What medicine does menstrual bleeding take? Treatment of menorrhagia based on TCM syndrome differentiation
1. Cold syndrome: For patients with menorrhagia due to deficiency of spleen and kidney yang, the treatment is mainly to tonify the kidney and strengthen yang, strengthen the spleen, ooze dampness and consolidate chong, and velvet antler pills can be added and subtracted: velvet antler, halloysitum rubrum, jade jade jade beam, aconite, charcoal, cypress charcoal, angelica sinensis, prepared rhizome of rehmannia, teasel root, yam, Morinda officinalis, keel and Eucommia ulmoides, and fried Sanguisorba can be added for excessive bleeding; Cimicifuga can be added to those who are angry; Loose stool and Atractylodes macrocephala.
Second, heat syndrome: For patients with menorrhagia, TCM treatment should be mainly based on regulating chong and ren, tonifying kidney and stopping bleeding, and Radix Rehmanniae, Radix Angelicae Dahuricae, Fructus Ligustri Lucidi, Eclipta prostrata, Pollen Typhae, Herba Cirsii Japonici, Flos Sophorae Immaturus, Radix Sanguisorbae, and charred madder can be selected for treatment. Codonopsis pilosula and Atractylodis Rhizoma can be added for patients with excessive bleeding, and Radix Aucklandiae, Rhizoma Corydalis and Fructus Foeniculi can be added for patients with mild abdominal discomfort. Guipi Pill can be added for those who leak for a long time. If the patient has excessive blood heat and menorrhagia, the treatment should focus on clearing heat, cooling blood and stopping metrorrhagia and leakage. You can choose to add or subtract Qingre Gu Jing Decoction: Radix Rehmanniae, Cortex Lycii, Carapax et Plastrum Testudinis, Concha Ostreae, Radix Sangusorbae preparata, Colla Corii Asini, Fructus Gardeniae, Scutellariae Radix, Cortex Moutan, charred white peony root, and Lotus Seed Festival.
3. Deficiency syndrome: Young women have menorrhagia caused by yin deficiency of liver and kidney, so you can choose Yuyin Zhibeng Decoction. Radix Rehmanniae Preparata, Corni Fructus, Eucommiae Cortex, cuttlefish bone, Radix Paeoniae Alba, Concha Ostreae, Radix Dipsaci, Herba Taxilli, Colla Corii Asini, Pollen Typhae charcoal, Radix Sanguisorbae preparata, and Rhizoma Dioscoreae can be selected. If there is too much bleeding, you can fry Sanguisorba twice. Cimicifuga rhizome and Astragalus membranaceus can be added when qi deficiency subsides; Ophiopogon japonicus and Cortex Lycii are added for patients with heat annoyance; Salt-added cypress and Anemarrhena asphodeloides with severe heat annoyance; When there is no bleeding, the pollen typhae charcoal and fried Sanguisorba officinalis in the original prescription can be reduced, and Polygonum Multiflori Radix and Carapax et Plastrum Testudinis can be added. It should be taken for a long time.
4. Empirical evidence: For irregular menstruation, Gan Ping Yu Kai Zhixue Decoction can be selected for treatment: Radix Paeoniae Alba (fried with vinegar), Atractylodis Rhizoma (fried with earth), Radix Angelicae Sinensis (washed with wine), Cortex Moutan, Radix Notoginseng (ground), Radix Rehmanniae (fried with wine), Radix Glycyrrhizae, Spike of Black Mustard and Radix Bupleuri, and decocted with appropriate amount of water.
Irregular menstruation with other aftercare
1, diet conditioning method, food should be diversified, food treatment should be reasonably matched, eat more seasonal fresh vegetables and fruits, and eat less greasy and irritating foods. Vegetable oil is the best oil for cooking, and animal oil should be used less to supplement more unsaturated fatty acids.
2, detoxification conditioning, pay attention to stool, urine and sweat glands to keep unobstructed, waste and toxins discharged from the body can be discharged from the body. Usually, we must pay attention to hydration and the prevention and treatment of constipation. When sweating, be sure to sweat.
3, mental conditioning, the mood should be happy, optimistic, and the mentality should be peaceful. In particular, we should pay attention to learning to relax ourselves, relieve inner pressure, overcome bad emotions such as anxiety and tension, and strive to improve our ability to control emotions.
4, exercise conditioning, daily attention should be paid to outdoor sports, and actively carry out fitness exercises. Work and rest should be regular, combining work and rest. Nightlife should also be controlled to ensure adequate sleep every day.
The main cause of unclean menstruation is 1, functional uterine bleeding.
There is no obvious organic change, but it can be manifested as endless bleeding or massive bleeding, mainly because the bleeding time after menstruation is obviously prolonged, and most of the menstrual period lasts about 10 days, and some cases even last for 2 months.
2, uterine fibroids
Uterine fibroids that grow in different positions will have different symptoms, such as long menstrual period, more menstrual flow, or the feeling of nocturia and frequent urination, or unexplained constipation, and even a lump can be felt in the abdomen.
3. Luteal insufficiency
Insufficient progesterone secretion or premature contraction in luteal phase after ovulation leads to delayed endometrial development, which is often called luteal insufficiency.
Patients are prone to menstrual cycle shortening, repeated abortion or infertility.
4. The influence of intrauterine device
Generally, there is a six-month adaptation period after going to Sheung Wan. It is normal for the upper ring to feel uncomfortable in the lower abdomen within 3-6 months. After 7 months, you still have the feeling of lower abdomen, backache, abdominal pain, vaginal bleeding and menstrual flow more than twice as much as usual. You should see a doctor.
5. Drug abortion
Drugs destroy the balance of hormone levels in human body, which may lead to insufficient hormone secretion and disorder of hormone levels. Patients may have abnormal menstrual cycle, dysmenorrhea, sexual pain, loss of libido and other discomfort.
6. Others
In addition to the above reasons, environmental changes, overwork or mental stress can lead to unclean menstruation. Generally, symptoms can be significantly improved after self-adjustment. If menstruation is unclean for a long time, seek medical advice promptly.