What is the reason for dark menstrual blood?

Patient's question:

I didn't have a normal period this time; it was delayed by a whole month. If I take some supplements or blood-boosting products, my period might not come for a month. This time, when my period did come, I noticed some differences compared to before—there were dark blood clots on the first two days, and the blood color was darker than usual, not as bright red, more on the darker side. The period lasted for 5 days. I want to ask if such a condition indicates a problem with my body? Also, what symptoms does the delay in menstruation indicate?

Doctor's answer:

Traditional Chinese Medicine (TCM) believes that menstrual irregularities are caused by an imbalance of qi and blood in a woman's body. Dark-colored menstrual blood is due to qi stagnation, blood stasis, cold congelation, and liver qi depression. Methods that promote blood circulation and resolve stagnation, as well as regulate qi and unblock meridians, have a good effect. Herbs such as safflower, peach kernel, mint, motherwort, salvia, and peony root are effective in improving symptoms and signs.
For patent medicine, it is recommended to use Qixue He capsules. This medicine is made entirely of Chinese herbal ingredients, including safflower, peach kernel, ligusticum, salvia miltiorrhiza, angelica, bupleurum, cimicifuga, and auricularia. It regulates qi and blood, balances the endocrine system significantly, and maintains the health of the uterus and restores ovarian function. At the same time, it avoids the side effects of Western medicine artificial cycles and the dependency caused by estrogen. It is especially effective for menstrual irregularities with blood clots caused by qi and blood stagnation or cold deficiency syndromes.

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