Main Signs and Symptoms Menstruation ceased about 10 years previously. She began to have irregular bleeding, and was referred to a gynaecologist for assessment; no abnormalities were detected. Other signs and symptoms: Pale and dull complexion, tired demeanour, low and soft voice, reluctance to speak, lethargy. Tongue: Pale with a thin white greasy coat. Pulse: Deep, thready and a little wiry. Diagnosis and Treatment …