單項選擇題患者49歲,月經(jīng)紊亂,提前量少,經(jīng)色鮮紅;頭暈?zāi)垦#Q,陣發(fā)性烘熱,汗出,五心煩熱,腰膝酸疼,足跟疼痛,皮膚干燥、瘙癢,口干便結(jié),尿少色黃;舌紅,少苔,脈細(xì)數(shù)。應(yīng)首先考慮的診斷是()

A.月經(jīng)先期
B.經(jīng)行情志異常
C.絕經(jīng)前后諸證
D.月經(jīng)量少
E.崩漏