Premenstrual bloody stool

Also deviated menstruation. The passing of bloody stool that starts before each menstrual period and that ceases by the end of the period. Premenstrual bloody stool arises when consumption of hot acrid blood drying foods causes heat to become depressed in the intestines so that the filling of the uterus with qì and blood before the menstrual period stirs the latent heat in the intestines and causes frenetic movement of the blood. Accompanying signs include red face and dry lips, dry throat and bitter taste in the mouth, thirst and scant thick purple-red menstrual flow or, in severe cases, amenorrhea.

Medicinal therapy: Use Sanguisorba Powder (地榆散 dì yú sǎn) plus dried/fresh rehmannia (Rehmanniae Radix, 生地黄 shēng dì huáng), red peony (Paeoniae Radix Rubra, 赤芍药 chì sháo yào), and mume (Mume Fructus, 乌梅 wū méi). For unpronounced heat, remove coptis (Coptidis Rhizoma, 黄连 huáng lián) and gardenia (Gardeniae Fructus, 山栀子 shān zhī zǐ). For dry bound stool, add hemp seed (Cannabis Semen, 火麻仁 huǒ má rén) and bush cherry kernel (Pruni Semen, 郁李仁 yù lǐ rén).