Excessive menstrual flow (gongbao) case

  A female, 30 years old, from Shaoyang, Hunan Province, was first seen on June 9, 2004 for vaginal bleeding for more than 40 days.  The patient had visited the gynecology department of a city people’s hospital on May 10, 2004 after she had her menstrual period on April 22, 2004, but the bleeding was incomplete and the amount was sometimes more or less. Now she is still dripping, with cold pain in the lower abdomen, clots, dark color, no obvious fishy odor, no itching in the vulva. With fear of cold, weakness, dizziness and long clear urine. The remainder is fine. Check: clear and cooperative, pale and colorless face, pale lips, pale lid conjunctiva, soft abdomen, light pressure pain in the lower abdomen, no rebound pain. The tongue is pale and fat, with tooth marks on the sides, white coating, and sunken and thin pulse.  The patient was considered to be suffering from gongbao. The evidence showed that the spleen does not regulate blood and the uterus is deficient in cold, so he was given Huangtu Tang with the following addition and subtraction: Zao Xin Tu Pao 50g Red Ginseng with 15g Fried Atractylodes 15g Dried Ginger 9g Agaricus molten 9g Gunpowder 15g Mugwort 15g Radix Angelicae Sinensis 15g Radix Rehmanniae 15g Blood Yu Char 15g Pu Huang Char 15g Rhizoma Ligustici Chuanxiong 15g Panax notoginseng 6g Roasted Licorice 15g Scutellariae 9g 5 doses. 1 dose/day, 2 decoctions with water mixed and taken warm before meals. The patient was frankly informed that I am not a gynecologist and that if there is heavy bleeding, she should consult a gynecologist.  Six days later, the patient visited me again, and when she saw that I had many patients, she sat quietly on the chair in the consultation room, and repeatedly asked her if she was okay, but replied that she was fine. I was apprehensive and worried that she was looking for trouble. When I asked her how she was doing, she suddenly burst into tears and said, “I came here today to say “thank you”. In order to consolidate the effect, I finished the remaining two doses, and no more bleeding occurred, and my spirit and complexion improved significantly, and almost all the symptoms disappeared. She also told me that before she came to me, a major hospital said that the only way to save her life was to remove her uterus, but she had just been married for less than two years and wanted to become a mother. The family was very happy to find out that I was good at treating difficult diseases and came to see me. The family was so happy that they gave me a pack of high-grade cigarettes, which I gladly accepted.