Patient's question:
Menstruation with blood clots, how should it be treatedDoctor's answer:
Hello: You can take some blood-activating and blood-stasis-dispelling medications.Blood Cold Type: Delayed menstruation, less volume, dark blood with clots. Cold pain in the lower abdomen, relieved by warmth, chills, and cold limbs. White tongue, deep and tight pulse. Treatment should focus on warming the meridians and dispelling cold. Medications such as Ai Fu Nu Gong Wan (Aconite Warm Palace Pill), Tian Qi Tong Jing San (Tianqi Menstrual Pain Powder), and Jin Gui Wen Jing Wan (Golden Cabinet Warming Meridian Pill) can be used.
Blood Heat Type:
1. Excess Heat Type: Menstruation occurs earlier, large volume, deep red or purple blood, thick and sticky, with clots. Accompanied by irritability, flushed face, dry mouth, short and yellow urine, and dry constipation. Red tongue, yellow coating, rapid pulse. Treatment should focus on clearing heat and cooling blood, and regulating menstruation to stop bleeding. Medications such as Feng Lun Zhi Xue Pian (Wind Wheel Hemostatic Tablet) and Si Hong Dan (Four Red Pill) can be used.
2. Deficiency Heat Type: Menstruation occurs earlier, prolonged period, large volume, red blood, thick texture. May also have flushed cheeks, heat in palms and soles. Red tongue, thin coating, fine and rapid pulse. Treatment should focus on clearing heat and nourishing yin, and regulating menstruation to stop bleeding. Medications such as Gu Jing Wan (Solidifying Decoction) can be used.
Qi Stagnation and Blood Stasis Type: Irregular menstruation, varying volume, dark red blood with clots, and difficult flow. May also have pain in the lower abdomen that worsens with pressure, or pain in the chest, ribs, breasts, or lower abdomen. Distending and stuffy feeling in the abdomen. Purple or dark tongue with petechiae, thin white or yellow coating, wiry or (sticky) pulse. Treatment should focus on blood-activating and blood-stasis-dispelling, as well as regulating qi and relieving pain. Medications such as Xiao Yao Wan (Free and Easy Pill), Qi Zhi Xiang Fu Wan (Seven-Modified Angelica Pill), Ci Hang Wan, Shao Fu Zhu Yu Wan (Lesser Lower Abdominal Dispelling Blood Stasis Pill), Yue Yue Shu Chong Ji (Monthly Comfort Effervescent), Shi Xiao San (Lost Laughing Powder), Dang Gui Jin Gao Pian (Angelica Extract Tablets), Fu Ke De Sheng Wan (Gynecological De Sheng Pill), and Tiao Jing Xue Ben Wan (Regulating Menstruation and Nourishing Blood Pill) can be used.
Kidney Deficiency Type: Irregular menstruation, small volume, pale red or dark red blood, thin texture. Weakness in the lower back and knees, heel pain, dizziness, tinnitus, or cold lower abdomen, or frequent nighttime urination. Pale tongue, deep and weak or slow pulse. Treatment should focus on tonifying the kidneys and regulating menstruation. Medications such as Nü Bao (Female Treasure), Chao Niao Jia Li Wan (Moonlight Plus Beauty Pill), Ding Kun Dan (Pill for Stabilizing the Constitution), and Lu Tai Gao (Deer Placenta Cream) can be used.