Analysis of Pulse Patterns in Female Amenorrhea

Abstract

Ancient literature contains numerous descriptions of pulse patterns associated with female amenorrhea, a condition which, although conceptually distinct, differs slightly from modern definitions where amenorrhea refers to the absence of menstruation by age 16 or the cessation of menstruation for six months or more. The ancient texts describe a condition where the pulse at the left guan and chi suddenly becomes stronger than that on the right hand, without accompanying symptoms such as bitter mouth, fever, or abdominal distension, indicating the imminent onset of menstruation. A harmonious pulse at the left cun and guan, but an absent pulse at the chi, often indicates unfavorable menstrual conditions or even complete cessation. A weak, rough pulse at the chi suggests a deficiency and obstruction due to blood deficiency, while a slippery pulse is indicative of amenorrhea caused by underlying deficiency and stagnation of qi, leading to obstructed blood circulation. Variations in pulse patterns in amenorrhea patients can be attributed to individual differences in constitution, lifestyle, diet, medical conditions, and the historical context.