndrome, ovarian cysts, ovarian tumors, polycystic ovary syndrome, early ovarian failure, and ovarian anovulation caused by endocrine dysfunction due to various reasons.

　　1. If young married women have long-term amenorrhea, it may lead to infertility.

　　2. Chronic amenorrhea galactorrhea syndrome can lead to uterine atrophy, turning into blood depletion, causing serious harm to women's bodies.

　　3. Amenorrhea caused by mental factors may lead to depression in some women.

　　4. Early ovarian failure due to amenorrhea has greater harm. It can cause reproductive organ atrophy, premature aging, sexual dysfunction, and may also lead to hypertension, cardiovascular and cerebrovascular diseases, uterine cancer, ovarian cancer, and other diseases.

　　1. Decreased libido

　　Sexual desire in women is caused by estrogen. The secretion of estrogen in amenorrheic women decreases, and their sexual desire may also decrease relatively. In severe cases, they may not want to have sexual intercourse.

　　2. Weight gain, sparse pubic hair and armpit hair

　　Estrogen levels in amenorrheic women will decrease, at this time, the female pubic hair and armpit hair may fall out, and the female body may become overweight.

　　3. Lack of luster in the skin, vaginal dryness

　　Amenorrheic women may also experience vaginal dryness, yellowish skin without luster, which is due to insufficient estrogen in women's bodies.

　　Preventive health care for amenorrhea:

　　Enhance physical fitness and improve health level. Strengthen physical exercise, often do health exercises or Tai Chi, and dance disco for middle-aged and elderly people.

　　Avoid mental stimulation, stabilize emotions, and keep the Qi and blood smooth. Pay attention to keeping warm during menstruation, especially below the waist. Keep the feet warm, do not step into cold water, and avoid eating raw and cold fruits and vegetables.

　　During menstruation, the body's resistance is weak, avoid heavy physical labor, pay attention to moderate work and rest, and coordinate the Qi and blood of the conception vessel and the ren meridian. Do not take cold and cool medicine during menstruation.

　　Strengthen nutrition, pay attention to the spleen and stomach. When appetite is good, you can eat more meat, poultry eggs, milk, and fresh vegetables. Avoid spicy and刺激性 food. Remove chronic lesions, do not breastfeed for too long, and be cautious when performing artificial abortion. Properly control oral contraceptives. Obese patients should limit dietary and salt intake.

　　Diagnosis of amenorrhea:

　　First, the examination of uterine function:

　　1. Pharmacological test. Pregnancy test can be used; if there is no response to progesterone, estrogen test can be performed.

　　2. Diagnostic curettage.

　　3. Hysteroscopy: Understand the depth, width, and shape of the uterine cavity for any anomalies, adhesions, and check for pathological changes in the endometrium.

　　4. Basal body temperature measurement. If it shows a biphasic pattern, it indicates that the cause of amenorrhea is in the endometrium, and the ovarian function is normal.

　　Two, examination of ovarian function:

　　1. Diagnostic curettage.

　　2. Cervical mucus crystalline examination, the presence of arranged ellipsoids on the smear indicates the influence of progesterone on estrogen levels.

　　3. Vaginal smear examination, twice a week, dynamic indirect observation of ovarian estrogen levels.

　　4. Basal body temperature shows a biphasic pattern, indicating normal ovarian function, ovulation, and corpus luteum formation.

　　5. Measure the content of estrogen and progesterone in the blood. If the level is low, it indicates abnormal or衰竭ovarian function.

　　Three, examination of pituitary function:

　　1. sella X-ray, to exclude pituitary tumors.

　　2. Measure the content of serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin (PRL). An FSH level higher than the normal value (2.5 micrograms/L) indicates hyperfunction of the pituitary and hypofunction of the ovary; an LH level lower than the normal value (6 units/L) indicates hypofunction of the gonadotropic function; if both FSH and LH levels are low, it indicates hypofunction of the pituitary or hypothalamus; an elevated PRL level indicates galactorrhea amenorrhea syndrome.

　　The following food therapy recipes can be chosen:

　　(1) Peach Kernel and Cow Blood Soup. Peach kernel 10-12 grams, fresh cow blood (coagulated blood) 200 grams, a little salt. Cut the cow blood into pieces, cook with peach kernel in an appropriate amount of water, add a little salt for seasoning when eating. It has the effects of breaking blood stasis, promoting blood circulation, and beautifying the skin. Suitable for amenorrhea, blood dryness, constipation, and other symptoms.

　　(2) Fungus and Walnut Sugar. Black fungus 120 grams, walnuts 120 grams, brown sugar 200 grams, and an appropriate amount of huangjiu (yellow wine). Grind the black fungus and walnuts into powder, mix with brown sugar, and seal in a porcelain jar. Take 30 grams each time, twice a day, until menstruation returns. It has the effects of nourishing the liver and kidneys, benefiting Qi and blood, and nourishing the Chong and Ren meridians. Suitable for amenorrhea due to underdeveloped uterus.

　　(3) Black Bean Double Red Soup. Black beans (soybeans) 50-100 grams, safflower 5 grams, brown sugar 30-50 grams. Place the first two ingredients in a pot, add an appropriate amount of water, steam until the black beans are tender, remove the safflower, and add brown sugar, mix well. It has the effects of nourishing the liver and kidneys, promoting blood circulation and menstruation, and beautifying the hair. Suitable for amenorrhea with blood deficiency and Qi stagnation.

　　(4) Pork and Turtle Meat. One turtle (Chinese softshell turtle), 500 grams of lean pork, and an appropriate amount of huangjiu (yellow wine). Slaughter the live turtle, remove the head, feet, and blood, clean, and place in a pot. Add the lean pork and an appropriate amount of water, bring to a boil with high heat, then simmer with low heat until tender. Eat in several sittings, and it is necessary to eat several turtles in order to be effective. It tonifies Qi and blood, nourishes the Chong and Ren meridians. Suitable for amenorrhea due to underdeveloped uterus and insufficient Qi and blood.

　　(5)鸽肉葱姜粥.鸽肉150 grams, chopped scallion and ginger 20 grams, minced pork 50 grams, glutinous rice 100 grams, ground pepper 1 gram, cooking wine 10 grams, sesame oil, salt, and monosodium glutamate to taste. Remove the bones and tendons from the pigeon meat, cut into pieces, place in a bowl, add pork, chopped scallion and ginger, cooking wine, and salt, mix well and set aside. Rinse the glutinous rice clean, add 1000 milliliters of water to the pot, bring to a boil, then add the pigeon meat and other ingredients, cook together into congee. When the congee is done, add sesame oil, monosodium glutamate, and ground pepper as needed. It has the effects of nourishing the kidneys and Qi, dispelling wind and detoxifying, harmonizing the blood and brightening the complexion. It is suitable for amenorrhea due to blood deficiency.

　　(6) Braised pork trotters with sunflower stalks. 250 grams of pork trotters, 10 grams of sunflower stalks. First, clean the pork trotters, remove the dirt, and put them in a pot, then simmer them over low heat until they are tender. Add the sunflower stalks, bring to a boil, and simmer into a thick juice, remove the dregs, and drink the juice. Take 2-3 times a day, 20-30 milliliters each time. It has the effects of promoting blood circulation, removing blood stasis, and resolving blood stasis. It is suitable for amenorrhea due to blood stasis. (7) Congee with dried cuttlefish, mushrooms, and bamboo shoots. 1 dried cuttlefish, 50 grams of dried mushrooms and bamboo shoots, 100 grams of lean pork and glutinous rice, 1 gram of ground pepper, 10 grams of cooking wine, an appropriate amount of salt and monosodium glutamate. Remove the bones from the dried cuttlefish, soak it in warm water to expand, wash it clean, and cut it into strips; chop the pork, mushrooms, and bamboo shoots into strips for use. Wash the glutinous rice clean, put it in a pot, add the strips of meat, cuttlefish, mushrooms, and bamboo shoots, and cook until tender, then add salt, monosodium glutamate, and ground pepper to taste. It has the effects of nourishing essence and qi, regulating the menstrual cycle, stopping bleeding, and beautifying the skin. It is suitable for amenorrhea, increased leukorrhea, and pale complexion.

　　(8) Coix Seed Decoction. 30 grams of coix seed and coix root. Cut the coix seed and coix root into segments and decoct in water, remove the dregs, and drink the juice. Take it on an empty stomach in the morning and evening, for more than 10 doses. It has the effects of promoting the elimination of phlegm and dampness, and guiding the blood downward. It is suitable for amenorrhea caused by phlegm-dampness blocking the uterus.

　　(9) Stir-fried cuttlefish with ginger slices. 50 grams of ginger, 250 grams of boneless cuttlefish. Cut the ginger into slices, wash the cuttlefish clean, and slice it. Stir-fry with oil and serve as a side dish. It has the effects of nourishing blood, opening the channels, and beautifying the skin. It has an auxiliary therapeutic effect for amenorrhea due to blood deficiency.

　　(10) Braised white pigeon with turtle shell. 30 grams of turtle shell, 1 white pigeon, a little rice wine. Crush the turtle shell and place it in the cleaned white pigeon's abdomen, add an appropriate amount of water and a little rice wine, and steam-braise it in a ceramic bowl until it is cooked, then season and eat it. It has the effects of nourishing the kidneys, benefiting the qi, dispersing masses, opening the channels, and beautifying the skin. It is suitable for amenorrhea caused by physical weakness.

　　(11) Beef knee braised with pork trotters. 15 grams of beef knee, 2 pork trotters, 80 milliliters of yellow wine. Clean the pork trotters and remove the hair. Cut into several pieces after splitting them open, then put them in a large炖盅 with the beef knee, add 500 milliliters of water, steam-braise until the pork trotters are tender, remove the beef knee, and eat the remaining pork meat and soup. It has the effects of promoting blood circulation, opening the channels, and beautifying the skin. It is suitable for amenorrhea due to qi stagnation and blood stasis in women.

　　Foods suitable for amenorrhea patients

　　(1) For amenorrhea due to 虚证, foods with nourishing effects should be consumed more: mutton, chicken, lean pork, longan, walnuts, jujube, chestnut, lotus seed, goji, and yam, etc.

　　(2) For amenorrhea due to实证, a diet that is light, easy to digest is recommended, and foods with the effect of promoting blood circulation and opening the channels, such as hawthorn, rapeseed, black beans, black fungus, cuttlefish, orange, and dried tangerine, should be consumed more often.

　　Amenorrhea patients should avoid these foods

　　(1) Foods harmful to nutrition and blood

　　Such as garlic, radish, tea, white radish, salted vegetables, pickled vegetables, winter melon, etc., excessive consumption can damage the generation of essence and blood, leading to amenorrhea due to a lack of source, thus these foods should be avoided.

　　(2) Cold foods

　　Various cold drinks, cold dishes, cold fruits, and cold aquatic products can cause vasoconstriction after consumption, aggravating blood stasis, leading to amenorrhea, therefore, these foods should be avoided.

　　(3) Fatty and greasy foods

　　Such as egg yolk, duck yolk, pork brain, pork liver, pork kidney, lard, pork fat, pork intestines, pork heart, mutton, lamb liver, crucian carp, cuttlefish, chicken, turtle, grass carp, shrimp, mackerel, clams, crabs, butter, chocolate, etc. These foods contain high protein, cholesterol, and fat. Overeating can easily cause excessive nutrition in the body, further increase fat accumulation,加重 obesity, block the meridians, and prevent the normal flow of menstrual blood, so they should be eaten as little as possible or avoided.

　　(4) Carrots

　　Carrots, although rich in nutrition, have the function of causing amenorrhea and inhibiting ovarian ovulation. Women who want to have children and eat too much are not easy to get pregnant, so they should be avoided.

　　1. Kidney qi deficiency, not having menstruation by the age of 18 or having menstruation and then stopping. Weak constitution, dizziness, tinnitus, insufficient secondary sexual characteristics, soreness in the loins and legs, no abdominal distension or pain, frequent urination. Pale red tongue, deep and thin pulse.
　　Therapeutic method: tonifying kidney and nourishing liver to regulate the menstrual cycle.
　　Prescription: Gui Shen Wan with modification; Cuscuta 16 grams, Eucommia 16 grams, Lycium barbarum 13 grams, Cornus 13 grams, Angelica sinensis 13 grams, prepared rehmannia 16 grams,山药13 grams, Poria 16 grams, Uncaria sinensis 35 grams, Polygonum multiflorum 25 grams.
　　2. Deficiency of both qi and blood leads to delayed menstrual cycle, less menstrual flow, and then amenorrhea. Pale complexion, dizziness, palpitations, shortness of breath, fatigue, pale tongue with teeth marks, thin coating, thin and weak pulse.
　　Therapeutic method: replenishing qi and nourishing blood to regulate the menstrual cycle.
　　Prescription: Ren Shen Yang Yang decoction: codonopsis 16 grams, Astragalus 25 grams, roasted white atractylodes 12 grams, Poria 12 grams, Polygala 10 grams, Citrus peel 6 grams, Schisandra 6 grams, Angelica sinensis 13 grams, white peony 13 grams, prepared rehmannia 16 grams, cinnamon 5 grams, prepared licorice 7 grams.
　　3. Yin deficiency and internal heat lead to initial abundant and then decreasing menstrual flow, gradually leading to amenorrhea. Feeling of heat in the five interiors, red cheeks, ascending fire, tidal fever, night sweats, dry mouth and throat. Tongue with red color or cracks, pulse thin and rapid.
　　Therapeutic method: nourishing yin and clearing heat to regulate the menstrual cycle.
　　Prescription:加减一阴煎: raw rehmannia 13 grams, prepared rehmannia 16 grams, white peony 12 grams, Ophiopogon japonicus 12 grams, Anemarrhena 13 grams, cortex eucommiae 16 grams, Polygonatum 13 grams, Salvia miltiorrhiza 13 grams, aurantium 12 grams, prepared licorice 7 grams.