Uterine bleeding refers to irregular vaginal bleeding in women. "On the Syndrome of Miscellaneous Diseases of Women" says: "When blood leaks, it is called leakage." "If it suddenly collapses, it is called collapse." Although the clinical manifestations of metrorrhagia and metrorrhagia are different, the causes are the same, and they can often be transformed into each other in the development of pathogenesis. If the collapse potential is slightly slow, it can become leakage; If it leaks for a long time, it can also collapse. For example, "Fang Jisheng" says: "The disease of metrorrhagia is due to one syndrome." It's light if it's leaked or even collapsed. "And because the bleeding volume of this disease is often irregular, it is not easy to distinguish between collapse and leakage, so it is often called collapse and leakage in clinic.
Metrorrhagia is a symptom of many gynecological diseases, such as vaginal bleeding, menorrhagia, five-color band, fetal leakage, postpartum blood halo, lochia and abdominal mass caused by dysfunctional uterine bleeding, which all belong to the category of metrorrhagia. Modern metrorrhagia theory tends to dysfunctional vaginal bleeding.
[recognition]
Common syndrome
Metrorrhagia and metrorrhagia due to deficiency of kidney yin: excessive vaginal bleeding, or continuous dripping, bright red blood, or purplish red and sticky, with occasional blood clots, backache, weakness of limbs, dizziness and tinnitus, vexation and fever, dry mouth, and no desire to drink. The tongue is red or light (when blood is deficient), and the pulse is thin.
Kidney-yang deficiency type metrorrhagia: vaginal bleeding is large or dripping continuously, with red color, thin mass and no lump, or chloasma on the face, cold limbs, fat body and low back pain. The tongue is fat and light, or has teeth marks, and the pulse is weak or weak (when blood is deficient).
Spleen deficiency metrorrhagia: excessive or dripping vaginal bleeding, pale blood color, thin body, floating complexion (white light), lack of energy and fatigue, abdominal distension, or false stool. Pale tongue, weak or weak pulse (when blood is deficient).
Blood stasis metrorrhagia: excessive or endless vaginal bleeding, dark purple menstrual flow, blood stasis and abdominal pain. If you refuse to press it, the pain will be relieved after the blood stasis is discharged. The tongue is purple and dark, or there are petechiae on the tip of the tongue, and the pulse is heavy or slippery (when blood deficiency or blood stasis turns to heat). (But for some patients with long bleeding time and persistent leakage, the failure of dialectical medication should be considered as blood stasis even if there is no such blood stasis syndrome. ).
discriminant analysis
Chinese medicine can treat,
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