Patient's question:
Menstruation is light, not sure if it's caused by blood deficiency or blood stasis?Doctor's answer:
Hello, this is a condition of decreased menstrual flow according to Traditional Chinese Medicine theory, which refers to: a generally normal menstrual cycle, but with significantly reduced menstrual volume, or even a small amount of bleeding that stops quickly, or a shortened menstrual period of less than two days with a small volume of flow. It can also be called excessive menstrual volume reduction.It is divided into: blood deficiency syndrome, kidney deficiency syndrome, blood stasis syndrome, and phlegm-dampness syndrome.
Blood Deficiency Syndrome:
Clinical characteristics: Reduced menstrual volume, or a small amount of bleeding that stops quickly, with pale and without clots. Systemic symptoms: Dizziness and blurred vision, palpitations, a hollow sensation in the lower abdomen, pale pink tongue, and thin pulse. Treatment method: Nourishing blood and regulating menstruation. Prescription: Zixue Decoction.
Kidney Deficiency Syndrome:
Menstrual volume is reduced, with pale red or dark red color and thin texture. Systemic symptoms: Lower back and knee weakness, heel pain, dizziness and tinnitus, cold lower abdomen, frequent nighttime urination, pale tongue, and deep weak pulse. Treatment method: Tonifying the kidneys, nourishing blood, and regulating menstruation. Prescription: Guixin Pill.
Blood Stasis Syndrome:
Clinical characteristics: Reduced menstrual flow, dark purple or black in color, with blood clots. Systemic symptoms: Painful and distended lower abdomen that is resistant to pressure, menstrual pain relief after blood clots are expelled, purple or dark tongue with petechiae, and wiry or thready and (stiff) pulse. Treatment method: Promoting blood circulation and resolving stasis to regulate menstruation. Prescription: Taohong Siwu Decoction (modified).
Phlegm-Dampness Syndrome:
Clinical characteristics: Reduced menstrual flow, pale red in color, with sticky and viscous texture like phlegm. Systemic symptoms: Obesity, stuffy chest, nausea, or excessive sticky leukorrhea, pale tongue with greasy white coating, and slippery pulse. Treatment method: Resolving phlegm, drying dampness, and regulating menstruation. Prescription: Cangfu Daotan Pill.
However, Traditional Chinese Medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner for a comprehensive clinical diagnosis (the four diagnostic methods: inspection, auscultation/olfaction, inquiry, and palpation) and receive targeted treatment to achieve the best results. Wishing you a speedy recovery.