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METRORRHAGIA (UTERINE BLEEDING) (METROSTAXIS) (FUNCTIONAL UTERINE BLEEDING)

Clinical Manifestations
  • Metrorrhagia: Uterine bleeding at irregular intervals, particularly between the expected menstrual periods.
  • Metrostaxis: Small but continuous hemorrhage of the uterine mucous membrane.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Intermittent attacks of abdominal pain
  • Stifling sensation in the chest and epigastrium
  • A sensation of warmth in the chest and epigastrium
  • Irritability in the chest and epigastrium
  • Vomiting after eating
  • Extremely Cold extremities
  • Vomiting of roundworms
  • Incessant diarrhea
  • Hunger with no desire to eat
  • Vomiting immediately after eating
  • Heat in the Stomach with Cold in the Intestines
  • Bitter taste in the mouth
  • Frequent urination
  • Anxiety
  • Abdominal pain (better with warmth and pressure)
  • Pain beneath the Heart
  • Borborygmus
  • Unquenchable thirst
  • Running piglet Qi
  • Pain and Heat in the Stomach
  • Discharge of small amounts of pus
  • Irritability
  • Recurrent nausea and vomiting
  • Diarrhea
  • Dry throat
  • Turbid urine
  • Polydipsia
  • T: Red or geographic or pale
  • C: White
  • P: Hidden or Wiry and tight
Treatment Principle
  • Warm the Internal organs
  • Warm the Middle Jiao
  • Warms the Intestines
  • Drains Heat
  • Replenishes Qi
  • Dispels parasites
  • Calms roundworms
  • Drains the Liver
  • Calms the Stomach
  • Promotes Blood circulation
  • Relieves pain
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium
  • Mania
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage:
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or Purple red
    C: None
    P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle
  • Cool the Blood
  • Dispel Heat and Toxins from the Xue Stage
  • Promote Blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • Leaking of malignant blood in women
  • Irregular menstruation
  • Sudden incessant flooding of menstrual Blood
  • Copious discharge of viscous fluid
  • Lassitude
  • A desire to lie down
  • Loss of use of the limbs
  • A lack of [physical] strength
  • Shortness of breath
  • Ascension of Qi
  • P: Moderate - When pressed, Flooding and large - yet still present upon deeper palpation
  • 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
  • Eliminate Dampness
  • Clear Heat
  • Eliminate Wind
  • Boost Qi
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Calcaneus pain
  • May be bone spur
  • Unproductive cough or
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Dry mouth
  • Dry throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Night sweats
  • Malar flush
  • Maybe hoarse voice
  • Maybe pain in shin, foot, and heel
  • Spermatorrhea
  • Irregular menses
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Lungs and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Pale-red to normal Blood color
  • Thin and watery Blood with clots
  • Irregular menstruation
  • Frequent, scanty, forceless and inhibited urination
  • Maybe a desire to urinate without success
  • Fatigue
  • Lassitude
  • Weakness
  • A weak voice
  • Sagging and distention in the lower abdomen and perineal area
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready or Thready and weak
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, REN-1, REN-4, REN-6, SP-6, ST-36
    For inhibited urination or desire to urinate without success: + SP-9
    For dribbling urination: + UB-52
    For accompanying Damp-Heat: + SP-9, ST-44
    For sagging pain in the genitals: + moxa LIV-1
    For distention and pain in the lower abdomen, groin and genitals: + LIV-8
    For Food Stagnation : + ST-21
    For accompanying Kidney Qi Deficiency: + KI-3
    For accompanying Kidney Yin Deficiency: + KI-7
    For Heart and Spleen Deficiency: + HT-7
    For severe Qi Deficiency: + SP-3
Clinical Manifestations
  • Sudden, severe uterine bleeding
  • The Blood is pale and watery
  • Light-headedness
  • Fatigue
  • Cold extremities
  • Shortness of breath
  • A stifling sensation in the chest
  • Loose stools
  • Persistent uterine bleeding with continuous spotting
  • A shiny, pale complexion
  • Slight facial edema
  • T: Pale and swollen with teethmarks
  • C: Thin and white
  • P: Thin and frail or Hollow
Treatment Principle
  • Tonify the Blood
  • Augment Qi
  • Stops bleeding
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
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
  • Shortness of breath
  • Drenched with perspiration
    Above symptoms worse with exertion
  • Four limbs cold
  • Cyanosis of mouth and lips
  • Faint, weak respiration
  • P: Minute (on the point of collapse)
Treatment Principle
  • Return Yang
  • Consolidate exhaustion.
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
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Insomnia with much dreaming
  • Irritability
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reduce Fire
  • Make Heart and Kidney communicate.
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five Sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Shi and rapid
  • In severe cases (due to Liver Fire damaging the Luo Mai):
    Mania.
  • Bleeding of Shi Heat type:
    Hemoptysis
    Hematemesis
    Epistaxis
Treatment Principle
  • Clear Heat
  • Descend Liver Fire
Herb Formulas
Points
Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Bleeding between periods
  • Scanty or normal Blood flow
  • If no Heat the color is normal
  • If there is Heat the color is deep red and thick
  • The flow starts and stops during menses
  • There are small clots
  • Distended pain in the lower abdomen
  • 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
  • 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: Red edges
  • C:Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Regulate Liver Qi and Blood
  • Remove Stagnation
  • Regulate menstruation
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
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Soreness and weakness in low back and legs
  • Spontaneous and nocturnal emissions
  • Night sweats
  • Dry mouth and throat
  • Thirst with a desire to drink
  • Dizziness
  • Forgetfulness
  • Deafness
  • Rhinitis
  • Dizziness
  • Dribbling of urine
  • Malar flush
  • Five sole heat
  • Insomnia
  • Hair loss
  • Loss of teeth
  • Infertility
  • Amenorrhea
  • Uterine bleeding
  • Spontaneous perspiration
  • Spermatorrhea
  • Poor vision
  • T: Red and shiny
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Tonify the Kidneys
  • Supplement Jing
  • Benefit Marrow
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Lumbago: low back feels cold, weak and aching
  • Abdominal distention with full sensations
  • Feeling chilled
  • Aversion to cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Vaginal discharge
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Low libido
  • Infertility (“uterus cold and infertile”)
  • Dribbling after urination
  • Incontinence of urine
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • Hearing deficit
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or “cock crow” diarrhea
  • T: Pale and swollen
  • C: Thin and white or Thick, white and sticky
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm Kidney Yang
  • Stop the bleeding
Herb Formulas
Points
Clinical Manifestations
  • Early period
  • May be much Blood due to Inconsolidation of the Chong and Ren channels
  • May be little Blood due to Jing Deficiency
  • The Blood is pale-brown red in color, clear thin and watery
  • Frequent urination
  • Copious amounts of clear urine
  • Incontinence of urine
  • Enuresis
  • Abortion or miscarriage
  • Either a tendency towards being too hot of too cold
  • Shortness of breath
  • Asthma
  • Cold limbs
  • Weak back and knees
  • T: Pale
  • C: White
  • P: Deep, weak possibly tight
Treatment Principle
  • Tonify Kidney Qi
  • Consolidate the Chong and Ren channels
Herb Formulas
Points
Clinical Manifestations
  • Vertigo
  • Headache
  • Anger
  • Insomnia
  • Malar flush
  • Five sole heat
  • Painful flanks
  • Sore back
  • Maybe hemiplegia
  • T: Red
  • C: Little
  • P: Thin, wiry and rapid
Treatment Principle
  • Nourish Kidney and Liver Yin
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
  • Pale, watery Blood
  • Bleeding may be abrupt and profuse or lingering and scanty
  • Palpitations
  • Shortness of breath
  • Laconic speech
  • A sinking sensation in the lower abdomen
  • Fatigue
  • Dizziness
  • Lower abdominal Cold
  • Chilliness
  • A shiny, pale complexion
  • Abdominal fullness
  • Lower back pain
  • Pale face
  • Pale lips
  • T: Pale
  • C: Moist and thin
  • P: Deficient and frail or Weak and smooth
Treatment Principle
  • Tonify Qi
  • Nourish Blood
Herb Formulas
Points
Clinical Manifestations
  • Uterine bleeding is unexpected, in large or small amounts but persistent
  • The menses are dark purple and contain clots
  • Pain in the lower abdomen, with guarding
  • Sacroiliac pain
  • Dizziness
  • Exhaustion
  • Sadness
  • Thirst
  • T: Cyanotic or speckled with purpuric spots
  • C: Normal
  • P: Choppy or Weak and small
Treatment Principle
  • Invigorate the Blood
  • Eliminate Stasis
  • Strengthen the Chong channel
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Copious bleeding of dark purple blood
  • The blood is sticky during menstruation
  • May or may not have clots
  • Menstrual cycle is shortened (early menstruation)
  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Fixed lower abdominal pain
  • Irregular menstruation with little flow
  • Vertigo
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale
  • C: Normal
  • P: Thin and weak or Thin and choppy
Treatment Principle
  • Tonify and Invigorates the Blood
  • Regulate Blood Circulation
  • Break up Stagnation
  • Eliminate Blood Stagnation
  • Regulate menstruation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Spotting or bleeding between periods
  • Flooding Blood, before period should begin or
  • Trickling blood for a long time after the end of the period
  • Fatigue
  • Bright red or dark red menstrual blood
  • The Blood has a foul odor
  • Low back pain
  • Red face
  • Thirst
  • Dizziness
  • Fatigue
  • Agitation
  • Irritability
  • General feeling of Heat
  • Dark yellow urine
  • Constipation
  • T: Red
  • C: Dry-Yellow
  • P: Rapid (thin if Deficiency Heat) or Forceful, rapid and overflowing
Treatment Principle
  • Clear Full-Heat and Fire
  • Cool the Blood
  • Stop bleeding
  • Nourish the Yin fluids
Herb Formulas
Points
Etiology
  • Overeating
  • Over thinking
Clinical Manifestations
  • Continuous small amount of bleeding (spotting)
  • Sometimes a lot
  • Blood is thin and light red in color
  • May be Yang Xu (Cold) symptoms
  • Lassitude
  • Weariness
  • Poor appetite
  • Loose stools
  • Sallow face
  • Spontaneous perspiration
  • Desires to lie down
  • Maybe palpitations
  • Arms ache
  • Greenish-yellow complexion
  • No saliva
  • White lips
  • T: Pale and shiny with teethmarks
  • P: Thready and forceless or Fine and weak
Treatment Principle
  • Tonify the Spleen
  • Replenish Qi
Herb Formulas
Points
Etiology
  • Early sex
  • Multiple deliveries
  • Sexual strain
Clinical Manifestations
  • Continuous small amount of bleeding (spotting)
  • Bright red blood
  • Tinnitus
  • Restlessness
  • Tidal fever
  • Dizziness
  • Chest and ribs swollen
  • Limbs and loins ache
  • Dry throat
  • Face bluish yellow
  • Eyes red at first then white
  • T: Red or Shiny
  • C: Thin or None
  • P: Thready and rapid
Treatment Principle
  • Clear Heat
  • Cool the Blood
  • Nourish Kidney Yin
Herb Formulas
Points
Clinical Manifestations
  • Short menstrual cycle
  • Early menstruation
  • Purple Blood
  • Heavy flow
  • Red, sticky vaginal discharge
  • Tidal fever
  • Greenish complexion
  • Metrorrhagia with thick blood
  • Dizziness
  • Blurred vision
  • Palpitations
  • Insomnia
  • Irritability
  • T: Red
  • C: Yellow
  • P: Rapid or Thready, forceful and rapid
Treatment Principle
  • Tonify the Blood
  • Drain Heat
Herb Formulas
Points
Etiology
  • Long standing predominance of Yang
  • Excess pungent, spicy food
  • Stagnant emotions generating Liver Fire
Clinical Manifestations
  • Continuous small amount of bleeding
  • Sudden heavy bleeding
  • Blood Is deep red
  • Blood maybe purple
  • Blood is foul smelling
  • Small clots
  • Thirst
  • Flushed face
  • Insomnia
  • Headaches
  • Dizziness
  • Dry mouth
  • Irritability
  • Easily angered
  • Breast distention
  • Constipation
  • Swollen, painful lower abdomen
  • T: Deep red
  • C: Yellow dry
  • P: Slippery or Wiry and rapid, or Thready
Treatment Principle
  • Clear Heat
  • Cool and replenish Blood
Herb Formulas
Points
Etiology
  • Sex during menstruation
  • External invasion during menstruation
Clinical Manifestations
  • Continuous bleeding
  • Blood is purple-black
  • Lower abdominal pain
  • Pain is better after heavy bleeding
  • T: Purple or black spots
  • C: Thin white
  • P: Deep and wiry or Tight and Choppy
Treatment Principle
  • Eliminate Stagnation to stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Postpartum emaciation and weakness
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Dyspnea
  • Pale face
  • Intermittent spasmodic abdominal pain which is better with Heat and pressure
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Reduced appetite
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five sole Heat
  • Debilitated constitution in children
  • Enuresis in children
  • Insomnia
  • Fatigue
  • Anemia
  • Bleeding
  • Abdominal weakness
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White.
  • P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle
  • Warm and tonify the Spleen and Stomach
  • Relieve spasmodic pain
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich Yin
  • Nourish the Blood and Yang
  • Augment Qi
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
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Constant flow
  • Light color
  • Afternoon fever
  • Five sole heat
  • Dry mouth
  • Thirst
  • Cold abdominal pain
  • Infertility
  • Dysmenorrhea
  • Uterine bleeding
  • Chronic pelvic inflammation
  • Menopause
  • Habitual abortion
Treatment Principle
  • Warm the Cold
  • Consolidate the Chong and REN channels
Herb Formulas
Points