Uterine Hemorrhage in Traditional Chinese Medicine
Understanding different uterine hemorrhage patterns according to TCM theory
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Condition Categories
Condition Categories
Uterine hemorrhage refers to abnormal and excessive bleeding from the uterus, significantly differing from the normal menstrual cycle. It's a broad term encompassing various conditions, including menorrhagia (heavy menstrual bleeding), metrorrhagia (bleeding at irregular intervals), and menorrhalgia (painful menstruation with excessive bleeding).
One of its serious forms is malignant uterine bleeding, which indicates bleeding related to cancerous conditions. Understanding uterine hemorrhage involves discerning these different sub-symptoms and their implications on a woman's health.
In Traditional Chinese Medicine (TCM), uterine hemorrhage is seen as a symptom of an underlying imbalance in the body's vital energies. TCM does not isolate this condition to the reproductive system but instead views it in relation to the overall harmony of Qi (life energy), Blood, Yin, and Yang within the body.
This holistic approach considers physical, emotional, and environmental factors, believing that uterine bleeding results from disharmonies in these elements. TCM emphasizes identifying the specific pattern of disharmony to effectively treat the condition.
TCM Patterns for Uterine Hemorrhage
Heat
Causes: Bloody vaginal discharge, menorrhagia, metrorrhagia
Toxic-Heat
Bloody vaginal discharge
Along with: Fever, Edema, Pus and discharge, Boils, Carbuncles, Pustule, Red skin eruptions, Sore throat, Eczema, Perineum swollen, Prostate swollen, Testicular swelling, Mouth ulcers, Tonsil swelling
Heat in Uterus Blood
menorrhagia
Along with: Excessive menstruation, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face, Anger, Anxiety, Dark urine, Constipation
Damp-Heat
metrorrhagia
Along with: Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne
Kidney and Liver Yin Deficiency causing Heat in the Blood
metrorrhagia
Along with: Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods
Qi Deficiency
Causes: menorrhagia
Qi Deficiency
menorrhagia
Along with: General weakness, Weak voice, Generalized fatigue, Apathy, Dislike of speaking, Spontaneous sweat, Frequent colds or flu, Loss of appetite, Diarrhea, Shortness of breath
Blood Stasis
Causes: menorrhagia, metrorrhagia
Blood Stagnation
menorrhagia, metrorrhagia
Along with: Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps, Dark menstrual clots, Dark menstrual blood, Lumps
Yin Deficiency
Causes: metrorrhagia
Kidney and Liver Yin Deficiency causing Heat in the Blood
metrorrhagia
Along with: Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods
Yang Deficiency
Causes: metrorrhagia
Spleen or Kidney Yang Deficiency
metrorrhagia
Along with: Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Palpitations, Coughing, Vomit
Dampness
Causes: metrorrhagia
Damp-Heat
metrorrhagia
Along with: Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne
Herbal Formulas for Uterine Hemorrhage
Traditional Chinese Medicine formulas used to address uterine hemorrhage
Liang Di Tang
Addresses these uterine hemorrhage patterns:
Main Actions
- Nourishes Yin
- Cools Blood
- Stop bleeding
Addresses These Uterine Hemorrhage Pattern Variations
Kidney and Liver Yin Deficiency causing Heat in the Blood
How it manifests:
metrorrhagia
Accompanying symptoms:
Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods
Er Zhi Wan
Addresses these uterine hemorrhage patterns:
Main Actions
- Nourishes Liver Yin
- Nourishes Kidney Yin
Addresses These Uterine Hemorrhage Pattern Variations
Kidney and Liver Yin Deficiency causing Heat in the Blood
How it manifests:
metrorrhagia
Accompanying symptoms:
Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods
Liu Wei Di Huang Wan
Addresses these uterine hemorrhage patterns:
Main Actions
- Enriches the yin and nourishes the Kidneys
Addresses These Uterine Hemorrhage Pattern Variations
Kidney and Liver Yin Deficiency causing Heat in the Blood
How it manifests:
metrorrhagia
Accompanying symptoms:
Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods
Zuo Gui Wan
Addresses these uterine hemorrhage patterns:
Main Actions
- Nourishes the Yin
- Strengthens the Kidneys
- Fills the Essence
- Augments the marrow
Addresses These Uterine Hemorrhage Pattern Variations
Kidney and Liver Yin Deficiency causing Heat in the Blood
How it manifests:
metrorrhagia
Accompanying symptoms:
Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods
Ba Zheng San
Addresses these uterine hemorrhage patterns:
Main Actions
- Clears Heat and Fire
- Promotes urination
- Unblocks painful urinary dribbling
- Purges Fire
Addresses These Uterine Hemorrhage Pattern Variations
Damp-Heat
How it manifests:
metrorrhagia
Accompanying symptoms:
Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst...
Wu Wei Xiao Du Yin
Addresses these uterine hemorrhage patterns:
Main Actions
- Clears Heat
- Resolves Toxicity
- Cools the Blood
- Reduces swelling
Addresses These Uterine Hemorrhage Pattern Variations
Toxic-Heat
How it manifests:
Bloody vaginal discharge
Accompanying symptoms:
Fever, Edema, Pus and discharge, Boils, Carbuncles, Pustule...
Bu Zhong Yi Qi Tang
Addresses these uterine hemorrhage patterns:
Main Actions
- Tonifies Qi of the Spleen and Stomach (Middle Burner)
- Raises the Yang
- Detoxifies
- Lifts what has sunken
Addresses These Uterine Hemorrhage Pattern Variations
Qi Deficiency
How it manifests:
menorrhagia
Accompanying symptoms:
General weakness, Weak voice, Generalized fatigue, Apathy, Dislike of speaking, Spontaneous sweat...
Si Wu Tang
Addresses these uterine hemorrhage patterns:
Main Actions
- Restores and nourishes Blood
- Stimulates Blood circulation
Addresses These Uterine Hemorrhage Pattern Variations
Blood Stagnation
How it manifests:
menorrhagia, metrorrhagia
Accompanying symptoms:
Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps...
Gu Ben Zhi Beng Tang
Addresses these uterine hemorrhage patterns:
Main Actions
- Tonifies Qi and Yang
Addresses These Uterine Hemorrhage Pattern Variations
Spleen or Kidney Yang Deficiency
How it manifests:
metrorrhagia
Accompanying symptoms:
Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema...
Huai Jiao Wan
Addresses these uterine hemorrhage patterns:
Main Actions
- Clears heat from the Intestines
- Stops bleeding
- Disperses wind
- Regulates Qi
Addresses These Uterine Hemorrhage Pattern Variations
Heat in Uterus Blood
How it manifests:
menorrhagia
Accompanying symptoms:
Excessive menstruation, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face...
Gui Pi Tang
Addresses these uterine hemorrhage patterns:
Main Actions
- Tonifies and nourish Qi and Blood
- Tonifies Heart and Spleen
Addresses These Uterine Hemorrhage Pattern Variations
Qi Deficiency
How it manifests:
menorrhagia
Accompanying symptoms:
General weakness, Weak voice, Generalized fatigue, Apathy, Dislike of speaking, Spontaneous sweat...
Shi Xiao San
Addresses these uterine hemorrhage patterns:
Main Actions
- Invigorates Blood
- Dispels Blood Stagnation
- Eases pain
Addresses These Uterine Hemorrhage Pattern Variations
Blood Stagnation
How it manifests:
menorrhagia, metrorrhagia
Accompanying symptoms:
Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps...
Ju Yuan Jian
Addresses these uterine hemorrhage patterns:
Main Actions
- Tonifies Qi and Blood
Addresses These Uterine Hemorrhage Pattern Variations
Qi Deficiency
How it manifests:
menorrhagia
Accompanying symptoms:
General weakness, Weak voice, Generalized fatigue, Apathy, Dislike of speaking, Spontaneous sweat...
Zhu Yu Zhi Xue Tang
Addresses these uterine hemorrhage patterns:
Main Actions
- Invigorates Blood
- Stops bleeding
Addresses These Uterine Hemorrhage Pattern Variations
Blood Stagnation
How it manifests:
menorrhagia, metrorrhagia
Accompanying symptoms:
Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps...