Source: China Traditional Medicine News
Date: 2011-08-10
Su Hui, Su’s Traditional Chinese Medicine Clinic, Guantang Town, Bozhou City, Anhui Province
Patient Wu, female, 49 years old. She visited on February 10, 2011. The patient had experienced irregular menstrual bleeding for half a year, with no abnormalities found in the B ultrasound examination. Western medicine diagnosed her with endometrial thickening and she had previously used Western medications for anti-inflammatory and hemostatic purposes, such as Yunnan Baiyao, which had slight effects, but the bleeding could not be completely stopped. Current diagnosis: irregular menstruation, scanty flow, dark purple color, accompanied by dull pain in the lower abdomen, lumbar soreness and fatigue, normal appetite, regular urination and defecation, dark tongue with thin white coating, and a wiry, thin, and rough pulse. Diagnosed with the pattern of menorrhagia due to blood stasis obstructing the uterus and qi failing to control blood. Treatment focused on invigorating blood circulation, regulating menstruation, tonifying qi, and consolidating blood. The prescription was modified from Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill) combined with An Chong Decoction. Prescription: 15g of Gui Zhi (Cinnamon Twig), 15g of Fu Ling (Poria), 15g of Dan Pi (Moutan Root), 15g of Chi Shao (Red Peony Root), 15g of Tao Ren (Peach Kernel), 20g of Huang Qi (Astragalus), 30g of Lu Xian Cao (Deer Horn Grass), 30g of Wu Zei Gu (Cuttlefish Bone), 15g of Qian Cao (Madder Root), 6g of San Qi (Notoginseng), 15g of E Jiao (Donkey-hide Gel), 15g of Chuan Xiong (Chuanxiong Rhizome), and 30g of Di Yu Tan (Burnt Sanguisorba). Three doses, decocted in water, taken twice daily.
Follow-up on February 13: After completing the medication, menstruation returned to normal, abdominal pain disappeared, and no other complaints were reported. The original prescription was continued for 5 more doses to consolidate the treatment, and there have been no recurrences to date.
Note: The patient had experienced prolonged menstrual bleeding for seventy-seven days, and persistent bleeding must lead to blood stasis. The stasis obstructs the uterus, preventing new blood from returning to the meridians, causing blood to flow erratically; prolonged illness must lead to deficiency, and continuous bleeding results in qi loss along with blood. Therefore, the treatment should combine invigorating and tonifying methods. The Gui Zhi Fu Ling Wan was transformed into a decoction, which serves to disperse and invigorate, resolving stasis and regulating menstruation. The addition of Huang Qi, San Qi, E Jiao, Lu Xian Cao, Chuan Xiong, Wu Zei Gu, and Qian Cao helps to tonify qi, stabilize blood, and stop bleeding. The entire formula resolves stasis without harming the righteous qi, tonifies qi without trapping pathogens, and stops bleeding without leaving stasis. The formula corresponds to the diagnosis, and the effect is as clear as a drumbeat.
Important Statement:
Due to individual differences in constitution and condition, the herbs and dosages in this case are only applicable to the patient at that time. Without proper TCM diagnosis and treatment, do not replicate the prescription and dosages from this case. Readers in need should seek treatment at a legitimate hospital to avoid delaying their condition. ■