Menstrual hematemesis:an introduction of blood vomiting during menstrual cycle,vicarious menstruation and various types.


 TCM Knowledge:Gynecology Syndromes,Women Syndromes ✵Gynecology of TCM is a branch to study the physiological and pathological characteristics of women and to prevent and treat syndromes specific to women. Gynecology of TCM research scope including irregular menstruation, amenia, metrorrhagia, infertility, postpartum syndromes, breast syndromes, and miscellaneous syndromes, etc.

Menstrual hematemesis(blood vomiting during menstrual cycle).
Menstrual hematemesis 
 ✵The menstrual hematemesis is also known as blood vomiting during the menstrual cycle, or hematemesis during menstruation. The menstrual flow from some part other than the vagina, especially from the nose, so it is also known as vicarious menstruation.

 ✧The blood vomiting or nose bleeding 1 or 2 days earlier than the due time, or blood vomiting or nose bleeding during the menstruation period or at the end of the period, result the menstrual discharge less than the normal amount; these are all defined as cases of vicarious menstruation, or menstrual hematemesis.

 ✦The pathogenic reason that leads to the menstrual hematemesis, blood vomiting during the menstrual cycle, or vicarious menstruation, are known mostly due to liver-fire counter flow and force the blood going upward, or the heart-fire hurt the lung and force the blood going upward. The related syndromes of menstrual hematemesis are introduced: menstrual hematemesis of liver-fire counter flow(blood vomiting during menstrual cycle due to liver-fire counter flow), menstrual hematemesis of heart-fire hurt the lung(blood vomiting during menstrual cycle due to heart-fire hurt the lung), menstrual hematemesis of hot diet(blood vomiting during menstrual cycle due to hot diet), Pian Jing(slanting menstruation), etc.

Menstrual hematemesis of liver-fire counterflow(blood vomiting during menstrual cycle due to liver-fire counter flow).
Menstrual hematemesis of liver-fire counterflow 
 ✵The menstrual hematemesis of liver-fire counter flow is mainly due to liver-fire counter flow, also known as blood vomiting during the menstrual cycle due to liver-fire counter flow, symptoms are: before the menstruation or during the menstruation period, there is blood vomiting or nose bleeding, result in the menstrual discharge less than the normal amount gradually or even amenorrhea or menopause, the due time often preceded or advanced, menstrual blood volume increased, color dark red, accompanied by dizziness and tinnitus, vexation and easy to be angry, distending pain in hypochondria, bitter mouth and dry pharynx, tongue color red and tongue coating yellow, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "In the case of Cuo Jing(vicarious menstruation) and bleeding from mouth and nose, is the condition of fire carry blood and blood flow upward, disturbance from Qi... If not get a treatment for a long period, it develops to fear of deficiency type." [02].



Menstrual hematemesis of heart-fire hurt the lung(blood vomiting during menstrual cycle due to heart-fire hurt the lung).
 
 ✵The menstrual hematemesis of heart-fire hurt the lung is mainly due to heart-fire hurt the lung, also known as blood vomiting during the menstrual cycle due to heart-fire hurt the lung, symptoms are: before the menstruation or after the menstruation period, there is blood vomiting or nose bleeding, result the menstrual discharge small amount, color pink-red, the due time often preceded or advanced, menstrual discharge small amount, menstrual discharge color pink-red, heat effusion in the heart of the palms and soles, often troubled with dizziness and tinnitus(giddy, ringing in the ears), paroxysmal fever, cough, and dry throat, tongue red drying, etc.

Menstrual hematemesis of hot diet(blood vomiting during menstrual cycle due to hot diet).
Menstrual hematemesis of liver-fire counterflow 
 ✵The menstrual hematemesis of hot diet is mainly due to taking much spicy and hot food(such as pepper, ginger and other hot or spicy food), symptoms are: bleeding from mouth or nose during menstruation but menses not come or amenia, it is also known as retrograde menstruation(regurgitating menstruation).
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from menses not flow down during menstruation, but bleeding from mouth or nose, is known as Ni Jing(retrograde menstruation). It is due to take much red pepper, ginger, and other food which nature is hot and spicy, heat hurt the blood, blood disorder, and flows upward..." [03].

 "A woman suffers from menses not flow down during menstruation, but bleeding from mouth or nose, dysphoria and fever in five centers(dysphoria with smother sensation in the heart and four palms-cores), cough, and shortness of breath...(is the syndrome retrograde menstruation with cough and shortness of breath)..." [03].

 "A woman suffers from menses not flow down during menstruation, but bleeding from mouth or nose, due to taking pepper, ginger and other food which nature is hot and toxic, the blood flows randomly...
 A woman suffers from menses flow out from mouth or nose, cough and dyspnea, not flow down but flow upward, fever in five centers(fever in the heart and four palms-cores), dyspnea..." [04].



Pian Jing(slanting menstruation).
 
 ✵The slanting menstruation is also known as Pian Jing, an ancient syndrome name in TCM, is a syndrome that the menses not going down from its normal routine, so it is understood as amenia, but also not bleeding from nose when the menstruation period comes, so it is also not retrograde menstruation, it goes from other routines, so it is known as Pian Jing or slanting menstruation, literally "Pian Jing" means menses goes down from slanting ways, sometimes it is also known as "Cha Jing". The pathogenic reasons are understood due to take much hot food and affected by heat toxins.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from bleeding passing from urination or defecation, is known as Cha Jing. It is due to take much food which nature is hot or spicy, (heat) accumulated in a long period and leas to such a syndrome..." [03].



References:
  • 01.Menstrual hematemesis:an introduction of blood vomiting during menstrual cycle,vicarious menstruation and various types.
  • 02.Song Shi Nǚ Ke Cuo Yao(the Synopsis of Song's Gynaecology).By 宋林皋(Sòng Lín Gāo)[Ming].
  • 03.Ye Shi Nǚ Ke Zhèng Zhì(the Syndromes and Therapeutics of Ye's Gynaecology).By 叶桂(Yè Guì).
  • 04.Fù Kē Bèi Kǎo(the References of Gynaecology).By 何应豫(Hé Yīngyù)[1820].

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