What is the reason for dark menstrual blood?

Patient's question:

I had an irregular period this time, and it delayed for a whole month to arrive. If I take some supplements or blood-boosting products, my period might not come for a month. This time, when my period came, I noticed some differences compared to before. On the first two days, there were dark blood clots, and the color of the blood was darker than usual. It wasn't as bright red as before; it was 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 it indicate when the period is delayed?

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 stagnation. 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, red root, and peony root all have positive effects on 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 sinensis, 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 particularly effective in regulating menstruation for irregularities caused by qi and blood stasis or cold deficiency syndromes, especially those with blood clots.

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