Patient's question:
Menorrhagia with blood clots, intermittent flow varying in amount, experienced occasional dizziness once or twice, yellow complexion. During high school, had metrorrhagia, underwent medical examination with no issues found, diagnosed as metrorrhagia, prescribed traditional Chinese medicine pills which resolved the issue. Over a year later, it recurred, took Jinji tablets and Fuyankang tablets, which stopped the bleeding but returned upon stopping medication. Now it has been over two years.Doctor's answer:
Hello, the methods of TCM syndrome differentiation for treating dysfunctional uterine bleeding (DUB) include:1. Qi and blood stagnation type DUB: Symptoms include abdominal pain, distension, tenderness, heavy bleeding with dark purple clots, and dark gray tongue. Treatable with Taohong Siwu Decoction and Shixiao Powder. Key herbs include Angelica sinensis, Ligusticum chuanxiong, Paeonia lactiflora, Poria, carbonized Crataegus pinnatifida, Prunus persica, Carthamus tinctorius, and Panax notoginseng.
2. Liver qi stagnation type DUB: Symptoms include chest tightness, costal distension, nipple tenderness, headache, heavy or continuous bleeding, wiry pulse, and yellow tongue. Treatable with modified Danshi Xiaoyao Decoction. Main herbs include Angelica sinensis, Paeonia lactiflora, Bupleurum chinense, Poria cocos, Atractylodes macrocephala, Cnidium monnieri, Moutan Cortex, Gardenia Fructus, and carbonized Rubia cordifolia.
3. Blood heat type DUB: Symptoms include flushed face, dry mouth, preference for cold drinks, heavy bleeding with deep red color, yellow tongue, and rapid pulse. Treatable with Huanglian Jiedu Decoction. Key herbs include Coptis chinensis, Scutellaria baicalensis, Phellodendron amurense, Gardenia Fructus, carbonized Polygala root, fried Sophora japonica flowers, Platanus orientalis leaves, and Polygonum aviculare/Cornus officinalis.
4. Spleen qi deficiency type DUB: Common symptoms include spontaneous sweating, shortness of breath, edema, pale complexion, abdominal distension with loose stools, heavy and continuous bleeding (leakage). Treatable with Lizhong Wan or modified Buzhong Yiqi Decoction, including Codonopsis pilosula, Atractylodes macrocephala, Glycyrrhiza uralensis, Tangerine peel, raw Dragon bone, raw Oyster shell, carbonized Zingiber officinale, and carbonized Areca fruit.
5. Kidney yang deficiency type DUB: Common symptoms include cold lower abdomen, lower back pain, aversion to cold, continuous bleeding with pale or dark color. Treatable with Yougui Wan. Key herbs include Rehmannia glutinosa, Cornus officinalis, Dioscorea opposita, Eucommia ulmoides, Tribulus terrestris, Lycium barbarum, Cervid antler glue, carbonized human hair, and Osseum cuttlefish bone.
6. Heart and spleen deficiency type DUB: Symptoms include pale yellow complexion, palpitations, dizziness, heavy bleeding with pale color. Treatable with Guipsi Wan. Main herbs include Codonopsis pilosula, Atractylodes macrocephala, Angelica sinensis, Paeonia lactiflora, Polygala tenuifolia, Ziziphus jujuba, carbonized Prunus mume, Nymphoides peltatum, and carbonized Nelumbium speciosum.
7. Kidney yin deficiency type DUB: Symptoms include tinnitus, lower back pain, heel pain, heavy bleeding with red color, red tongue, and rapid thready pulse. Treatable with Zuoqi Wan. Key herbs include Rehmannia glutinosa, Cornus officinalis, Dioscorea opposita, Lycium barbarum, Tribulus terrestris, Carapace, Trionyx sinensis, Rubus fructus, Ligustrum lucidum, and Eclipta prostrata.