How to handle bleeding while taking Chibu Jiale and progesterone

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Also, if I take Bujiale and progesterone, I'm still bleeding. How should I handle this?

Doctor's answer:

In your case, the bleeding may be caused by qi deficiency failing to control blood, which is often due to prolonged illness, exhaustion, or spleen deficiency leading to qi deficiency. When qi is deficient, it cannot regulate the flow of blood, causing it to overflow outside the vessels. Alternatively, chronic blood loss may deplete qi, resulting in qi deficiency that cannot hold the blood.
It is recommended to take a large dose of astragalus decoction to boost qi and stop bleeding. For generally healthy individuals, there is no need to follow a special diet, but a balanced and nutritious diet is essential. Consume both coarse and fine grains, plenty of fruits and vegetables, and limit processed foods like instant noodles and canned goods. It is best to avoid medication. The woman should quit smoking and drinking, and the man should also refrain if possible.
To ensure the health of the baby's brain, the woman should take small doses of folic acid before pregnancy.

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