Diarrhea during menstruation

　　1. Deficiency of spleen Qi: spleenIs in charge of transformation and transportation, and spleen Qi is responsible for ascending. Spleen can control blood. During menstruation, blood flows to the Chong meridian to become menstruation. If due to inherent weakness of spleen Qi, the spleen Qi becomes even weaker during menstruation, leading to loss of control over transformation and transportation, sinking of clear Qi, and停滞 of dampness in the intestines, leading to diarrhea during menstruation.

　　2. Liver Qi excess and spleen weakness: liverIs in charge of storing blood, with a nature that likes to be relaxed and smooth. If due to liver Qi stagnation, liver depression and cross-contraction,克制脾气, then the transformation and transportation are weakened, and the spleen Qi becomes even more deficient, which can also lead to diarrhea during menstruation.

　　3. Deficiency of both spleen and kidney: spleenThe transformation and transportation depend on the warming function of kidney Yang to aid digestion. Deficiency of kidney Yang leads to weakness of spleen Yang, internal accumulation of dampness and turbidity, further depletion of the spleen and kidneys during menstruation, and dampness impeding spleen Yang, leading to diarrhea during menstruation.

　　This condition usually starts 2 to 3 days before the onset of menstruation and returns to normal after the menstrual period, or may last for several days after the menstrual period. This condition may last for several years, and over time, it can have a certain impact on physical health. It is more common in women of childbearing age, and the prognosis of traditional Chinese medicine treatment is good, belonging to the category of 'diseases before and after menstruation' in traditional Chinese medicine. Mild cases may have loose stools, severe cases may have thin stools, 2 to 3 times a day, with a dull pain in the lower abdomen, or no pain, or intestinal rumbling, pale complexion, fatigue, poor appetite. The tongue coating is thin and white, the tongue is pale and bloated, and the pulse is slow and weak.

　　Loose stools or diarrhea may occur before or during menstruation, and the stools return to normal after the menstrual period. This condition usually starts 2 to 3 days before the onset of menstruation and returns to normal after the menstrual period, or may last for several days after the menstrual period. This condition may last for several years, and over time, it can have a certain impact on physical health. It is more common in women of childbearing age, and the prognosis of traditional Chinese medicine treatment is good, belonging to the category of 'diseases before and after menstruation' in traditional Chinese medicine. Mild cases may have loose stools, severe cases may have thin stools, 2 to 3 times a day, with a dull pain in the lower abdomen, or no pain, or intestinal rumbling, pale complexion, fatigue, poor appetite. The tongue coating is thin and white, the tongue is pale and bloated, and the pulse is slow and weak.

　　How to prevent diarrhea during menstruation:

　　1. Diarrhea during menstruation is related to weakness of constitution, especially weakness of the spleen and kidneys. Therefore, it is recommended to participate in sports activities regularly to enhance physical fitness and prevent the occurrence of this disease.

　　2. Those with diarrhea during menstruation should eat less greasy and indigestible food. When doctors prescribe medicine, they should avoid lubricating and softening the intestines, such as peach seeds, walnut meat, sesame seeds, almonds, and cypress seeds, etc.

　　3. After menstruation, it is recommended to take Chinese herbal medicine to strengthen the spleen and kidneys, enhance the function of the spleen and kidneys, and adjust the balance of Chong and Ren meridians' Qi and blood, which can prevent recurrence.

　　4. For those with long-term uncontrolled diarrhea during menstruation or those with significantly worsened symptoms, consider the possibility of intestinal lesions and conduct routine fecal examination, fecal culture, or colonoscopy, etc.

　　1. Diagnosis is made based on the occurrence of loose stools or diarrhea before or during menstruation, and the stools return to normal after the menstrual period.

　　2. It is necessary to differentiate from chronic colitis and other intestinal diseases, which can be confirmed through routine fecal examination, fecal culture, and colonoscopy, etc.

　　What to eat less during menstrual diarrhea:

　　1. Control fat appropriately. Do not use foods with too much oil and fried foods in the diet. Cook with less oil and use steaming, blanching, braising, and stewing methods. Avoid eating foods with high fat content such as lard, mutton fat, butter, cow fat, and walnuts, in order to avoid exacerbating diarrhea.

　　2. Avoid gas-producing foods. Due to repeated attacks, ulcers and scar fibrosis alternate in the colonic mucosa, so the elasticity of the inner wall of the colon decreases. If they eat too many gas-producing foods such as soybeans, soy products, fried broad beans, sweet potatoes, etc., it may lead to excessive intestinal gas and complications such as acute intestinal dilatation or ulcer perforation.

　　3. Avoid cold fruits and vegetables. Most patients with this disease have weak spleen and stomach, and deficient kidney yang. If they eat too many cold foods and cold fruits and vegetables, such as various cold drinks, iced foods, pears, watermelons, tangerines, oranges, bananas, tomatoes, clam meat, sea cucumber, lily soup, etc., it will further damage the spleen and kidney yang, weaken the movement of the spleen and stomach, stop the internal retention of cold and dampness, and at the same time, these foods themselves are slippery, which will exacerbate diarrhea and abdominal pain.

　　4. Avoid milk and seafood. Diarrhea patients are prone to colonic allergy and exacerbation of diarrhea after consuming milk, condensed milk, shrimp, sea fish, and other foods. In addition, honey and its products have the effect of moistening the intestines and defecating, so they should also not be consumed.

　　First, Traditional Chinese Medicine Treatment for Diarrhea during Menstruation

　　1. Treatment Method: Strengthen the spleen and benefit the qi, consolidate the intestines and stop diarrhea.

　　2. Formula Name: Shufu Gusi Decoction.

　　3. Composition: 30 grams of Atractylodes macrocephala, 15 grams of Poria, 15 grams of Panax ginseng, 15 grams of Dioscorea opposita, 15 grams of Euryale ferox, 1.5 grams of Cinnamomum cassia, one myrobalan.

　　4. Usage: Decoct and take the liquid.

　　5. Source: Volume 11 of Dianbing Lu.

　　Second, Spleen and kidney deficiency cold, insufficient life fire

　　1. Treatment Method: Warm the kidneys and spleen, consolidate and stop diarrhea.

　　2. Formula Name: Sishen Pill.

　　3. Composition: 60 grams of myrobalan (raw), 120 grams of fried Fructus Cistanches, 60 grams of Schisandra chinensis, 120 grams of Prunus mume.

　　4. Usage: Grind into powder, add 50 jujubes, 120 grams of ginger, boil until the jujubes are tender, remove the ginger, and make pills with the jujube flesh and medicine powder, as large as wingnuts. Take 50-70 pills each time, with boiling water on an empty stomach.

　　5. Source: Volume 2 of Internal Medicine Summary.