Patient's question:
From the beginning until now, it has never been much. At its peak, two sanitary pads a day were enough. Now it's even less, and it's very irregular—sometimes half a month, sometimes two months. Most of the time, the blood is dark, without clots, but it can last for a week. Is this considered a disease? How should it be regulated? What could be the cause?Doctor's answer:
Hello, normal menstrual bleeding should be approximately 20 to 60 milliliters, and anything exceeding 80 milliliters is considered menorrhagia. Based on sanitary pad usage, a normal amount is about four to five changes per day, with no more than two packs (each pack contains 10 pads) per cycle.Under the guidance of TCM syndrome differentiation, the following herbal medicines can be selected:
（1）For those with qi and blood deficiency, it is recommended to replenish qi and nourish blood. Medicines such as Bazi Wan (Eight Treasure Pill) and Shiquan Dabu Wan (Ten Treasure Pill) can be taken.
（2）For those with yin deficiency and blood deficiency, it is recommended to nourish yin and blood. Liuwei Dihuang 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 Nübao (Women's Treasure), Danggui Jingsui Wan (Angelica Sinensis Extract Pill), Fuke Ning Pian (Women's Health Tablet), and Guizhi Fuling Wan (Cinnamon Bark and Peony Pill) can be taken.
（4）For those with cold-dampness stagnation, it is recommended to warm the meridians, dispel cold, and dry dampness. Medicines such as Jinkui Wenjing Wan (Golden Turtle Warming Meridian Pill) and Nübao can be taken.
（5）For those with phlegm obstructing the Chong meridian, it is recommended to expel phlegm and unblock collaterals. Cangfu Daotan 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 address chronic conditions.
2. Maintain a positive mood, avoid mental stress, and especially avoid excessive sadness, worry, anxiety, or irritability.
3. Stay calm when facing situations, be tolerant, and avoid overthinking or lingering in sadness after the event.
4. Avoid prolonged breastfeeding and excessive fatigue.