What should be paid attention to during metrorrhagia and menometrorrhagia?

Patient's question:

I started experiencing abnormal menstruation around February, and then I went to the hospital for diagnosis. The doctor said I had developed metrorrhagia. He mentioned that my body was generally normal, but I began experiencing heavy bleeding starting in March. Currently, I am taking some medication. What precautions should I take for a condition like metrorrhagia in daily life?

Doctor's answer:

From the perspective of TCM syndrome differentiation, the main conditions are heat syndrome and deficiency syndrome. Heat syndrome can be further divided into deficiency heat and excess heat, while deficiency syndrome includes spleen deficiency and kidney deficiency. Dietary therapy should also be selected based on different syndromes with targeted approaches.
Generally speaking, sudden vaginal bleeding with fresh, thick discharge and symptoms of restlessness, feverishness, and thirst indicate a heat syndrome. In this case, foods like fresh lotus root juice, black fungus, and chrysanthemum greens should be consumed. If the bleeding persists for a long time, with pale, thin discharge, fatigue, weakness in limbs, shortness of breath, lack of speech, and soreness in the lower back and knees, it indicates a deficiency syndrome. Foods such as longan meat, black-bone chicken, and fish bladder should be eaten in this case. Of course, as syndrome differentiation deepens, the selection of dietary therapy can be further refined. However, in general, individuals with heat syndrome should consume fresh vegetables, fruits, and low-fat foods, while avoiding hot and spicy irritant foods. Those with deficiency syndrome should eat iron-rich foods that replenish qi, nourish blood, strengthen the spleen, and nourish the kidneys, while avoiding cold, indigestible, and gas-expelling or blood-activating foods.

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