Annual Menstruation / Bi Nian
Updated 2026-08-03
INTRODUCTION
English translation pending.
CORE DEFINITION
Annual Menstruation, known in classical Chinese medicine as Bi Nian, describes a menstrual cycle of about one year. It is a rare individual variation rather than a disease. The classical criterion is functional: if the woman can conceive and shows healthy complexion and general condition, the pattern is considered normal for her. It must be distinguished from pathological amenorrhoea by examining the whole constitution rather than the interval alone.
SCAFFOLDING EFFECT
Reduce cognitive load
- Extreme Baselines: recognise that a very long cycle can still be someone's healthy norm. - Whole-Person Assessment: judge by fertility and general condition rather than the interval alone. - Practising Restraint: avoid aggressive treatment when the pattern is a benign variation.
Anchor fast decisions
Cycle length is set by an individual's endocrine rhythm, and the range of normal variation is wider than the textbook figure suggests. When the rhythm is stable and the person is fertile and well, the long interval reflects a different set point rather than a failure of function, so treating it as a deficiency introduces harm without benefit.
MINIMUM ACTION
In progress 0/1Practice this model in one real situation:
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Source support: Explicit
- embracehealth.hkbu.edu.hkhttps://embracehealth.hkbu.edu.hk/html/eclassroom_book_detail.php?bookid=19§ionid=40&id=486verified
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