Yao Meiyu's Experience in Treating Early Menstrual Cessation Due to Liver Qi Stagnation
The pathogenesis of early menstrual cessation due to liver qi stagnation involves liver and gallbladder qi stagnation,and un-smooth cardinal,insufficient kidney essence transformation,and inadequate circulation of qi and blood.This results in a lack of blood flow to the uterus,causing early menstrual cessation.Liver stagnation is the cause,and kidney deficiency is the result.The treatment fo-cuses on smoothing the lesser yang qi mechanism,supplemented by tonifying the kidney,replenishing essence,and promoting blood cir-culation to resolve stasis.Professor Yao Meiyu suggests that regulating the thoroughfare vessel and conception vessel is crucial for adjus-ting qi and blood.To regulate blood,it is essential to first regulate qi,which is based on soothing the liver.Therefore,classified formulas from Bupleurum Decoction are used to relieve liver and gallbladder qi stagnation.When qi is dispersed,blood circulation improves,and blood flow leads to resolution.Wangbuliuxing(Semen Vaccariae)is added to promote blood circulation and resolve stasis,while Chua-nxiong(Rhizoma Chuanxiong)is used to unblock qi stagnation.Six-Ingredient Rehmannia Pill is used to tonify the kidney,replenish essence,and nourish kidney yin,which is essential for menstruation.In cases of severe kidney yang deficiency,increased doses of Suoy-ang(Herba Cynomorii)and Yinyanghuo(Herba Epimedii)are used to warm and supplement kidney yang and enhance its function.Blood circulation and qi regulation are accompanied by blood nourishment to ensure smooth qi and blood flow,thereby facilitating men-strual recovery.
early menstrual cessationovarian insufficiencyliver qi stagnationharmonizing the cardinaltonifying the kidney and resol-ving blood stasisclassified formulas from Bupleurum DecoctionYao Meiyu
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