Spotting or Bleeding Between Menses

Kidney Yin Deficiency

Formulas and Herbs:

• Liang Di Tang (Sheng Di, Di Gu Pi, Xuan Shen, Mai Men Dong, E Jiao, Bai Shao) Er Zhi Wan (Nu Zhen Zi Han Lian Cao) Tu Si Zi, Xu Duan

Acupuncture Points:

• HT-6
• KI-6
• SP-1
• Duan Hong
• NO Moxa

Damp-Heat

Formulas and Herbs:

• Qing Gan Zhi Ling Tang (Dang Gui, Bai Shao, Sheng Di, E Jiao, Huai Niu Xi, Huang Bai, Mu Dan Pi, Xiang Fu, Lu Dou and sometimes Fu Ling, Yi Yi Ren for dampness)
• Liu Wei Di Huang Wan

Modifications:

• With heavy bleeding: Niu Xi, Mu Dan Pi
• With Spleen Qi Deficiency: Huo Po
• With Spleen Qi Deficiency with a greasy coat: Cang Zhu

Acupuncture Points:

• SP-9
• LIV-5
• SP-1,8
• ST-36
• REN-7,9
• BL-22,32

Blood (Xue) Stagnation

Formulas and Herbs:

• Zhu Yu Zhi Xue Tang (Da Huang, Sheng Di, Dang Gui Wei, Chi Shao, Mu Dan Pi, Zhi Ke, Gui Ban, Tao Ren)

Modifications:

• With period: Dang Gui Wei, Pu Huang, San Qi, Yi Mu Cao
• With Liver Qi Stagnation: Chai Hu, Chuan Lian Zi
• With Xue Heat: Huang Qin, Zhi Zi, Di Yu
• With Cold Stagnation: Pao Jiang, Ai Ye
• With Qi Deficiency: Huang Qi
• With lower back soreness: Sang Ji Sheng, Xu Duan

Acupuncture Points:

• REN-3,4
• Zigong
• SP-6,8,10
• LIV-3
• P-6

References:

• Obstetrics & Gynecology in Chinese Medicine
  - Giovanni Maciocia
• Five Branches Institute Gynecology Classes
  - TCM Faculty
• Thomas Dehli, L.Ac.