What Is the Connection Between Bruises and Blood?

Menstrual bleeding, TCM disease name. It refers to a disease whose main manifestation is that a small amount of uterine bleeding occurs periodically in the pupa phase (ie, ovulation phase). If the bleeding period is long and the blood volume is increased, if it is not treated in time, further development can lead to bleeding. Occurs frequently in women of childbearing age. More common in postpartum or abortion. This disease is equivalent to western medicine bleeding during ovulation.

Chinese Medicine Name: Intermenstrual bleeding
Related Western Medicine Diseases: Ovulation bleeding
Disease site: Lower abdomen

Main cause: Kidney yin deficiency, damp heat, blood stasis
Disease classification: Gynecology
Contagious: no

Inter-menstrual bleeding term explanation

It refers to a disease whose main manifestation is that a small amount of uterine bleeding occurs periodically in the pupa phase (ie, ovulation phase).

History of menstrual bleeding

There is no special record of this disease in ancient medical books. In the Ming Dynasty, Wang Kentang cited Yuan Zhefan Yun in the "Centralism, Gynecology, and Fetal Front Door": "The world is full of creatures, there must be a time ..." It can be seen that the ancients in the Ming It has been recognized before that one day in the menstrual cycle is "waiting for conception", which is now called the "ovulation period". Regarding bleeding in this period, although the ancients did not have a monograph, you can refer to relevant documents such as early menstruation, menstrual leakage, and under the vaginal discharge. ^[1]

Relationship between menstrual bleeding and disease names in western medicine

Intermenstrual bleeding is a term in Chinese medicine, that is, ovulation bleeding. It refers to the regular vaginal bleeding caused by the endometrium loss in the endometrium due to the temporary decrease in estrogen levels during the middle menstruation, the ovulation period.

Causes of menstrual bleeding

It is the physiological stage when the yin essence is enriched, the yin qi grows, and the yin sheng becomes yang sheng. If the kidney yin is insufficient, the spleen is weak, the damp heat is disturbed or the blood stasis is blocked, and the conversion of yin and yang is not coordinated, then the disease occurs. Common causes are kidney yin deficiency, spleen qi deficiency, damp heat and blood stasis.

Menstrual bleeding

1. Kidney Yin Deficiency: Insufficient endowment, insufficient filling of Tiangui, or overproduction of room labor, kidney injury, or excessive thinking, desire to be too strong, resulting in kidney yin deficiency, deficiency of fire, consumption of yin, fine blood loss. The qi in the qi moves, the virtual fire and the yang are fighting, the yin and collaterals are damaged, and the vagina is bleeding. If the yin deficiency consumes yang energy for a long time, the yang energy is insufficient, and the system has no right to control, and the sea of blood is not solid, resulting in repeated episodes of bleeding.

2. Damp heat: often due to poor feelings, liver qi stagnation, spleen and stomach spleen, can not change the subtlety of the water valley to produce sperm and blood, but gather together to become wet, and then tend to have two veins, and produce heat. The internal movement of yang energy in the meridians will induce the damp heat inside, and the heat will rush into the uterus, causing bleeding.

3. Blood stasis: weak constitution, complex due to leaving stasis due to delivery, stasis obstructing the collaterals, or internal injuries due to Qiqing, qi stagnation, and stasis after a long period of time. Struggle, bruises and blood network, blood does not follow the menstruation, resulting in bleeding.

Checkpoints for menstrual bleeding

Interim menstrual bleeding diagnosis basis

1. More common in women of childbearing age. More common in postpartum or abortion.

2. Periodic intermenstrual bleeding with very little blood volume or leucorrhea with mild back pain.

3. The menstrual cycle is normal, and there is no special abnormality in gynecological examination.

4. Basal body temperature measurement showed that a small amount of vaginal bleeding occurred when low and high temperature phases were alternated.

Differentiation of menstrual bleeding syndromes

1. Little menstruation: The general cycle is normal, and the menstrual flow is only small during the menstrual period.

2. Metrorrhagia and leakage disease: menstrual disorders, heavy bleeding or inexhaustible.

3. Premenstrual period: Menstrual cycle is advanced and between two non-menstrual periods, menstrual flow is normal or more.

Dialectical treatment of menstrual bleeding

Dialectical points of menstrual bleeding

The disease is based on a small amount of uterine bleeding that occurs periodically during ovulation. The analysis is more accurate.

Interventional bleeding treatment principles

The treatment is to adjust the balance of yin and yang as the main method, and select the prescriptions that nourish the kidney and yin, nourish the spleen, dampen heat, or eliminate blood stasis.

Classification of menstrual bleeding syndromes

Kidney yin deficiency

Main symptoms: between the two menstrual periods, a small amount of bleeding or slightly more vagina, bright red color, slightly thick texture, dizziness, backache, restlessness, five upsets and fever, difficulty urinating, yellow urine, reddish tongue body, pulse Break down.

Governing Law: nourish the kidney and nourish yin, solidify and stop bleeding.

Representative party: Two places of soup together Erzhi Wan.

Recipes: raw land, ground bone skin, black ginseng, Ophiopogon japonicum, Eucalyptus chinensis, Ligustrum lucidum, Eclipta prostrata.

Hot and humid card

Main symptoms: in the middle of menstruation, the amount of vaginal bleeding is slightly more, dark red, sticky, no blood clots, usually with multi-color yellow, lower abdominal pain, fatigue, sore joints, chest tightness, irritability, bitter mouth Dry throat, appetite and bloating, short red urine, red tongue, yellow greasy fur, thin strings or slippery pulses.

Governing Law: clearing away heat and dampness, solid red and bleeding.

Representative party: Qinggan Zhilin Decoction "Fu Qing Master Daughter" go to Ejiao, red dates, add thistle, Poria.

Recipe: Angelica sinensis, Baiji, Raw Dihuang, Danpi, Cork, Achyranthes bidentata, fragrant apricot, black beans, Ejiao, red dates.

Blood stasis syndrome

Main syndromes: little or varying amount of intermenstrual bleeding, dark purple or blood clots, pain or tingling on the sides or sides of the abdomen, emotional depression, chest tightness, irritability, purple tongue or purple spots, veins Thin strings.

Governing method: Huayu to stop bleeding.

Representative party: Zhuyu Zhixue Decoction, "Fu Qing Master and Daughter".

Recipe: Raw Rehmannia Rhubarb, Rhubarb, Radix Paeoniae, Danpi, Guiwei, Coriander Shell, Peach Kernel, Tortoise Shell. ^[2]

Other treatments for menstrual bleeding

Acupuncture: ear acupuncture: take uterus, pelvic cavity, screen, liver, spleen, kidney, attachment, brain, 2 to 3 points / time.

Outcome prognosis of menstrual bleeding

Interstitial bleeding, due to the lack of yin essence, it is difficult to achieve fullness. At the time of dysentery, heavy yin turns to yang, and the conversion is not smooth, affecting the uterus and Chongren. Therefore, there is interstitial bleeding. Can continue to premenstrual period; repeated bleeding, lingering illness, delayed treatment can cause menstrual cycle disorders, endless menstruation, or even bleeding, infertility and so on.

Interventional bleeding prevention and care

1. Take proper rest during bleeding to avoid overwork.

2. Keep the vulva partially clean, and sexual life is strictly prohibited to prevent infection.

3. The diet should be light and nutritious. Avoid greasy, spicy and hot food.

4. Pay attention to regulating emotions, maintain a comfortable mood, and strengthen physical exercise.

Selected literature on menstrual bleeding

"Fu Qing's Master and Daughter Section: Take Down": "The woman is underneath and is red, like blood but not blood, and drips constantly. The so-called red belt is also. The husband's red belt is also wet, and wet is the air of the earth. But now, the yellow and white are not seen, but the red is hot. So the woman is worried about hurting the spleen, and the anger is hurting the liver, so the spleen of the liver meridian burns, and the spleen soil is not transported. The damp-heat-causing gas is contained between the veins; the liver does not hide blood, but also penetrates into the veins. All of them are injured by the temper, weak in movement, and the damp-heated gas sinks with the gas, falling with the blood, so it looks like blood. The image of non-blood is now in its color. In fact, blood and wet can not be separated, and the world is misled by the fire of red belt. The rule of treatment must clear the liver and fire and support the temper. ^[2]

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