What are the reasons why blood is black on the first day of menstruation?

It is very important for women to take care of their bodies during menstruation. They should keep warm, avoid eating cold food, drinking alcohol, and pay attention to rest. Some women will have black bleeding on the first day of menstruation. This is abnormal and there are many causes for this. It is recommended to go to the hospital in time to check the cause and treat the symptoms. So what are the reasons why the blood is black on the first day of menstruation? Let’s take a look at it next.

1. Irregular menstruation

Dark menstrual blood is caused by qi stagnation and blood stasis, which occurs when menstrual blood accumulates in the uterus for a long time. Dysmenorrhea is related to this and is a menstrual disorder. You can seek treatment from a Chinese medicine practitioner with Chinese medicine.

Menstrual irregularity refers to a type of disease in which the menstrual cycle, period, and menstrual volume are abnormal. It includes early menstruation, late menstruation, irregular menstruation, prolonged menstruation, heavy menstruation, and scanty menstruation. The causes and pathogenesis of irregular menstruation are mainly due to the seven emotions or the six exogenous evils, or congenital kidney deficiency, multiple childbirths, excessive labor and fatigue, which damage the internal organs, cause dysfunction of the kidneys, liver and spleen, and imbalance of qi and blood, resulting in damage to the Chong and Ren meridians and irregular menstruation.

2. Qi and blood deficiency type

The menstrual cycle is advanced or delayed, the menstrual volume increases or decreases, the menstrual period is prolonged, the color is light, and the quality is thin. Or there may be pain in the lower abdomen, dizziness, fatigue, pale or sallow complexion, poor appetite and loose stools. The tongue is pale red and the pulse is thready and weak. Treatment should focus on nourishing both Qi and blood. You can use Buzhong Yiqi Pills, Shiquan Dabu Pills, Wuji Baifeng Pills, Bazhen Yimu Pills, Babao Kunshun Pills, Nujin Pills, Danggui Tiaojing Pills, Danggui Hongzao Granules, Guipi Pills, Siwu Heji, etc.

3. Blood cold type

The menstrual period is delayed, the amount is small, the color is dark and there are blood clots. Cold pain in the lower abdomen, relieved by heat, aversion to cold and cold limbs. The tongue coating is white and the pulse is deep and tight. Treatment should be based on warming the meridians and dispersing cold. You can use Ai Fu Nuan Gong Pills, Tian Qi Tong Jing Powder, Jin Kui Wen Jing Pills, etc.

4. Blood heat type

1. Excessive heat type: early menstruation, heavy flow, dark red or purple color, thick and sticky texture, with blood clots. Accompanied by irritability, flushed face and dry mouth, short and yellow urine, and dry and hard stools. The tongue is red, the tongue coating is yellow, and the pulse is rapid. The treatment is suitable for clearing away heat, cooling blood, regulating menstruation and stopping bleeding. You can use Qingjing Granules, Fenglun Hemostatic Tablets, Sihongdan, etc.

2. Deficiency-heat type: early menstruation, prolonged menstruation, heavy flow, red color and thick texture. Or accompanied by flushing of the cheeks and hotness in the palms and soles of feet. The tongue is red, with little coating, and the pulse is thready and rapid. Clears heat, nourishes yin, regulates menstruation and stops bleeding. Qingjing Granules and Gujing Pills can be used.

5. Qi stagnation and blood stasis type

The menstruation is irregular, the amount of menstruation may be more or less, the color is purple-red, there are clots, and the menstruation is not smooth. Or it may be accompanied by lower abdominal pain that is resistant to pressure, or distension and pain in the chest, flanks, breasts, and lower abdomen, abdominal distension and discomfort, purple tongue or petechiae, thin white or thin yellow tongue coating, and stringy or astringent pulse. The treatment is suitable for promoting blood circulation, removing blood stasis, regulating qi and relieving pain. You can use Xiaoyao Pills, Qizhi Xiangfu Pills, Cihang Pills, Shaofu Zhuyu Pills, Yueyueshu Granules, Shixiao Powder, Danggui Extract Tablets, Fuke Desheng Pills, Tiaojing Buxue Pills, etc.

6. Kidney deficiency type

The menstrual cycle is irregular, the amount is small, the color is light red or dark red, and the texture is thin. Weak waist and knees, heel pain, dizziness, tinnitus, or cold lower abdomen, or frequent urination at night. The tongue is pale and the pulse is weak or slow. Treatment is suitable for tonifying the kidney and regulating menstruation. You can use Nubao, Chang'e Jiali Pills, Dingkun Dan, Lu Tai Gao, etc.