Irregular Periodsaccording to TCM

What is Irregular Periods?

Irregular periods refer to variations in the menstrual cycle that deviate from the norm, manifesting as unpredictable timing, volume, or duration of menstrual bleeding. This condition encompasses a wide range of menstrual irregularities, including but not limited to, oligomenorrhea (infrequent menstruation), chaotic or unpredictable menstrual cycles, and menstrual cycles that vary significantly in length from one period to the next. Such irregularities can be a source of discomfort and concern, impacting an individual’s daily life and potentially indicating underlying health issues.

How does TCM view Irregular Periods?

Traditional Chinese Medicine (TCM) interprets irregular periods as a sign of imbalance within the body's internal systems. Unlike Western medicine, which often targets the symptoms, TCM seeks to identify and correct the underlying disharmonies causing these menstrual irregularities, focusing on restoring balance to the body’s Qi, Blood, Yin, and Yang.

This holistic approach emphasizes the importance of diagnosing the specific pattern of disharmony to effectively tailor the treatment to the individual, aiming to harmonize the body's natural rhythms and functions.

Root Causes of Irregular Periods in TCM

In TCM, irregular periods are often attributed to several key patterns of disharmony, such as Blood Stagnation, Qi Stagnation etc. Blood Stagnation can lead to menstrual cramps and dark menstrual clots, reflecting an obstruction in blood flow.

Qi Stagnation, particularly of the Liver Qi, manifests through symptoms such as emotional disturbances, hypochondriac pain, and irregular menstrual cycles. Identifying these patterns allows TCM practitioners to address the root cause of menstrual irregularities, underscoring the personalized nature of TCM diagnostics and treatment.

Explore below more details about what might cause Irregular periods according to TCM.

  • By Syndrome
  • By Organ
  • Blood Stasis
  • Qi Stagnation
  • Blood Deficiency
  • Yin Deficiency
  • Dampness
  • Heat
  • Yang Deficiency
  • Phlegm
  • Qi Deficiency
  • Cold
Detailed description of the cause

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 Irregular Periods

Common Symptoms: Menstrual Cramps Amenorrhea Abdominal Masses Dark Menstrual Clots Dark Menstrual Blood Abdominal Pain Infertility Purple Lips

Pattern Name Relevant Symptoms Relevant Formulas
Blood Stagnation Hesitant periods, oligomenorrhea, Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps, Dark menstrual clots, Dark menstrual blood, Lumps... see more Tao Hong Si Wu Tang | Shi Xiao San | Ge Xia Zhu Yu Tang | Shao Fu Zhu Yu Tang
Liver Blood Stagnation Irregular menstruation, Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods, Dark menstrual clots, Infertility, Abdominal masses, Purple nails, Purple lips, Purple face, Skin dryness, Petechiae... see more Xiao Yao San | Shi Xiao San | Ge Xia Zhu Yu Tang | Chai Hu Shu Gan San
Qi And Blood Stagnation Irregular menstruation, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Shi Xiao San | Ge Xia Zhu Yu Tang | Shao Fu Zhu Yu Tang | Wen Jing Tang | Gui Zhi Fu Ling Wan | Guo Qi Yin | Chai Hu Shu Gan San | Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Qi Li San | Dan Shen Yin
Blood and Qi Deficiency with Blood Stagnation Irregular menstruation, Lack of appetite, Weak limbs, Lower back pain, Abdominal distention, Irregular periods, Red and white vaginal discharge, Infertility... see more Ba Zhen Yi Mu Tang
Blood Stagnation and Phlegm in the Uterus Irregular menstruation, 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, Infertility, Postpartum hemorrhage, Retained placenta... see more Gui Zhi Fu Ling Wan
Blood Stagnation in the Directing and Penetrating Vessels Irregular menstruation, Irregular periods, Brown vaginal discharge, Dark menstrual clots, Menstrual cramps, Dark menstrual blood, Prolonged lochia, Lower abdominal pain, Umbilical pain, Breast engorgement, Breast pain... see more Gui Zhi Fu Ling Wan
Blood Deficiency and Stagnation Irregular menstruation, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations, Poor constitution, Irregular periods, Amenorrhea, Lower abdominal pain... see more Tao Hong Si Wu Tang | Si Wu Tang
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 Irregular Periods

Common Symptoms: Depression Mood Swings Irritability Abdominal Pain Breast Engorgement Abdominal Distention Globus Sensation Pre Menstrual Breast Distension

Pattern Name Relevant Symptoms Relevant Formulas
Liver Qi Stagnation irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Xiao Yao San | Wu Yao Tang | Chai Hu Shu Gan San | Jia Wei Xiao Yao San | Yue Ju Wan | Yi Guan Jian
Qi And Blood Stagnation Irregular menstruation, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Shi Xiao San | Ge Xia Zhu Yu Tang | Shao Fu Zhu Yu Tang | Wen Jing Tang | Gui Zhi Fu Ling Wan | Guo Qi Yin | Chai Hu Shu Gan San | Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Qi Li San | Dan Shen Yin
Qi Stagnation Irregular menstruation, General fullness, Moving pain, Depression, Irritability, Mood swings, Sighing Xiao Yao San | Chai Hu Shu Gan San | Si Mo Tang | Qi Ge San
Stagnant Liver Qi turning into Fire Irregular menstruation, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Dan Zhi Xiao Yao San
Blood and Qi Deficiency with Blood Stagnation Irregular menstruation, Lack of appetite, Weak limbs, Lower back pain, Abdominal distention, Irregular periods, Red and white vaginal discharge, Infertility... see more Ba Zhen Yi Mu 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 Irregular Periods

Common Symptoms: Dizziness Scanty Menstruation Amenorrhea Insomnia Blurry Vision Palpitations Lower Abdominal Pain Lack Of Appetite

Pattern Name Relevant Symptoms Relevant Formulas
Blood Deficiency oligomenorrhea, Dizziness, Scanty menstruation, Amenorrhea, Dull shallow face, Pale lips, Poor memory, Insomnia... see more Ren Shen Zi Xie Tang | Si Wu Tang
Blood and Qi Deficiency with Blood Stagnation Irregular menstruation, Lack of appetite, Weak limbs, Lower back pain, Abdominal distention, Irregular periods, Red and white vaginal discharge, Infertility... see more Ba Zhen Yi Mu Tang
Blood Deficiency and Stagnation Irregular menstruation, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations, Poor constitution, Irregular periods, Amenorrhea, Lower abdominal pain... see more Tao Hong Si Wu Tang | Si Wu Tang
Blood Deficiency with disharmony of Liver and Spleen Irregular menstruation, Chest distension, Chest pain, Anemia, Dizziness, Headaches, Dry mouth, Dry throat, Lack of appetite, Irregular periods, Leukorrhea... see more Xiao Yao San
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 Irregular Periods

Common Symptoms: Back Pain Tinnitus Dizziness Night Sweats Excessive Sweating Generalized Fatigue General Weakness Depression

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yin Deficiency irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Excessive sweating, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Constipation, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Liu Wei Di Huang Wan | Zuo Gui Wan
Kidney-Deficiency oligomenorrhea, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more Dang Gui Di Huang Yin | Shi Quan Da Bu Tang | He Che Da Zao Wan
Deficiency of both the Kidney Yin and Yang Irregular menstruation, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability, Generalized fatigue, General weakness, Depression, Palpitations... see more Er Xian 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 Irregular Periods

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

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus oligomenorrhea, Late menstruation, 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 Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang
Damp-Heat Irregular menstruation, 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
Damp-Heat in the Liver Irregular menstruation, Hypochondrial fullness and distention with pain alleviated by warmth, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Lack of appetite, Nausea, Feeling of heaviness, Yellow vaginal discharge, Vaginal itching, Vulvar eczema, Vulvar sores, Bleeding between periods, Midcycle bleeding pain, Red and swollen scrotum, Red and swelling genital, Papules, Itchy vesicular rashes, Urinary dysfunction, Urinary burning, Dark urine... see more Long Dan Xie Gan Tang | Yin Chen Hao 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 Irregular Periods

Common Symptoms: Bitter Taste In The Mouth Menstrual Cramps Fever Headaches Sticky Taste In The Mouth Feeling Of Heat Feeling Of Heaviness Scanty And Dark Urine

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat Irregular menstruation, 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
Damp-Heat in the Liver Irregular menstruation, Hypochondrial fullness and distention with pain alleviated by warmth, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Lack of appetite, Nausea, Feeling of heaviness, Yellow vaginal discharge, Vaginal itching, Vulvar eczema, Vulvar sores, Bleeding between periods, Midcycle bleeding pain, Red and swollen scrotum, Red and swelling genital, Papules, Itchy vesicular rashes, Urinary dysfunction, Urinary burning, Dark urine... see more Long Dan Xie Gan Tang | Yin Chen Hao Tang
Stagnant Liver Qi turning into Fire Irregular menstruation, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Dan Zhi Xiao Yao San
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 Irregular Periods

Common Symptoms: Dizziness Tinnitus Chills Generalized Fatigue General Weakness Depression Cold Extremities Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, 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 Er Xian Tang
Deficiency of both the Kidney Yin and Yang Irregular menstruation, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability, Generalized fatigue, General weakness, Depression, Palpitations... see more Er Xian 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 Irregular Periods

Common Symptoms: Amenorrhea Infertility Polycystic Ovary Syndrome Late Menstruation Scanty Menstruation Lower Abdominal Pain Abdominal Heaviness Stifling Sensation In The Chest

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus oligomenorrhea, Late menstruation, 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 Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang
Blood Stagnation and Phlegm in the Uterus Irregular menstruation, 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, Infertility, Postpartum hemorrhage, Retained placenta... see more Gui Zhi Fu Ling Wan
Detailed description of the cause

Qi Deficiency

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

Qi Deficiency Patterns That Can Lead to Irregular Periods

Pattern Name Relevant Symptoms Relevant Formulas
Liver Qi Deficiency Irregular menstruation, Dizziness, Blurry vision, Eye floaters, Nervousness, Timidity, Easily startled, Lack of bravery, Indecision, Sighing, Vivid dreaming, Depression, Irritability, Hypochondriac distention, Irregular periods, Lack of appetite, Generalized fatigue, Abdominal distention... see more Xiao Yao San | Si Wu Tang | Bu Zhong Yi Qi 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 Irregular Periods

Pattern Name Relevant Symptoms Relevant Formulas
Cold in the Uterus Irregular menstruation, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Shao Fu Zhu Yu Tang | Wen Jing Tang | Wen Qi Hua Shi 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 Irregular Periods

Common Symptoms: Menstrual Cramps Lack Of Appetite Hypochondriac Distention Depression Irritability Abdominal Pain Breast Engorgement Headaches

Pattern Name Relevant Symptoms Relevant Formulas
Liver Qi Stagnation irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Xiao Yao San | Wu Yao Tang | Chai Hu Shu Gan San | Jia Wei Xiao Yao San | Yue Ju Wan | Yi Guan Jian
Damp-Heat in the Liver Irregular menstruation, Hypochondrial fullness and distention with pain alleviated by warmth, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Lack of appetite, Nausea, Feeling of heaviness, Yellow vaginal discharge, Vaginal itching, Vulvar eczema, Vulvar sores, Bleeding between periods, Midcycle bleeding pain, Red and swollen scrotum, Red and swelling genital, Papules, Itchy vesicular rashes, Urinary dysfunction, Urinary burning, Dark urine... see more Long Dan Xie Gan Tang | Yin Chen Hao Tang
Liver Blood Stagnation Irregular menstruation, Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods, Dark menstrual clots, Infertility, Abdominal masses, Purple nails, Purple lips, Purple face, Skin dryness, Petechiae... see more Xiao Yao San | Shi Xiao San | Ge Xia Zhu Yu Tang | Chai Hu Shu Gan San
Liver Qi Deficiency Irregular menstruation, Dizziness, Blurry vision, Eye floaters, Nervousness, Timidity, Easily startled, Lack of bravery, Indecision, Sighing, Vivid dreaming, Depression, Irritability, Hypochondriac distention, Irregular periods, Lack of appetite, Generalized fatigue, Abdominal distention... see more Xiao Yao San | Si Wu Tang | Bu Zhong Yi Qi Tang
Stagnant Liver Qi turning into Fire Irregular menstruation, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Dan Zhi Xiao Yao San
Blood Deficiency with disharmony of Liver and Spleen Irregular menstruation, Chest distension, Chest pain, Anemia, Dizziness, Headaches, Dry mouth, Dry throat, Lack of appetite, Irregular periods, Leukorrhea... see more Xiao Yao San
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 Irregular Periods

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

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, 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 Er Xian Tang
Kidney Yin Deficiency irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Excessive sweating, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Constipation, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Liu Wei Di Huang Wan | Zuo Gui Wan
Kidney-Deficiency oligomenorrhea, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more Dang Gui Di Huang Yin | Shi Quan Da Bu Tang | He Che Da Zao Wan
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 Irregular Periods

Common Symptoms: Amenorrhea Infertility Late Menstruation Scanty Menstruation Lower Abdominal Pain Generalized Fatigue Diarrhea Polycystic Ovary Syndrome

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus oligomenorrhea, Late menstruation, 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 Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang
Cold in the Uterus Irregular menstruation, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Shao Fu Zhu Yu Tang | Wen Jing Tang | Wen Qi Hua Shi Tang
Blood Stagnation and Phlegm in the Uterus Irregular menstruation, 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, Infertility, Postpartum hemorrhage, Retained placenta... see more Gui Zhi Fu Ling Wan
Detailed description of the cause

Spleen

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

Spleen Patterns That Can Lead to Irregular Periods

Pattern Name Relevant Symptoms Relevant Formulas
Blood Deficiency with disharmony of Liver and Spleen Irregular menstruation, Chest distension, Chest pain, Anemia, Dizziness, Headaches, Dry mouth, Dry throat, Lack of appetite, Irregular periods, Leukorrhea... see more Xiao Yao San

TCM Herbal Formulas for Irregular Periods

To address the complexity of irregular periods, TCM employs a variety of herbal formulas. For Blood Stasis, Tao Hong Si Wu Tang is recommended to invigorate blood flow and alleviate menstrual discomfort.

In cases of Liver Qi Stagnation, Xiao Yao San helps to harmonize the Liver Qi, relieving emotional tension and regulating menstrual cycles. These formulas exemplify TCM’s nuanced approach, aiming not only to alleviate symptoms but also to correct the underlying imbalances contributing to menstrual irregularities.

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

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

All Formulas Recommended for Irregular Periods Caused by Blood Stasis

Formula Patterns Suitable For
Shi Xiao San Blood Stagnation, Liver Blood Stagnation, Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Blood Stagnation, Liver Blood Stagnation, Qi And Blood Stagnation
Gui Zhi Fu Ling Wan Blood Stagnation and Phlegm in the Uterus, Blood Stagnation in the Directing and Penetrating Vessels, Qi And Blood Stagnation... see more
Chai Hu Shu Gan San Liver Blood Stagnation, Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Blood Stagnation, Qi And Blood Stagnation
Tao Hong Si Wu Tang Blood Stagnation, Blood Deficiency and Stagnation
Xiao Yao San Liver Blood Stagnation
Wen Jing Tang Qi And Blood Stagnation
Si Wu Tang Blood Deficiency and Stagnation
Ba Zhen Yi Mu Tang Blood and Qi Deficiency with Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation

All Formulas Recommended for Irregular Periods Caused by Qi Stagnation

Formula Patterns Suitable For
Chai Hu Shu Gan San Liver Qi Stagnation, Qi And Blood Stagnation, Qi Stagnation
Xiao Yao San Liver Qi Stagnation, Qi Stagnation
Shi Xiao San Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Wen Jing Tang Qi And Blood Stagnation
Gui Zhi Fu Ling Wan Qi And Blood Stagnation
Wu Yao Tang Liver Qi Stagnation
Jia Wei Xiao Yao San Liver Qi Stagnation
Yue Ju Wan Liver Qi Stagnation
Yi Guan Jian Liver Qi Stagnation
Ba Zhen Yi Mu Tang Blood and Qi Deficiency with Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation
Si Mo Tang Qi Stagnation
Qi Ge San Qi Stagnation
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire

All Formulas Recommended for Irregular Periods Caused by Blood Deficiency

Formula Patterns Suitable For
Si Wu Tang Blood Deficiency, Blood Deficiency and Stagnation
Xiao Yao San Blood Deficiency with disharmony of Liver and Spleen
Tao Hong Si Wu Tang Blood Deficiency and Stagnation
Ren Shen Zi Xie Tang Blood Deficiency
Ba Zhen Yi Mu Tang Blood and Qi Deficiency with Blood Stagnation

All Formulas Recommended for Irregular Periods Caused by Yin Deficiency

Formula Patterns Suitable For
Er Xian Tang Deficiency of both the Kidney Yin and Yang
Liu Wei Di Huang Wan Kidney Yin Deficiency
Zuo Gui Wan Kidney Yin Deficiency
Dang Gui Di Huang Yin Kidney-Deficiency
Shi Quan Da Bu Tang Kidney-Deficiency
He Che Da Zao Wan Kidney-Deficiency

All Formulas Recommended for Irregular Periods Caused by Dampness

Formula Patterns Suitable For
Long Dan Xie Gan Tang Damp-Heat, Damp-Heat in the Liver
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Yi Huang Tang Damp-Heat
Yin Chen Hao Tang Damp-Heat in the Liver

All Formulas Recommended for Irregular Periods Caused by Heat

Formula Patterns Suitable For
Long Dan Xie Gan Tang Damp-Heat, Damp-Heat in the Liver
Yi Huang Tang Damp-Heat
Yin Chen Hao Tang Damp-Heat in the Liver
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire

All Formulas Recommended for Irregular Periods Caused by Phlegm

Formula Patterns Suitable For
Gui Zhi Fu Ling Wan Blood Stagnation and Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

All Formulas Recommended for Irregular Periods Caused by Qi Deficiency

Formula Patterns Suitable For
Xiao Yao San Liver Qi Deficiency
Si Wu Tang Liver Qi Deficiency
Bu Zhong Yi Qi Tang Liver Qi Deficiency

All Formulas Recommended for Irregular Periods Caused by Cold

Formula Patterns Suitable For
Shao Fu Zhu Yu Tang Cold in the Uterus
Wen Jing Tang Cold in the Uterus
Wen Qi Hua Shi Tang Cold in the Uterus

All "formulas that invigorate blood and dispel blood stagnation" recommended for irregular periods

Formula Patterns Suitable For (if applicable)
Shi Xiao San Blood Stagnation, Liver Blood Stagnation, Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Blood Stagnation, Liver Blood Stagnation, Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Blood Stagnation, Cold in the Uterus, Qi And Blood Stagnation
Wen Jing Tang Cold in the Uterus, Qi And Blood Stagnation, Dampness and Phlegm in the Uterus
Gui Zhi Fu Ling Wan Blood Stagnation and Phlegm in the Uterus, Blood Stagnation in the Directing and Penetrating Vessels, Qi And Blood Stagnation... see more
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation

All "formulas that tonify blood" recommended for irregular periods

Formula Patterns Suitable For (if applicable)
Si Wu Tang Blood Deficiency, Liver Qi Deficiency, Blood Deficiency and Stagnation
Tao Hong Si Wu Tang Blood Stagnation, Blood Deficiency and Stagnation
Ren Shen Zi Xie Tang Blood Deficiency
Dang Gui Di Huang Yin Kidney-Deficiency
Guo Qi Yin Qi And Blood Stagnation

All "formulas that harmonize liver-Spleen" recommended for irregular periods

Formula Patterns Suitable For (if applicable)
Xiao Yao San Liver Qi Stagnation, Liver Blood Stagnation, Liver Qi Deficiency, Qi Stagnation, Blood Deficiency with disharmony of Liver and Spleen... see more
Jia Wei Xiao Yao San Liver Qi Stagnation

All "formulas that promote qi movement" recommended for irregular periods

Formula Patterns Suitable For (if applicable)
Chai Hu Shu Gan San Liver Blood Stagnation, Liver Qi Stagnation, Qi And Blood Stagnation, Qi Stagnation... see more
Wu Yao Tang Liver Qi Stagnation
Yue Ju Wan Liver Qi Stagnation
Si Mo Tang Qi Stagnation
Qi Ge San Qi Stagnation

All "formulas that tonify yin and yang" recommended for irregular periods

Formula Patterns Suitable For (if applicable)
Er Xian Tang Kidney Yang Deficiency, Deficiency of both the Kidney Yin and Yang
Shi Quan Da Bu Tang Kidney-Deficiency
He Che Da Zao Wan Kidney-Deficiency

All "formulas that nourish yin and tonify" recommended for irregular periods

Formula Patterns Suitable For (if applicable)
Liu Wei Di Huang Wan Kidney Yin Deficiency
Zuo Gui Wan Kidney Yin Deficiency
Yi Guan Jian Liver Qi Stagnation

All "formulas that dry dampness and transform phlegm" recommended for irregular periods

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

Acupoints for Irregular Periods

Acupuncture is another cornerstone of TCM treatment for irregular periods, with specific acupoints targeted to rebalance the body's energy flow. Dahe KID-12 and Sanyinjiao SP-6 are among the key points selected to nourish Kidney Yin and fortify the Spleen, respectively, addressing fundamental imbalances that can lead to menstrual irregularities.

These acupoints reflect TCM’s strategic approach, highlighting the interconnectedness of the body’s systems and the importance of restoring harmony to ensure menstrual health.

Explore below some acupoints used to address irregular periods, organized by meridian.

  • By Meridian
  • Kidney Channel
  • Bladder Channel
  • Liver Channel
  • Spleen Channel
  • Gall Bladder Channel
  • Stomach Channel
  • Extra Points: Lower Extremities (EX-LE)
  • Pericardium Channel
  • Directing Vessel
  • Triple Burner Channel
  • Extra Points: Chest and Abdomen (EX-CA)
Rangu KID-2

Rangu KID-2

Anterior and inferior to the medial malleolus tip, in the depression on the lower border of the navicular bone, at the border of the 'red and white' skin.

Taixi KID-3

Taixi KID-3

In the depression between the medial malleolus tip and Achilles tendon (Calcaneal tendon), level with the tip of the medial malleolus.

Shuiquan KID-5

Shuiquan KID-5

1 cun directly below Taixi KID-3, in the depression over the joint space between the talus and calcaneus.

Zhaohai KID-6

Zhaohai KID-6

Approximately 1 cun below the medial malleolus tip, over the joint space between the talus and the calcaneus.

Jiaoxin KID-8

Jiaoxin KID-8

2 cun above Taixi KID-3, 0.5 cun anterior to Fuliu KID-7, posterior to the medial border of tibia.

Dahe KID-12

Dahe KID-12

4 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Qixue KID-13

Qixue KID-13

3 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Siman KID-14

Siman KID-14

2 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Zhongzhu KID-15

Zhongzhu KID-15

1 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Shenshu BL-23

Shenshu BL-23

1.5 cun lateral to the lower border of the spinous process of the 2nd lumber vertebra (L2).

Qihaishu BL-24

Qihaishu BL-24

1.5 cun lateral to the lower border of the spinous process of the 3rd lumber vertebra (L3).

Baihuanshu BL-30

Baihuanshu BL-30

At the level of the 4th posterior sacral foramen, 1.5 cun lateral to the posterior midline.

Shangliao BL-31

Shangliao BL-31

In the 1st posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.

Ciliao BL-32

Ciliao BL-32

In the 2nd posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.

Zhongliao BL-33

Zhongliao BL-33

In the 3rd posterior sacral foramen, between the posterior superior iliac spine and the midline.

Dadun LIV-1

Dadun LIV-1

On the lateral side of the dorsum of the great toe terminal phalanx, between the lateral corner of the nail and interphalangeal joint.

Taichong LIV-3

Taichong LIV-3

On the dorsum of the foot, between the 1st and 2nd metatarsal bones, in the depression proximal to the metatarsophalangeal joints and the proximal angle between the two bones.

Yinbao LIV-9

Yinbao LIV-9

4 cun above the medial epicondyle of the femur, between vastus medialis and sartorius muscle.

Yinlian LIV-11

Yinlian LIV-11

2 cun inferior to Qichong ST-30 which is on the upper border of the symphysis and 2 cun lateral to the anterior midline.

Gongsun SP-4

Gongsun SP-4

In the depression distal and inferior to the base of the 1st metatarsal bone, at the border of the red and white skin.

Sanyinjiao SP-6

Sanyinjiao SP-6

3 cun directly above the tip of the medial malleolus, on the posterior border of the tibia, on the line drawn from the medial malleolus to Yinlingquan SP-9.

Diji SP-8

Diji SP-8

3 cun below the medial condyle of the tibia, on the line connecting Yinlingquan SP-9 and the the medial malleolus.

Xuehai SP-10

Xuehai SP-10

When knee is flexed, Xuehai SP-10 is 2 cun above the medial upper border of the patella, in a depression on the vastus medialis muscle.

Daimai GB-26

Daimai GB-26

Level with the umbilicus, directly below Zhangmen LIV-13 which is on the free end of the 11th rib.

Wushu GB-27

Wushu GB-27

In the lateral side of the abdomen, in the front of the anterior superior iliac spine (ASIS), 3 cun below the level of the umbilicus.

Weidao GB-28

Weidao GB-28

Anterior and Inferior to the anterior superior iliac spine (ASIS), 0.5 cun anterior and inferior to Wushu GB-27.

Tianshu ST-25

Tianshu ST-25

2 cun lateral to the center of the umbilicus.

Guilai ST-29

Guilai ST-29

4 cun below the umbilicus, 2 cun lateral to the anterior midline.

Qichong ST-30

Qichong ST-30

5 cun below the umbilicus, 2 cun lateral to the anterior midline, superior to the inguinal groove, on the medial side of the femoral artery, nerve and vein.

Bafeng EX-LE-10

Bafeng EX-LE-10

This is a group of 8 points, all located on the foot dorsum, slightly proximal to the margins of the interdigital webs. Xingjian LIV-2, Neiting ST-44 and Xiabai GB-43 are part of the Bafeng EX-LE-10 points. Xingjian LIV-2 is between the 1st and 2nd toes, on the dorsum of the foot, 0.5 cun proximal to the margin of the web. Neiting ST-44 is between the 2nd and 3rd toes, while Xiaxi GB-43 is between the 4th and 5th toes.

Duyin EX-LE-11

Duyin EX-LE-11

On the plantar aspect of the 2nd toe, at the midpoint of the transverse crease of the distal interphalangeal joint.

Jianshi P-5

Jianshi P-5

3 cun above the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Neiguan P-6

Neiguan P-6

2 cun above Daling P-7 on the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Zhongji REN-3

Zhongji REN-3

On the anterior midline, 4 cun below the umbilicus, 1 cun above Qugu REN-2, which is located at the upper border of the symphysis pubis.

Yinjiao REN-7

Yinjiao REN-7

On the midline of the abdomen, 1 cun below the umbilicus.

Yangchi TB-4

Yangchi TB-4

At the junction of the ulna carpal bones of the wrist dorsum, in the depression lateral to the tendon of extensor digitorum and extensor digiti minimi muscle.

Zigong EX-CA-1

Zigong EX-CA-1

3 cun lateral to the anterior midline and 1 cun superior to the upper border of the pubic symphysis.