↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Pale, thin, watery menstrual blood; extreme fatigue; a pale complexion; poor appetite; shortness of breath; palpitations.
Tongue: Pale, puffy with teeth marks, thin white coating. Pulse: Fine and weak, especially at the right Guan.
Treatment principle: Tonify Spleen-Qi to strengthen the body's holding force and prevent the blood loss.
Clinical manifestations: Stabbing, fixed lower-abdominal pain; dark menstrual blood with clots; dark circles; pain worse at night.
Tongue: Dark purple with stasis spots, distended dark sublingual veins. Pulse: Choppy or wiry.
Treatment principle: Invigorate Blood circulation and dissolve the congealed stasis to restore smooth flow.
Clinical manifestations: Scanty but prolonged bright-red bleeding; night sweats; a dry throat; sore lower back; dizziness; mental restlessness.
Tongue: Red, thin, dry with little or no coating, possible cracks. Pulse: Fine and rapid, weak at the rear positions.
Treatment principle: Nourish Kidney-Yin and clear deficiency-heat to cool the agitation disturbing the uterus.
Clinical manifestations: Dark-red, sticky menstrual blood with a foul odour; yellow foul-smelling discharge; lower-abdominal heaviness; a heavy sensation in the legs.
Tongue: Red with a yellow greasy coating, thickest at the root. Pulse: Slippery and rapid, often soggy.
Treatment principle: Clear Damp-Heat accumulation from the lower burner to stop the prolonged turbid bleeding.