Key Diagnostic Points:

1.       The diagnosis of the disease is characterized by the absence of menstruation.

2.       Women at the age of 18 who have never menstruated are considered to have primary amenorrhea; women whose menses have ceased for over three months after the formation of their menstrual cycle are said to have secondary amenorrhea.

Differential Diagnosis:

Deficiency of the Liver and Kidney.
Primary amenorrhea of a patient over 18 years old, or delayed menstrual cycle with scanty menstruation leading gradually to amenorrhea, accompanied with constitutional debility, lassitude in the loins and legs, dizziness, and tinnitus.

Tongue: Red with little coat.
Pulse: Deep and thready

Deficiency of Qi and Blood Gradual delay of menstruation with very little blood which is thin and reddish, ultimately leading to amenorrhea accompanied by dizziness, blurred vision, palpitations, shortness of breath or lusterless hair, emaciation with sallow complexion.

Blood: Scanty, thin and reddish
Tongue: Pale with thin white coat
Pulse: Deep and weak and sometimes languid.

Qi stagnation and blood stasis.
Amenorrhea for several months, accompanied with restlessness and a tendency toward being easily angered, feelings of fullness in the chest and hypochondrium, distending pain in the lower abdomen.

Tongue: Purple spots generally on the edges of the tongue.
Pulse: Deep and choppy