Menstrual volume is low, and the menstrual blood is dark red. Why?

Patient's question:

Menstrual volume is low, and the menstrual blood is dark red. Why????

Doctor's answer:

Hello, this is a condition of decreased menstrual flow in traditional Chinese medicine theory, which refers to: the menstrual cycle is basically normal, but the amount of blood flow is significantly reduced, or it may be so minimal that it stops after a few drops, or the menstrual period is shortened to less than two days with a small amount of blood flow. It can also be called excessive reduction in menstrual flow.
It is divided into: blood deficiency syndrome, kidney deficiency syndrome, blood stasis syndrome, and phlegm-dampness syndrome.
Blood Deficiency Syndrome:
Clinical characteristics: The amount of menstrual flow is small, or it stops after a few drops, with pale color and no clots. General symptoms: Dizziness and blurred vision, palpitations, a hollow feeling in the lower abdomen, pale pink tongue, and thin pulse. Treatment method: Nourishing blood and regulating menstruation. Medication: Zixue Decoction.
Kidney Deficiency Syndrome:
Menstrual flow is small, with pale pink or dark red color and thin texture. General 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. Medication: Guixin Pills.
Blood Stasis Syndrome:
Clinical characteristics: The amount of menstrual flow is small, with dark purple-black color and blood clots. General symptoms: Pain and tenderness in the lower abdomen, reduced menstrual pain after blood clots are expelled, purple or dark tongue with petechiae, and wiry or thready, (sè -) pulse. Treatment method: Promoting blood circulation to remove stasis and regulate menstruation. Medication: Taohong Siwu Decoction (modified).
Phlegm-Dampness Syndrome:
Clinical characteristics: The amount of menstrual flow is small, with pale pink color and sticky, phlegmy texture. General symptoms: Obesity, stuffy chest, nausea, or excessive sticky leukorrhea, pale tongue with greasy white coating, and slippery pulse. Treatment method: Dispelling phlegm, drying dampness, and regulating menstruation. Medication: Cangfu Daotan Pills.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner and combine the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) for accurate diagnosis and treatment to achieve the best results. Wishing you a speedy recovery.

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