EARLY MENSTRUATION

Etiology:
  • Inconsolidation of the Chong and Ren channels
Clinical Manifestations
  • Menstruating 7 days early for 3 months consecutively
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Early period
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • May be much Blood due to Spleen Not Governing Blood
  • May be little Blood due to Spleen Qi Sinking
  • The Blood is pale-red in color and watery
  • An empty feeling in the lower abdomen
  • Spleen Not Governing Blood:
    Shortness of breath
    Dizziness
    Palpitations
    Functional Uterine Bleeding
    Purpura
    Epistaxis
    Hemafecia
    Hematuria
    Menorrhagia
    Metrorrhagia
  • Spleen Qi Sinking:
    Prolapse of one or more organs
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Tonify The Spleen
  • Nourish Middle Jiao Qi
Herb Formulas
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • The Blood is deep red in color, thick and clotted
  • The Blood does not flow smoothly, (it starts and stops)
  • Breast distention
  • Lower abdominal pain
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Soothe the Liver
  • Clear Heat
  • Cool the Blood
  • Consolidate the Chong Mai
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
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five Sole Heat
  • Night sweats
  • Light menses 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
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five Sole Heat
  • Night sweats
  • Light menses or
  • Late menses or
  • Amenorrhea
  • Hypochondriac and chest pain
  • Dry, parched mouth and throat
  • Bitter taste in mouth
  • Acid regurgitation
  • Dizziness
  • Epigastric and abdominal distention
  • Maybe constipation
  • T: Red and dry
  • C: Little or None
  • P: Thready and weak or Wiry and deficient
Treatment Principle
  • Nourish Yin
  • Nourish the Liver
  • Spread Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Early period
  • May be much Blood due to Inconsolidation of the Chong and Ren channels
  • May be little Blood due to Jing Deficiency
  • The Blood is pale-brown red in color, clear thin and watery
  • 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
  • Lower abdominal pain which is vague and occurs during or following menstrual flow
  • Preference for pressure
  • The menses are decreased and are light and thin
  • Lassitude
  • Weakness
  • Dizziness
  • Palpitations of the Heart
  • Insomnia with dream-disturbed sleep
  • Pale complexion
  • T: Pale
  • C: Thin
  • P: Thready and feeble
Treatment Principle
  • Augment Qi
  • Generate Blood
  • Harmonize the Middle Jiao
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Short menstrual cycle
  • Early menstruation
  • Purple Blood
  • Heavy flow
  • Red, sticky vaginal discharge
  • Tidal fever
  • Greenish complexion
  • Metrorrhagia with thick blood
  • Dizziness
  • Blurred vision
  • Palpitations
  • Insomnia
  • Irritability
  • T: Red
  • C: Yellow
  • P: Thready, forceful and rapid
Treatment Principle
  • Tonify the Blood
  • Drain Heat
Herb Formulas
Points
Etiology
  • Cold blocks the Blood and the Chong, and Ren channels. New blood can’t stay in uterus.
Clinical Manifestations
  • Spotting
  • Dark Blood with clots
  • Painful although better once clots pass
  • Cold in the uterus
  • The whole body may not show Cold signs
  • T: Purple spots
  • C: White
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Break up Blood Stasis
Herb Formulas
Points
Etiology
  • This pattern happens more around menarche and menopause
Clinical Manifestations
  • Early menstrual period (short cycle)
  • Tends to be prolonged
  • Discharge of a small amount of thick, bright red Blood
  • Heavy flow
  • Mid cycle bleeding (spotting)
  • Bloody vaginal discharge
  • Discharge begins with scant light-colored Blood
  • Dizziness
  • Blurred vision
  • Hectic fever
  • Flaccidity of the lower limbs
  • Flushed cheeks
  • Sore throat
  • Tinnitus
  • Heartburn
  • Thirst
  • Five sole Heat
  • Night sweats
  • Lack of skin luster
  • T: Red or Crimson
  • C: Little or None
  • P: Thready and rapid or Deep, small and weak
  • Menstruation tends to come early
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Consolidate the Chong and Ren channels
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Menstruation tends to come early
  • Menses tend to be excessive
  • Bright red or dark red sticky menstrual blood
  • The Blood may feel hot
  • Spotting or bleeding between periods
  • Flooding Blood, before period should begin or
  • Trickling blood for a long time after the end of the period
  • Restlessness
  • Chest fullness
  • Red face
  • Thirst
  • Agitation
  • General feeling of Heat
  • Decreased and dark urine
  • Constipation with dry feces
  • T: Red
  • C: Dry-Yellow
  • P: Rapid (thin if Deficiency Heat) or Forceful, rapid and overflowing or Slippery, and rapid
Treatment Principle
  • Clear Heat
  • Cool the Blood
  • Regulate menstruation.
Herb Formulas
Points
Clinical Manifestations
  • Early menstruation
  • Dysmenorrhea
  • Irregular menstruation
  • Abdominal pain before or during period
  • Menses with dark red clots
  • Dark menstrual blood
  • Dry stools
  • Dry sore eyes
  • Heavy period
  • Headache
  • Insomnia
  • Irritability
  • Outbursts of yelling or anger
  • Thirst
  • General feeling of Heat
  • May be acne related to the period
  • T: Red body (redder on sides)
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Soften the Liver
  • Release constraint
  • Dredge the channels
  • Drain Fire
Herb Formulas
Points