Summary of case history,　Patient Zhou, female, 43 years old. On April 27, 2022, she sought medical attention due to "rare menstrual bleeding with hot sweating for 2 years and worsening for 1 week". Four years ago, the menstrual cycle of the patient was initially shortened to 21-25 days, followed by sparse menstruation, which occurs every 2-3 months with less menstrual volume. Two years ago, discomfort symptoms such as burning sensation with sweating and vaginal dryness occurred. The symptoms have worsened in the past week, so I came to our hospital for treatment. Last menstrual period: February 21, 2022, with low volume, dark color, and no blood clots. symptoms and signs: The patient is hot and sweating, with dry and itchy vagina, decreased libido, cold lower limbs, light breath, bitter mouth, insomnia, and normal bowel movements. The tongue is pale and slightly dull, with thin and white fur and thin veins.,TCM diagnosis,　Menopausal disorders (Kidney essence depletion syndrome).,Western medicine diagnosis,　Perimenopausal syndrome.,Therapeutic methods,　Traditional Chinese medicine treatment focuses on tonifying the kidney and tonifying essence, nourishing yin and regulating sweat, and is treated with modified Erxian Tang and Zhibai Dihuang Wan.,Clinical outcomes,　The discomfort symptoms accompanying the patient's menopause have basically disappeared.