Hemorrhage, also known as sudden hemorrhage, refers to an acute condition in which women suddenly experience heavy vaginal bleeding when they are not on their menstrual period. There are many causes of hemorrhage, such as excessive fatigue, qi deficiency, etc. For pregnant women and postpartum women, these symptoms may occur. In addition, during the abortion process, if the operation is not done properly, hemorrhage may also occur, which is particularly harmful to women's health. Etiology and pathogenesis The main cause is the instability of Chong and Ren meridians, which leads to the lack of control over menstrual blood and excessive blood volume. Common types include qi deficiency, blood heat and blood stasis. ① Qi deficiency: Weak constitution, or irregular diet, overwork, serious illness or prolonged illness can damage the spleen, lead to insufficient Qi in the middle, unstable Chong and Ren meridians, and loss of blood control, thus causing heavy menstrual flow. ② Heat in the blood: The body is yang-dominant, or one eats spicy and dry food excessively, is affected by heat evil, and has excessive emotions, which turn into heat. The heat disturbs the Chong and Ren meridians, forcing the blood to flow abnormally, resulting in heavy menstrual flow. ③ Blood stasis, depression caused by hormones, or excessive anger. Stagnation of Qi may lead to blood stasis, or there may be residual blood after menstruation or childbirth, or the person may be affected by external pathogens, or he may have sexual intercourse without restraint, which may cause blood stasis inside the body, blocking the Chong and Ren meridians, and preventing blood from returning to the menstruation, thus leading to heavy menstrual flow. Syndrome differentiation and treatment 1. Qi deficiency syndrome: sudden metrorrhagia, light color and thin texture, pale or puffy complexion, drowsiness and fatigue, shortness of breath when moving, thin and weak pulse or wiry pulse. The tongue is plump and tender with tooth marks, and the tongue coating is thin, moist or greasy. Treatment principle: replenish qi and strengthen the body, strengthen the spleen and retain blood. Main prescription: Buzhong Yiqi Decoction with modifications. Prescription: Codonopsis pilosula, raw astragalus, stir-fried white atractylodes, bupleurum, cimicifuga, charcoal-made blood stasis, and agrimony. decocted in water and taken orally. If the prognosis is good, take the Chinese patent medicine Guipi Pills to consolidate the effect. 2. Symptoms of blood heat: bleeding like metrorrhagia, dark red blood color, dizziness, red face, irritability, thirst, slippery and rapid or stringy and rapid pulse, yellow tongue coating. Treatment principle: Clear away heat, cool blood, purge the liver and stop bleeding. Main prescription: self-prescribed prescription. Prescription: Cooked Jun, Pulsatilla, Cortex Moutan, Mulberry Leaves, Verbena, Raw Pollen, Fried Pollen, decocted in water and taken orally. If the prognosis is good, take the Chinese patent medicine Liuwei Dihuang Decoction and Yiqing Glue Pills to consolidate the effect. 3. Symptoms of blood stasis: continuous and dripping bleeding, sudden and violent as if with collapse, with blood clots, dark purple blood color, pain in the lower abdomen that is resistant to pressure, deep and sluggish or deep and tight pulse, dark red tongue, and petechiae on the edge of the tongue tip. Treatment principle: Promote blood circulation and remove blood stasis, cool blood and stop metrorrhagia. Main prescription: self-prescribed prescription. Prescription: Raw white peony root, raw rehmannia root, mulberry leaves, Herba Cynanchum, Rhizoma Pulsatillae, and rose flowers, decocted in water and taken orally. |
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