Why do I feel like I can’t discharge blood during my period?

For women, menstruation is a necessary means of regulating the body. Although menstruation is sometimes very troublesome, it does have great benefits for women's physical health. Menstruation begins during puberty and continues until menopause. During this period, menstrual problems are likely to occur, so women must handle them correctly. So the question is, what is the reason for feeling that the blood cannot be discharged during menstruation?

Qi stagnation and blood stasis refers to the pathogenesis of prolonged stagnation of Qi leading to blood stasis. The normal circulation of blood depends on the promotion of Qi. If Qi does not flow smoothly and blood cannot circulate, blood will stagnate and blood stasis will occur. "Shoushibaoyuan" states: "...Qi is the commander of blood. When Qi moves, blood moves. When Qi stops, blood stops. When Qi is warm, blood is smooth. When Qi is cold, blood coagulates. If Qi is not moving for a while, blood will not flow for a while." "Blood Symptoms Theory" also states: "When Qi is blocked, blood coagulates." Qi stagnation and blood stasis are mutually causal. Qi stagnation leads to blood stasis, and blood stasis aggravates qi stagnation. It is mostly caused by emotional depression or falls and sprains. The treatment should be to promote qi, activate blood circulation and remove blood stasis, and Xuefu Zhuyu Decoction can be used.

Interpretation

Qi stagnation and blood stasis refers to a pathological state in which blood circulation is obstructed and blood stasis occurs due to stagnation of Qi.

Qi stagnation and blood stasis are mostly caused by emotional injury, depression, and Qi blockage, which leads to blood stasis. The liver is responsible for regulating qi and storing blood. The regulating function of liver qi plays a key role in regulating qi. Therefore, qi stagnation and blood stasis are often closely related to liver failure to regulate qi. Clinically, common symptoms include fullness and pain in the chest and flanks, mass accumulation, and accumulation of symptoms. The lungs control qi, regulate the body's qi, and assist the heart in transporting blood. If pathogens block the lung qi and the functions of ascending and descending are impaired, over time it can lead to qi stagnation and blood stasis in the heart and lungs, resulting in symptoms such as cough, asthma, palpitations, chest pain, and blue lips and tongue.

Qi stagnation can lead to blood stasis, and blood stasis must be accompanied by qi stagnation. Because Qi stagnation and blood stasis are mutually causal and often coexist at the same time, it is often difficult to clearly distinguish which comes first. Factors such as sprains and trauma can lead to the simultaneous formation of qi stagnation and blood stasis. However, no matter what the cause of qi stagnation and blood stasis is, it is necessary to distinguish the priority of qi stagnation and blood stasis.

Application of Traditional Chinese Medicine

Discussion and Treatment of Qi Stagnation and Blood Stasis

Main symptoms: stabbing pain that is resistant to pressure, persistent pain, dull or dark complexion.

Side effects: chest and flank distension, wandering pain, irritability or depression; or delirium, or madness; or hard lumps under the flanks; or bluish lips, nails, and skin; or thirst but wanting to spit out water instead of swallowing it; or purple spots on the skin, or silky blood streaks on the skin, or exposed blue veins in the abdomen, or swollen and painful blue veins in the lower limbs; or black stools like tar; or dysmenorrhea, amenorrhea, and persistent lochia, with dark purple blood mixed with blood clots.

Tongue and pulse: The tongue is dark purple or has ecchymosis, the pulse is thin and wiry or deep and wiry, or it is intermittent.

Treatment principles: Promote blood circulation, remove blood stasis, promote qi circulation and relieve pain.

Representative prescriptions: Xuefu Zhuyu Decoction, Shentong Zhuyu Decoction, Fuyuan Huoxue Decoction, Shaofu Zhuyu Decoction, Tongqiao Huoxue Decoction, Gexia Zhuyu Decoction, etc.