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Late Menstruationaccording to TCM

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Symptom family: Amenorrhea and Delayed Menstruation

What is Late Menstruation?

Late menstruation refers to a delay in the expected menstrual cycle, presenting as menstrual periods that arrive later than the typical 28-day cycle. This delay can vary from a few days to several weeks or even months. The condition encompasses a range of experiences, from slightly late periods to significantly delayed menstrual cycles, affecting women in various ways. Understanding the nuances of late menstruation is crucial for diagnosing and addressing the underlying causes, which can range from stress and lifestyle factors to more complex hormonal imbalances.

How does TCM view Late Menstruation?

In Traditional Chinese Medicine (TCM), understanding "what is pattern" forms the cornerstone of diagnosing and treating health issues, including late menstruation. Patterns in TCM refer to the unique constellation of signs, symptoms, and underlying imbalances specific to an individual.

Identifying these patterns is crucial because it informs the customized treatment strategy, ensuring that interventions target not just the symptoms but the root cause of the condition. This holistic approach underscores the importance of pattern differentiation in restoring health and balance within the body.

Root Causes of Late Menstruation in TCM

In TCM, late menstruation can result from a variety of patterns, including Yin Deficiency and Cold accumulation. Yin Deficiency, particularly in the Kidney and Liver, can lead to insufficient nourishment of the body's tissues, including the reproductive system, causing delayed periods. Cold accumulation, particularly in the Uterus, constricts the flow of Qi and Blood, leading to menstrual delays. These patterns highlight the intricate balance required for menstrual regularity, with treatment focused on nourishing Yin, dispelling Cold, and ensuring the smooth flow of Qi and Blood.

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

  • By Syndrome
  • By Organ
  • Yin Deficiency
  • Cold
  • Dampness
  • Blood Deficiency
  • Yang Deficiency
  • Qi Stagnation
  • Phlegm
  • Heat
  • View More Causes
View More Causes
  • Kidney
  • Uterus
  • Liver
Detailed description of the cause

Yin Deficiency

Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more

Yin Deficiency Patterns That Can Lead to Late Menstruation

Common Symptoms: Dizziness Tinnitus Night Sweats Scanty Menstruation Amenorrhea Abnormal Uterine Bleeding Back Pain Hearing Loss

Pattern Name Relevant Symptoms Relevant Formulas
Kidney and Liver Yin Deficiency Delayed period, Dizziness, Tinnitus, Hearing loss, Lower back pain, Vertical headaches, Occipital headache, Insomnia, Limb numbness, Tingling of limbs, Dry eyes, Blurry vision, Dry throat, Dry hair, Skin dryness, Withered and brittle nails, Vaginal dryness, Night sweats, Dry stools, Nocturnal emission, Scanty menstruation, Amenorrhea, Late menstruation, Infertility... see more Liu Wei Di Huang Wan | Zuo Gui Wan | Qi Ju Di Huang Wan | Qing Gu San | Yi Guan Jian
Kidney-Deficiency Late period, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more Zuo Gui Wan | You Gui Wan | Er Zhi Wan | Liang Di Tang
Detailed description of the cause

Cold

In TCM "Cold" as a pattern of disharmony refers to a specific type of imbalance within the body's systems, often linked to a deficiency or weakness. It's not about feeling physically cold or having a common cold, but rather a metaphorical description of certain symptoms and underlying conditions. When a TCM practitioner says someone suffers from "Cold," it usually implies that the body's Yang energy, which is warm and active, is insufficient or overpowered by Yin energy, which is cool and passive. Symptoms of Cold in TCM can include a general feeling of coldness, cold limbs, pale complexion, low energy, slow metabolism, and a preference for warmth. ... see more

Cold Patterns That Can Lead to Late Menstruation

Common Symptoms: Infertility Menstrual Cramps Dark Menstrual Clots Diarrhea Lack Of Appetite Generalized Fatigue General Weakness Thin Vaginal Discharge

Pattern Name Relevant Symptoms Relevant Formulas
Cold in the Uterus Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Si Wu Tang | Wen Jing Tang | Da Ying Jian | Shao Fu Zhu Yu Tang | Wen Qi Hua Shi Tang
Full Cold in the Directing and Penetraing Vessels Late period, Menstrual cramps, Cold sensation in lower abdomen, Infertility, Late menstruation, Dark menstrual clots, Postpartum abdominal pain, Abnormal uterine bleeding, Uterine hypoplasia, Endometrial hyperplasia, Endometriosis... see more Wen Jing Tang
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Late Menstruation

Common Symptoms: Lower Abdominal Pain Stifling Sensation In The Chest Generalized Fatigue Diarrhea Feeling Of Heaviness Thick Menstrual Blood Leukorrhea Dizziness

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiong Gui Er Chen Tang | Xiang Sha Liu Jun Zi Tang | Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang
Damp-Heat Late period, 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 Long Dan Xie Gan Tang | Yi Huang Tang
Detailed description of the cause

Blood Deficiency

Blood Deficiency in TCM is like when your body's tank runs low on the vital energy that blood provides. It's not exactly the same as anemia in modern medicine, which is about having too few red blood cells. Instead, Blood Deficiency in TCM is about your body not having enough of the life-giving qualities that blood brings, like nourishment and moisture. This can make you feel tired, look pale, and even feel dizzy or have blurry vision. It's like a garden not getting enough water to stay lush and vibrant. TCM sees this as an imbalance where the body isn't being nourished as it should be, impacting overall health and well-being.... see more

Blood Deficiency Patterns That Can Lead to Late Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Blood Deficiency Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Dizziness, Scanty menstruation, Amenorrhea, Dull shallow face, Pale lips, Poor memory, Insomnia... see more Ren Shen Yang Rong Tang | Da Bu Yuan Jian | Liu Wei Di Huang Wan | Si Wu Tang | Gui Pi Tang
Detailed description of the cause

Yang Deficiency

Yang deficiency in TCM refers to a state where the body's Yang energy, which is responsible for warmth, activity, and function, is weakened or diminished. This pattern of disharmony often arises from chronic illness, aging, or inherent constitutional weakness. Symptoms of Yang deficiency are typically associated with cold and sluggishness, such as a feeling of coldness, cold extremities, pale complexion, low energy or fatigue, and a desire for warmth. Digestive issues like poor appetite, loose stools, and water retention can also be indicative of Yang deficiency.... see more

Yang Deficiency Patterns That Can Lead to Late Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination, Constipation... see more Shen Qi Wan
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Late Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Qi Stagnation Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, General fullness, Moving pain, Depression, Irritability, Mood swings, Sighing Xiao Yao San | Chai Hu Shu Gan San | Wu Yao Tang
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Late Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiong Gui Er Chen Tang | Xiang Sha Liu Jun Zi Tang | Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang
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 Late Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat Late period, 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 Long Dan Xie Gan Tang | Yi Huang Tang
Detailed description of the cause

Kidney

In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more

Kidney Patterns That Can Lead to Late Menstruation

Common Symptoms: Dizziness Tinnitus Scanty Menstruation Back Pain Night Sweats Amenorrhea Lower Back Pain Chills

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination, Constipation... see more Shen Qi Wan
Kidney and Liver Yin Deficiency Delayed period, Dizziness, Tinnitus, Hearing loss, Lower back pain, Vertical headaches, Occipital headache, Insomnia, Limb numbness, Tingling of limbs, Dry eyes, Blurry vision, Dry throat, Dry hair, Skin dryness, Withered and brittle nails, Vaginal dryness, Night sweats, Dry stools, Nocturnal emission, Scanty menstruation, Amenorrhea, Late menstruation, Infertility... see more Liu Wei Di Huang Wan | Zuo Gui Wan | Qi Ju Di Huang Wan | Qing Gu San | Yi Guan Jian
Kidney-Deficiency Late period, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more Zuo Gui Wan | You Gui Wan | Er Zhi Wan | Liang Di Tang
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Late Menstruation

Common Symptoms: Diarrhea Generalized Fatigue General Weakness Infertility Scanty Menstruation Amenorrhea Lower Abdominal Pain Lack Of Appetite

Pattern Name Relevant Symptoms Relevant Formulas
Cold in the Uterus Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Si Wu Tang | Wen Jing Tang | Da Ying Jian | Shao Fu Zhu Yu Tang | Wen Qi Hua Shi Tang
Damp-Phlegm in the Uterus Late period, delayed menstruation, late menstruation, late periods, menstruation behind schedule, periods behind schedule, delayed periods, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiong Gui Er Chen Tang | Xiang Sha Liu Jun Zi Tang | Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang
Detailed description of the cause

Liver

In TCM the Liver is viewed as the organ responsible for the smooth flow of Qi, Blood, and emotions throughout the body. It plays a key role in regulating mood, storing blood, supporting digestion, and ensuring the health of tendons and eyes. When the Liver malfunctions or is imbalanced in TCM, it can lead to a range of issues such as irritability, mood swings, menstrual irregularities, eye problems, and muscular stiffness or pain. A malfunctioning Liver in TCM reflects not only physical disturbances but also emotional and mental disharmony, emphasizing the holistic approach of TCM in addressing health and wellness.... see more

Liver Patterns That Can Lead to Late Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Kidney and Liver Yin Deficiency Delayed period, Dizziness, Tinnitus, Hearing loss, Lower back pain, Vertical headaches, Occipital headache, Insomnia, Limb numbness, Tingling of limbs, Dry eyes, Blurry vision, Dry throat, Dry hair, Skin dryness, Withered and brittle nails, Vaginal dryness, Night sweats, Dry stools, Nocturnal emission, Scanty menstruation, Amenorrhea, Late menstruation, Infertility... see more Liu Wei Di Huang Wan | Zuo Gui Wan | Qi Ju Di Huang Wan | Qing Gu San | Yi Guan Jian

TCM Herbal Formulas for Late Menstruation

For addressing late menstruation, TCM recommends a variety of formulas and herbs tailored to the underlying pattern. For Yin Deficiency, formulas like Liu Wei Di Huang Wan and Zuo Gui Wan, rich in Prepared rehmannia, help nourish Kidney and Liver Yin.

In cases of Cold in the Uterus, warming formulas such as Si Wu Tang and Wen Jing Tang, containing ingredients like Prepared rehmannia and Cinnamon twigs, are used to dispel Cold and invigorate Blood flow. These treatments are selected based on the individual's specific disharmony, aiming to restore the natural balance and encourage the timely arrival of menstruation.

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

  • By Cause
  • By Formula Type
  • Yin Deficiency
  • Cold
  • Dampness
  • Blood Deficiency
  • Yang Deficiency
  • Qi Stagnation
  • Phlegm
  • Heat
  • View More Causes
View More Causes
  • Formulas that nourish yin and tonify
  • Formulas that tonify blood
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that warm yang and tonify
  • Formulas that promote qi movement
  • Formulas that dry dampness and transform phlegm
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that tonify
  • Formulas that tonify qi and blood
  • Formulas that harmonize liver-Spleen
  • Formulas that dispel phlegm
  • Formulas that clear heat from deficiency
  • Formulas that clear heat from the organs
  • Formulas that warm the middle and dispel cold
  • Formulas that expel dampness
View More Types

Top Formula for Yin Deficiency:
Zuo Gui Wan

Suitable for Yin Deficiency patterns that may cause late menstruation, such as Kidney and Liver Yin Deficiency or Kidney-Deficiency

Learn more

All Formulas Recommended for Late Menstruation Caused by Yin Deficiency

Formula Patterns Suitable For
Zuo Gui Wan Kidney and Liver Yin Deficiency, Kidney-Deficiency
Liu Wei Di Huang Wan Kidney and Liver Yin Deficiency
Qi Ju Di Huang Wan Kidney and Liver Yin Deficiency
Qing Gu San Kidney and Liver Yin Deficiency
Yi Guan Jian Kidney and Liver Yin Deficiency
You Gui Wan Kidney-Deficiency
Er Zhi Wan Kidney-Deficiency
Liang Di Tang Kidney-Deficiency

Top Formula for Cold:
Wen Jing Tang

Suitable for Cold patterns that may cause late menstruation, such as Cold in the Uterus or Full Cold in the Directing and Penetraing Vessels

Learn more

All Formulas Recommended for Late Menstruation Caused by Cold

Formula Patterns Suitable For
Wen Jing Tang Cold in the Uterus, Full Cold in the Directing and Penetraing Vessels
Si Wu Tang Cold in the Uterus
Da Ying Jian Cold in the Uterus
Shao Fu Zhu Yu Tang Cold in the Uterus
Wen Qi Hua Shi Tang Cold in the Uterus

Top Formula for Dampness:
Xiong Gui Er Chen Tang

Suitable for Dampness patterns that may cause late menstruation, such as Damp-Phlegm in the Uterus

Learn more

All Formulas Recommended for Late Menstruation Caused by Dampness

Formula Patterns Suitable For
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Wei Ling Tang Damp-Phlegm in the Uterus
Wan Dai Tang Damp-Phlegm in the Uterus
Long Dan Xie Gan Tang Damp-Heat
Yi Huang Tang Damp-Heat

Top Formula for Blood Deficiency:
Liu Wei Di Huang Wan

Suitable for Blood Deficiency patterns that may cause late menstruation, such as Blood Deficiency

Learn more

All Formulas Recommended for Late Menstruation Caused by Blood Deficiency

Formula Patterns Suitable For
Liu Wei Di Huang Wan Blood Deficiency
Si Wu Tang Blood Deficiency
Ren Shen Yang Rong Tang Blood Deficiency
Da Bu Yuan Jian Blood Deficiency
Gui Pi Tang Blood Deficiency

Top Formula for Yang Deficiency:
Shen Qi Wan

Suitable for Yang Deficiency patterns that may cause late menstruation, such as Kidney Yang Deficiency

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Top Formula for Qi Stagnation:
Xiao Yao San

Suitable for Qi Stagnation patterns that may cause late menstruation, such as Qi Stagnation

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All Formulas Recommended for Late Menstruation Caused by Qi Stagnation

Formula Patterns Suitable For
Xiao Yao San Qi Stagnation
Chai Hu Shu Gan San Qi Stagnation
Wu Yao Tang Qi Stagnation

Top Formula for Phlegm:
Xiong Gui Er Chen Tang

Suitable for Phlegm patterns that may cause late menstruation, such as Damp-Phlegm in the Uterus

Learn more

All Formulas Recommended for Late Menstruation Caused by Phlegm

Formula Patterns Suitable For
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Wei Ling Tang Damp-Phlegm in the Uterus
Wan Dai Tang Damp-Phlegm in the Uterus

Top Formula for Heat:
Long Dan Xie Gan Tang

Suitable for Heat patterns that may cause late menstruation, such as Damp-Heat

Learn more

All Formulas Recommended for Late Menstruation Caused by Heat

Formula Patterns Suitable For
Long Dan Xie Gan Tang Damp-Heat
Yi Huang Tang Damp-Heat

Formulas that nourish Yin and tonify

These formulas are suitable for some late menstruation-causing patterns like Blood Deficiency or Kidney and Liver Yin Deficiency.

One such formula is Liu Wei Di Huang Wan, with prepared rehmannia as a key herb.

Other formulas of this category are listed in the table below.

All "formulas that nourish yin and tonify" recommended for late menstruation

Formula Patterns Suitable For (if applicable)
Liu Wei Di Huang Wan Blood Deficiency, Kidney and Liver Yin Deficiency, Liver Blood and Kidney Yin Deficiency... see more
Zuo Gui Wan Kidney and Liver Yin Deficiency, Kidney-Deficiency
Da Bu Yuan Jian Blood Deficiency
Qi Ju Di Huang Wan Kidney and Liver Yin Deficiency
Yi Guan Jian Kidney and Liver Yin Deficiency
Tiao Gan Tang Liver Blood and Kidney Yin Deficiency
Gui Shao Di Huang Tang Liver Blood and Kidney Yin Deficiency
Er Zhi Wan Kidney-Deficiency
Liang Di Tang Kidney-Deficiency

Formulas that invigorate Blood and dispel Blood Stagnation

These formulas are suitable for some late menstruation-causing patterns like Cold in the Uterus or Full Cold in the Directing and Penetraing Vessels.

One such formula is Wen Jing Tang, with cinnamon twigs as a key herb.

Other formulas of this category are listed in the table below.

All "formulas that invigorate blood and dispel blood stagnation" recommended for late menstruation

Formula Patterns Suitable For (if applicable)
Wen Jing Tang Cold in the Uterus, Full Cold in the Directing and Penetraing Vessels, Dampness and Phlegm in the Uterus... see more
Shao Fu Zhu Yu Tang Cold in the Uterus

Formulas that tonify Blood

These formulas are suitable for some late menstruation-causing patterns like Blood Deficiency or Cold in the Uterus.

One such formula is Si Wu Tang, with prepared rehmannia as a key herb.

Other formulas of this category are listed in the table below.

All "formulas that tonify blood" recommended for late menstruation

Formula Patterns Suitable For (if applicable)
Si Wu Tang Blood Deficiency, Cold in the Uterus
Da Ying Jian Cold in the Uterus
Bu Gan Tang Not applicable

Formulas that warm Yang and tonify

These formulas are suitable for some late menstruation-causing patterns like Kidney Yang Deficiency.

One such formula is Shen Qi Wan, with prepared aconite as a key herb.

Other formulas of this category are listed in the table below.

All "formulas that warm yang and tonify" recommended for late menstruation

Formula Patterns Suitable For (if applicable)
Shen Qi Wan Kidney Yang Deficiency
You Gui Wan Kidney-Deficiency

Formulas that secure irregular uterine bleeding and stop vaginal discharge

These formulas are suitable for some late menstruation-causing patterns like Damp-Heat.

One such formula is Yi Huang Tang, with yam as a key herb.

Other formulas of this category are listed in the table below.

All "formulas that secure irregular uterine bleeding and stop vaginal discharge" recommended for late menstruation

Formula Patterns Suitable For (if applicable)
Yi Huang Tang Damp-Heat
Wan Dai Tang Damp-Phlegm in the Uterus

Formulas that promote Qi movement

These formulas are suitable for some late menstruation-causing patterns like Qi Stagnation.

One such formula is Chai Hu Shu Gan San, with bupleurum root as a key herb.

Other formulas of this category are listed in the table below.

All "formulas that promote qi movement" recommended for late menstruation

Formula Patterns Suitable For (if applicable)
Chai Hu Shu Gan San Qi Stagnation
Wu Yao Tang Qi Stagnation

Formulas that dry Dampness and transform Phlegm

These formulas are suitable for some late menstruation-causing patterns like Damp-Phlegm in the Uterus.

One such formula is Xiong Gui Er Chen Tang, with dong quai as a key herb.

Other formulas of this category are listed in the table below.

All "formulas that dry dampness and transform phlegm" recommended for late menstruation

Formula Patterns Suitable For (if applicable)
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus

Formulas that tonify

These formulas are suitable for some late menstruation-causing patterns like Blood Deficiency.

One such formula is Ren Shen Yang Rong Tang, with ginseng as a key herb.

Formulas that tonify Qi and Blood

These formulas are suitable for some late menstruation-causing patterns like Blood Deficiency.

One such formula is Gui Pi Tang, with ginseng as a key herb.

Formulas that harmonize Liver-Spleen

These formulas are suitable for some late menstruation-causing patterns like Qi Stagnation.

One such formula is Xiao Yao San, with bupleurum root as a key herb.

Formulas that dispel Phlegm

These formulas are suitable for some late menstruation-causing patterns like Damp-Phlegm in the Uterus.

One such formula is Xiang Sha Liu Jun Zi Tang, with ginseng as a key herb.

Formulas that clear Heat from Deficiency

These formulas are suitable for some late menstruation-causing patterns like Kidney and Liver Yin Deficiency.

One such formula is Qing Gu San, with stellaria root as a key herb.

Formulas that clear Heat from the Organs

These formulas are suitable for some late menstruation-causing patterns like Damp-Heat.

One such formula is Long Dan Xie Gan Tang, with chinese gentian as a key herb.

Formulas that warm the middle and dispel Cold

These formulas are suitable for some late menstruation-causing patterns like Cold in the Uterus.

One such formula is Wen Qi Hua Shi Tang, with atractylodes rhizome as a key herb.

Formulas that expel Dampness

These formulas are suitable for some late menstruation-causing patterns like Damp-Phlegm in the Uterus.

One such formula is Wei Ling Tang, with water plantain as a key herb.

TCM Herbs for Late Menstruation

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

  • By Herb Category
  • Tonic herbs for qi deficiency
  • Tonic herbs for blood deficiency
  • Herbs that warm the interior and/or expel cold
  • Herbs that regulate qi
  • Herbs that cool the blood
  • Tonic herbs for yin deficiency
  • Warm/Acrid herbs that release the exterior
  • Herbs that invigorate the blood
  • Cool/Acrid herbs that release the exterior
  • Tonic herbs for yang deficiency
  • Herbs that clear heat and dry dampness
  • Herbs that stabilize and bind
  • Aromatic herbs that transform dampness
  • Herbs that drain dampness
View More Categories

Tonic herbs for Qi Deficiency

Late menstruation can be treated by these herbs when stemming from a lack of vital energy or Qi, helping to boost energy and overall vitality.

One such herb is Ginseng (Ren Shen), a key herb in some formulas recommended for late menstruation, like Ren Shen Yang Rong Tang.

Other herbs of this category are listed in the table below.

Tonic herbs for Blood Deficiency

Late menstruation can be treated by these herbs in cases of blood deficiency, working to nourish and replenish the body's blood supply.

One such herb is Prepared Rehmannia (Shu Di huang), a key herb in some formulas recommended for late menstruation, like Da Bu Yuan Jian.

Other herbs of this category are listed in the table below.

Herbs that warm the Interior and/or expel Cold

Late menstruation can be treated by these herbs if it is due to internal coldness or deficient Yang energy, working to warm the body and dispel cold.

One such herb is Prepared Aconite (Zhi Fu Zi), a key herb in some formulas recommended for late menstruation, like Shen Qi Wan.

Other herbs of this category are listed in the table below.

"Herbs that warm the Interior and/or expel Cold" recommended for late menstruation

Herb Formulas they belong to (if applicable)
Prepared Aconite (Zhi Fu Zi) Shen Qi Wan | You Gui Wan
Evodia Fruits (Wu Zhu Yu) Wen Jing Tang
Cinnamon Bark (Rou Gui) You Gui Wan

Herbs that regulate Qi

Late menstruation can be treated by these herbs when resulting from Qi stagnation or imbalance, helping to promote the smooth flow of Qi in the body.

One such herb is Lindera Roots (Wu Yao), a key herb in some formulas recommended for late menstruation, like Wu Yao Tang.

Other herbs of this category are listed in the table below.

"Herbs that regulate Qi" recommended for late menstruation

Herb Formulas they belong to (if applicable)
Lindera Roots (Wu Yao) Wu Yao Tang
Coco-Grass Rhizomes (Xiang Fu) Cang Fu Dao Tan Wan

Herbs that cool the Blood

Late menstruation can be treated by these herbs when it is a consequence of excess heat in the blood, helping to cool and detoxify the blood.

One such herb is Stellaria Roots (Yin Chai Hu), a key herb in some formulas recommended for late menstruation, like Qing Gu San.

Other herbs of this category are listed in the table below.

"Herbs that cool the Blood" recommended for late menstruation

Herb Formulas they belong to (if applicable)
Stellaria Roots (Yin Chai Hu) Qing Gu San
Unprepared Rehmannia (Di Huang) Liang Di Tang

Tonic herbs for Yin Deficiency

Late menstruation can be treated by these herbs when caused by a lack of Yin, which is essential for cooling and moistening the body, thereby restoring balance.

One such herb is Glossy Privet Fruits (Nu Zhen Zi), a key herb in some formulas recommended for late menstruation, like Er Zhi Wan.

Other herbs of this category are listed in the table below.

"Tonic herbs for Yin Deficiency" recommended for late menstruation

Herb Formulas they belong to (if applicable)
Glossy Privet Fruits (Nu Zhen Zi) Er Zhi Wan
Eclipta Herbs (Mo han lian) Er Zhi Wan

Warm/Acrid herbs that release the Exterior

Late menstruation can be treated by these herbs when there is a need to dispel external cold and warm the body, especially in cases where there is insufficient Yang energy internally.

One such herb is Cinnamon Twigs (Gui Zhi), a key herb in some formulas recommended for late menstruation, like Wen Jing Tang.

Herbs that invigorate the Blood

Late menstruation can be treated by these herbs when it stems from stagnation or poor circulation of blood, helping to improve blood flow and alleviate related discomfort.

One such herb is Szechuan Lovage Roots (Chuan Xiong), a key herb in some formulas recommended for late menstruation, like Shao Fu Zhu Yu Tang.

Cool/Acrid herbs that release the Exterior

Late menstruation can be treated by these herbs when the body needs to harmonize with external environmental changes, particularly when there's a need to expel pathogenic factors like wind or cold without overly cooling the body.

One such herb is Bupleurum Roots (Chai Hu), a key herb in some formulas recommended for late menstruation, like Xiao Yao San.

Tonic herbs for Yang Deficiency

Late menstruation can be treated by these herbs in situations of diminished Yang energy, aiming to warm and activate the body's functions.

One such herb is Deer Antler Glue (Lu Jiao Jiao), a key herb in some formulas recommended for late menstruation, like You Gui Wan.

Herbs that clear Heat and dry Dampness

Late menstruation can be treated by these herbs when caused by excessive dampness and heat within the body, aiming to restore balance by drying dampness and clearing heat.

One such herb is Chinese Gentian (Long Dan Cao), a key herb in some formulas recommended for late menstruation, like Long Dan Xie Gan Tang.

Herbs that stabilize and bind

Late menstruation can be treated by these herbs if it is caused by a leakage of bodily fluids or energies, helping to consolidate and preserve the body's essential substances.

One such herb is Foxnut Seeds (Qian Shi), a key herb in some formulas recommended for late menstruation, like Yi Huang Tang.

Aromatic herbs that transform Dampness

Late menstruation can be treated by these herbs if it stems from damp accumulation, especially in the digestive system, using aromatic properties to transform and dispel dampness.

One such herb is Black Atractylodes Rhizomes (Cang Zhu), a key herb in some formulas recommended for late menstruation, like Cang Fu Dao Tan Wan.

Herbs that drain Dampness

Late menstruation can be treated by these herbs when caused by excessive dampness in the body, aiding in eliminating damp through diuretic action.

One such herb is Water Plantain (Ze Xie), a key herb in some formulas recommended for late menstruation, like Wei Ling Tang.