Metrorrhagia and Metrostaxis – Beng Lou

Diagnosis of Beng Lou -Irregular uterine bleeding between patients cycle. Large amount of blood, or spotting for long periods of time. Blood will come suddenly in large quantities or in small quantities but for a long duration. Blood will be fresh red, dark red, or bright red and can be either thin or thick with possible clots and a possible odour.

Etiology (causes) of Beng Lou:

1. Kidney Qi -kidney does not close the “gate” properly causing irregular uterine bleeding.

2. Spleen Qi -spleen cannot keep blood in vessels causing irregular uterine bleeding

3. Heat in Blood ( or ). -pushes blood out of Chong meridian

4. Blood Stagnation - in Chong and Ren meridians, new blood unable to enter meridians causing irregular uterine bleeding.

Principles of Treatment 1. Stop bleeding 2. Go to root 3. Regulate Chong/Ren Pathogenesis

 Chinese Medicine Differentiation and Treatment

Heat in Blood – scanty for long period of time (if heat becomes fire – lg. amount of blood), bright red, thick irregular bleeding. Plus – Yin sym. T-red-scanty coat P-thin-rapid

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

Herbal Medicine Formula:– Bao Yin Jian

Heat in Blood – acute sudden onset of large amounts of blood, deep or bright red-thick Plus – Heat sym. T-red P-rapid

Principle of Treatment: – clear/purge Heat – cold blood to stop bleeding

Herbal Medicine Formula:– Qing Re Gu Jing Tang

Kidney Yang - sudden irregular – more or less blood, pale-thin Plus – Kidney Yang sym. T-pale P-weak

Principle of Treatment:– nourish Kidney Yang – consolidate Chong/Ren to stop bleeding

Herbal Medicine Formula: Yu (right) Gui Wan

Kidney Yin - Metrostaxis (dripping) bright red-thick, possibly large amounts (usually scanty) Plus – Kidney Yin sym. T-red-scanty P-rapid-thin

Principle of Treatment: – nourish Kidney Yin to stop bleeding

Herbal Medicine Formula:– Zou (left) Gui Wan

Spleen Qi - alternate amounts of blood w/ spotting starting after, pale-thin Plus – Spleen Qi sym. T-pale P-empty

Principle of Treatment: – nourish Spleen Qi to keep blood in vessels

Herbal Medicine Formula: Gu Ben Zhu Beng Tang or Gui Pi Tang

Blood Stasis – blood may stop then flow again, or amenorrhea then bleeding occurs in dark colour w/ clots Plus – Pain in abdomen

Principle of Treatment: – promote circ. – remove stasis to stop bleeding

Herbal Medicine Formula: Si Wu Tang + Shan Qi, Hong Hua, Qian Cao