MENORRHAGIA (HEAVY MENSTRUATION)

Clinical Manifestations
  • The amount of menstrual bleeding is significantly increased during menstruation, to 100 ml/day more or less. (normal 30-80ml).
  • There here may be a regular, early, or late cycle.
  • the color of the Blood is pale, dark, or purple red.
  • The consistency of the Blood is thick and sticky or, thin, or clotted.
  • Sometimes there may be pain.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Pale-red to normal Blood color
  • Thin and watery Blood with clots
  • Irregular menstruation
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • May be much Blood due to Spleen Not Governing Blood
  • May be little Blood due to Spleen Qi Sinking
  • The Blood is pale-red in color and watery
  • An empty feeling in the lower abdomen
  • Spleen Not Governing Blood:
    Shortness of breath
    Dizziness
    Palpitations
    Functional Uterine Bleeding
    Purpura
    Epistaxis
    Hemafecia
    Hematuria
    Menorrhagia
    Metrorrhagia
  • Spleen Qi Sinking:
    Prolapse of one or more organs
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Nourish the Middle Jiao Qi
  • Keep the Blood in the Chong and Ren channels
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Uterine bleeding (metrorrhagia)
  • Excessive menstruation
  • Menstruation with constant spotting
  • Postpartum bleeding
  • Bleeding during pregnancy
  • The Blood is pale and thin without clots
  • Weakness
  • Sore lower back
  • Post abortion bleeding
  • Dull complexion
  • Weakness and pain of the legs
  • Whole body heavy and lethargic
  • Wants to lie down
  • Poor appetite
  • Palpitations
  • Dry mouth
  • Sallow complexion
  • Loss of taste
  • Light red, unelevated and indistinct eruptions
  • T: Pale
  • C: Thin and white or Whitish and moist
  • P: Thready and weak
Treatment Principle
  • Nourish and warm the Blood
  • Stop bleeding
  • Regulate menstruation
  • Calm the fetus
  • Prevent miscarriage
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • Cock-crow diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Tonify Spleen and Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Irregular periods
  • Scanty bleeding
  • Clots in the menstrual Blood
  • Abdominal distention
  • Breast distention
  • Premenstrual tension
  • Depression
  • Sighing
  • Irritability
  • T: Normal or Slightly red on the sides
  • C: Normal
  • P: Wiry
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Regulate menstruation
  • Tonify the Kidneys
  • Benefit the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Various types of menstrual discharges
  • Premenstrual cramps
  • Excessive menstrual bleeding
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five Sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • Flatulence
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and deficient or Wiry, and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood
  • Harmonize the Liver and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish the Blood
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • Irregular periods
  • Scanty bleeding
  • Clots in the menstrual Blood
  • Abdominal distention
  • Breast distention
  • Premenstrual tension
  • Depression
  • Sighing
  • Irritability
  • T: Normal or Slightly red on the sides
  • C: Normal
  • P: Wiry
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Regulate menstruation
  • Tonify the Kidneys
  • Benefit the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Weak and sore lower back and knees
  • Weakness and atrophy of the legs
  • Dry, parched mouth and throat
  • Dizziness
  • Blurred vision
  • Insomnia
  • Dream disturbed sleep
  • Spermatorrhea
  • Prematurely gray hair
  • Premature hair loss
  • A bitter taste in the mouth
  • Nocturnal emissions
  • Hypermenorrhea
  • T: Red and dry
Treatment Principle
  • Nourishes Kidney and Liver Yin and Blood
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Chills
  • Cold limbs
  • Inability to get warm
  • Loose stools
  • Profuse clear urine
  • Spontaneous sweating
  • Lassitude
  • T: Pale
  • C: White or Thin, white and dry
  • P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle
  • Tonify Qi and Blood
  • Strengthen the Spleen
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Scanty periods with pale dilute Blood and a later period
  • Dizziness
  • Blurred vision
  • Tingling of the limbs
  • Insomnia
  • Palpitations
  • Poor memory
  • Dull pale complexion
  • T: Pale and thin
  • C: Normal
  • P: Choppy or Thready or Weak
Treatment Principle
  • Strengthen the Spleen
  • Nourish Blood
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Dark purple blood with clots
  • Lower abdominal Excess pain that subsides when the clots pass
  • Palpable masses that may or may not be painful
  • Lower abdominal pain without palpable masses
  • Lower abdominal distention
  • Lower back pain
  • Lower abdominal distention during menstruation
  • Frequent menstruation (3-5 timer per month)
  • Spotting
  • Dark purple menstrual Blood (usually with clots)
  • Abnormal uterine bleeding with abdominal soreness and pain
  • Aversion to Cold
  • Depression
  • Cold extremities
  • White vaginal discharge
  • T: Pale or With purple spots
  • C: White
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Very heavy, bright-red, sticky-thick or purple Blood
  • The Blood feels warm
  • There may be clots
  • Early menstruation
  • Lower abdominal distension relieved when the Blood comes
  • Red face
  • Thirst with a desire for cold drinks
  • Agitation
  • Insomnia
  • General feeling of Heat
  • Heartburn
  • Dark yellow urine
  • Constipation
  • T: Red
  • C: Yellow
  • P: Rapid and slippery
Treatment Principle
  • Clear Heat
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Continuous menstruation or
  • Uterine bleeding that alternates between spotting and gushing
  • The Blood is very red, thick and sticky and may contain dark-purple clots
  • A sensation of Heat and irritability in the chest
  • Menstruation may be delayed
  • Dry mouth
  • Leukorrhea
  • Dysuria
  • Abdominal pain
  • Dark urine
  • Red urine
  • Red face
  • Difficulty defecating
  • T: Red
  • C: Normal or Yellow
  • P: Wiry or Wiry and rapid or Tight and rapid or Slippery and rapid
Treatment Principle
  • Enrich Yin
  • Clear Heat
  • Clear Deficiency Heat
  • Stop bleeding
  • Stabilize the Menses
Herb Formulas
Points
Clinical Manifestations
  • Threatened miscarriage early in pregnancy
  • Mild menorrhagia that suddenly transforms into copious menorrhagia
  • Clear, light red, and thick blood or
  • The blood is bright red
  • A general feeling of Heat
  • Thirst
  • Evening fever
  • Deep-red sticky Blood
  • Prolonged cycle (i.e.: 7-10 days)
  • Early period is common
  • Hot palms and soles
  • Restlessness
  • Insomnia
  • Dark yellow urine
  • T: Red
  • C: Yellow or Little or none
Treatment Principle
  • Nourish Yin
  • Clear Deficiency Heat
  • Stop Bleeding
Herb Formulas
Points
Etiology
  • Lingering of Dampness and Heat
  • Unregulated intake of drink and food
  • Taxation damaging the body
  • Heart Qi insufficiency.
Clinical Manifestations
  • If Dampness is predominant:
    Blood mixed with mucus
    Sallow or yellowish complexion
    Slightly puffy face
    Heavy head
    Dizziness
    Listlessness
    Stuffy chest and epigastrium
    Sticky sensation in the mouth
    T: Normal
    C: Thin whitish and sticky
    P: Slippery and Choppy
  • If Heat is predominant:
    Profuse purplish vaginal
    Hemorrhage
    Repulsive odor
    Flushing or Heat sensations
    Spontaneous sweating
    Bitter taste in mouth
    Thirst
    Dark, scanty urine
    Constipation or diarrhea
    T: Red
    C: Sticky and yellow
    P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Menorrhagia or
  • Prolonged menstruation
  • Lower abdominal Cold, distention and pain
  • Sporadic abdominal pain which is better with warmth pressure
  • Irregular menstruation (usually long and heavy or scant with clots)
  • Delayed menstruation with a small amount of pale Blood
  • Mild, persistent uterine bleeding
  • Lumbar and sacral pain which are worse following menstruation or when tired
  • Profuse, clear, watery leukorrhea
  • Maybe infertility
  • Maybe dark rings around the eyes
  • Palpitations
  • Shortness of breath
  • Faint, weak respiration
  • Drenched with perspiration
  • Dizziness
  • Vertigo
  • Above symptoms worse on exertion or when tired
  • Four limbs cold and sore
  • Intolerance of Cold
  • Cold abdominal pain
  • An extremely pale face
  • Cyanosis of mouth and lips
  • Reduced appetite
  • Loss of taste
  • Fatigue
  • Upset stomach
  • Loose stools
  • T: Pale and thick with teeth marks
  • C: White and greasy
  • P: Minute (on the point of collapse) or Deep and slow
Treatment Principle
  • Return Yang
  • Scatter Cold
  • Consolidate Exhaustion
Herb Formulas
Points