What are the reasons for dark and less menstrual flow?

Patient's question:

My menstrual period is dark in color, with a small amount, not exceeding 3 days. I have had an abortion using medication in the past and have cervical erosion and appendicitis.

Doctor's answer:

Hello: Based on your symptoms, it can be considered as Qi and blood deficiency. You may take medications such as Wuji Baifeng Pill, Bazhen Yimu Pill, Babao Kunshun Pill, Nüjin Pill, Danggui Tiaojing Pill, Danggui Jujube Granules, Guipsi Pill, and Siwu Heji for regulation.
Precautions:
1. Maintain a cheerful mood and avoid mental stress and emotional fluctuations. Some individuals may experience lower abdominal distension, lower back pain, breast tenderness, mild diarrhea, fatigue, drowsiness, emotional instability, irritability, or tendency to depression during menstruation, which are all normal and should not cause excessive concern.
2. Pay attention to hygiene and prevent infections. Keep the external genitalia clean. Intercourse is absolutely forbidden during menstruation. Maintain warmth and avoid cold exposure. Avoid overexertion. Those with heavy menstrual flow should avoid consuming brown sugar.
3. Underwear should be soft, cotton, and well-ventilated. Wash and change them frequently, and ensure they are dried in the sun.
4. Avoid cold, sour, spicy, and other stimulating foods. Drink plenty of warm water to maintain regular bowel movements. Individuals with blood heat should consume more fresh fruits and vegetables before menstruation and avoid stimulating foods like scallions, garlic, chives, and ginger. Those with Qi and blood deficiency should increase their nutritional intake, such as milk, eggs, soy milk, pork liver, spinach, pork, chicken, and mutton, while avoiding cold fruits and vegetables.

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