Symptom family: Irregular or Abnormal Menstrual and Uterine Bleeding
Parent symptom: Abnormal Uterine Bleeding
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.
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.
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.
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
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 |
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
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 |
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
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 |
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
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 |
"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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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 |
---|---|---|
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 |
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.
Suitable for Blood Stasis patterns that may cause irregular periods, such as Blood Stagnation or Liver Blood Stagnation
Learn moreFormula | 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 |
Suitable for Qi Stagnation patterns that may cause irregular periods, such as Liver Qi Stagnation or Qi And Blood Stagnation
Learn moreFormula | 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 |
Suitable for Blood Deficiency patterns that may cause irregular periods, such as Blood Deficiency or Blood Deficiency and Stagnation
Learn moreFormula | 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 |
Suitable for Yin Deficiency patterns that may cause irregular periods, such as Deficiency of both the Kidney Yin and Yang
Learn moreFormula | 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 |
Suitable for Dampness patterns that may cause irregular periods, such as Damp-Heat or Damp-Heat in the Liver
Learn moreFormula | 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 |
Suitable for Heat patterns that may cause irregular periods, such as Damp-Heat or Damp-Heat in the Liver
Learn moreFormula | 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 |
Suitable for Yang Deficiency patterns that may cause irregular periods, such as Kidney Yang Deficiency or Deficiency of both the Kidney Yin and Yang
Learn moreSuitable for Phlegm patterns that may cause irregular periods, such as Blood Stagnation and Phlegm in the Uterus
Learn moreFormula | 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 |
Suitable for Qi Deficiency patterns that may cause irregular periods, such as Liver Qi Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Xiao Yao San | Liver Qi Deficiency |
Si Wu Tang | Liver Qi Deficiency |
Bu Zhong Yi Qi Tang | Liver Qi Deficiency |
Suitable for Cold patterns that may cause irregular periods, such as Cold in the Uterus
Learn moreFormula | 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 |
These formulas are suitable for some irregular periods-causing patterns like Blood Stagnation or Liver Blood Stagnation.
One such formula is Shi Xiao San, with cattail pollen as a key herb.
Other formulas of this category are listed in the table below.
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 |
These formulas are suitable for some irregular periods-causing patterns like Blood Deficiency or Liver Qi 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 | 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 |
These formulas are suitable for some irregular periods-causing patterns like Liver Qi Stagnation or Liver Blood Stagnation.
One such formula is Xiao Yao San, with bupleurum root as a key herb.
Other formulas of this category are listed in the table below.
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 |
These formulas are suitable for some irregular periods-causing patterns like Liver Qi Stagnation or Liver Blood 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.
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 |
These formulas are suitable for some irregular periods-causing patterns like Kidney Yang Deficiency or Deficiency of both the Kidney Yin and Yang.
One such formula is Er Xian Tang, with curculigo rhizome as a key herb.
Other formulas of this category are listed in the table below.
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 |
These formulas are suitable for some irregular periods-causing patterns like Kidney 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.
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 |
These formulas are suitable for some irregular periods-causing patterns like Damp-Heat or Damp-Heat in the Liver.
One such formula is Long Dan Xie Gan Tang, with chinese gentian as a key herb.
These formulas are suitable for some irregular periods-causing patterns like Damp-Phlegm in the Uterus.
One such formula is Cang Fu Dao Tan Wan, with coco-grass rhizome as a key herb.
Other formulas of this category are listed in the table below.
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 |
These formulas are suitable for some irregular periods-causing patterns like Damp-Heat.
One such formula is Yi Huang Tang, with yam as a key herb.
These formulas are suitable for some irregular periods-causing patterns like Blood and Qi Deficiency with Blood Stagnation.
One such formula is Ba Zhen Yi Mu Tang, with motherwort herb as a key herb.
These formulas are suitable for some irregular periods-causing patterns like Cold in the Uterus.
One such formula is Wen Qi Hua Shi Tang, with atractylodes rhizome as a key herb.
These formulas are suitable for some irregular periods-causing patterns like Damp-Heat in the Liver.
One such formula is Yin Chen Hao Tang, with virgate wormwood as a key herb.
These formulas are suitable for some irregular periods-causing patterns like Liver Qi Deficiency.
One such formula is Bu Zhong Yi Qi Tang, with milkvetch root as a key herb.
These formulas are suitable for some irregular periods-causing patterns like Qi And Blood Stagnation.
One such formula is Shen Tong Zhu Yu Tang, with peach kernel as a key herb.
These formulas are suitable for some irregular periods-causing patterns like Stagnant Liver Qi turning into Fire.
One such formula is Dan Zhi Xiao Yao San, with mudan peony bark as a key herb.
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.
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.
In the depression between the medial malleolus tip and Achilles tendon (Calcaneal tendon), level with the tip of the medial malleolus.
1 cun directly below Taixi KID-3, in the depression over the joint space between the talus and calcaneus.
Approximately 1 cun below the medial malleolus tip, over the joint space between the talus and the calcaneus.
2 cun above Taixi KID-3, 0.5 cun anterior to Fuliu KID-7, posterior to the medial border of tibia.
4 cun below the umbilicus, 0.5 cun lateral to the anterior midline.
3 cun below the umbilicus, 0.5 cun lateral to the anterior midline.
2 cun below the umbilicus, 0.5 cun lateral to the anterior midline.
1 cun below the umbilicus, 0.5 cun lateral to the anterior midline.
1.5 cun lateral to the lower border of the spinous process of the 2nd lumber vertebra (L2).
1.5 cun lateral to the lower border of the spinous process of the 3rd lumber vertebra (L3).
At the level of the 4th posterior sacral foramen, 1.5 cun lateral to the posterior midline.
In the 1st posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.
In the 2nd posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.
In the 3rd posterior sacral foramen, between the posterior superior iliac spine and the midline.
On the lateral side of the dorsum of the great toe terminal phalanx, between the lateral corner of the nail and interphalangeal joint.
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.
4 cun above the medial epicondyle of the femur, between vastus medialis and sartorius muscle.
2 cun inferior to Qichong ST-30 which is on the upper border of the symphysis and 2 cun lateral to the anterior midline.
In the depression distal and inferior to the base of the 1st metatarsal bone, at the border of the red and white skin.
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.
3 cun below the medial condyle of the tibia, on the line connecting Yinlingquan SP-9 and the the medial malleolus.
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.
Level with the umbilicus, directly below Zhangmen LIV-13 which is on the free end of the 11th rib.
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.
Anterior and Inferior to the anterior superior iliac spine (ASIS), 0.5 cun anterior and inferior to Wushu GB-27.
2 cun lateral to the center of the umbilicus.
4 cun below the umbilicus, 2 cun lateral to the anterior midline.
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.
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.
On the plantar aspect of the 2nd toe, at the midpoint of the transverse crease of the distal interphalangeal joint.
3 cun above the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.
2 cun above Daling P-7 on the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.
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.
On the midline of the abdomen, 1 cun below the umbilicus.
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.
3 cun lateral to the anterior midline and 1 cun superior to the upper border of the pubic symphysis.