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For men, to determine if they have anemia or a blood disorder, the first step is to check a complete blood count to understand their blood condition by looking at red blood cells and hemoglobin levels.
Women do not need to do this because menstrual blood is externally visible. By combining menstrual blood with other symptoms, women can assess their health status, diagnosing not only anemia but also conditions such as blood heat, blood cold, blood stasis, or blood deficiency.
Blood cold, blood heat, blood deficiency, and blood stasis are unique diagnoses in Traditional Chinese Medicine (TCM). As long as the symptoms are addressed—warming for cold, clearing heat, tonifying for deficiency, and invigorating blood for stasis—women’s health will not suffer due to blood issues.
Identifying blood cold, blood heat, blood deficiency, and blood stasis from menstrual blood:
1. Blood Cold
In TCM, cold causes coagulation. Menstrual blood that should be bright red contains dark purple clots due to the invasion of cold qi, which causes contraction. This contraction can be understood as a spasm.
Dysmenorrhea is a symptom of uterine spasms. Taking cold showers before menstruation, wearing very short skirts and stockings in winter, or drinking cold beer and beverages before menstruation are common mistakes. TCM believes that insufficient qi and blood lead to uterine cold, resulting in incomplete shedding of the endometrium during menstruation, causing dysmenorrhea.
2. Blood Heat
Everyone is familiar with nosebleeds, which are caused by excessive blood heat. Menstruation that should last five to six days, or at most a week, extends to ten days or more, with bright red and abundant menstrual blood. This is due to qi deficiency failing to stabilize the blood!
Blood heat needs to be differentiated from endometrial diseases, uterine fibroids, and abnormal hormone levels. If it is determined that it is not blood heat, a hospital visit for an ultrasound or lab tests is necessary to identify the cause.
3. Blood Deficiency
The term deficiency means less. If menstruation starts and ends within one or two days, it indicates a problem with the body’s blood production source. Blood deficiency leads to a reduced volume; insufficient qi and blood, liver stagnation, and kidney deficiency prevent the ovaries from nourishing, resulting in less blood and delayed menstruation!
Relying on youth, staying up late, frequenting KTV, and working hard for a living, I recall a deeply resonant statement from a patient: “It’s all self-inflicted.” Understanding this statement reveals its profound meaning.
Treating the body well means treating the organs and functions that generate and transform qi and blood. Without blood replenishment, one can age prematurely.
4. Blood Stasis
Stasis means blockage. If during menstruation the blood flow varies, and you often see black debris on sanitary pads, this indicates stasis.
Stasis results from poor sexual habits, gynecological inflammation, and other accumulations over time. If not improved and treated promptly, stasis can lead to serious conditions like cervical cancer and uterine fibroids. I believe no woman wishes for such outcomes.
① Menopausal syndrome: insomnia, vivid dreams, hot flashes, night sweats, irritability, and anxiety;
② Menstrual irregularities: amenorrhea, menopause, oligomenorrhea, and dysmenorrhea;
③ Premature aging: facial spots, hair loss, skin laxity, wrinkles, and poor complexion;
④ Anemia, cold limbs, cold hands and feet, fatigue, and dizziness;
⑤ Gynecological diseases: breast tenderness, ovarian cysts, uterine fibroids, vaginal dryness, and recurrent inflammation.
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