Dark menstrual blood according to Chinese Medicine

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Dark menstrual blood can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like dark menstrual blood here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here dark menstrual blood is often associated with dizziness, restlessness and lower abdominal pain in the pattern “Damp-Heat”. As you will see below, we have in record five patterns that can cause dark menstrual blood.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of dark menstrual blood we’ve identified five herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat dark menstrual blood.

The five "patterns of disharmony" that can cause dark menstrual blood

In Chinese Medicine dark menstrual blood is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.

Korean Mint (Huo Xiang) is the king ingredient for Huo Xiang Zheng Qi San, a formula used for Damp-Heat

Damp-Heat

Pulse type(s): Soggy (Ru)

In addition to dark menstrual blood, other symptoms associated with Damp-Heat include dizziness, restlessness and lower abdominal pain.

From a Western Medicine standpoint Damp-Heat is associated with health issues such as Menstrual Cramps, Intermenstrual Bleeding or Abnormal Vaginal Discharge.

Damp-Heat is often treated with Huo Xiang Zheng Qi San, a herbal formula made of 11 herbs (including Korean Mint - Huo Xiang - as a key herb). Huo Xiang Zheng Qi San belongs to the category of "formulas that transform dampness and harmonize stomach", which might be why it is often recommended for this pattern. Its main action as a formula is: "Releases the Exterior".

Read more about Damp-Heat here

Peach Kernels (Tao Ren) is the king ingredient for Xue Fu Zhu Yu Tang, a formula used for Qi And Blood Stagnation

Qi And Blood Stagnation

Pulse type(s): Choppy (Se), Deep (Chen), Fine (Xi)

In addition to dark menstrual blood, other symptoms associated with Qi And Blood Stagnation include dizziness, scanty periods and dark clots in menstrual blood.

From a Western Medicine standpoint Qi And Blood Stagnation is associated with health issues such as Menstrual Cramps, Absence Of Menstruation or Menopausal Syndrome.

Qi And Blood Stagnation is often treated with Xue Fu Zhu Yu Tang, a herbal formula made of 11 herbs (including Peach Kernels - Tao Ren - as a key herb). Xue Fu Zhu Yu Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Invigorates the Blood".

Read more about Qi And Blood Stagnation here

Peach Kernels (Tao Ren) is the king ingredient for Tao He Cheng Qi Tang, a formula used for Blood Stagnation

Blood Stagnation

Pulse type(s): Choppy (Se), Wiry (Xian), Firm (Lao)

Tongue color: Reddish-Purple

Blood Stagnation, like the name indicates, is when Blood flow becomes Stagnant. It can happen in the whole body or in specific Organs.

It is one of the most important diagnostic conditions in Chinese Medicine because it is frequently the cause of intractable pain syndromes anywhere in the body.

In addition to dark menstrual blood, other symptoms associated with Blood Stagnation include dizziness, scanty periods and dark clots in menstrual blood.

From a Western Medicine standpoint Blood Stagnation is associated with health issues such as Scanty Menstruation, Abnormal Uterine Bleeding or Heavy Menstruation.

Blood Stagnation is often treated with Tao He Cheng Qi Tang, a herbal formula made of 5 herbs (including Peach Kernels - Tao Ren - as a key herb). Tao He Cheng Qi Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dispels Heat and".

Read more about Blood Stagnation here

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Stagnant Liver-Qi turning into Fire

Pulse type(s): Rapid (Shu), Wiry (Xian)

Tongue coating: Yellow coating

Tongue color: Red

In addition to dark menstrual blood, other symptoms associated with Stagnant Liver-Qi turning into Fire include dizziness, abdominal pain and irritability.

From a Western Medicine standpoint Stagnant Liver-Qi turning into Fire is associated with health issues such as Menstrual Cramps or Spontaneous Flow Of Breast Milk.

Stagnant Liver-Qi turning into Fire is often treated with Xuan Yu Tong Jing Tang, a herbal formula made of 10 herbs (including White Peony Roots - Bai Shao - as a key herb). Xuan Yu Tong Jing Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Pacifies the Liver".

Read more about Stagnant Liver-Qi turning into Fire here

Cinnamon Twigs (Gui Zhi) is the king ingredient for Wen Jing Tang, a formula used for Cold in the Uterus

Cold in the Uterus

Pulse type(s): Choppy (Se), Deep (Chen), Tight (Jin)

Tongue color: Bluish-Purple, Pale

In addition to dark menstrual blood, other symptoms associated with Cold in the Uterus include scanty periods, dark clots in menstrual blood and sore back.

From a Western Medicine standpoint Cold in the Uterus is associated with health issues such as Menstrual Cramps or Late Menstruation.

Cold in the Uterus is often treated with Wen Jing Tang, a herbal formula made of 12 herbs (including Cinnamon Twigs - Gui Zhi - as a key herb). Wen Jing Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms the Uterus and vessels".

Read more about Cold in the Uterus here

Five herbal formulas that might help with dark menstrual blood

Xiao Yao San

Source date: 1107 AD

Number of ingredients: 6 herbs

Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.

Why might Xiao Yao San help with dark menstrual blood?

Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which dark menstrual blood is a symptom.

According to Chinese Medicine, Damp-Heat can contribute to many health issues, including Menstrual Cramps.

Read more about Xiao Yao San here

Tao Hong Si Wu Tang

Source date: 1291 AD

Number of ingredients: 6 herbs

Key actions: Tonifies Blood and regulates the Liver. Moves Qi and Blood in the lower abdomen. Stops pain.

Why might Tao Hong Si Wu Tang help with dark menstrual blood?

Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which dark menstrual blood is a symptom.

According to Chinese Medicine, Qi And Blood Stagnation can contribute to many health issues, including Menstrual Cramps.

Read more about Tao Hong Si Wu Tang here

Xuan Yu Tong Jing Tang

Source date: 1826 AD

Number of ingredients: 10 herbs

Key actions: Pacifies the Liver. Removes Stagnation. Drains Fire. Unblocks the Meridians.

Why might Xuan Yu Tong Jing Tang help with dark menstrual blood?

Because it is a formula often recommended to treat the pattern 'Stagnant Liver-Qi turning into Fire' of which dark menstrual blood is a symptom.

According to Chinese Medicine, Stagnant Liver-Qi turning into Fire can contribute to many health issues, including Menstrual Cramps.

Read more about Xuan Yu Tong Jing Tang here

Ge Xia Zhu Yu Tang

Source date: 1830 AD

Number of ingredients: 12 herbs

Key actions: Invigorates Blood. Eliminates Blood Stagnation below the diaphragm. Stops pain. Promotes Qi movement.

Why might Ge Xia Zhu Yu Tang help with dark menstrual blood?

Because it is a formula often recommended to treat the pattern 'Blood Stagnation' of which dark menstrual blood is a symptom.

According to Chinese Medicine, Blood Stagnation can contribute to many health issues, including Scanty Menstruation.

Read more about Ge Xia Zhu Yu Tang here

Si Wu Tang

Source date: 846 AD

Number of ingredients: 4 herbs

Key actions: Restores and nourishes Blood. Stimulates Blood circulation.

Why might Si Wu Tang help with dark menstrual blood?

Because it is a formula often recommended to treat the pattern 'Cold in the Uterus' of which dark menstrual blood is a symptom.

According to Chinese Medicine, Cold in the Uterus can contribute to many health issues, including Menstrual Cramps.

Read more about Si Wu Tang here

The five Chinese Medicinal herbs most likely to help treat dark menstrual blood

Why might Dong Quai (Dang Gui) help with dark menstrual blood?

Because Dong Quai is an ingredient in several formulas indicated to treat dark menstrual blood as a symptom, like Xiao Yao San or Tao Hong Si Wu Tang for instance.

Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.

Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.

Read more about Dong Quai here

Why might Liquorice (Gan Cao) help with dark menstrual blood?

Because Liquorice is an ingredient in several formulas indicated to treat dark menstrual blood as a symptom, like Xiao Yao San or Ge Xia Zhu Yu Tang for instance.

Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.

Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.

Read more about Liquorice here

Why might White Peony Root (Bai Shao) help with dark menstrual blood?

Because White Peony Root is an ingredient in several formulas indicated to treat dark menstrual blood as a symptom, like Xiao Yao San or Tao Hong Si Wu Tang for instance.

White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Spleen and the Liver.

Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.

Read more about White Peony Roots here

Why might Szechuan Lovage Root (Chuan Xiong) help with dark menstrual blood?

Because Szechuan Lovage Root is an ingredient in several formulas indicated to treat dark menstrual blood as a symptom, like Tao Hong Si Wu Tang or Ge Xia Zhu Yu Tang for instance.

Szechuan Lovage Roots is a Warm herb that tastes Pungent. It targets the Gallbladder, the Liver and the Pericardium.

Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.

Read more about Szechuan Lovage Roots here

Why might Peach Kernel (Tao Ren) help with dark menstrual blood?

Because Peach Kernel is an ingredient in several formulas indicated to treat dark menstrual blood as a symptom, like Tao He Cheng Qi Tang or Da Huang Mu Dan Pi Tang for instance.

Peach Kernels is a Neutral herb that tastes Bitter and Sweet. It targets the Heart, the Large intestine and the Liver.

Its main actions are: Moves Blood and breaks up Stasis. Moistens the Intestines. Relieves coughing.

Read more about Peach Kernels here