AMENORRHEA

Clinical Manifestations
  • Primary amenorrhea: After 18 years old, the patient still does not have menstruation
  • Secondary amenorrhea: Menstruation stops for more than three months before normal menopause
  • Normal times for amenorrhea:
    Pregnancy
    During puberty when period is not yet regulated
    During breast-feeding
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Fever
  • Headache
  • Anhidrosis
  • Anorexia
  • Belching
  • Aching shoulders
  • Tinnitus
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Vertigo
  • Nausea
  • Amenorrhea
  • T: Normal
  • C: Thin and white
  • P: Floating
Treatment Principle
  • Regulate Qi
  • Release the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Long standing cold hands and feet that are cold to the touch and feel cold to the patient
  • Maybe lumbago and leg pain
  • Abdominal pain and distention
  • Midline pain
  • Uterine pain
  • Chills
  • Diarrhea
  • Menstrual abdominal pain
  • Maybe chest pain
  • Increased sweating, particularly of the feet
  • Increased salivation
  • Spasm and pain of the limbs
  • Scanty urination
  • Pain at the waist, hips, legs and feet
  • Sciatica
  • Joint pain
  • Irregular menstruation
  • Abdominal Cold
  • Migraine headache
  • Vaginal discharge
  • T: Pale
  • C: White
  • P: Deep and thready (may be almost imperceptible).
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the Blood
  • Unblock the Blood vessels
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Amenorrhea
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Calcaneus pain
  • May be bone spur
  • Unproductive cough or
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Dry mouth
  • Dry throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Night sweats
  • Malar flush
  • Maybe hoarse voice
  • Maybe pain in shin, foot, and heel
  • Spermatorrhea
  • Irregular menses
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Lungs and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Scant, light colored discharge
  • Delayed menstruation leading to amenorrhea
  • Pallor
  • Cold extremities
  • Dizziness
  • General lassitude
  • Palpitations
  • Shortness of breath
  • Anorexia
  • Frequent abdominal distention
  • Loose stools
  • T: Pale
  • C: Sticky and white
  • P: Weak, thready and slow
Treatment Principle
  • Tonify the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Early menstruation
  • Late menstruation
  • Scanty menses
  • Light-colored menses
  • Menses may be mixed with leukorrhea
  • Low back pain that can be severe
  • Soft stools
  • Distention in the lower abdomen
  • A sense of prolapse in the lower abdomen
  • Anorexia
  • Fatigue
  • Light headedness
  • Dizziness
  • Frequent erotic dreams
  • Tinnitus
  • Urinary frequency at night
  • Weakness in the lower limbs
  • Vertigo
  • T: Pale
  • C: Thin
  • P: Deep and frail
Treatment Principle
  • Enrich and tonify the Kidneys
  • Nourish the Liver
  • Regulate the Chong and Ren channels
  • Regulate menstruation
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Distention and fullness of the epigastrium and abdomen
  • Nausea and vomiting
  • Anorexia
  • Loose stools
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of cold, feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea after the menses has stopped suddenly in the middle of menstruation
  • No pain
  • No distention in the lower abdomen
  • Heart palpitations when
    scared or nervous
  • Timidity or
  • Nervousness
  • Sweating on movement
  • Insomnia
  • Diminished memory
  • Facial complexion pale but flushed red
  • T: Normal
  • C: Dry and light
  • P: Empty and fine
Treatment Principle
  • Nourish Yin
  • Nourish Blood
  • Tonify the Heart
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Insomnia with much dreaming
  • Irritability
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reduce Fire
  • Make the Hear and Kidneys communicate.
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Ulceration and erosion of mouth and tongue
  • Sore throat
  • Dry mouth
  • Thirst
  • Desire for cold drinks
  • Maybe deafness
  • Urination short, dark, difficult and painful or
  • Hematuria or
  • Pain in urethra
  • Fullness and distention of lower abdomen
  • Constipation
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Excess Heat
  • Promote diuresis
  • Purge the Intestines
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Amenorrhea
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Irregular periods
  • Scanty bleeding
  • Clots in the menstrual Blood
  • Abdominal distention
  • Breast distention
  • Premenstrual tension
  • Depression
  • Sighing
  • Irritability
  • T: Normal or Slightly red on the sides
  • C: Normal
  • P: Wiry
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Regulate menstruation
  • Tonify the Kidneys
  • Benefit the Spleen
Herb Formulas
Points
Etiology
  • Cold invasion and stress lead to Qi and Blood stagnation
Clinical Manifestations
  • No period
  • Chronic stabbing pain in the chest
  • Pain in the hypochondrium
  • Chronic, stubborn headache with a fixed, piercing quality
  • Palpitations
  • Chronic incessant hiccups
  • Five sole Heat
  • Choking sensation when drinking
  • Dry heaves
  • Depression or low spirits with a sensation of warmth in the chest
  • Chest distention
  • Dry, scaly skin
  • Dark rings under the eyes
  • Spider naevi on the cheeks, nose, trunk, inner knee and ankle
  • Dizziness
  • Chronic tinnitus
  • Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Lower abdominal pain with guarding
  • Frequently bleeding gums
  • Vomiting after intake of water
  • Chest and subcostal distending pain
  • Persistent daytime drowsiness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Forgetfulness
  • Irritability
  • Fidgeting
  • Agitation
  • Irascibility
  • A bad temper
  • Extreme mood swings
  • Evening tidal fever
  • Dark or purplish lips, conjunctiva or nail beds
  • Dark complexion
  • Dark sclera
  • Hair loss on the head and body
  • T: Dark-red with purple spots on the edges or Cyanotic or speckled with purpuric spots
  • P: Choppy or Wiry and tight or Wiry and choppy or Thready or Deep and choppy or Wiry
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Spread Liver Qi
  • Unblock the channels
  • Stop pain
  • Promote menstruation
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Easily angered
  • Regurgitation of gastric acid
  • Stomach pain
  • Hungers easily
  • Dry mouth
  • Bitter taste in mouth
  • T: Red
  • C: Yellow
  • P: Wiry and Rapid
Treatment Principle
  • Reduce Liver Fire
Herb Formulas
Points
Clinical Manifestations
  • No period
  • Heart vexation
  • Easily angered
  • Constipation
  • Hot, red urination
  • Insomnia
  • Restlessness
  • T: Red or Crimson
  • C: Little
  • P: Thin, Wiry and rapid
Treatment Principle
  • Calm the Liver
  • Drain Fire
  • Clear the Heart
  • Clear the channels or menses
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • T: Red
  • C: Little
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Liver
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Light menses or amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish Liver Blood
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish Liver Blood
  • Extinguish Wind
Herb Formulas
Points
Clinical Manifestations
  • A young woman has reached 18 years of age and her menses
    have not come or
  • At the beginning of the tide it is comparatively slow or tardy, or
  • The menses has come but eventually becomes later and scantier and evolves into amenorrhea
  • A dark, gloomy facial complexion
  • Dizziness
  • Tinnitus
  • Soreness and weakness of the low back and knees
  • Possibly a dry mouth and throat
  • Tidal fever
  • Night sweats
  • Both cheeks tidally red
  • Five sole Heat
  • Dry skin
  • Dry, astringent eyelids
  • Constipation
  • Scanty, reddish urination
  • Heart palpitations
  • T: Red or Pale
  • C: Scanty
  • P: Deep and wiry or Deep and thready or Possibly floating at the inch and/or cubit positions if Yin fails to control Yang or Rapid if there is Heat
Treatment Principle
  • Tonify the Kidneys
  • Nourish the Liver
  • Regulate menstruation
  • With Deficiency Heat:
    Nourish Yin
    Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Nourish Liver Blood
  • Soften the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Resolve Dampness
Herb Formulas
Points
Etiology
  • Body constitution tends to be weak, with aching weakness in the waist and knees, dizziness and tinnitus. The tongue is pale red, with slight coating, and the pulse is deep and feeble or threadlike
Clinical Manifestations
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Blurred vision
  • Hemoptysis
  • Asthma
  • Hot flashes
  • Nocturnal emissions
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Enrich Yin
  • Astringe and Nourish the Essence of the Liver and Kidneys
Herb Formulas
Points
Etiology
  • Young age:
    The essence can’t transform the Blood and the Liver has no Blood to store so the Chong and Ren meridians never receive any blood
  • Poor diet
  • Over sexual activity
  • The Ming Men Fire is deficient creating deficient Cold blocking the meridians.
Clinical Manifestations
  • No period
  • The cycle slowly gets slower and slower until it gradually stops
  • Weak body symptoms
  • Facial complexion dull and dark
  • Dizziness
  • Frequent urination, especially at night
  • Profuse urine
  • Tinnitus
  • Pain in the lower back
  • Weakness of lower back
  • Weakness of the knees
  • Weary limbs
  • A feeling of chilly pain in the lower abdomen which desires warmth and pressure
  • Clear, thin vaginal discharge
  • T: Pale and moist
  • C: Thin and white
  • P: Weak and deep or Weak, deep and tight or Deep, fine and forceless
Treatment Principle
  • Tonify the Kidneys
  • Promote menstruation
Herb Formulas
Points
Clinical Manifestations
  • Night sweats
  • Dry mouth and tongue
  • Lower back and knee pain
  • Urinary difficulty
  • Weakness of the lower back, knees and extremities
  • Steaming bones
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Irritability
  • Dry skin
  • Deafness
  • Spontaneous and nocturnal emissions
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Swollen gums, painful and light red in color
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Urinary incontinence
  • Pain at midline and in lower back
  • Sore throat
  • T: Red
  • C: Little or None
  • P: Thready and rapid (large at the Kidney positions)
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Night sweats
  • Backache
  • Lower back pain
  • Five sole heat
  • Dizziness
  • Tidal fevers
  • Palpitations
  • Occasional cough
  • Shortness of breath
  • Emaciation
  • Pallor
  • T: Pale or Slightly bright
  • C: Little or None
  • P: Deep, weak, rapid and feeble
Treatment Principle
  • Nourish the Kidneys
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea or
  • Infrequent periods
  • Emaciation
  • Hirsutism or
  • Pilosity
  • Lumbar soreness
  • Dizziness
  • Aversion to Cold
  • Loose stools
  • T: Pale tongue
  • C: Thin and white
  • P: deep, fine pulse.
Treatment Principle
  • Warm and supplement Kidney Yang
  • Regulate and rectify the Chong and Ren
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Frequent urination
  • Copious amounts of clear urine
  • Incontinence of urine
  • Enuresis
  • Abortion or miscarriage
  • Either a tendency towards being too hot of too cold
  • Shortness of breath
  • Asthma
  • Cold limbs
  • Weak back and knees
  • T: Pale
  • C: White
  • P: Deep, weak possibly tight
Treatment Principle
  • Tonify Kidney Qi
  • Consolidate the Chong and Ren channels
Herb Formulas
Points
Clinical Manifestations
  • Irregular periods
  • Scanty bleeding
  • Clots in the menstrual Blood
  • Abdominal distention
  • Breast distention
  • Premenstrual tension
  • Depression
  • Sighing
  • Irritability
  • T: Normal or Slightly red on the sides
  • C: Normal
  • P: Wiry
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Regulate menstruation
  • Tonify the Kidneys
  • Benefit the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Coughing and wheezing which is worse on exertion
  • Expectoration of frothy or dark-streaked mucus
  • A mild tidal fever
  • A cold body
  • Aversion to Cold
  • Spontaneous sweating
  • Night sweats
  • Superficial and facial edema
  • Mouth and tongue ulcers
  • Emaciation
  • Anxiety
  • Nervousness
  • Dark lips
  • Anorexia
  • Loose stools or
  • "Cockcrow diarrhea"
  • Amenorrhea
  • Impotence
  • T: Red, dry and peeled or Pale, purplish and swollen with teethmarks
  • C: White or none
  • P: Minute, thready and rapid or Deficient and large
Treatment Principle
  • Nourish Yin
  • Tonify Yang
  • Support Yuan Qi
  • Consolidate the root
  • Kill the pathogen
Herb Formulas
Points
Etiology
  • There is no source of Blood, so the Sea of Blood is dry.
Clinical Manifestations
  • Scanty menstruation which slowly becomes smaller and disappears
  • Soreness of the lower back
  • Abdominal pain
  • Emaciation
  • Achy and uncomfortable flesh and bones of the hands and feet
  • Five sole Heat
  • Anxiety
  • Dizziness
  • Light headedness
  • Tidal fever
  • Fever with exhaustion
  • Recurrent fever with night sweats or hemoptysis
  • General disquietude
  • Gradually worsening afternoon fevers
  • T: Red
  • C: Scanty
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Deficient Heat
  • Regulate menstruation
Herb Formulas
Points
Etiology
  • Spleen and Stomach deficiency do not produce Blood so there are no stores of blood.
  • There is no Qi to push and move Blood out of uterus.
Clinical Manifestations
  • No period
  • Menstruation gradually disappears
  • The menses is light-colored and thin
  • A constant ache in the lower abdomen that occurs during or just after menstruation
  • The pain responds favorably to pressure
  • Pale or sallow complexion
  • Dizziness with blurred vision
  • Vertigo
  • Palpitations
  • Shortness of breath,
  • Thirst
  • Listlessness
  • Lethargy
  • Anorexia
  • Weak limbs
  • Withdrawn behavior
  • Restlessness
  • Insomnia
  • Sensation of Heat
  • Lusterless hair and skin
  • Loose stools
  • T: Pale
  • C: Thin white
  • P: Thin and frail or Empty or Deep and even or Deep and retarded
  • Due to severe postpartum hemorrhage:
    Lack of interest
    Vaginal dryness
    Vulvar and axillary hair loss
    Reduced libido
    Genital atrophy
Treatment Principle
  • Tonify Qi and Blood
  • Promote menstruation
Herb Formulas
Points
Clinical Manifestations
  • Delayed menstruation
  • Scanty periods with clots
  • Abdominal pain during menstruation
  • Amenorrhea
  • Infertility
  • Mental depression
  • Distending fullness in the chest and hypochondria
  • Dizziness
  • Heart vexation
  • Easily angered
  • Breast distention and pain
  • Hiccups
  • Twitching and spasm of the sinew vessels
  • A sore feeling in the extremities and body
  • The facial complexion is dusky and stagnant
  • Bitter taste in the mouth
  • Dry throat
  • Constipation
  • Reddish urine
  • T: Red edge and tip or Purplish and may have
    maculae or spots of static blood on its border
  • C: Normal or Slightly yellowish
  • P: Deep and wiry or Small and wiry or Wiry and forceful or Thready and choppy or Deep and choppy
Treatment Principle
  • Activate Qi
  • Invigorate the Blood
  • Break up Stasis
Herb Formulas
Points
Clinical Manifestations
  • Immobile masses below the hypochondrium or in the abdomen
  • Abdominal pain
  • Emaciation
  • Poor appetite
  • Alternating chills and fever
  • Amenorrhea
  • Hard abdominal masses that produce pain
  • Aggravated by pressure
  • Hypochondriac distention
  • T: Purple with echymoses
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Remove Stasis
  • Circulate Qi
  • Resolve Phlegm
  • Eliminate accumulations
  • Soften and resolve hard masses
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Abdominal distension
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • Heaviness
  • Anorexia
  • Feverish
  • Chest discomfort
  • Coughing up Phlegm
  • Uncomfortable bowel movements
  • Nausea and vomiting
  • Lower abdominal distension
  • Excruciating abdominal pain
  • Mania
  • Delirious speech from extreme pain
  • Afternoon fever
  • Amenorrhea
  • Dysmenorrhea
  • Irregular menstruation
  • Chills and fever
  • Headache
  • Hard stool
  • Sharp, stabbing epigastric pain with fixed location
  • Pain is severe after eating
  • Dislike of pressure and heat on epigastrium
  • Pain predominates over distention or
  • Pain but no distention
  • Epigastric rumbling
  • Vomiting purple/black blood
  • Stools with blood like tar (melaena)
  • May be abdominal or epigastric lumps or masses
  • T: Pink or Dark purple with purple spots or dots
  • C: Thick and greasy white or yellow
  • P: Slippery, maybe rapid or Wiry and choppy
Treatment Principle
  • Tonify the Spleen
  • Augment Qi
  • Dry Dampness
  • Regulate Qi
  • Adjust the Middle
  • Transforms Phlegm
  • Descend Qi
  • Dissipate accumulations
  • Reduce Food Stagnation
  • Invigorate the Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Delayed menstruation leading to amenorrhea
  • Fatigue
  • Anorexia
  • Restless fetus
  • General weakness
  • Light red Blood
  • Constant lower abdominal pain
  • Insomnia
  • A pale or sallow complexion
  • Lassitude
  • Palpitations
  • Incessant coughing
  • Malar flush
  • Ptosis of the viscera
  • Dizziness
  • Dry skin
  • Emaciation
  • Gaunt appearance
  • Lethargy
  • Low grade fever
  • May be night sweats
  • Loose stools
  • T: Pale
  • C: Slippery or Thin and white
  • P: Slippery and forceless or Deep and weak or Forceless or Weak and floating
Treatment Principle
  • Nourish the Blood
  • Nourish the Liver, Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Heartburn
  • Nervous agitation
  • Afternoon fever
  • Bitter taste in the mouth
  • Thirst
  • Emaciation
  • Dry stools
  • Scant, reddish urine
  • Early menstruation leading to amenorrhea
  • T: Scarlet
  • C: Dry, thin and yellow or Peeled
  • P: Thready, wiry and rapid
Treatment Principle
  • Clear Heat
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Sudden onset
  • Irregular menstruation
  • Palpable masses that may or may not be painful
  • Lower abdominal pain without palpable masses
  • Pain worse with pressure
  • Lower abdominal distention and hardness
  • Lower back pain
  • Lower abdominal distention during menstruation
  • Frequent menstruation (3-5 timer per month)
  • Spotting
  • Dark purple menstrual Blood (usually with clots)
  • Abnormal uterine bleeding with abdominal soreness and pain
  • Aversion to Cold
  • Chest congestion
  • Flank pain
  • Depression
  • Cold extremities
  • Dry, flaky skin
  • White vaginal discharge
  • T: Pale or With purple spots
  • C: White
  • P: Choppy or Deep and wiry or Deep, tight and choppy
  • With Heart Heat:
    Constipation
    Black rings around the eyes
    Thirst
    T: Red
    C: Yellow
    P: Thready and rapid
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • No period
  • Abdominal pain and distention which is worse with pressure
  • Leukorrhea
  • Lumbar soreness
  • Dark or pale green complexion
  • Headache
  • Stiff neck
  • Aversion to Cold
  • T: Dark red with purple spots
  • C: Normal
  • P: Deep and choppy or Deep, slow and tight
Treatment Principle
  • Invigorate the Blood
  • Dispel Cold
  • Warm the channels
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Melancholy
  • Dizziness
  • Headache
  • Distention and pain in the chest and hypochondrium
  • Anorexia
  • Lumbar soreness
  • Leukorrhea
  • Menstrual irregularity
  • T: Normal
  • C: Sticky and white
  • P: Thready and wiry
Treatment Principle
  • Disperse Stagnation
  • Soothe the Liver
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain in women
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Maybe five sole Heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • No period
  • Cold lower abdominal pain with guarding
  • The abdominal pain is alleviated by warmth
  • The body and limbs are cold
  • Pallid complexion
  • T: Pale or Cyanotic
  • C: White
  • P: Deep and tight
Treatment Principle
  • Warm the channel
  • Disperse Cold
  • Invigorate the Blood
  • Promote menstruation
Herb Formulas
Points
Clinical Manifestations
  • No period
  • Tidal fever
  • Greenish complexion
  • Dizziness
  • Blurred vision
  • Palpitations
  • Insomnia
  • Irritability
  • T: Red
  • C: Yellow
  • P: Rapid or Thready, forceful and rapid
Treatment Principle
  • Tonify the Blood
  • Drain Heat
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Cold pain in the lower abdomen
  • A heavy, dragging, or bearing down, distended feeling
  • Desire for warmth
  • Resistance to pressure
  • Continuous white vaginal discharge
  • Lack of warmth in the four extremities
  • Chest oppression
  • Hiccups
  • A greenish-bluish white facial complexion
  • If due to External Contraction of Wind-Cold:
    Aversion to Cold
    Headache
    Soreness and distention of the lower and upper back
  • T: Greenish blue and dark tongue
  • C: White and glossy
  • P: Deep, relaxed (retarded), and forceful or Deep and slow pulse
Treatment Principle
  • Warm the channels
  • Warm the menses
  • Scatter Cold
  • Dry Dampness
  • Transform Stasis
Herb Formulas
Points
Etiology
  • Spleen Qi and/or Yang Deficiency blocks the Chong and Ren meridians.
  • The patient will usually be over weight.
Clinical Manifestations
  • Light colored discharge leading to no period
  • Palpitations of the Heart
  • Shortness of breath
  • A fat, plump body
  • Profuse sputum
  • Epigastric fullness
  • Upper abdominal distention
  • Chest and epigastric tightness
  • Nausea
  • Vomiting with profuse phlegm
  • Increased vaginal discharge that is white and viscid
  • In general, the patient also is obese or has generalized edema
  • Lassitude
  • Lack of strength
  • Fatigue
  • Dizziness
  • Blurred vision
  • Puffy, yellowish complexion
  • Anorexia
  • Lumbar soreness
  • Edema and swelling
  • Profuse white colored vaginal discharge
  • T: Pale and plump
  • C: White and greasy
  • P: Slippery or Wiry and slippery or Deep, and/or small pulse
Treatment Principle
  • Eliminate Phlegm and Dampness
  • Invigorate the Blood
  • Promote menstruation
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Breast distention and pain before and during menses
  • Pain in the breast and nipple
  • Dislike of having them covered
  • Small nodules
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea/vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Scanty menstruation
  • Dysmenorrhea
  • Maybe amenorrhea
  • Maybe infertility
  • T: Pink
  • C: Thin and white
  • P: Wiry and thready
Treatment Principle
  • Harmonize the Chong and Ren
  • Soften hardness
  • Resolve lumps
Herb Formulas
Points