Uterine Fibroidsaccording to TCM

What are Uterine Fibroids?

Uterine fibroids are non-cancerous growths of the uterus that often appear during childbearing years. Also known as fibromyomas, leiomyomas, or myomas, these fibroids can range in size from undetectable by the human eye to bulky masses that can distort and enlarge the uterus. You might have a single fibroid or multiple ones.

In extreme cases, multiple fibroids can expand the uterus so much that it reaches the rib cage and can add weight. Many women are unaware they have fibroids because they often cause no symptoms. However, fibroids can lead to heavy menstrual bleeding, prolonged periods, pelvic pressure or pain, and frequent urination.

How does TCM view Uterine Fibroids?

In Traditional Chinese Medicine (TCM), uterine fibroids are viewed as a manifestation of imbalances within the body's natural systems. TCM does not isolate the fibroids as merely a physical issue but sees them as indicators of underlying disharmonies such as Qi Stagnation, Blood stasis, Dampness accumulation, or an imbalance of Yin and Yang.

Treatment in TCM focuses on correcting these imbalances through a holistic approach that includes herbal medicine, acupuncture, and dietary modifications, aiming to dissolve the fibroids and restore reproductive health.

Root Causes of Uterine Fibroids in TCM

TCM attributes the formation of uterine fibroids to several key patterns, primarily Blood Stagnation and Qi Stagnation, which can lead to the accumulation of Dampness and the formation of masses. Blood Stagnation, often caused by emotional stress, physical trauma, or cold exposure, results in the improper flow of Blood, contributing to the development of fibroids.

Qi Stagnation, associated with emotional upset, can also contribute to the formation of fibroids by disrupting the smooth flow of energy and Blood within the body. Addressing these root causes is essential for the effective treatment and prevention of uterine fibroids in TCM.

Explore below more details about what might cause Uterine fibroids according to TCM.

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Uterine Fibroids

Pattern Name	Relevant Symptoms	Relevant Formulas
Blood Stagnation and Phlegm in the Uterus	Fibroids, Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain, Prolonged lochia, Uterine fibroids, Endometriosis, Infertility... see more	Gui Zhi Fu Ling Wan

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 Uterine Fibroids

Pattern Name	Relevant Symptoms	Relevant Formulas
Blood Stagnation and Phlegm in the Uterus	Fibroids, Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain, Prolonged lochia, Uterine fibroids, Endometriosis, Infertility... see more	Gui Zhi Fu Ling Wan

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 Uterine Fibroids

Pattern Name	Relevant Symptoms	Relevant Formulas
Blood Stagnation and Phlegm in the Uterus	Fibroids, Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain, Prolonged lochia, Uterine fibroids, Endometriosis, Infertility... see more	Gui Zhi Fu Ling Wan

TCM Herbal Formulas for Uterine Fibroids

To address the complex issue of uterine fibroids, TCM relies on a variety of herbal formulas designed to invigorate Blood, dispel Blood Stagnation, harmonize the Liver and Spleen, and dissolve Phlegm. Formulas such as Di Dang Tang, Tao He Cheng Qi Tang, Wen Jing Tang, Da Huang Zhe Chong Wan, and Dang Gui Shao Yao San are commonly prescribed based on the specific pattern of disharmony.

These formulas contain potent herbs like Leeches (Shui Zhi), Peach Kernels (Tao Ren), Cinnamon twigs (Gui Zhi), and Rhubarb (Da Huang), known for their effectiveness in promoting Blood circulation, dissolving masses, and alleviating pain.

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

Top Formula for Blood Stasis:
Gui Zhi Fu Ling Wan

Suitable for Blood Stasis patterns that may cause uterine fibroids, such as Blood Stagnation and Phlegm in the Uterus

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Top Formula for Phlegm:
Gui Zhi Fu Ling Wan

Suitable for Phlegm patterns that may cause uterine fibroids, such as Blood Stagnation and Phlegm in the Uterus

Learn more

Acupoints for Uterine Fibroids

Alongside herbal therapy, acupuncture plays a vital role in the TCM treatment of uterine fibroids. Specific acupoints, such as Fenglong ST-40, are targeted to resolve Dampness and Phlegm, calm the Mind, and subdue Rebellious Qi.

By stimulating these points, TCM practitioners aim to restore the harmonious flow of Qi and Blood throughout the body, addressing the root causes of fibroids and promoting overall reproductive health. This integrated approach underscores TCM's comprehensive strategy in managing and treating uterine fibroids.

See more details below about Fenglong ST-40, an acupoint used to address uterine fibroids.

Fenglong ST-40

Midway between Dubi ST-35 and Jiexi ST-41, two middle finger-width from the anterior crest of the tibia, or one middle finger-width from Tiaokou ST-38.