Treatment of excessive menstruation

  Normal 3 to 7 days, 30 to 80ml. Excessive menstruation means that the cycle and period of menstruation are basically normal, but the amount of menstrual blood is high. The causes are Qi deficiency, blood heat and blood stasis.  First, Qi deficiency. Weakness of the body, weakness of the middle energy, weakness of the unifying power, and lack of consolidation of blood in the uterus, resulting in excessive menstruation. Lifting Yuan Decoction (Ginseng, Astragalus, and Herbs to curse the lifter), and Gui Shen Tang.  Second, blood heat. Excessive Yang energy and heat in the Blood. Such as spicy food, damp-heat evil disturbs the two channels of Chong Ren, leading to disorderly flow of menstrual blood and excessive menstrual bleeding. Yin deficiency, prolonged illness damage to the internal yin, too much milk production injures the yin essence, and menstrual blood excretion, leading to even more deficiency of yin and blood. This leads to Yin-Blood-Yang and Blood-Heat forcing the Blood to move faster, resulting in increased menstrual blood. Solid Menstruation Pill, with the addition of Longmu Thixie Erzhi. Bao Yin Decoction (Er Di Scutellaria Baicalensis Broken White Mountain) Thirdly, Blood stasis, blood does not return to the menstrual flow. Loss of Smile San plus or minus (Three Mothers and Cyperus Laughing at Blood Stasis) Peach and Red Four Wonders Tang.  Reproductive system tumors, endometriosis, dysfunctional uterine bleeding, aplastic anemia, leukemia, thrombocytopenia, etc. IUD wearing. Contraceptive pill discontinuation. Reproductive tract infection.  Fixing the flush to treat the symptoms during menstruation (Gu Chong Tang), and benefiting Qi or clearing heat or resolving blood stasis and activating blood circulation at ordinary times.  Treatment: Tao Hong Si Wu Tang plus Yi Mao Cao 30 Ze Lan 15 Citrus aurantium 10, Angelica sinensis 15, the remaining 10 each. Drug treatment 1. Patients without contraceptive requirements or unwilling to use hormone therapy, can use antifibrinolytic drugs or anti-PG synthesis: tranexamic acid 1.0 g, 2-3 times / d. All used for 5 days from the first day of menstruation. Tranexamic acid can reduce menstrual flow by 54%. Adverse reactions may include mild nausea, dizziness, headache, etc.  2. For patients who require contraception, endometrial atrophy treatment can be used: oral administration of levonorgestrel on days 5-26 of the menstrual cycle can reduce blood loss by 30%. Levonorgestrel intrauterine release system (LNG-IUS, trade name Mannorrhea), which releases 20ug of LNG every 24 hours in the uterine cavity, is effective for 5 years. Mechanism: The endometrium makes it atrophy and thinning, menstruation decreases and amenorrhea occurs in 20-30%; the side effects on the whole body are low and the effect disappears after 1 month of discontinuation. However, sudden bleeding may occur within 6 months of initial use.