What is the reason for blood clots being the main component during menstruation?

Patient's question:

After giving birth via cesarean section, for four years, my menstrual period involved continuous discharge of black substances for 4-5 days after 5 days of bleeding, with blood clots being the main component. I had a brief check-up with a doctor, who prescribed simple infection medication. However, there was no improvement or relief afterward.

Doctor's answer:

Okay, here is the translation, following your instructions:
One, Liver Qi Stagnation: Whenever one suffers from worry, depression, Liver Qi failing to flow smoothly, Liver Qi stagnation, prolonged stagnation transforming into heat, scorching Yin fluids and blood, leading to disharmony of Qi and blood in the face and resulting in the condition. ```
Two, Spleen Deficiency and Dampness: Whenever one indulges excessively in food/drink, overexerts oneself, or excessively favors pungent/oily foods, leading to Spleen Qi failing to transport properly, insufficient transformation of Qi and blood, Qi and blood unable to nourish the face, thus appearing dusty, dull, and lacking luster, resulting in the condition. ```
Three, Kidney Qi Deficiency: Due to excessive sexual activity, injuring Kidney Essence; or Kidney Yin deficiency, leading to virtual fire flaring upwards, causing the skin to lack nourishment; or Kidney Yang deficiency, Yin Qi diffusing, causing the Kidney's natural color to manifest on the face.

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