*redirected from Insufficient or absent lactation after childbirth
Symptom family: Breastfeeding Conditions
Sub-symptom(s): Feeling Breasts Empty Whilst Breastfeeding
Did you mean? Clogged Milk Ducts
Low milk supply is a common concern for many new mothers, characterized by the body's inability to produce an adequate amount of breast milk to meet the nutritional needs of a baby.
This condition can manifest in various forms, such as the sensation of empty breasts during breastfeeding, indicating that the milk production is not sufficient. The reasons behind low milk supply are numerous and can range from hormonal imbalances and physical health issues to external factors like stress and inadequate breastfeeding techniques.
Understanding and addressing these underlying causes is crucial for improving milk production and ensuring a successful breastfeeding experience.
From the perspective of Traditional Chinese Medicine (TCM), low milk supply is viewed through a lens quite different from Western medicine. TCM interprets this condition as a symptom of imbalance within the body's energy systems.
According to TCM, the body is governed by a network of energies, and low milk supply results when there's a disruption in the flow or a deficiency in these energy systems. Identifying the specific pattern of disharmony causing the symptom is a foundational step in TCM, as it guides the choice of treatment.
This holistic approach emphasizes the importance of restoring balance to the body's energy systems to treat symptoms like low milk supply.
In TCM, the causes of low milk supply are attributed to various patterns of disharmony within the body. Two primary patterns often associated with this condition are Qi Deficiency and Qi Stagnation.
Qi Deficiency, involving inadequate energy flow, can manifest as low milk supply alongside general weakness, fatigue, and a pale complexion. Treatment focuses on nourishing the Qi and Blood to enhance vitality and milk production.
On the other hand, Qi Stagnation, particularly Liver Qi Stagnation, is characterized by emotional stress leading to physical symptoms like chest and abdominal distension, which can also affect milk supply. Addressing this involves invigorating the Qi and smoothing its flow to alleviate stagnation and promote lactation.
These examples illustrate the complexity of TCM diagnosis and the emphasis on treating the underlying causes rather than just the symptoms.
Explore below more details about what might cause Low milk supply according to TCM.
Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more
Common Symptoms: Generalized Fatigue Weak Voice Pale Face Shortness Of Breath Dizziness Lack Of Appetite Lower Abdominal Pain Pale Lips
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Qi and Blood Deficiency | Insufficient or absent lactation after childbirth, agalactorrhea, hypogalactia, hypogalactorrhea, insufficient milk syndrome, lactation insufficiency, low breast milk supply, agalactia, Low milk supply, No feeling of distension of the breasts, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more | Si Wu Tang | Tong Ru Dan | Gui Pi Tang | Ba Zhen Tang | Guo Qi Yin | Zhi Gan Cao Tang |
Spleen and Stomach Qi Deficiency | Insufficient or absent lactation after childbirth, No feeling of distension of the breasts, Dizziness, Unsteadiness, Blurry vision, Deafness, Tinnitus, Shortness of breath, Weak voice, Pale face, Lack of appetite, Diarrhea... see more | Ba Zhen Tang | Ren Shen Yang Rong Tang |
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
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Qi and Blood Deficiency | Insufficient or absent lactation after childbirth, agalactorrhea, hypogalactia, hypogalactorrhea, insufficient milk syndrome, lactation insufficiency, low breast milk supply, agalactia, Low milk supply, No feeling of distension of the breasts, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more | Si Wu Tang | Tong Ru Dan | Gui Pi Tang | Ba Zhen Tang | Guo Qi Yin | Zhi Gan Cao Tang |
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
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Liver Qi Stagnation | Insufficient or absent lactation after childbirth, agalactorrhea, hypogalactia, hypogalactorrhea, insufficient milk syndrome, lactation insufficiency, low breast milk supply, agalactia, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more | Xia Ru Yong Quan San | Xiao Yao San | Yue Ju Wan |
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
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Phlegm | agalactorrhea, hypogalactia, hypogalactorrhea, insufficient milk syndrome, lactation insufficiency, low breast milk supply, agalactia, No feeling of distension of the breasts, Stifling sensation in the chest, Head fog, Dizziness | Cang Fu Dao Tan Wan |
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
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Heart Yin Deficiency | Scanty breast milk, Low milk supply, Night sweats, Feeling of uneasiness, Feeling of heat, Heat sensation in palms | Tian Wang Bu Xin Dan | Ren Shen Dang Gui Tang |
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
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Liver Qi Stagnation | Insufficient or absent lactation after childbirth, agalactorrhea, hypogalactia, hypogalactorrhea, insufficient milk syndrome, lactation insufficiency, low breast milk supply, agalactia, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more | Xia Ru Yong Quan San | Xiao Yao San | Yue Ju Wan |
In TCM the Heart is considered the "emperor" of all organs, primarily responsible for governing Blood and housing the mind, known as "Shen." It plays a crucial role in maintaining mental-emotional equilibrium and controlling the circulation of Qi and blood throughout the body. When the Heart is imbalanced or malfunctions in TCM, it can lead to a range of issues like heart palpitations, insomnia, dream-disturbed sleep, anxiety, and a flushed complexion. Emotional disturbances such as excessive joy or lack of joy are also seen as signs of Heart disharmony. These symptoms reflect not just physical heart conditions but also the state of one's Shen, indicating the interconnectedness of physical and emotional well-being in TCM.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Heart Yin Deficiency | Scanty breast milk, Low milk supply, Night sweats, Feeling of uneasiness, Feeling of heat, Heat sensation in palms | Tian Wang Bu Xin Dan | Ren Shen Dang Gui Tang |
In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Spleen and Stomach Qi Deficiency | Insufficient or absent lactation after childbirth, No feeling of distension of the breasts, Dizziness, Unsteadiness, Blurry vision, Deafness, Tinnitus, Shortness of breath, Weak voice, Pale face, Lack of appetite, Diarrhea... see more | Ba Zhen Tang | Ren Shen Yang Rong Tang |
In TCM the Stomach is regarded as the "sea of nourishment," pivotal for digesting food and transforming it into Qi and blood. It works closely with the Spleen to distribute these essential nutrients throughout the body. When the Stomach is out of balance or malfunctions in TCM, it often leads to digestive problems such as bloating, nausea, vomiting, poor appetite, or a feeling of fullness. There may also be issues like acid reflux or a sour taste in the mouth. Emotionally, an imbalanced Stomach can contribute to excessive worry and overthinking, reflecting the TCM belief that physical and emotional well-being are deeply interconnected.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Spleen and Stomach Qi Deficiency | Insufficient or absent lactation after childbirth, No feeling of distension of the breasts, Dizziness, Unsteadiness, Blurry vision, Deafness, Tinnitus, Shortness of breath, Weak voice, Pale face, Lack of appetite, Diarrhea... see more | Ba Zhen Tang | Ren Shen Yang Rong Tang |
TCM offers a range of formulas and herbs tailored to the specific patterns of disharmony identified in individuals experiencing low milk supply.
For Qi and Blood Deficiency, formulas such as Gui Pi Tang, which contains Ginseng to tonify Qi, and Si Wu Tang, with Prepared rehmannia for nourishing Blood, are commonly recommended. These formulas aim to replenish the body's essential energies and substances to promote milk production.
For Liver Qi Stagnation, a condition marked by emotional stress affecting lactation, Xia Ru Yong Quan San, which includes Dong quai to invigorate Blood, is suggested to alleviate stagnation and enhance milk supply.
The selection of a formula or herb is carefully determined by the TCM practitioner, based on the individual's specific pattern of disharmony, highlighting the personalized nature of TCM treatment.
Explore below some TCM herbal formulas used to address low milk supply, organized by cause and by formula type.
Suitable for Qi Deficiency patterns that may cause low milk supply, such as Qi and Blood Deficiency or Spleen and Stomach Qi Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Ba Zhen Tang | Qi and Blood Deficiency, Spleen and Stomach Qi Deficiency |
Si Wu Tang | Qi and Blood Deficiency |
Tong Ru Dan | Qi and Blood Deficiency |
Gui Pi Tang | Qi and Blood Deficiency |
Guo Qi Yin | Qi and Blood Deficiency |
Zhi Gan Cao Tang | Qi and Blood Deficiency |
Ren Shen Yang Rong Tang | Spleen and Stomach Qi Deficiency |
Suitable for Blood Deficiency patterns that may cause low milk supply, such as Qi and Blood Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Ba Zhen Tang | Qi and Blood Deficiency |
Si Wu Tang | Qi and Blood Deficiency |
Tong Ru Dan | Qi and Blood Deficiency |
Gui Pi Tang | Qi and Blood Deficiency |
Guo Qi Yin | Qi and Blood Deficiency |
Zhi Gan Cao Tang | Qi and Blood Deficiency |
Suitable for Qi Stagnation patterns that may cause low milk supply, such as Liver Qi Stagnation
Learn moreFormula | Patterns Suitable For |
---|---|
Xia Ru Yong Quan San | Liver Qi Stagnation |
Xiao Yao San | Liver Qi Stagnation |
Yue Ju Wan | Liver Qi Stagnation |
Suitable for Phlegm patterns that may cause low milk supply, such as Phlegm
Learn moreSuitable for Yin Deficiency patterns that may cause low milk supply, such as Heart Yin Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Tian Wang Bu Xin Dan | Heart Yin Deficiency |
Ren Shen Dang Gui Tang | Heart Yin Deficiency |
These formulas are suitable for some low milk supply-causing patterns like Qi and Blood Deficiency or Spleen and Stomach Qi Deficiency.
One such formula is Ba Zhen Tang, with ginseng as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Ba Zhen Tang | Qi and Blood Deficiency, Spleen and Stomach Qi Deficiency |
Gui Pi Tang | Qi and Blood Deficiency |
Zhi Gan Cao Tang | Qi and Blood Deficiency |
These formulas are suitable for some low milk supply-causing patterns like Qi and Blood Deficiency.
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.
Formula | Patterns Suitable For (if applicable) |
---|---|
Si Wu Tang | Qi and Blood Deficiency |
Guo Qi Yin | Qi and Blood Deficiency |
Tao Hong Si Wu Tang | Not applicable |
These formulas are suitable for some low milk supply-causing patterns like Qi and Blood Deficiency.
One such formula is Tong Ru Dan, with ginseng as a key herb.
These formulas are suitable for some low milk supply-causing patterns like Liver Qi Stagnation.
One such formula is Xia Ru Yong Quan San, with dong quai as a key herb.
These formulas are suitable for some low milk supply-causing patterns like Liver Qi Stagnation.
One such formula is Xiao Yao San, with bupleurum root as a key herb.
These formulas are suitable for some low milk supply-causing patterns like Liver Qi Stagnation.
One such formula is Yue Ju Wan, with atractylodes rhizome as a key herb.
These formulas are suitable for some low milk supply-causing patterns like Phlegm.
One such formula is Cang Fu Dao Tan Wan, with coco-grass rhizome as a key herb.
These formulas are suitable for some low milk supply-causing patterns like Heart Yin Deficiency.
One such formula is Tian Wang Bu Xin Dan, with unprepared rehmannia as a key herb.
These formulas are suitable for some low milk supply-causing patterns like Heart Yin Deficiency.
One such formula is Ren Shen Dang Gui Tang, with ginseng as a key herb.
These formulas are suitable for some low milk supply-causing patterns like Spleen and Stomach Qi Deficiency.
One such formula is Ren Shen Yang Rong Tang, with ginseng as a key herb.
TCM also emphasizes the use of acupuncture, targeting specific acupoints to address low milk supply.
Points like Shaoze (SI-1) on the Small Intestine Channel and Tianzong (SI-11) are selected for their roles in promoting lactation and benefiting the breasts.
Jianjing (GB-21) on the Gall Bladder Channel is known for its effectiveness in removing obstructions and enhancing milk flow.
Rugen (ST-18) in the Stomach Channel and Shanzhong (REN-17) on the Directing Vessel are also pivotal in regulating Qi and benefiting breast health.
Each acupoint is chosen based on its traditional indications and the specific pattern of disharmony affecting the individual, demonstrating TCM's holistic and tailored approach to treatment.
Explore below some acupoints used to address low milk supply, organized by meridian.
On the ulnar side of the little finger, about 0.1 cun posterior to the corner of the nail.
In the intrascapular fossa, at the junction of the upper and middle third of the distance between the lower border of the scapular spine and the inferior angle of the scapula.
Midway between Dazhui DU-14 and the lateral extremity of the acromion, at the highest point of the shoulder.
In the 5nd intercostal space, on the mammillary line, 4 cun lateral to the anterior midline.
On the midline of the chest, on the level of the 4th intercostal space or nipples.
1 cun lateral to the nipple, in the 4th intercostal space.
2 cun lateral to the nipple, in the 4th intercostal space.
6 cun above the umbilicus and 2 cun below the sternocostal angle, 0.5 cun lateral to the anterior midline.