What are the reasons for a significant decrease in menstrual flow compared to before?

Patient's question:

My menstrual cycle is basically normal, but the amount of my recent menstruation has been half of what it used to be. What could be the reason?

Doctor's answer:

Hello, based on the description, it is difficult to determine the specific cause, as there are many reasons that can lead to reduced menstrual flow. It is recommended to undergo a gynecological examination to identify the underlying cause and receive targeted treatment under the guidance of a doctor. On the basis of TCM syndrome differentiation, the following traditional Chinese patent medicines can be selected:
(1)For those with qi and blood deficiency, it is recommended to replenish qi and nourish blood. Medicines such as Ba Zhen Wan (Eight Treasure Pill) and Shi Quan Da Bu Wan (Ten Treasure Pill) can be taken.
(2)For those with yin deficiency and blood deficiency, it is recommended to nourish yin and blood. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) can be taken.
(3)For those with qi stagnation and blood stasis, it is recommended to regulate qi, promote blood circulation, and remove stasis. Medicines such as Nü Bao (Women's Treasure), Dang Gui Jin Jiao Wan (Angelica Sinensis Extract Pill), Fu Kang Ning Pian (Women's Health Tablet), and Gui Zhi Fu Ling Wan (Cinnamon Bark and Ephedra Pill) can be taken.
(4)For those with cold dampness stagnation, it is recommended to warm the meridians, dispel cold, and dry dampness to resolve stasis. Jin Kui Wen Jing Wan (Golden Turtle Warming Meridian Pill) and Nü Bao can be taken.
(5)For those with phlegm obstructing the Chong meridian, it is recommended to expel phlegm and unblock collaterals. Cang Fu Dao Tan Wan (Atractylodes Rhizome and Pinellia Rhizome Expelling Phlegm Pill) can be taken.
Precautions:
1. Engage in appropriate exercise, arrange work and life reasonably, improve the environment, increase nutrition, and remove chronic conditions.
2. Maintain a positive mood, avoid emotional stimuli, and especially avoid excessive sadness, grief, anxiety, or irritation.
3. Stay calm when facing situations, be tolerant in dealing with others, and avoid overthinking or lingering in sadness after the event.

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