What is the meaning of metrorrhagia and vaginal bleeding?

Patient's question:

My menstrual cycle has never been very regular; sometimes I only have one period every two months. It's also very heavy, accompanied by abdominal pain and lower back pain. This time, my period has lasted for more than ten days and hasn't ended yet. The amount is large, and the color is dark. After a thorough examination at the hospital, they diagnosed it as leukorrhea with blood.
What kind of help is needed: What does leukorrhea with blood mean?

Doctor's answer:

Lowering turbid blood includes two conditions: blood collapse and menstrual leakage. These two conditions share the same cause but differ in symptoms. Blood collapse is a sudden, gushing discharge of blood, while menstrual leakage is a persistent, continuous trickle. Therefore, blood collapse and menstrual leakage differ only in degree of severity and urgency, with no significant difference in nature. Moreover, due to their close causal relationship, they have always been considered together in traditional medicine.
The causes of lowering turbid blood are generally categorized into five types: deficiency-cold, deficiency-heat, damp-heat, blood stasis, and qi stagnation.
The special formula for treating lowering turbid blood with bleeding:
- Astragalus root 30g
- Poria (soaked in wine) 30g
- Mulberry leaves 30g
- Fresh root of Rehmannia glutinosa 30g
- Panax notoginseng powder 9g (to be taken separately)
Do not add the Panax notoginseng powder to the decoction. After the decoction is prepared, mix in the Panax notoginseng powder and consume it.

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