What medicine should I take for menstrual bleeding?

Some female friends may encounter symptoms of prolonged menstrual bleeding in their lives. This is mainly caused by symptoms of spleen and kidney yang deficiency, or it may be caused by liver and kidney yin deficiency. It is recommended that female friends should understand the cause of the disease clearly. When menstrual bleeding does not stop, you should understand the cause before taking medicine. If you are not sure about the cause, you should consult a doctor before taking medicine.

TCM Syndrome Differentiation and Treatment of Prolonged Menstruation

1. Cold syndrome: If the patient has prolonged menstruation due to spleen and kidney yang deficiency, the treatment should focus on tonifying the kidney, invigorating yang, strengthening the spleen, draining dampness and consolidating the Chong. You can choose Deer Antler Pill with additions and subtractions: Deer Antler, Red Ochre, Yu Yuliang, Aconite, Moxa Charcoal, Cypress Leaf Charcoal, Whole Angelica, Rehmannia Glutinosa, Chuanduan, Chinese Yam, Morinda Officinalis, Dragon Bone, Eucommia. If the patient has excessive blood loss, add fried Sanguisorba officinalis; if the patient has gas, add Cimicifuga heracleifolia; if the patient has loose stools, add Atractylodes macrocephala.

2. Heat syndrome: For those with prolonged menstruation, Chinese medicine treatment should focus on regulating Chong and Ren meridians, tonifying the kidney and stopping bleeding. Raw Rehmannia, Angelica dahurica, Fructus Ligustri Lucidi, Eclipta prostrata, Pollen Typha, Cirsium amara, Flos Sophorae, Sanguisorba officinalis, and Rubia cordifolia can be used for treatment. If bleeding is excessive, Codonopsis pilosula and Atractylodes macrocephala can be added. If accompanied by lower abdominal discomfort, costusroot, Corydalis yanhusuo, and cumin can be added. If leakage lasts for a long time, Guipi Pills can be added. If the menstruation is prolonged and heavy due to blood excess and heat, the treatment should focus on clearing heat, cooling blood and stopping bleeding. You can choose Qingre Gujing Decoction with modifications: raw rehmannia, root bark of rehmannia, tortoise shell, oyster, stir-fried dandelion, donkey-hide gelatin, gardenia, scutellaria, moutan bark, palm charcoal, white peony root, and lotus root nodes.

3. Deficiency syndrome: For prolonged menstruation, you can choose Yuyin Zhibeng Decoction, which is used to treat prolonged menstruation caused by liver and kidney yin deficiency in young women. You can choose Rehmannia glutinosa, Cornus officinalis, Eucommia ulmoides, Cuttlebone, White Peony Root, Oyster, Chuanduan, Viscum album, Donkey-hide gelatin, Pollen Typhae charcoal, stir-fried Sanguisorba officinalis, and Chinese yam. If there is excessive bleeding, double the amount of stir-fried Sanguisorba officinalis, add palm charcoal and Platycladus orientalis; if there is qi deficiency and sinking, add Cimicifuga heracleifolia and Astragalus membranaceus; if there is irritability and heat, add Ophiopogon japonicus and Rehmannia glutinosa; if the irritability and heat are severe, add Cyperus rotundus and Anemarrhena asphodeloides; when there is no bleeding, reduce the Pollen Typhae charcoal and stir-fried Sanguisorba officinalis in the original prescription, and add Polygonum multiflorum and Tortoise shell. It is better to take it for a long time.

4. Excessive syndrome: If the menstruation is continuous, you can choose Pinggan Kaiyu Zhixue Decoction for treatment: white peony root (fried with vinegar), white atractylodes (fried with earth), angelica (washed with wine), moutan bark, Panax notoginseng root (ground), raw rehmannia (fried with wine), liquorice, black mustard spike, bupleurum, appropriate amount of each, decocted in water and taken orally.