Bleeding between periods

Chinese Medicine Treatment 

Diagnosis –spotting or bleeding  around the time of ovulation (3-5 days) for 2-3 days which is scanty but significant.

The spotting can last for 2-3 days which is  generally is recurring.

Accompanied by the spotting is possible low back soreness, pain in lower abdomen over the ovaries, sticky egg-white discharge or leukorrhea.

Differential Diagnosis of Spotting – similar to early periods check amount of blood to see if it is actual menstruation (early) or not (bleeding between periods). If you follow basal temperature charting, if bleeding comes while temperature is consistently high (after ovulation) then it is early, if it is before this rise bleeding between periods.

Etiology (causes) of Spotting:

1. Kidney Qi and or Yin - (essence and blood), generally more in young women Yin-essence transforms Qi (Qi is needed to make ovulation happen) Qi is not transformed and Kidney Qi can’t consolidate Ren/Chong = bleeding

2. Damp/Heat – interior or exterior injures Ren/Chong. Damp/Heat is Yang – too much Yang around ovulation (which has a Yang Qi action) pushes too hard = bleeding

3. Blood Stasis – in uterus. If also Yin more Heat injures collaterals = bleeding.

Chinese Medicine Differentiation and Treatment of Spotting: 

Kidney Yin Deficiency  - scanty bright-red blood (earlier in cycle) Plus – Kidney Yin sym. T-red-scanty coat P-thin-rapid

Principle of Treatment: – nourish Kidney Yin, clear Heat to stop bleeding

Herbal Medicine Formula:– Liu Wei Di Huang Wan

Kidney Qi Deficiency  - scanty pale-red blood (later in cycle). Plus – Qi sym. T-pale P-weak

Principle of Treatment:– nourish Kidney Qi to consolidate Ren/Chong

Herbal Medicine Formula:– Shen Qi Wan -or Yu Ling Zhu – stimulate ovulation

Damp/Heat – sticky thick blood, thick yellow smelly vaginal leukorrhea. Plus – Low Jiao Damp/Heat sym T-red-yellow slippery P-slippery-rapid

Principle of Treatment: – clear Heat – induce diuresis to stop bleeding

Herbal Medicine Formula:– Ba Zheng San

Blood Stasis – dark-purple blood w/ clots, stabbing pain in lower abdomen. Plus – T-purple dots P-thin-wiry

Principle of Treatment: – remove Blood Stasis to stop bleeding

Herbal Medicine Formula: Zhu Yu Zhi Xue Tang