Some women could bleed massively during menstruation, just like huge waves tumbling along the beaches, and then vanish suddenly.
Some women could bleed very few during menstruation, just like mild rain drops falling down in a slow pace, and it seems there’s no end to that.
Both situations could cause discomforts.
Sudden huge loss of blood could cause anemia, dizziness, weak, talking powerlessly..etc.
Long term small amount bleeding on the other hand could be really bothering, limiting the range and intensity of movements of women, bringing huge inconvenience.
There many possible causes of uterus bleeding aside from normal physiological conditions.
Functional uterus bleeding, postpartum or abortional uterus bleeding, uterus bleeding resulting from pelvitis or tumor..etc.
It would be of beneficial to follow up the tumor on a regular basis, monitoring and preventing it from worsening or spreading.
We Chinese Medicine physicians tend to deal with abnormal menstrual bleeding in three steps: Blocking, Defining, and Strengthening.
Blocking abnormal and excessive bleeding as if stepping on the brake.
Defining what’s the main cause of bleeding and specifying prescriptions.
Strengthening the effected patient like charging up her weakened body to a better state.
We presume there are three main causes accounting for abnormal uterus bleeding: Blood Stasis, Blood Heat and Lack of “qi”.
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Blood Stasis usually causes long term small amount bleeding, and could be easily dealt with 失笑散（Shi Shiau San) The prescription can make the blood flow runs smoothly again.
Blood Heat usually causes massive bleeding, as if invisible pathological fire burning inside patients body.
十灰散（Shi Huei San, Prescription of Ten Ashes) could put out the pathological fire.
All the ten ingredients inside are burnt to ashes, increasing their functions of stopping excessive blood flow.
大薊（Da Ji, Roots of (Cirsium japonicum DC.)）
小薊（Shao Ji, Ground parts of (Cirsium setosum (Willd.) MB.)）白茅根（Bai Mao Gen, Rhizomes of (Imperata cylindrica Beauv. var. major (Nees) C. E. Hubb.))
are the main stopping forces.
While the other herbs with cold attributes such as
梔子（Chi Ts, Fruits of (Gardenia jasminoides Ellis)）
大黃（Da Huang, Roots of (Rheum Palmatum L.) (Rheum tanguticum Maxim. ex Balf.) or (Rheum officinale Baill.) ）
丹皮（Dan Pi, Root skins of (Paeonia suffruticosa Andr.) )
tend to cool down the heat.
The invisible pathological fire resulting from Blood Heat can sometimes vaporize the ”yin” substance in human bodies, causing thirst, sweat, constipation..etc. The Hand Pulse of the patients would be Thin and Frequent.
The 養陰止血湯（Yan Yin Chi Shie Tang）could come in handy, with
棕櫚（Tsong Lu, Leaf handles of (Trachycarpus fortunei H. Wendl.)）
側柏葉（Tse Buo Yeh, Branches of (Platyclatus orientalis (L.) Franco)）
as main blood-stopping forces.
While the
生地黃（Shen Di Huang, Roots of (Rehmannia glutinosa Libosch)）
玄參（Shuan Shen, Roots of (Scrophularia ningpoensis Hemsl.)）
石斛（Shi Hu, Stems of (Dendrobium loddigesii Rolfe.)）
inside could supplement the patients with substance ”yin”, relieving all the symptoms above mentioned.
In Chinese Medicine Physiology, “qi” governs the blood. Take the electric wires for example, “qi” is like the rubber exterior coating, while the blood is the copper line inside. If anything affects the “qi” would simultaneously affect the blood flow.
”qi” would deplete in conditions like exhaustion, recovery from serious illness, heavy labor…etc. Without adequate “qi”, blood flow would be in disorder and lead to abnormal bleeding.
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For severe “qi” depletion we’ve got
人參（Ginseng, Roots of (Panax ginseng C. A. Mey.)）
and
附子（Fu Ts, Processed (Aconitum carmichaeli Debx.) ）.
They both are strong “qi” enhancing herbs aimed to help those who are in a really poor condition.
For mild “qi” shortage, we’ve got 歸脾湯（Gui Pi Tang）.
It contains
當歸（Dan Gui, Roots of (Angelica sinensis (Oliv.) Diels)）
黃耆（Huang Chi, Roots of (Astragalus membranaceus (Fisch.) Bge.) ）
to supplement “qi”.
The warm herb inside
遠志（Yuan Chi, Roots of (Polygala tenuifolia willd.)）
can ease one’s nervous mind, help patients to fall asleep more easily.
The warm herb inside
木香（Mu Shiang, Roots of (Aucklandia lappa Decne.)）
can help adjust the functions of “qi”, enhancing the performance of “qi”.
