TCM Syndrome Differentiation and Treatment of Various Types of Dysfunctional Uterine Bleeding

Dysfunctional uterine bleeding belongs to the category of "uterine bleeding" in traditional Chinese medicine. "Beng" means continuous discharge, while "leakage" means dripping discharge. Traditional Chinese medicine believes that Dysfunctional uterine bleeding originates from the kidneys, located in the Chong and Ren meridians, and changes in the qi and blood, manifesting as untimely discharge of uterine blood.

Treatment principles

Flexible use of the method of "blocking the flow, clearing the source, and restoring the original state" can be used, or both blocking the flow and clearing the source can be used, or clearing the source and restoring the original state can be used simultaneously. Blocking the flow means stopping bleeding, and although it is "treating the symptoms in an emergency", it is the first step in treating functional uterine bleeding. However, stopping bleeding is not just about astringing. It is necessary to use warming or clearing, or tonic or astringent methods according to the cold, heat, deficiency or excess of the symptoms, and pay attention to the combination of deficiency and excess, and the confusion of cold and heat, and weigh the treatment methods and prescriptions.

Syndrome differentiation and treatment

1 Heat syndrome

Clear and stop, used for heat syndrome of functional bleeding. Symptoms include heavy bleeding, bright red blood, often related to liver and kidney yin deficiency, hyperactivity of yang fire, and disturbance of the blood sea. Treatment should use clearing and nourishing products, such as peony bark, raw rehmannia, white mulberry, dandelion, etc.

2 Cold syndrome

Warming and stopping, for patients with functional bleed and coldness. Symptoms include small amount of bleeding, light color, and cold pain in the lower abdomen. It is not suitable to use pungent, slippery, dry and hot medicines, but it is recommended to use deer antler glue, Morinda officinalis, Cibotium barometz, Cuscuta chinensis, as well as ginseng and Astragalus to warm yang and replenish qi, and replenish fire in water.

3. Qi and blood imbalance

It is used to treat liver and kidney deficiency with qi and blood imbalance, weak function, and dysfunctional blood circulation syndrome of the three yin and three yang of liver, kidney, spleen and stomach. The treatment of liver and kidney deficiency is mainly to nourish the liver and kidney and harmonize yin and yang, such as Ligustrum lucidum, Eclipta prostrata, Parasitic plant, Eucommia ulmoides, etc.

4. Qi stagnation and blood stasis

It stops diarrhea and is used for those with blood stasis and qi stagnation. Clinical symptoms include chest and abdominal distension and pain, dark blood color and blood clots. It is suitable for promoting blood circulation and removing blood stasis, and is used for common causes. Commonly used herbs include red peony root, madder root, milkwort, three-edged vine, curcuma, and Panax notoginseng.