What is the reason for dark blood clots in menstrual discharge?

Patient's question:

In these past few months, I've noticed that my periods don't come on time, and the amount is also less, with very light color. I don't know what to do about it. Please ask: How should I treat a condition where the menstrual flow is light with blood clots, dark in color, accompanied by abdominal bloating and pain, and dull, yellowish face complexion with acne?

Doctor's answer:

The issue you mentioned is likely due to qi stagnation and blood stasis in traditional Chinese medicine, accompanied by damp-heat, which causes dysmenorrhea as the primary condition. I recommend consulting a traditional Chinese medicine practitioner for herbal treatment. The Xuefu Zhuyu Decoction () will be modified to treat dysmenorrhea, and it may take about 2–3 months for improvement. Once the dysmenorrhea is resolved, you should then take the Fuling Niantong Decoction () with modifications to treat acne, which will then be effective. Gynecological diseases are prone to recurrence, so during treatment, women need to pay attention to self-care, especially in terms of hygiene, with a focus on maintaining a light diet. Finally, I wish all female patients a speedy recovery!

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