Excessive Menstruationaccording to TCM

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What is Excessive Menstruation?

Excessive menstruation, medically known as menorrhagia, is a condition characterized by abnormally heavy or prolonged menstrual bleeding. It can involve a significant increase in the amount of blood lost during each period or the extension of the period beyond the typical duration.

Symptoms often include the need to use multiple sanitary products, passing large blood clots, and experiencing fatigue or anemia due to blood loss. Excessive menstruation can disrupt a woman's normal activities and may signal underlying health issues.

How Does TCM View Excessive Menstruation?

Traditional Chinese Medicine (TCM) views excessive menstruation as a symptom of imbalance within the body's systems. Unlike Western medicine, which often focuses on the physical aspects of the condition, TCM looks at excessive menstruation as a sign of disharmony in the flow of Qi (vital energy) and Blood.

This perspective emphasizes identifying and correcting the underlying patterns of disharmony, which can vary from person to person. TCM aims to restore balance and harmony within the body, addressing both the symptoms and the root causes of excessive menstruation.

Root Causes of Excessive Menstruation in TCM

TCM attributes excessive menstruation to several potential causes. One common cause is Heat in the Blood, which leads to increased blood flow and can manifest as heavy menstrual bleeding. Symptoms of this pattern include a sensation of heat, thirst, and possibly red skin eruptions.

Another cause can be Qi Deficiency, where the body lacks the strength to regulate menstrual flow properly. This Deficiency can lead to symptoms like generalized fatigue, weakness, and spontaneous sweating. These patterns illustrate how TCM interprets physical symptoms as manifestations of deeper imbalances within the body's energy system.

Explore below more details about what might cause Excessive menstruation according to TCM.

  • By Syndrome
  • By Organ
  • Heat
  • Qi Deficiency
  • Yin Deficiency
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Excessive Menstruation

Common Symptoms: Thirst Dark Urine Thick Menstrual Blood Restlessness Feeling Of Heat Dizziness Sudden Period Before Schedule Dark Menstrual Blood

Pattern Name Relevant Symptoms Relevant Formulas
Heat in Uterus Blood excessive menstruation, excessive periods, heavy menstruation, heavy periods, menorrhagia, profuse menstruation, profuse periods, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face, Anger, Anxiety, Dark urine, Constipation... see more Huai Jiao Wan
Heat in the Blood flooding and dribbling, flooding and dripping, flooding and trickling, flooding and leaking, Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Cough of blood, Nosebleeds, Excessive menstruation... see more Qing Jing San | Long Dan Xie Gan Tang | Liang Di Tang | Di Gu Pi Yin
Damp-Heat metrorrhagia, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Ba Zheng San
Kidney and Liver Yin Deficiency causing Heat in the Blood metrorrhagia, Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods... see more Liang Di Tang | Zuo Gui Wan | Er Zhi Wan | Liu Wei Di Huang Wan

TCM Herbal Formulas for Excessive Menstruation

To treat excessive menstruation, TCM practitioners often use specific formulas and herbs based on the identified pattern of disharmony. For Heat in the Blood, formulas such as Huai Jiao Wan, which includes Pagoda tree pods (Huai jiao), are used to cool the Blood and stop bleeding.

In cases of Qi Deficiency, Bu Zhong Yi Qi Tang, containing Milkvetch Roots (Huang Qi), may be prescribed to tonify Qi and stabilize the menstrual flow. These treatments are tailored to the individual's unique pattern of disharmony, aiming to alleviate the symptoms of excessive menstruation by restoring the natural balance within the body.

Explore below some TCM herbal formulas used to address excessive menstruation, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Heat
  • Qi Deficiency
  • Yin Deficiency

All Formulas Recommended for Excessive Menstruation Caused by Heat

Formula Patterns Suitable For
Liang Di Tang Heat in the Blood, Kidney and Liver Yin Deficiency causing Heat in the Blood
Zuo Gui Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Er Zhi Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Huai Jiao Wan Heat in Uterus Blood
Qing Jing San Heat in the Blood
Long Dan Xie Gan Tang Heat in the Blood
Di Gu Pi Yin Heat in the Blood
Liu Wei Di Huang Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Ba Zheng San Damp-Heat

TCM Herbs for Excessive Menstruation

Explore below some TCM herbs used to address excessive menstruation, organized by herb category.

  • By Herb Category
  • Herbs that invigorate the blood
  • Tonic herbs for qi deficiency
  • Herbs that stop bleeding

"Herbs that invigorate the Blood" recommended for excessive menstruation

Herb Formulas they belong to (if applicable)
Flying Squirrel Faeces (Wu Ling Zhi) Shi Xiao San
Peach Kernels (Tao Ren) Tao Hong Si Wu Tang
Safflowers (Hong Hua) Tao Hong Si Wu Tang
Donkey-Hide Gelatin (E Jiao) Not applicable
Silvery Wormwood Leaves (Ai Ye) Not applicable
Spikemoss (Juan Bai) Not applicable

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