Uterine Hemorrhageaccording to TCM

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What is Uterine Hemorrhage?

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.

How Does TCM View Uterine Hemorrhage?

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.

Root Causes of Uterine Hemorrhage in TCM

TCM identifies several patterns that can lead to uterine hemorrhage. Significant causes include Heat, Qi Deficiency, Blood Stagnation and Yang Deficiency. In the case of Heat, it can manifest as Toxic-Heat or Heat in Uterus Blood. Toxic-Heat is characterized by symptoms like fever, edema, and skin eruptions. Heat in Uterus Blood, associated with symptoms like excessive menstruation and a flushed face. Qi Deficiency, on the other hand, presents as general weakness and fatigue.

Explore below more details about what might cause Uterine hemorrhage according to TCM.

  • By Syndrome
  • By Organ
  • Heat
  • Qi Deficiency
  • Blood Stasis
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Uterine Hemorrhage

Common Symptoms: Thirst Dark Urine Feeling Of Heat Fever Constipation Yellow Vaginal Discharge Foul-Smelling Vaginal Discharge Sticky Vaginal Discharge

Pattern Name Relevant Symptoms Relevant Formulas
Toxic-Heat Bloody vaginal discharge, Fever, Edema, Pus and discharge, Boils, Carbuncles, Pustule, Red skin eruptions, Sore throat, Eczema, Perineum swollen, Prostate swollen, Testicular swelling, Mouth ulcers, Tonsil swelling... see more Wu Wei Xiao Du Yin
Heat in Uterus Blood menorrhagia, Excessive menstruation, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face, Anger, Anxiety, Dark urine, Constipation... see more Huai Jiao Wan
Damp-Heat metrorrhagia, 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... see more Ba Zheng San
Kidney and Liver Yin Deficiency causing Heat in the Blood metrorrhagia, Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods... see more Liang Di Tang | Er Zhi Wan | Liu Wei Di Huang Wan | Zuo Gui Wan

TCM Herbal Formulas for Uterine Hemorrhage

TCM offers a variety of herbal formulas tailored to address the underlying causes of uterine hemorrhage. For Blood Stasis, which includes symptoms like menstrual cramps and dark menstrual clots, Si Wu Tang is recommended. This formula, featuring Prepared rehmannia, works on tonifying the blood.

Yang Deficiency, manifested through symptoms like deep limb pain and palpitations, is treated with Gu Ben Zhi Beng Tang, containing Milkvetch Roots, to tonify Qi and Blood. These formulas exemplify TCM's approach of using natural herbs to restore balance and treat the root cause of the hemorrhage.

Explore below some TCM herbal formulas used to address uterine hemorrhage, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Heat
  • Qi Deficiency
  • Blood Stasis

All Formulas Recommended for Uterine Hemorrhage Caused by Heat

Formula Patterns Suitable For
Wu Wei Xiao Du Yin Toxic-Heat
Huai Jiao Wan Heat in Uterus Blood
Liang Di Tang Kidney and Liver Yin Deficiency causing Heat in the Blood
Er Zhi Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Liu Wei Di Huang Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Zuo Gui Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Ba Zheng San Damp-Heat

Acupoints for Uterine Hemorrhage

TCM also utilizes acupuncture as a treatment modality for uterine hemorrhage. Key acupoints include Gongsun SP-4 and Xuehai SP-10 in the Spleen Channel, known for their ability to harmonize the Spleen and regulate menstruation while stopping bleeding. In the Bladder Channel, Heyang BL-55 and Qihaishu BL-24 are targeted for their roles in invigorating Blood in the lower burner and strengthening the lower back and legs.

The Extra Point Zigong EX-CA-1, located near the pubic symphysis, is particularly effective in lifting and regulating Qi as well as in managing menstrual pain and disorders. These acupoints are selected based on their specific actions that correlate with the underlying TCM patterns causing uterine hemorrhage.

Explore below some acupoints used to address uterine hemorrhage, organized by meridian.

  • By Meridian
  • Spleen Channel
  • Bladder Channel
  • Extra Points: Chest and Abdomen (EX-CA)
Yinbai SP-1

Yinbai SP-1

On the medial side of the big toe, about 0.1 cun posterior to the corner of the nail.

Gongsun SP-4

Gongsun SP-4

In the depression distal and inferior to the base of the 1st metatarsal bone, at the border of the red and white skin.

Xuehai SP-10

Xuehai SP-10

When knee is flexed, Xuehai SP-10 is 2 cun above the medial upper border of the patella, in a depression on the vastus medialis muscle.

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