The use of intrauterine devices (IUDs) for contraception (also known as ring placement, IUDs, or IUDs) tends to cause uterine contractions, resulting in a small amount of irregular bleeding when the endothelium breaks down locally, which can be accompanied by distension of the lower abdominal wall. In another type of situation, the amount of menstruation increases after IUD release, and the bleeding time is also prolonged. Western medicine commonly used fibrinolytic inhibitors, hemostatic cyclic acid, prostaglandin synthesis inhibitors (flumic acid), more effective in reducing bleeding.

This disease is often referred to in traditional Chinese medicine as "ring-placing menstrual leakage", "ring-carrying leakage", "bleeding after ring-placing", and so on. For the etiology of the disease, the use of traditional Chinese medicine, clinically proven to have more obvious efficacy. Generally speaking, it adopts the method of benefiting qi, activating blood circulation, stopping bleeding, clearing heat and removing toxins, and so on.

This section selects six empirical formulas such as Fuzheng detoxification soup and Qinggong Huanning soup.

1. Fuzheng detoxification soup drug composition of ginseng, astragalus, cypress, fried gardenia, bacopa monnieri each 15g, neem 12g, silver flower, dandelion, white flower snakebite, fried coix seed, motherwort each 30g, Epimedium, epimedium, ginger, each 10g, licorice 6g.

Treatment method of decoction of water to be taken, 1 dose per day. After the blood stops, take another 10 doses after menstruation. Treat continuously for more than 2 cycles.

Effects and IndicationsThis formula is useful in strengthening the spleen, tonifying the kidney and warming the yang, clearing heat and removing toxins, and stopping bleeding. It can be used to treat excessive menstruation caused by the ring (ring leakage).

Clinical application of this group of 189 cases, all with a ring for more than 2 years, menstruation menstrual flow, dribbling more than half a year. With the above treatment for 2 menstrual cycles, the results: 152 cases (80.89%), improved 28 cases (13.48%), invalid 9 cases (5.03%). The total effective rate was 94.97%.

Experience of the experience of wearing a ring to cause heavy menstruation, clinical more common. Patients often have menstruation first, menstrual flow is more, the color of the face ginger yellow, upset and irritable waiting, study its etiology and pathogenesis, often with the spleen and kidney insufficiency, blood stasis, heat and venom fighting in the uterus due to the treatment of when the qi and spleen, beneficial kidney warming Yang, clearing the heat and detoxification, blood circulation and stopping the bleeding of the general law. This formula is organized accordingly. It has been tested in the clinic, and the therapeutic effect is remarkable.

Source of formula: Hu Yuchuan, et al. The experience of Chinese medicine in the treatment of leakage with ring. Journal of traditional Chinese medicine, 1992, (11): 44. 2. Qinggong huanning soup drug composition dandelion, poria 15g each, scutellaria baicalensis, burnt hawthorn, angelica sinensis, red and white peony, chenpi, side of phellodendron charcoal, gardenia 12g each.

Added and subtracted variations: abdominal cramps and pain plus wuyao, fragrant herbs; blood stasis plus motherwort; dampness plus zejiao, atractylodes macrocephalae, psoralea, lancelet seed; waist soreness and pain plus Chuanjie, goji berry, yin deficiency plus shengdu, Qi and blood deficiency plus Codonopsis, Huang Qiqi. deficiency plus Codonopsis, Astragalus, Colla Corii Asini.

The treatment method is 1 dose of water decoction per day. 3 days for a course of treatment.

This formula clears away heat and dampness, cools blood and stops bleeding, and regulates qi to stop pain. The main treatment of vaginal bleeding after the release of the ring.

Clinical use of self-proposed Qinggong Huanning Tang for the treatment of 66 cases of different degrees of vaginal bleeding due to contraception after the release of the ring, the effect is good, in which the cure (bleeding stops, the disappearance of clinical symptoms, and did not recur after three months) 54 cases; improvement (bleeding control after 2 to 4 courses of treatment, the clinical symptoms of remission or recurrence of the 10 cases; invalid 2 cases, the total effectiveness of 98.5 percent.

The experience of women of childbearing age after contraceptive ring release irregular vaginal bleeding is quite common, such patients are usually accompanied by thick or yellowish odor, vaginal itching and pain, menstruation, the amount of color dark, upset and anxious or cervicitis, vaginitis, excessive menstruation, and other gynecological disorders. After the changes of internal and external causation after releasing the ring, dampness and heat stagnate in the uterus, and blood heat is carried away, then the bleeding is not stopping. Self-designed Qingguan Huanning Tang clears heat, cools Blood to stop bleeding, and dries dampness. Radix Paeoniae Alba and Radix Paeoniae Lateralis Charcoal cooled and activated Blood to stop bleeding; Radix Paeoniae Alba nourished Blood and softened the Liver; Radix Angelicae Sinensis nourished Blood to eliminate blood stasis and generate new blood to promote uterine rejuvenation; Hawthorn dispersed blood stasis and relieved pain; Pericarpium Citriodis and Poria strengthened the Spleen and harmonized the middle to prevent the bitter and cold products from injuring the spleen and stomach.

Source of formula Wei Jinrong. Qinggong Huanning Tang for the treatment of 66 cases of post-discharge bleeding. Journal of Practical Chinese and Western Medicine, 1992, (12): 759. 3. Ramie Root Stopping Bleeding Tang is composed of 30-50g of fresh ramie root, 20-30g of Radix et Rhizoma Dioscoreae and Radix et Rhizoma Dioscoreae, 10g of Radix et Rhizoma Dioscoreae and 5g of Radix et Rhizoma Glycyrrhizae.

Additions and Subtractions: for those who are suffering from stagnation of blood, 20g of Radix et Rhizoma Dioscoreae and 10g of Radix et Rhizoma Lactuca sativa are added.

Treatment: decoction of water, 1 dose per day, 1 dose in the morning and 1 dose in the evening, stop using other drugs during the period of service, 3 days for a course of treatment.

Efficacy and main treatment: clearing heat and cooling blood, stopping bleeding and removing blood stasis. Functional uterine bleeding, post-discharge bleeding, gynecological inflammation, abortion, uterine fibroids.

Clinical use of this formula to treat 34 cases, the total effective rate of 94.1%. The number of days of medication: 23 cases of 1 to 3 days, 10 cases of 4 to 6 days, and 1 case of more than 7 days.

This formula takes ramie root as the main medicine, which is sweet and cold in nature and enters the liver and spleen meridians, with the effects of stopping bleeding, stabilizing the fetus and clearing heat. It is often used in the treatment of hemorrhage due to various causes with good effect. In this formula, Radix Rehmanniae is used to clear heat, cool blood and nourish yin; Radix Rehmanniae is used to cool blood and stop bleeding, activate blood circulation and remove blood stasis; Radix Aristolochiae is used to tonify liver and kidney, cool blood and stop bleeding; and Radix Glycyrrhiza glabra is used to harmonize all the drugs. The whole formula is simple, and **** works to clear heat and cool Blood, stop Blood circulation and remove Blood stasis, and tonify the liver and kidney. It is a good prescription for the treatment of leakage, as it combines the methods of stopping the flow, clarifying the source and restoring the old.

Source of formula Li Zhixiong. "Ramie Root Stopping Leakage Soup" for the treatment of 34 cases of leakage. Jiangsu traditional Chinese medicine, 1991, (6): 14. 4. ring collapse Ⅰ formula drug composition of raw dihuang 15g, bone marrow, the preparation of 12g each, the root of the golden cherry, white head, raw elm 30g each, the raw bushes (packet), the five spirit fat, rhubarb charcoal 9g each, large red dates 7 (heavy raw elm 60g, rhubarb charcoal 15g).

Treatment 1 dose daily, 30 days for 1 course of treatment.

Effects and IndicationsTo tonify the kidney and regulate the stroke, remove blood stasis and stop bleeding. It is used to treat heavy menstruation after the release of the ring.

Clinical use of this formula after treatment efficacy of age group observation, 27-35 years old group *** 44 cases, including 5 cases of significant effect, 36 cases of improvement, 3 cases of invalid; 35-42 years old group *** 26 cases, 4 cases of significant effect, 18 cases of improvement, 4 cases of invalid. p-value >0.05, there is no significant difference between the two groups. To observe the disease duration group, within 1 year group *** 12 cases, including 4 cases of apparent effect, 7 cases of improvement, invalid 1 case. 1 ~ 2 years group *** 16 cases, including 2 cases of apparent effect, 12 cases of improvement, invalid 2 cases. 2 ~ 3 years group *** 31 cases, 2 cases of apparent effect, 26 cases of improvement, 3 cases of invalid. 3 years or more group *** 11 cases, 1 case of apparent effect, 9 cases of improvement, 1 case of invalidity. In total, there were 9 cases of apparent effect (12.86%) and 54 cases of improvement (77.14%).

Experience experience according to clinical observation, due to the release of the ring after the menstrual flow and other side effects of serious people are only a few. According to the statistics, it accounts for 99/6. And the patients' bodies are weak, about 37% of them are spleen and kidney deficiency, 34% of them are liver and kidney insufficiency, and 29% of them are others. There are 26 cases of chronic diseases, thrombocytopenia 2 cases. Therefore, the treatment should start from replenishing the deficiency. With this formula also treated several cases of tubal ligation caused by the leakage, menstrual disorders and Western medicine long time treatment, but also effective good results, can be referred to.

Source of the formula: Xu Renhe. Self-designed "ring collapse 1 formula" for the treatment of menstrual disorders after the release of the ring. Shanghai Journal of Traditional Chinese Medicine, 1984, (7): 25.5. 5.ring leakage soup drug composition of YinChen 30g, JingWuTian charcoal 20g, fried scutellaria, system of cangzhu, talcum, motherwort, cimicifuga, Angelica sinensis, ground bone skin, ground elm charcoal, neem seeds 10g.

Added and subtracted changes: blood stasis is very good, add peach kernel, safflower, heavy use of motherwort; damp-heat is very good, add GuanZhong charcoal, septoria, stagnation of qi, add YanHuSuo, baked hedgehog, and the other two are very good, add the other two. For those with obvious qi stagnation, add Yanhusuo, Citrus aurantium dulcis, and fried white peony.

The treatment method is decoction with water. 1 dose per day. Morning and evening each take 1 time. Stop using other drugs during the period of taking medicine. Control group with western medicine hemostatic min 0.5g, 2 times a day. Intramuscular injection. Both groups take 7 days as a course of treatment.

This formula clears away heat and dampness, invigorates the blood and cools the blood, and at the same time relieves the liver and resolves depression, and is mainly used for treating menstrual leakage after the release of the ring.

Clinical use of cases were randomly divided into two groups. 52 cases in the ring leakage soup treatment group, 44 cases in the western medicine control group, ****96 cases. The duration of menstruation ranged from 9 to 35 days, with about 15 days being the most common. The efficacy criteria were. Cured: 1 week after taking the medicine, menstrual leakage completely stopped. Generalized symptoms disappeared. Improvement: take the medicine for 1 week, the menstrual leakage stops, the generalized symptoms do not disappear; Ineffective: take the medicine for 1 week, the condition is the same as before. Results: 20 cases in the treatment group were cured, 29 cases were improved and 3 cases were invalid; 9 cases in the control group were cured, 22 cases were improved and 13 cases were invalid. The effective rate was 94% in the treatment group and 70.4% in the control group (P<0.01). The number of days of medication, the treatment group for 1-3 days of 24 cases, 4-7 days of 25 cases, more than 8 days of 3 cases; the control group for 1-3 days of 13 cases, 4-7 days of 18 cases, more than 8 days of 13 cases (P<0.01).

Experience experience birth control ring into the uterus, the original balance of the internal environment changed. Dampness can take advantage of the weakness to invade and stay in the uterine veins, which can cause heat and disturb the sea of blood, thus leading to the leakage of menstruation. Therefore, the ring leakage soup with Yin Chen as the ruler, clearing heat and dampness to treat the root; Scutellaria baicalensis Wu Cangzhu, bitter can dry dampness, cold can clear heat, but does not hurt the yang qi; talcum is sweet and light, diaphoretic without harming the yin, the three for the minister. Cimicifuga, motherwort, Angelica sinensis activates Blood and cools Blood; charcoal of Diyu, charcoal of Thornybush astringes and stops bleeding; dibasic bark clears the heat of the uterus, and all the medicines are adjuvant. Neem Zi dredges the liver meridian as an enabler. The combination of all the drugs, clearing heat without harming the yang, diuresis without loss of yin, complementary not impede the dampness, the line does not move the blood.

Source of formula Li Dan. The treatment of 52 cases of menstrual leakage after the release of the ring. Zhejiang Journal of Traditional Chinese Medicine, 1990, (4): 158. 6. Ramie Ai Tang is composed of 150g of ramie root, 100g of May Ai root, 1 pair of pig kidney, 50ml of glutinous rice wine, a little white salt.

Changes in addition and subtraction: for those with blood stasis causing leakage, add motherwort to enhance the removal of blood stasis and regeneration of new blood and to induce blood to return to the menstruation; for those with blood heat, remove glutinous rice wine and add dry lotus herb to enhance the nourishing of blood and clearing of heat and cooling the blood to nourish the blood; and for those with deficiency of qi, add astragalus to enhance the power of lifting yang to lift the traps.

The treatment method first pig kidney cut open, with a little white salt scrub, go to its urine flavor, and then will be washed and chopped ramie, ai root with 2000ml of water, the fire **** decoction, to be decocted to 750ml or so, ride the boil into the glutinous rice wine and the right amount of white salt, and then decoction can be consumed after the boil. 1 dose per day, 2 times to drink soup and eat meat.

Effects and IndicationsTo nourish the blood and regulate the Chong Chong, warm the menstruation and stop bleeding. It can be used to treat menstrual leakage after abortion and IUD release.

Clinical use of this group of 83 cases, 64 cases of menstrual leakage after the release of the ring, after the use of this formula was cured in 62 cases, invalid 2 cases, the cure rate of 96.9%; abortion menstrual leakage of 19 cases, after the use of this formula all cured. The total cure rate is 97.6%. Such as a teacher 32 years old, a month ago by scraping the uterus surgery, this month after the release of the birth control ring that is leaking blood has been more than 20 days, before the medical use of solid astringent products ineffective. Now removing the hidden pain in the abdomen, lying down a little stop, and then leakage, menstrual color dark purple, with clots, block under the pain slow, the tongue edge of the slight petechiae, the pulse of the string astringent. This is a stasis obstruction of the cellular channels, blood does not follow the menstruation, and it is proposed to dissolve the stasis and clarify the source, and lead the blood back to the menstruation method, the formula is Ramie Ai Tang plus Motherwort 30 g. After serving 3 doses of this formula, the menstrual leakage stops, and the abdominal pain is also removed. She was afraid of recurrence. The patient was advised to take 2 more doses of Ramie Ai Tang for consolidation. After half a year's follow-up, the menstruation was normal and the body recovered.

Experience shows that abortion and sterilization cause damage to the flushing period and stagnation of the cellular collaterals, so the new blood does not follow the normal path and overflows outside the veins, resulting in menstrual leakage. In this formula, ramie root stops bleeding and disperses blood stasis, so that the blood stops but does not remain stagnant; May root of mugwort is good at regulating the Chong Ren, warming the uterus, stopping leakage, and can harmonize with the blood to open the veins and lead the blood back to the menstruation; pig's kidneys are the sentient products of blood and flesh, which can replenish the kidney qi, benefit the essence and marrow, consolidate the Chong Ren and regulate the essence and blood. With glutinous rice wine is intended to promote the medicinal potential, warm through the meridians. White salt can be used as an accompaniment, and because of its salty taste, it can lead the medicine into the kidneys, so that the medicine can get rid of the disease. The combination of all medicines can not only nourish the blood and regulate the Chong Chong, warm the menstruation to stop bleeding, but also can transform the blood in the stasis, through the stagnation of the meridians.

Source of formula Xie Zhenqiang. Analysis of the efficacy of Ramie Ai Tang in treating menstrual leakage after abortion and sterilization. New Traditional Chinese Medicine, 1984, (8): 25.