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Knowledge baseFormulas

Midcycle Bleeding #1

Medicinals
6

Composition

  • Chao Mu Dan PiStir-fried Cx. Moutan6–12 g

    Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, invigorates the Blood and dispels Blood Stasis.

    for hematuria, hematemesis, and epistaxis due to warm febrile disease.
    • Sheng Di Huang Tan
    for Kidney Yin Deficiency with steaming bones.
  • Sheng Di Huang TanCarbonized Rx. Rehmanniae5–30 g

    Clears Heat, cools the Blood and stops bleeding.

    • Bai Shao
    for Blood Deficiency Heat.
  • Chai HuRx. Bupleuri3–12 g

    Spreads Liver Qi and relieves Stagnation.

    • Bai Shao
    for vertigo, dizziness and thoracic and costal pain due to Liver Qi Stagnation.
  • Yu JinRx. Curcumae3–15 g

    Invigorates the Blood, dispels Blood Stasis, regulates Qi flow, clears Heat and cools the Blood.

    for Liver Qi and Blood Stagnation with flank pain and distention, dysmenorrhea and irregular menstruation.
  • Bai ShaoRx. Paeoniae Alba5–30 g

    Nourishes the Blood, regulates menstruation, softens the Liver, relieves pain, astringes Yin and adjusts the Ying and *Wei*.

    for flank pain due to Liver Qi Stagnation.
  • Bai Mao GenRz. Imperatae9–30 g

    Cools the Blood and stops bleeding.

    • Sheng Di Huang Tan
    for bleeding due to Heat in the Blood.

Actions

  • Tonifies the Kidneys
  • Harmonizes the Chong channel
  • Courses the Liver
  • Reduces Heat in the Blood

Patterns treated

Midcycle bleeding arising from Kidney Yin Deficiency, complicated by stagnation of Qi and Blood

Manifestations

  • Bleeding occurring at midcycle
  • A dizzy feeling
  • Ringing in the ears, or hearing loss
  • Diminished memory
  • Low back that aches, is sore, or feels weak
  • Involuntary seminal discharge or
  • Ejaculating prematurely
  • Bone aching
  • Aching sensations in the leg and heel
  • Mouth dryness
  • A thirsty sensation
  • Sweating during sleep at night
  • A sensation of Heat in the Five Soles
  • Flushed cheeks
  • Mild fever occurring in the afternoon
  • Throat dryness, possibly with recurring soreness
  • Stools that are dry and/or
  • Difficulty with bowel movements
  • Urine that is scanty and red
  • Increased sexual desire
  • A depressed mood
  • Pain that stays in one place, stabbing, and/or severe, or
  • Pain that shifts location
  • A distended sensation
  • An irritable disposition
  • Pain that intensifies with pressure
  • A darkened facial complexion
  • Masses that are fixed in place and can be felt
  • Bleeding accompanied by clots
  • Lips of a purple hue
  • Nails of a purple hue
  • Skin that is dry
  • Discoloration of the skin—blue, dark or purplish—covering small or large areas
  • Both varicose veins and spider veins present
  • Coldness of the hands and feet
  • A propensity to hemorrhage dark-colored blood or clots
Tongue body
Reddish-purple in color, with possible purple or red spotting
Coating
White, or scant, or absent entirely
Pulse
Fine and rapid, or choppy, or taut and choppy

Indications

Midcycle bleeding occurring in phase 2

Modifications

Notes

Administer during ovulation should bleeding occur.