Blood Heat Metrorrhagia

　　Heat in the liver meridian, spicy and hot foods, and other factors can lead to blood-heat and uterine bleeding. Clinically, blood-heat and uterine bleeding is not much different from these, as heat injures the Chong and Ren channels, forcing blood to move recklessly, leading to metrorrhagia and hematuria. As the 'Shang Han Ming Li Lun' said, 'When the Chong channel is heated, blood must move recklessly.' Secondly, internal heat of the liver fire, excessive yang and insufficient yin blood, heat forcing blood to move, or due to excessive intake of spicy and hot foods, causing the generation of fire, heat forcing the Chong and Ren channels, leading to metrorrhagia and hematuria. It can be seen that blood heat is one of the important causes of metrorrhagia and hematuria.

　　1. Anemia:Excessive bleeding can lead to symptoms such as pale complexion, pale lips, dizziness, drowsiness, shortness of breath, fatigue, palpitations, insomnia with dreams, and a thin and weak pulse, which are a series of signs of anemia.

　　2. Collapse:If the onset of metrorrhagia and hematuria is sudden, with a large amount of bleeding that does not stop, it can often cause collapse, with symptoms such as fainting, pale face, cold limbs, dripping sweat, shortness of breath, and rapid breathing, floating and large pulse or sinking and not visible, which is a critical condition. If not treated in time, there is a risk of life-threatening.

　　3. Pathogenic infection:Symptoms include pain in the lower abdomen that is resistant to palpation, lumbar pain, thick and sticky leukorrhea, yellowish and malodorous or with various colors, accompanied by irritability and thirst, jaundice, constipation, yellowish greasy tongue coating, and thin and slippery pulse.

　　Symptoms include excessive bleeding, deep red or purple color, or with a small amount of blood clots, flushed face, irritability, and easy to be angry. There are also cases where yin deficiency and heat in the Chong and Ren channels, with local inflammation, causing bleeding, with symptoms of continuous bleeding, bright red color, irritability, and insomnia, or afternoon feverishness.

　　Attention should be paid to physical health. Increase nutrition, eat more protein-rich foods as well as vegetables and fruits. Combine work and rest in life, do not participate in heavy physical labor and intense exercise, ensure sufficient sleep, maintain a cheerful spirit, and do not produce unnecessary pressure in thought. This can prevent the occurrence of functional uterine bleeding.

　　1. Routine gynecological and obstetric examinations should be considered as essential for diagnosis.

　　2. Routine blood tests, blood biochemistry tests, and when necessary, spinal fluid and cell culture tests can be performed.

　　3. Abdominal X-ray films, ultrasound, CT scans, and other examinations can help determine the location of the disease and make a clear diagnosis.

　　I. What is good for patients with blood-heat and uterine bleeding

　　1. It is recommended to choose cooling and blood-cooling foods such as mangan, mahuang, celery, fresh lotus root, chrysanthemum, and white mugwort root.

　　2. It is recommended to eat fresh fruits and vegetables rich in vitamin C, such as spinach, rapeseed, kale, tomatoes, carrots, apples, pears, bananas, oranges, hawthorn, and fresh jujube. These foods are not only rich in iron and copper, but also contain folic acid, vitamin C, and carotene, which have a good effect on treating anemia and assisting in hemostasis.

　　32. Secondly, patients with blood-heat metrorrhagia should avoid eating what.

　　31. 1. Avoid eating cinnamon, pepper, chili, fennel, clove, onion, ginger, and mustard greens, etc., which are spicy and fire-inducing.

　　30. 2. Avoid cold and cool foods and stimulant foods and condiments, such as chili, pepper, scallion, garlic, ginger, wine, etc. Because strong刺激性 foods will increase the amount of menstruation.

　　27. Precautions before the treatment of blood-heat metrorrhagia:

　　26. 1. Pay attention to physical health. Increase nutrition, eat more protein-rich foods as well as vegetables and fruits. Combine work and rest in life, do not participate in heavy physical labor and intense exercise, ensure sufficient sleep, maintain a cheerful spirit, and do not produce unnecessary pressure in thought. It can prevent the occurrence of functional uterine bleeding.

　　25. 2. The treatment of blood-heat metrorrhagia in traditional Chinese medicine is to clear heat and cool blood, and regulate the menstrual cycle, using Qingre Gujing Decoction. If the symptoms are accompanied by chest and hypochondrium distension, irritability, frequent sighing, and a wiry pulse, it is due to fire in the liver meridian, and the treatment should be to calm the liver and clear heat, regulate the menstrual cycle, using Danzhi Xiaoyao Powder without ginger, adding fried Pu Huang, Xueyu Tan, Yimucao, Xiangfu Tan, and the like; there are also those with inherent Yin deficiency, or with Yin essence deficiency during the climacteric period, internal heat due to Yin deficiency, and fire due to deficiency, with symptoms such as irregular menstruation, scanty and continuous bleeding, or sudden increase in amount, deep red blood color, dizziness and tinnitus, irritability and heat sensation, etc., which belong to虚热崩漏, and should be nourished Yin and cleared heat, cooled blood and stabilized the uterus, using Qingre Gujing Decoction combined with Shengmai Powder.

　　24. 3. The application of Western medicine in the treatment of blood-heat metrorrhagia uses drugs for hemostasis. There are two methods of drug hemostasis:

　　23. One is to make the endometrium shed cleanly, which can be injected with progesterone; the other is to make the endometrium grow, which can be injected with estradiol benzoate. Then use some hemostatic drugs, such as Yunnan Baiyao, Anluoxue, vitamin K, hemostatic acid, and hemostatic sensibility, etc., which can generally achieve the purpose of hemostasis.

　　22. Restore ovarian function and regulate the menstrual cycle. Generally, drugs such as dienestrol are taken continuously for 20 days, with a daily dose of 0.5-1 gram, and the injection of progesterone is increased to 20 milligrams per day in the last 5 days of medication. Generally, functional uterine bleeding in adolescence can be quickly cured with the growth of age and reasonable treatment. For ovulatory functional uterine bleeding, injection of chorionic gonadotropin before ovulation can be expected to regulate the menstrual cycle.