↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Pale, thin, watery menstrual blood; sore, weak lower back and knees; frequent night-time urination; feeling cold; dizziness; fatigue.
Tongue: Pale, puffy, moist, thin white coat, possible tooth marks. Pulse: Deep, weak, fine; especially weak at the rear positions.
Treatment principle: Warms and tonifies Kidney Yang to secure the Directing and Penetrating Vessels.
Note: moxa is appropriate. Linked to this site's own Kidney-Qi-not-firm slide.
Clinical manifestations: Pale, thin menstrual blood; spotting or heavy bleeding between periods; exhaustion that worsens with bleeding; poor appetite; loose stools; pale, sallow complexion.
Tongue: Pale, puffy, tender, tooth-marked, thin white coat. Pulse: Fine and weak, especially at the right middle position.
Treatment principle: Tonifies Spleen Qi to hold the Blood within the vessels.
Note: moxa is appropriate (SP-1 with direct moxa is the classical technique for bleeding from Spleen deficiency).
3. Heat in the Uterus Blood
Clinical manifestations: Heavy, dark red, thick, sticky blood; early periods; a feeling of heat in the lower abdomen; restlessness; irritability; thirst for cold drinks.
Tongue: Red, especially the tip, possible prickles, thin dry yellow coat. Pulse: Rapid and wiry or slippery.
Treatment principle: Clears Heat and cools the Blood to stop reckless bleeding.
Note: no moxa. This site's decks have no standalone Heat-in-the-Blood slide, confirmed absent many times — no pattern link is given here.
Clinical manifestations: Dark menstrual blood with clots; fixed stabbing lower abdominal pain; bleeding that stops and starts; pain worse at night; dark or purplish lips and complexion.
Tongue: Purple or dusky, possible stasis spots, dark distended sublingual veins, thin white coat. Pulse: Choppy, rough and uneven, or wiry.
Treatment principle: Invigorates Blood and dispels stasis to remove the obstruction and stop the bleeding.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.
5. Qi and Blood Deficiency
Clinical manifestations: Pale, thin, watery menstrual blood; prolonged spotting or light bleeding; extreme fatigue that worsens with bleeding; dizziness; palpitations; pale complexion, lips and nail beds; poor appetite.
Tongue: Pale, possibly thin and tooth-marked, thin white coat. Pulse: Fine and weak, especially at the right middle position.
Treatment principle: Tonifies both Qi and Blood to break the cycle of weakness and spotting.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.