What are the reasons for a lack of blood clots in menstruation?

Patient's question:

I have many pimples on my face, and I've been treating them for two years. They still haven't improved. My menstrual period is very light, and it comes with blood clots. Someone told me to take Jia Wei Xiao Yang Wan, but it causes constipation. I also have trouble sleeping and frequently have nightmares.

Doctor's answer:

In your case, the reduced menstrual flow may be caused by blood and qi deficiency. Blood and qi deficiency is often seen in anemia, leukopenia, thrombocytopenia, after severe blood loss, or in women with excessive menstrual bleeding. Its main manifestations include both symptoms of qi deficiency and blood deficiency. When tonifying, it is advisable to use methods that replenish qi and generate blood, cultivate blood and qi, or nourish both qi and blood. It is recommended to use Shiquan Dabu Ointment for treatment.

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