TCM Syndrome Differentiation and Classification of Abnormal Menstrual Flow in Patients with Irregular Menstruation

TCM Syndrome Differentiation and Classification of Abnormal Menstrual Flow in Patients with Irregular Menstruation Main symptoms type Menstrual changes Systemic symptoms Heavy menstruation Blood heat The menstrual flow is heavy, bright red or purple, thick, or contains small blood clots. Frequent irritability, thirst, frequent dreams, yellow urine, dry stool, red tongue, yellow tongue coatingBlood stasis The amount is large, or it is persistent and difficult to clear, the color is dark purple, the texture is thick and there are blood clots. There may be lower abdominal pain that is resistant to pressure, petechiae on the tongue, or a dark purple tongue.Qi deficiency The quantity is large, the color is light red, and the texture is clear and thin. Or accompanied by pale complexion, shortness of breath, laziness to speak, weakness in the limbs, palpitations and shortness of breath, and thin tongue coating.Lack of menstruation Blood deficiency The amount is small, just a few drops will clear it up, the color is light, clear and thin without blood clots. Or accompanied by dizziness, palpitations, sallow complexion, empty lower abdomen and pale red tongue.Qi stagnation Menstrual flow is less and not smooth. The color is purple, dark red and has clots. Lower abdominal distension and pain, chest tightness, flank distension, breast pain, pale tongue, and thin white tongue coating.Cold blood The amount is small and the color is dark red. There is cold pain in the lower abdomen, which is relieved by heat. The patient usually fears cold and has cold limbs, pale face, and dark tongue with white coating.Kidney deficiency The menstrual flow is scant and stops within a few days, or stops after a few drops. The color is light red or dark red, and the texture is thin. There may be soreness in the waist and back, heel pain, dizziness, tinnitus, cold lower abdomen, or frequent urination at night and a pale tongue.Blood stasis The menstruation is scanty, purple-black in color, with blood clots, and there is stabbing pain in the lower abdomen that is resistant to pressure. The pain is relieved after the blood clots are discharged. The tongue is dark purple or has small bruises.Phlegm dampness The amount is small, the color is light red, and the texture is sticky like phlegm. They are often obese, feel chest tightness, are prone to vomiting and nausea, have sticky leucorrhea, have a pale tongue, and have a yellowish, greasy white coating.

Traditional Chinese medicine believes that excessive menstruation is mostly caused by internal heat, blood stasis or blood deficiency, which makes the blood in the body boil, overflow or unable to be controlled and managed, and overflows at will. Attention should be paid to the patient's physical condition and distinguished by the color of menstruation; too little menstruation is mostly caused by cold, blood deficiency, qi stagnation, phlegm and blood stasis, which block the passage of qi and blood and make the blood flow poorly. Traditional Chinese medicine syndrome differentiation classifies abnormal menstrual volume in patients with irregular menstruation as follows:

TCM Syndrome Differentiation and Classification of Abnormal Menstrual Flow in Patients with Irregular Menstruation

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