Why is the first day of menstruation black?

If the menstrual blood is black on the first day, first of all, the color of the menstrual blood is wrong. Under normal circumstances, the color of menstrual blood is dark red. The appearance of black indicates that there is a problem with the physical constitution. The most common reason is endocrine. Other gynecological diseases also often cause this phenomenon. At this time, it is best to go to the hospital for examination, determine the cause, and then receive regular treatment.

1. Black menstruation due to deficiency of both Qi and blood:

The menstrual cycle is advanced or delayed, the menstrual volume increases or decreases, the menstrual period is prolonged, the color is light, and the quality is thin. Or there may be pain in the lower abdomen, dizziness, fatigue, pale or sallow complexion, poor appetite and loose stools. The tongue is pale red and the pulse is thready and weak. Treatment should focus on nourishing both Qi and blood. You can use Buzhong Yiqi Pills, Shiquan Dabu Pills, Wuji Baifeng Pills, Bazhen Yimu Pills, Babao Kunshun Pills, Nujin Pills, Danggui Tiaojing Pills, Danggui Hongzao Granules, Guipi Pills, Siwu Heji, etc.

2. Black menstruation due to cold blood:

The menstrual period is delayed, the amount is small, the color is dark and there are blood clots. Cold pain in the lower abdomen, relieved by heat, aversion to cold and cold limbs. The tongue coating is white and the pulse is deep and tight. Treatment should be based on warming the meridians and dispersing cold. You can use Ai Fu Nuan Gong Pills, Tian Qi Tong Jing Powder, Jin Kui Wen Jing Pills, etc.

3. Black menstruation due to kidney deficiency:

The menstrual cycle is irregular, the amount is small, the color is light red or dark red, and the texture is thin. Weak waist and knees, heel pain, dizziness, tinnitus, or cold lower abdomen, or frequent urination at night. The tongue is pale and the pulse is weak or slow. Treatment is suitable for tonifying the kidney and regulating menstruation. You can use Nubao, Chang'e Jiali Pills, Dingkun Dan, Lu Tai Gao, etc.

4. Black menstrual period due to qi stagnation and blood stasis:

The menstruation is irregular, the amount of menstruation may be more or less, the color is purple-red, there are clots, and the menstruation is not smooth. Or it may be accompanied by lower abdominal pain that is resistant to pressure, or distension and pain in the chest, flanks, breasts, and lower abdomen, abdominal distension and discomfort, purple tongue or petechiae, thin white or thin yellow tongue coating, and stringy or astringent pulse. The treatment is suitable for promoting blood circulation, removing blood stasis, regulating qi and relieving pain. You can use Xiaoyao Pills, Qizhi Xiangfu Pills, Cihang Pills, Shaofu Zhuyu Pills, Yueyueshu Granules, Shixiao Powder, Danggui Extract Tablets, Fuke Desheng Pills, Tiaojing Buxue Pills, etc.