Objective: To study the states of nailfold microcirculation used on the determination of treatment based differentiation of symptoms and signs for womens metrorrhagia. Methods: According to the method of nailfold microcirculation, 78 cases of patients of metrorrhagia were measured which were differentiation from three types: blood heat, weak spleen and stomach, and blood stasis before and after treatment. Results: After the cure, the scores of shapes, flow condition and the loops round of nailfold microcirculation were all improved by the treatment of determination based differentiation of symptoms and signs. Conclusion: It were provided the signs of references from the examination of nailfold microcirculation for the three types of traditional Chinese medicine mention above on the womens metrorrhagia.