This topic discusses the syndrome differentiation and treatment of metrorrhagia and metrorrhagia with deficiency of both qi and blood. The patient suffers from menstrual bleeding, accompanied by shortness of breath, laziness, loss of appetite, dull complexion and weak pulse, which is caused by deficiency of both qi and blood, and the spleen governs blood, so the disease is located in the spleen. The prescription is Guipi Decoction, and the traditional Chinese medicines are Wuji Baifeng Pill, Dingkundan and Yangxueyin Oral Liquid.