Menstruation causes stomach pain and nosebleeds, what's wrong?

Patient's question:

Every time I have my period, I get stomach pain, and I also get nosebleeds before my period. Sometimes it's the day before, and if my period comes at night, sometimes I get a nosebleed in the morning.

Doctor's answer:

Hello: According to traditional Chinese medicine theory, this is due to the spleen failing to control blood. However, traditional Chinese medicine can treat this condition based on syndrome differentiation. The spleen is the commander of blood, and when the spleen qi is weak, it cannot properly control the blood, leading to symptoms where blood flows outside its normal channels. Symptoms include: sallow or pale complexion without luster, poor appetite, loose stools, fatigue, shortness of breath, lack of speech, and bleeding, such as blood in the stool, blood in the urine, nosebleeds, excessive menstrual bleeding in women, or uterine bleeding. The tongue is pale, and the pulse is weak. The key to syndrome differentiation for this condition is the weakness of the spleen qi accompanied by bleeding.

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