What Are the Most Common Causes of Prolonged Menstruation?

The menstrual period is prolonged, and the name of TCM disease is. Refers to the menstrual cycle is basically normal, menstrual period of more than 7 days, or even half-moon square clean, known as menstrual extension. This disease is equivalent to Western medicine's ovulation-type dysfunctional uterine hemorrhage, luteal atrophy, prolonged menstruation caused by pelvic inflammation and endometritis. Prolonged menstrual period caused by intrauterine device and fallopian tube ligation are also treated according to this disease. The disease generally has a good prognosis.

Chinese Medicine Name: Prolonged menstruation
Related Western Medicine Diseases: Dysfunctional uterine bleeding
Other name: Constant moonlight and extended economic affairs

Disease site: Abdominal cavity
Main cause: Qi deficiency, blood heat, blood stasis
Disease classification: Gynecology
Contagious: no

Glossary of term extension

Refers to the menstrual cycle is basically normal, menstrual period of more than 7 days, or even half-moon square clean, known as menstrual extension.

Period extension history

1. As early as the Sui Dynasty, "The Chronicles of Gentiles and Women's Miscellaneous Diseases", there was a record of "Continuous Moon Water", which pointed out that the onset of illness was caused by injury to the meridian and the impaired Qi, which could not be caused by menstrual water.

2. "The School's Note to Women's Recipes for Menstruation and Menstruation" states that "either due to trauma and qi and blood, you can be injured or rushed to work, or because of the combination of yin and yang due to the practice, so that external evils can stay in the cell and stagnate in the blood and sea."

3. "Ye Tianshi Women's Surgery and Regulating Menstruation" stated that "the tenth day and a half of the month is not only a blood-heat rash, but the woman who tried it has eaten pepper and ginger excessively." .

4. "Women's Evidence for Treating Governance, Jinghoumen" believes that this disease is caused by "deficiency of qi deficiency and blood heat."

5. "Shen's Women's Science Essentials, Continuously Dripping" puts forward the outcome of this disease "the prolongation of dripping is the first opportunity of collapse".

Relationship between menstrual lengthening and western medicine disease names

1. Hematological diseases such as thrombocytopenic purpura and aplastic anemia are often accompanied by menstrual cramps. If severe uterine bleeding occurs, the period will be prolonged. Others, such as chronic anemia, chronic hepatitis, cirrhosis, and nephritis, can make the blood vessel wall fragile and increase permeability and cause bleeding.

2. Ovary uterine bleeding disease with atrophic corpus luteum atrophy, pelvic inflammatory disease, intrauterine polyps, endometritis can cause prolonged menstrual periods, usually accompanied by excessive menstrual flow, lower abdominal pain, lumbosacral pain or increased leucorrhea or red bands , Yellow belt embolism.

3. Chronic uterine hypertrophy (uterine myositis) due to pelvic congestion, ovarian estrogen continues to increase, making the uterine muscle layer hypertrophy, causing excessive menstruation and excessive menstrual periods.

4. Improper IUD placement or prolonged periods may also cause prolonged menstruation.

Causes of prolonged menstruation

The pathogenesis of this disease is mostly caused by the absence of appointment due to qi deficiency, or restlessness due to heat disturbance; or due to stasis due to blood flow. Clinically, qi deficiency, blood deficiency, and blood stasis are common.

Prolonged pathogenesis

1. Qi deficiency: weak body, or unclean diet, tiredness, and excessive spleen damage caused by anxiety;

2. Blood fever: yin deficiency in the body, or chronic illness and injury to the yin, or loss of yin and blood due to labor in the delivery room, internal heat of the yin deficiency, heat disturbance, and uneasy blood, prolonged menstrual period caused by the delusion of menstrual blood.

3. Blood stasis: Plain depression, anger, liver damage, qi stagnation and blood stagnation, or external evils in the uterus, evil and blood stasis, stasis and impetus, uterus, menstrual blood is difficult to stop.

Key points for extending your period

Basis for extending diagnosis

Women with menstrual history

2. The menstrual cycle is basically normal, the menstrual period is more than 7 days, or even the half-moon square is clean.

Prolonged menstrual disease identification

Metrorrhagia is a symptom of severe irregularities in the menstrual cycle, menstrual cycle, and menstrual flow. In addition to continuous vaginal bleeding, which may last for tens of days or months, there are periodic disturbances; however, the extended menstrual period is within 7 Days, but often stop naturally within 2 weeks, and the menstrual cycle is normal.

Dialectical treatment of menstrual period extension

Dialectical points of menstrual extension

Take the prolonged menstrual period and normal menstrual cycle as the key points of differentiation.

Menstrual extension treatment principle

Treatment is based on Gu Chong regulating menstruation. Qi deficiency focuses on replenishing qi and lifting, yin deficiency and blood heat focuses on nourishing yin and clearing heat, and those with blood stasis blockages are not allowed to be used. Caution.

Menstrual period classification

Qi deficiency syndrome

Main symptoms: prolonged menstruation time, high volume, light reddish color, thin texture, tired limbs, tiredness, shortness of breath, pale complexion, pale tongue, thin fur, and weak pulse.

Syndrome analysis: Qi deficiency is unsteady, and menstrual blood is unrestricted, so the menstrual period is prolonged, and the amount is large; Qi deficiency and fire failure cannot turn blood into red, so the menstruation is pale and thin; lack of gas, so the limbs are tired and tired , Shortness of breath and lazy words; qi deficiency and yang are not clothed, so pale. The tongue is pale, the moss is thin, and the pulse is weak. It is also a sign of qi deficiency.

Therapeutic rules: Qi-lifting, Gu Chong regulating menstruation.

Representative party: Ju Yuanjian ("Book of Jingyue") with Ejiao, Artemisia lobata, and Squid bone.

Recipe: Ginseng, Astragalus, Atractylodes, Zhigancao, Cimicifuga.

Ginseng, Atractylodes, Astragalus and Zhigancao replenish qi and spleen blood; Cimicifuga promotes mid-qi; Ejiao nourishes and stops bleeding; Artemisia leaf warms the house to stop bleeding; Squid bone Gu Chong stops bleeding. The whole party played a boosting qi and lifting effect, Gu Chong hemostatic effect.

If there is too much menstruation, add raw oysters, schisandra, and palm charcoal; if you have abdominal pain and menstrual blood, add panax notoginseng, madder root, and blood charcoal; if you have blood deficiency, see dizziness, palpitations, and insomnia Dream more, add Shouwu, longan meat, and cooked land. ^[1]

Blood-heat syndrome

(1) Deficiency heat card

Main symptoms: Prolonged transit time, less volume, bright red color, thick texture, dry throat, dry mouth, hot flushes, hot hands and feet, dry stool, red tongue, less moss, and pulse count.

Syndrome analysis: Yin deficiency, internal heat, heat disturbance, impulse, unreliable appointments, menstrual blood loss, so the duration of menstruation is extended; Yin deficiency, blood loss, so a small amount, sparse, no blood clots, Huo Wang bright red color; virtual fire burning Meridian, menstrual fluid can not be carried on, then the throat is dry; hot flushes are red, the hands and feet are hot, the tongue is red and the fur is small, and the pulse counts are the symptoms of yin deficiency and internal heat.

Treatment rules: nourishing yin and clearing heat to stop bleeding.

Representative: Two places soup "Fu Qing Zhu Nuo Ke" ^[2] He Er Zhi Wan "Medical Recipes" ^[3] .

Recipes: raw land, ground bone skin, Ophiopogon japonicum, Paeonia lactiflora, Xuanshen, Ligustrum lucidum, Eclipta prostrata.

The two soups in the recipe nourish the yin and strong water to calm the virtual fire, and Ligustrum lucidum and Eclipta nourish the liver and kidneys and stop bleeding. The whole party played the effect of nourishing yin and clearing heat, stopping bleeding and regulating menstruation, and nourishing yin and not stagnating blood, stopping bleeding without leaving blood stasis.

(2) Damp heat certificate

Main symptoms: Prolonged transit time, small amount, or dark color like rancidity, sticky texture, or high volume, red or yellow color, or abdominal pain, red tongue, yellow greasy tongue, and pulse count .

Syndrome analysis: The evil encroachment of hot and humid seasons disturbs the sea of blood, the sea of blood is disturbed, so the process of prolongation is extended; there is a large amount of carry, lower abdominal pain, yellow greasy tongue coating, and the number of pulses. Sign.

Governing method: clearing away heat and dampness, removing blood stasis and stopping bleeding.

Representative Party: Gujing Pill "Introduction to Medicine" plus defeated Sauce and Houttuynia.

Recipes: tortoise shell, white scallion, scutellaria baicalensis, root bark, cork, incense stick.

Fang Zhonghuang, Cork, and Tung root bark clearing heat and purging fire, adding miscellaneous herbs and Houttuynia cordata to strengthen heat and dampness; tortoise shells nourish yin and clear heat and stasis to prevent bitter cold injury and yin and dryness; Bai Zhi nourish yin and stop bleeding; Attached to Qi and blood stasis. All the medicines play the effect of clearing away heat and dampness, removing blood stasis and stopping bleeding. ^[4]

3. Blood Stasis Syndrome

Main symptoms: prolonged menstruation time, the amount is more or less, the menstruation color is purple and dark, there is a lump; the abdomen is painful, refusing to press; the tongue is purple or bruised, and the pulse is astringent.

Syndrome analysis: blood stasis is blocked by impulse, new blood is difficult to rest, so menstruation time is extended, the amount is more or less; blood stasis is impulse, qi and blood are not running smoothly, "it is painful if it does not pass," so the abdomen is pain The meridian color is dim and there are blood clots; the dull color or stasis spots are also signs of blood stasis.

Governing Law: Activating Blood and Removing Blood Stasis and Hemostasis

Representative Party: Taohong Siwu Tang Hehan Xiaosan

Fangzhong Taohong Siwu Decoction nourishes blood and removes blood stasis, and Hanxiao Powder dispels blood stasis and pain. The whole party played the function of activating blood and removing blood stasis.

Menstrual lengthening other treatments

Acupuncture treatment: regulating menstruation and bleeding.

Prescription: Guan Yuan, Xuehai, Sanyinjiao.

Addition and subtraction: Qi deficiency plus Zusanli, Pishu Jianpi stomach; blood heat plus interline, local machine clearing and purging blood.

Prognosis prolonged

The prognosis of this disease is generally good. Although the bleeding time is long, but the amount of bleeding is small, so it has little effect on the body. However, the menstrual period is longer, which causes inconvenience to life, and even affects pregnancy or spontaneous abortion. If the combined period is too long, or if it is not clean for half a month, it will turn into a leak and it should be taken seriously.

Prolonged menstrual prevention and care

1. Avoid heavy physical labor and strenuous exercise during menstruation.

2. Pay attention to vulvar hygiene during menstrual period and puerperium, and intercourse is prohibited.

3. Maintain a good mood and avoid excessive mental stimulation.

Literature Selection

1. "The Origin of Various Diseases": "Women with constant menstrual flow, from injured menstrual blood, impulse to any pulse, so the pulse is the sea of meridians, the hand is also the small intestine of the sun, and the hand is shady The heart sutra also, the two sutras are on the surface, the master is the menstrual water, the meridian is injured, the qi of the impetus is impaired, so the menstrual blood cannot be controlled, so the moon water is also constant. The entry of Tibetans into the air-conditioner makes the body pale, and also makes the childless. " ^[5]

2. "School Note to Women's Recipes": "The woman has constant moonlight, dripping abdominal pain, or being injured due to straining blood and qi, or combining Yin and Yang due to the process, so that foreign evil guests stay in the cell and stagnate in the sea of blood. So it is. But to nourish the vitality, and the disease heals itself. If you attack the evil, the vitality will counter-harm. " ^[6]

3. "Shen's Women's Science Series": "The prolonged events, continuous dripping, Xia Yuan has no right to take photos, the virtual image is obvious." ^[7]

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