Menstrual spontaneous external bleeding

One form of counterflow menstruation. Spontaneous external bleeding during menstruation. Menstrual spontaneous external bleeding attributed to either liver depression transforming into fire or yīn vacuity and lung heat, the heat in either case damaging the network vessels and causing the blood to ascend counterflow with it.

Biomedical correspondence: vicarious menstruation.

Patterns

Liver fire invading the lung (肝火犯肺 gān huǒ fàn fèi) is characterized by impatience, agitation, and irascibility, headache, rib-side pain, bitter taste in the mouth, dry throat, and heart vexation.

Medicinal therapy: Calm the liver and drain heat with Moutan and Gardenia Free Wanderer Powder (丹栀逍遥散 dān zhī xiāo yáo sǎn) plus curcuma (Curcumae Radix, 郁金 yù jīn).

Acumoxatherapy: Base treatment mainly on PC, LR, LU, and SP. Select BL-13 (Lung Transport, 肺俞 fèi shù), LU-10 (Fish Border, 鱼际 yú jì), LR-3 (Supreme Surge, 太冲 tài chōng), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), PC-6 (Inner Pass, 内关 nèi guān), PC-8 (Palace of Toil, 劳宫 láo gōng), GB-34 (Yáng Mound Spring, 阳陵泉 yáng líng quán), and LR-2 (Moving Between, 行间 xíng jiān); needle with drainage.

Yīn vacuity lung heat (阴虚肺热 yīn xū fèi rè) is marked by postmeridian tidal heat, cough, reddening of the cheeks, heat in the heart of the palms and soles.

Medicinal therapy: Nourish yīn and clear heat with Rhinoceros Horn and Rehmannia Decoction (犀角地黄汤 xī jiǎo dì huáng tāng).

Acumoxatherapy: Base treatment mainly on LU and KI. Drain LU-6 (Collection Hole, 孔最 kǒng zuì), LU-10 (Fish Border, 鱼际 yú jì), and Hundred Taxations (百劳 bǎi láo), and supplement LU-5 (Cubit Marsh, 尺泽 chǐ zé), KI-2 (Blazing Valley, 然谷 rán gǔ), KI-3 (Great Ravine, 太溪 tài xī), LR-3 (Supreme Surge, 太冲 tài chōng), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo),