IRREGULAR MENSTRUATION

Clinical Manifestations
  • Menstruation is seven days or more early, or seven days or more late for three months consecutively
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills without sweat
  • Headache
  • Body aches
  • Stiff neck and back
  • Abdominal pain and Cold
  • Diarrhea with borborygmus
  • A sensation of fullness in the chest and abdomen
  • May be Cold in the lower body with Heat in the upper body
  • Aching at the waist
  • Anhidrosis
  • Loose stools
  • Sciatica
  • Nausea
  • Abdominal distention
  • Borborygmus
  • An aversion to food
  • Vomiting
  • Women:
    Cold-type epigastric and abdominal pain
  • Menstrual irregularity
  • Dysmenorrhea
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Superficial and slow
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Smooth the flow of Qi
  • Transform Phlegm
  • Invigorate the Blood
  • Reduce Accumulations
  • Regulate Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain
  • Pain alleviated by warmth and pressure
  • Irregular menstruation
  • Dysmenorrhea
  • Infertility or
  • This type of pain during the second or third trimester
Treatment Principle
  • Warm the uterus
  • Supplement the Blood
  • Calm the fetus if necessary
Herb Formulas
Points
Clinical Manifestations
  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle
  • Resolve Dampness
  • Clear Heat
  • Disperse Wind
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Sweating with aversion to Wind
  • Heavy sensation in the body
  • Superficial edema
  • Urinary difficulty
  • Knee pain
  • Abdominal bloating
  • Edema in lower legs
  • Fatigue
  • Edema in women with constitutional Deficiency
  • T: Pale
  • C: White or Swollen and moist
  • P: Floating and weak, or soft and thready
Treatment Principle
  • Augment Qi
  • Strengthen the Spleen
  • Release the exterior
  • Promote urination
  • Reduce edema
  • Regulate water circulation
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
  • Irregular menstruation
  • Either heavy volume or
  • Continual dripping
  • The Blood is pink
  • 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
  • Lassitude
  • 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 or Sticky and white
  • P: Even, forceless and deficient or Slow and weak
  • If transportation of nutrients is the main defect:
    Menstruation tends to be late
    Menses decreased
    Menses are generally light-colored and thin
  • If control of the Chong and Ren Meridians is the main defect:
    Menstruation tends to be early or prolonged or
    Menses are excessive
    Menses are generally light-colored and thin
  • If both functions are impaired:
    Menstruation tends to be irregular
    Menses are generally light-colored and thin
Treatment Principle
  • Tonify The Spleen
  • Nourish Middle Jiao Qi
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Uterine bleeding (metrorrhagia)
  • Excessive menstruation
  • Menstruation with constant spotting
  • Postpartum bleeding
  • Bleeding during pregnancy
  • The Blood is pale and thin without clots
  • Weakness
  • Sore lower back
  • Post abortion bleeding
  • Dull complexion
  • Weakness and pain of the legs
  • Whole body heavy and lethargic
  • Wants to lie down
  • Poor appetite
  • Palpitations
  • Dry mouth
  • Sallow complexion
  • Loss of taste
  • Light red, unelevated and indistinct eruptions
  • T: Pale
  • C: Thin and white or Whitish and moist
  • P: Thready and weak
Treatment Principle
  • Nourish and warm the Blood
  • Stop bleeding
  • Regulate menstruation
  • Calm the fetus
  • Prevent miscarriage
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
Etiology
  • Improper diet
  • Over fatigue
Clinical Manifestations
  • Short menstrual cycle
  • Copious, pale menses
  • Maybe light bleeding or
  • Amenorrhea
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Dyspnea
  • Feels weary
  • Little saliva
  • Four limbs tired and lethargic
  • Loss of appetite
  • Listlessness
  • Distention and fullness of the epigastrium and abdomen
  • Lower abdominal pain and distention
  • Loose stools
  • Sallow complexion
  • Vertigo
  • Soft voice
  • Loss of teeth
  • T: Pale or Pale, flabby and moist
  • C: White
  • P: Thready and weak or Deep and slow
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Anxiety
  • Palpitations
  • Night sweats
  • Dizziness
  • Vertigo
  • Dry throat and mouth no thirst
  • Fidgeting
  • Insomnia
  • Insomnia due to stress
  • Excessive dreams
  • Lack of energy
  • Weakness and fatigue
  • Weak abdomen
  • Restlessness
  • Sleepiness
  • Light-headedness
  • Impatience
  • T: Pale or Red and dry
  • P: Wiry and rapid or Thready and rapid or Thready and weak or Thready and tight
Treatment Principle
  • Nourish Liver Blood
  • Nourish the Heart
  • Calm the Shen
  • Clear Heat in Liver and Heart
  • Eliminate irritability
Herb Formulas
Points
Clinical Manifestations
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • 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 Heart and Kidney communicate.
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Large or scanty amounts of Blood with a normal color
  • If there is Heat it is darker
  • The flow starts and stops
  • Clots
  • Irregular cycle
  • Premenstrual syndrome
  • Distended abdominal pain until menses,
  • Pre-menstrual breast distention
  • Chest and flank distention
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • Flatulence
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Soothe the Liver
  • Harmonize Qi and Blood
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down.
  • This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Hypochondriac pain
  • Coughing with profuse phlegm
  • Vomiting
  • Difficulty swallowing
  • A delicate constitution
  • A tendency towards fatigue
  • Palpitations
  • Abdominal distention
  • Muscular and skin flaccidity
  • Fear
  • Edema
  • Asthma
  • Insomnia
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Recurrent or chronic nausea , vomiting, sour belching and acid reflux, worse with stress and better when calm
  • Anorexia
  • Indigestion
  • Heartburn
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Fullness, tightness or discomfort in the chest, epigastrium and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Frustration
  • anxiety
  • Moodiness
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • Premenstrual syndrome
  • T: Pink or Darkish with slightly red edges - chronic cases may be pale on the edges
  • C: Thin and white, possibly greasy
  • P: Wiry or Wiry and slippery
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Various types of menstrual discharges
  • Premenstrual cramps
  • Excessive menstrual bleeding
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • Flatulence
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and deficient or Wiry, and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood
  • Harmonize the Liver and Spleen
Herb Formulas
Points
Etiology
  • Emotional depression
Clinical Manifestations
  • Short menstrual cycle
  • Moderate volume
  • May be a heavy period
  • Dizziness
  • Dysmenorrhea
  • Stuffy chest
  • Acid regurgitation
  • Belching
  • Abdominal pain before or during period
  • Menses with dark red clots
  • Dark menstrual blood
  • Dry stools
  • Dry sore eyes
  • Constipation
  • Increasingly poor appetite
  • Melancholy
  • Reluctant to move
  • Frequent sighing
  • 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: White or Yellow
  • P: Wiry and rapid
Treatment Principle
  • Soften the Liver
  • Release constraint
  • Dredge the channels
  • Drain Fire
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
  • Pale, lusterless complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Generalized muscle tension
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Irregular menstruation with little flow
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish Blood
  • Subdue Wind.
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
  • Menstrual pain relieved by pressure and massage
  • Dull hypogastric pain towards end or after period
  • Clear leukorrhea
  • Delayed puberty
  • Irregular menstruation
  • Scanty leukorrhea
  • Sensation of Cold in the lower abdomen
  • Stunted growth
  • Sore back
  • Scanty bleeding
  • Dizziness
  • Pale complexion
  • Tinnitus
  • Blurred vision
  • Exhaustion
  • Increased clear urine
  • Dusky complexion
  • T: Red or Pale
  • C: Little or None
  • P: Weak and fine or Fine and faint or Floating, empty or Deep and thready
Treatment Principle
  • Nourish Liver and Kidney Yin
  • Regulate menstruation
  • Nourish Kidney Jing
  • Tonifies the Blood
  • Strengthen Kidney Yang
Herb Formulas
Points
Etiology
  • Yin Deficiency
  • Blood loss and Yin exhaustion due to illness
Clinical Manifestations
  • Short menstrual cycle
  • Moderate flow
  • Maybe a heavy flow
  • Light colored Blood
  • 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
  • Malar flush
  • Blurred vision
  • Heartburn
  • 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
  • Poor memory
  • 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
  • Pain during or after the period
  • Pressure and warmth helps
  • Scanty menstruation
  • Irregular cycle
  • Dull-dark red blood
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Amenorrhea
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Lower abdominal distention
  • Lower abdominal Cold
  • Lower abdominal pain
  • Infertility
  • Pale or dark complexion
  • Leukorrhea
  • Leukorrhea mixed with light, red, thin Blood
  • Tinnitus
  • Vertigo
  • Frequent, copious urination
  • Irritability
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • Nocturia
  • T: Pale or Purple with petechiae
  • C: White and moist
  • P: Deep, Deep and thready or Thready and choppy
Treatment Principle
  • Warm the Chong and Ren channels
  • Warm the uterus
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Irregular 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
  • Large amounts of clear thin vaginal discharge
  • 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
  • Regulate menstruation
  • Consolidate the Chong and Ren channels
Herb Formulas
Points
Clinical Manifestations
  • Irregular cycle
  • Scanty, light red flow
  • Dry eyes
  • Diminished visual acuity
  • Photophobia
  • Tearing when exposed to Wind
  • Painful eyes
  • Blurred vision
  • Lower back pain
  • Weakness of the lower back, knees and extremities
  • Spontaneous and nocturnal emissions
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole heat
  • Chronic dry, sore throat
  • Wasting and thirsting disorder / Xiao Ke
  • Toothache
  • Decreased libido
  • 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
  • Urinary incontinence
  • Heel pain
  • Knee pain
  • Night sweats
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Enrich Yin
  • Nourish the essence of the Liver and Kidneys
  • Enrich Blood
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
  • One or two days before or during first day of menses there is:
    Lower abdominal distension and pain
    Pressure makes worse
  • Generally scanty blood flow
  • The flow starts and stops
  • Dark-purple color with clots
  • When the clots pass the pain is relieved (or when menses stop)
  • Premenstrual syndrome
  • Abdominal masses which are visible when lying down
  • Piercing hypochondriac pain
  • Irritability
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Breast distention
  • Abdominal tumors
  • Hypochondriac distention
  • T: Dark and red or Purple with purple spots on the side
  • C: White
  • P: Wiry or Wiry, choppy and tight
Treatment Principle
  • Regulate Qi
  • Invigorate the Blood
  • Break up Stasis
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Abdominal pain
  • Amnesia
  • Palpitations
  • Feverishness
  • Anorexia
  • Emaciation
  • Pale face
  • Insomnia
  • Dyspnea on mild exertion
  • Fatigue
  • Shortness of breath.
  • Weight loss
  • Dry skin
  • Dry mouth
  • Dry throat
  • Dry lips
  • Uterine bleeding
  • Irregular menstruation
  • May suddenly lose consciousness
  • Restless at night
  • Lassitude
  • Tendency toward being frightened easily
  • Weakness
  • Slack jaw
  • Sallow complexion
  • Dizziness
  • Tremors in the limbs
  • Spontaneous perspiration
  • Fever and severe chills
  • General debility
  • Mental instability
  • Coughing and gasping.
  • Night sweats
  • Amnesia.
  • Diarrhea
  • Turbid urine
  • Nocturnal emission
  • Impotence
  • Constipation
  • Feeble breathing.
  • Tired limbs.
  • T: Pale
  • C:White
  • P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Strengthen the Spleen and Lungs
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Chills
  • Cold limbs
  • Inability to get warm
  • Loose stools
  • Profuse clear urine
  • Spontaneous sweating
  • Lassitude
  • T: Pale
  • C: White or Thin, white and dry
  • P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle
  • Tonify Qi and Blood
  • Strengthen the Spleen
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Palpable masses that may or may not be painful
  • Lower abdominal pain without palpable masses
  • Lower abdominal distention
  • 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
  • Depression
  • Cold extremities
  • White vaginal discharge
  • T: Pale or With purple spots
  • C: White
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills without sweat
  • Headache
  • Body aches
  • Stiff neck and back
  • Abdominal pain and Cold
  • Diarrhea with borborygmus
  • A sensation of fullness in the chest and abdomen
  • May be Cold in the lower body with Heat in the upper body
  • Aching at the waist
  • Anhidrosis
  • Loose stools
  • Nausea
  • Abdominal distention
  • Borborygmus
  • An aversion to food
  • Vomiting
  • Cold-type epigastric and abdominal pain
  • Menstrual irregularity
  • Dysmenorrhea
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Superficial and slow
Treatment Principle
  • Releases the Exterior
  • Warms the Interior
  • Smooths the flow of Qi
  • Transforms Phlegm
  • Invigorates the Blood
  • Reduces Accumulations
  • Regulates Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • decreased Blood flow
  • 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
Etiology
  • Hot, spicy food
Clinical Manifestations
  • Short cycle
  • Heavy bleeding
  • Red, purple or black in color
  • Sticky Blood
  • Sometimes clots
  • Foul odor
  • Breast distention
  • Lower abdominal distention
  • Lower abdominal pain
  • Thirst\
  • Red face
  • Like cold drinks
  • Burning sensation in the Heart
  • Lower back and knee pain
  • Dry stool
  • Restlessness
  • Easily angered
  • Dry mouth
  • Dizziness
  • Severe:
    Red eyes
    Oral ulcers
    Epistaxis
  • T: Red
  • C: Thin and yellow (if there are purple clots, the coat will not be yellow)
  • P: Wiry and rapid or Slippery and rapid or Deep and slippery or Choppy (if there are purple clots)
Treatment Principle
  • Clear pathogenic Heat
Herb Formulas
Points
Clinical Manifestations
  • Continuous menstruation or
  • Uterine bleeding that alternates between spotting and gushing
  • The Blood is very red, thick and sticky and may contain dark-purple clots
  • A sensation of Heat and irritability in the chest
  • Menstruation may be delayed
  • Dry mouth
  • Leukorrhea
  • Dysuria
  • Abdominal pain
  • Dark urine
  • Red urine
  • Red face
  • Difficulty defecating
  • T: Red
  • C: Normal or Yellow
  • P: Wiry or Wiry and rapid or Tight and rapid or Slippery and rapid
Treatment Principle
  • Enrich Yin
  • Clear Heat
  • Clear Deficiency Heat
  • Stop bleeding
  • Stabilize the Menses
Herb Formulas
Points
Clinical Manifestations
  • 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
  • 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
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Late menstruation
  • Scanty menstruation
  • Distension of the lower abdomen
  • Menstruation with purple blood and clots
  • Pain of the abdomen which is worse upon pressure and diminishes with menstruation
  • Pain is worse with pressure
  • Pain decreases with the passage of clots
  • Swelling and edema of the lower extremities
  • A feeling of oppression in the chest and epigastrium
  • Dry mouth
  • Dark, purplish menses with clots or Dark purple edges
  • T: Red or Purple
  • P: Deep and strong or Hesitant or Choppy and rough
Treatment Principle
  • Invigorate the Blood
  • Nourish the Blood
  • Move Qi
Herb Formulas
Points
Etiology
  • There is no source of Blood, so the Sea of Blood is dry.
Clinical Manifestations
  • Irregular menstruation
  • Soreness of the lower back
  • Abdominal pain
  • Emaciation
  • Achy and uncomfortable flesh and bones of the hands and feet
  • Anxiety
  • Dizziness
  • Light headedness
  • Tidal fever
  • 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
Clinical Manifestations
  • Painful menses with clots
  • The menstrual pain will be relieved by warmth and aggravated by cold
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Scanty purple red blood with large clots
  • Cold pain in lower abdomen
  • Complexion is white/blue
  • Whole body feels cold
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Cold-pain in the lower abdomen that is alleviated by warmth
  • Infertility
  • Dry lips
  • Dry mouth
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Pale or Purple with petechiae
  • C: White
  • P: Tight maybe choppy (stasis)and deep (internal) or Thready and choppy
  • Menstruation becomes delayed and the menses decreased
  • Menses are dark or grayish in color
Treatment Principle
  • Warm the blood vessels
  • Dispel Cold
  • Invigorate the Blood
  • Regulate menstruation
Herb Formulas
Points
  • Moxa REN-4, DU-4, needle UB-17, SP-10, SP-6
  • Excess, dislikes pressure : ST-25, ST-29
  • Deficiency, likes pressure : BL 23
  • Ear: Internal Reproductive, Endocrine, Subcortex, Liver, Spleen, Kidney, Pituitary
  • Scalp: Human reproductive system (electro)
Etiology
  • Obesity
Clinical Manifestations
  • Short menstrual cycle
  • The volume is either heavy or moderate
  • Typically the woman is obese
  • Puffy yellowish complexion
  • Severe distention of the head
  • Heaviness of the limbs
  • Vertigo
  • Stuffy chest
  • Sensation of a need to expectorate
  • Profuse Phlegm
  • Maybe loose stools
  • Abdominal distention
  • Chronic leukorrhea
  • T: Normal
  • C: White or Slightly yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Purple clots
  • Lower abdominal distension
  • Excruciating abdominal pain
  • Mania
  • Delirious speech from extreme pain
  • Afternoon fever
  • Restlessness
  • Thirst - likes to drink
  • Amenorrhea
  • Dysmenorrhea
  • Irregular menstruation
  • Chills and fever
  • Headache
  • Black stool
  • Neurosis
  • Hard stool
  • Acute pelvic inflammatory disease
  • Retention of lochia
  • Intestinal obstruction
  • T: Red and dry
  • C: Normal, or yellow
  • P: Sinking and choppy or Sinking and forceful
Treatment Principle
  • Break up stagnant Blood
  • Activate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Habitual miscarriage
  • Afternoon fever
  • Five sole heat
  • Dry mouth
  • Thirst
  • Cold abdominal pain
  • Infertility
  • Dysmenorrhea
  • Uterine bleeding
  • Chronic pelvic inflammation
  • Menopause
Treatment Principle
  • Warms the vessels
  • Comforts the Womb
  • Nourishes and invigorates the Blood
Herb Formulas
Points