Patient: Madam Kok (Female) Age42
Date：15 May 2021
Main problem: Menstrual disorder (Menorrhagia & Metrorrhagia) for 3 months.
Madam Kok happened to visit the clinic since the first consultation on 14-01-2021 regarding extended period and less bleeding during menstruation period. Revisited once, and never follow up then.
Today, once she steps into the room, she hastens to ask: “TCM Dr, please help me! The menstrual disorder issue had been happening since February till today.”
I reply: “Please elaborate.”
Madam Kok tells: “I have had the saffron-mixture herbal soup for 5 times. Then the menstrual disorder issue kick-started, and bleeding never stopped for the past 3 months.”
I ask: “May I know what is your main problem now?”
Madam Kok replies: “I have a speeded-up heartbeat and headache on the right side especially if the temperature raise high. During night hours I feel uncomfortable with wind and cold.”
This patient’s face looks as pale as white paper. I have read the medicine books indicating the pale face, but i never imagine i could see the most “white-pale” face in my life. As the menstrual disorder had been haunting her for past 3 months, i really empathize her problem because she looks miserable and heavy-hearted as she also worries whence this problem is going to stop. Due to over bleeding cum blood clots releasing for the past 3 months, her body is extremely weak. Last week, she taken “Bat Kut The” herbal soup, then the blood volume increased right after the meal. Last night, she encountered unusual perspiration after she drunk the ginger soup. Both symptoms indicating us that her body is too weak by now.
My advise:I prescribed herbal medicine for her and asked her to revisit 2 days later. Besides, I asked her to prepare fried ginger which sliced into small pieces, and must fried until dark burnt color, mix with water, and drink it. If the body cannot stand it, as this might be too heaty for the body, she must drink much water. If she constipates, then she must stop consuming it.
19-05-2021 Revisit：
As feedback by Madam Kok, she observed more blood clots released on 16-05-2021 and 17-05-2021. Yesterday and today the blood clots volume had reduced much indeed. However, every morning, she feels palpitation. Lips dryness. Not thirsty and drink water normally. Fatigue.
26-05-2021 Revisit：
Eventually, her bleeding stopped on 23-05-2021. Nevertheless, she still feels palpitation every morning. Still dryness of lip. Not thirsty and drink water normally. Dreaming a lot during the night sleep.
02-06-2021 Revisit：
As observed, the menstrual disorder issue has stopped for second week by now.
13-07-2021 Revisit：
After consuming the herbal medicine, the menstrual disorder has stopped for 3 weeks.
Her first menstruation resume in the mid of June, it runs for 10 days. Initially, the colour is lighter red, turn to darker red gradually. The volume of the blood is normal. No more disorder issue.
This month, July, her menstruation started too. Today is the 9th day of menstruation. She feels distending pain of the breast before the menstruation resumes. This time she sees red colour blood cum some blood clots. Sometimes, slight stomach-ache. Today, the morning palpitation has stopped. No more dizziness. Sleep well, sometime do have a dream once in a blue moon. Still feel uncomfortable with cold temperature in the night time. Instinctively, she feel more relax.
24-09-2021 Revisit：
Menstrual order exist in regular pattern for the month of July, August, and September. Today, is 5th day of menstrual period and she sees much volume of bleeding and blood clots. In additional, feel bloated in the chest.
01-10-2021 Revisit：
In the last visit in September, she has a reducing blood clots after finished consuming the herbal medicine. Lmp 20-29/9/2022.
10-10-2021 Revisit：
After the period ended, as observed the disorder issue never happened. Currently, she has better appetite and fresh mind. No more heavy perspiration. Feel mouth dryness and longing to drink water. Urinating wise normal. Bowel movement is normal too.
Diagnosis：
Initially, the patient’s problem is regarding extended menstrual and less bleeding. But due to busier life as a housewife, she did not return.
In fact, when she returned for visit on 15-5-2021, her problem has exaggerated and was totally contradict with previous case. Now she has been tortured for having the heavy bleeding for 3 months continuously. When she stepped into the room, we saw her pale face and fair skin, pale palm has not reddened at all besides her cooling limbs. These symptoms have indicating us that she was pretty ‘cooling’ now due to lack of blood nourishment. She was miserable and heart sicked. After twice visits, having oral prescriptions for the herbal medicines, her bleeding stopped on 23-05-2021. This is really a nightmare for her. Despite the ceased of the bleeding, she still exhibiting the pale face, morning palpitation and lip dryness etc.
Tabulated analysis:
| Month of menstruation | Remarks |
| Feb-May | After oral prescription, we manage to stop the bleeding on 23-05-2021. Other symptoms like palpitation, lip and mouth dryness, dreaming in the night. |
| June | The period last for 10 days. Initially, the colour is lighter red, turn to darker red gradually. |
| July | The period last for 21 days. She sees red colour blood cum some blood clots. Sometimes, slightly stomach-ache. |
| August | The period last for 20 days. |
| September | The period last for 10 days. she sees much volume of bleeding and blood clots. In additional, feel bloated in the chest. |
On the 10-10-2021
, she returned, and everything has been back to normal. She has better appetite and looks fresh.
Base on the remarkable experience, the patient realized that we have to take care of the body from time to time. Regardless of any factors, if treated mistakenly, it will cause huge effects to the body. In this story, the bad outcome is the issue of menstrual disorder ~ Menorrhagia and Metrorrhagia.
PS: Menorrhagia is heavy bleeding, including prolonged menstrual periods or excessive bleeding during a normal-length period. Metrorrhagia is bleeding at irregular intervals, particularly between expected menstrual periods.
Some tips to pay attention in the daily routines in our lifestyles.
1. Do more protection for body such as cover our neck, our waist and belly button, feet etc.
2. Keep the temperature in the sleeping room between 24-26 Celsius. Must remember to cover the body with blanket. Wear long pants and long sleeves pyjamas.
3. Avoid washing hair in the night. If you have washed your hair, dry it soonest possible. Advisable to take hot shower.
4. Try not to be choosy when you have your meals. Maintain regular meal three time per day. Intake more food which help nourishing the blood ingredients.
5. Do not drink icy water or cold drinks or food that take from the fridge directly.
6. If your body is cooling type, you are advised to take warm typed of food.
7. Regular bowel movement habit.
8. Maintain good relationship with family and friends, always be a pleasant and calmful person.
Nourish blood with nutritious food ：
For instance, brown sugar ginger tea, red bean soup, edible amaranth, red dates etc.
Fresh vegetables such as: rich iron spinach, black fungus, mushroom food. Although we do not gain the blood once we consume the vegetables, but these vegetables are rich in Vitamin C, enable the transform of iron and reuse it to make the hemoglobin.
In additional, we could obtain hemoglobin iron from the blood of animals, meat, and internal organ.
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