Intermenstrual Bleeding - Jing Jian Qi Chu Xue
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Definition
Normal menstruation cycles but cyclical small bleeding between menstruation.
Causes and Pathological Mechanisms
The middle stage in a menstruation cycle is the period of changes between Yin and Yang. The change is from yin excess to yang excess. If this change is not in harmony, bleeding can happen.
Patterns
- Symptoms: Bleeding between menstruation, small quantity, bright red colour, thick quality, dizziness and tinnitus, achy lower back and weak legs, hot feeling at 5 centres and disturbed sleep.
- Tongue: Red tongue with little coating
- Pulse: Thready and Rapid
- Treatment strategy: Nourish kidney, replenish yin and solidify Chong to stop bleeding
- Formula: Jia Jian Yi Yin Jian
- Acupoints:
- Symptoms: Bleeding between menstruation, small quantity, pale colour, thin quality, tired shen, lassitude, short of breath, indolence of speech, poor appetite and a bloated abdomen.
- Tongue: Pale tongue with thin coating
- Pulse: Moderate and Weak
- Treatment strategy: Strengthen spleen, tonify qi and solidify Chong to stop bleeding
- Formula: Gui Pi Tang
- Acupoints:
- Symptoms: Bleeding between menstruation, dark red colour, thick quality, large amount of yellow leukorrhoea, pain in Xiao Fu from time to time, vexation, thirsty, bitter mouth and a dry throat.
- Tongue: Red tongue with yellow and greasy coating
- Pulse: Slippery and Rapid
- Treatment strategy: Clear away heat, remove dampness and cool blood to stop bleeding
- Formula: Qing Gan Zhi Lin Tang
- Acupoints:
- Symptoms: Bleeding between menstruation, dull purple colour with clots, pain in Xiao Fu refusing palpation and depressed.
- Tongue: Dull purple tongue with ecchymoses
- Pulse: Uneven and Strong
- Treatment strategy: Activate blood, resolve stasis, regulate blood to return to meridian
- Formula: Zhu Yu Zhi Xue Tang
- Acupoints:
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