PREMENSTRUAL SYNDROME (PMS)

Clinical Manifestations
  • It appears 7-14 days before the period
  • Headache
  • Breast full pain
  • Fatigue
  • Emotional changes
  • Insomnia
  • Edema
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Pale face
  • Sallow complexion
  • Anorexia
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Abdominal and epigastric distention after meals
  • Maybe bleeding
  • Maybe nausea and vomiting
  • Maybe acid regurgitation
  • Shortness of breath
  • Loose stools or diarrhea
  • Lethargy
  • Thin muscles
  • Low, soft voice
  • Does not like to speak
  • Muscle weakness in arms and legs
  • Maybe enuresis
  • Weak abdomen
  • Maybe borborygmus
  • Epigastric or abdominal pain
  • T: Pale and flabby - may have teeth marks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • TonifY Qi
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Edema
  • Abdominal distension
  • Poor appetite
  • T: Pale and swollen
  • C: White
  • P: Deep and weak
Treatment Principle
  • Tonify Kidney and Spleen Yang
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
  • Dull, lingering nagging headache
  • Dizziness
  • General aching before, during and after menstruation
  • Poor sleep
  • Insomnia
  • Dream-disturbed sleep
  • Anxiety
  • Depression
  • Palpitations
  • Poor memory
  • Fatigue
  • Shortness of breath
  • Anorexia
  • Pale, puffy face
  • Profuse or scanty menstruation
  • May have menstrual clots
  • T:  Pale
  • C:  Thin and white
  • P:  Thready and weak or Soggy and small
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  • Tendency to anger
  • Insomnia
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Skin eruptions
  • Rashes
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Anxiety
  • Hard to control emotions
  • Emotional changes
  • Hypochondria full pain
  • T: Normal or Darkish and/or Purplish edges
  • C:  Normal
  • P:  Wiry
Treatment Principle
  • Soothe Liver Qi
  • Eliminate Stagnation
  • Calm the Spirit
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  •  Positively:
     Greater assertiveness
     Greater creativity
     Greater clarity
      Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Restlessness
  • Thirst
  • Angry outbursts maybe alternating with crying and depression
  • Dizziness
  • Tinnitus
  • Extreme emotional disturbance:
    Hopelessness
    Confusion
    Suicidal depression
    Murderous rage
  • Thirst
  • Constipation
  • T: Normal or Darkish and/or Purplish edges or Red edges and tip
  • C: Normal or Yellow or white and dry or greasy
  • P: Wiry or Wiry, slippery and rapid
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Anxiety
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: wiry and thready
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  • Tendency to anger
  • Insomnia
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Skin eruptions
  • Rashes
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Anxiety
  • Hard to control emotions
  • Emotional changes
  • Hypochondria full pain
  • T: Normal or Darkish and/or Purplish edges
  • C:  Normal
  • P:  Wiry
Treatment Principle
  • Soothe Liver Qi
  • Eliminate Stagnation
  • Calm the Spirit
Herb Formulas
Points
Clinical Manifestations
  • Difficulty falling asleep
  • Insomnia, worse when stressed
  • Dream-disturbed sleep
  • Waking in the early hours of the morning
  • Frontal or temporal headaches
  • Neck and shoulder tension
  • Teeth grinding at night
  • Frequent sighing
  • Dizziness
  • Red eyes
  • Facial flushing
  • Depression
  • Irritability
  • Moodiness
  • Easily angered
  • Hypochondriac tension or discomfort
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Nasal swelling
  • Sinus pain
  • Generally severe frontal, maxillary or temporal headache
  • Chronic sinus inflammation and congestion which is worse with stress or emotional upset
  • A sensation of something caught in the throat
  • May have pain or sinus pressure
  • May have occasional postnasal discharge
  • Bitter taste in the mouth
  • Irregular menstruation
  • Premenstrual syndrome
  • Breast tenderness
  • Poor appetite
  • alternation constipation and diarrhea
  • T: Red edges with spots
  • C: Thin and yellow
  • P: Wiry and possibly rapid
Treatment Principle
  • Soothe the Liver Qi
  • Clear Heat
  • Open the nose
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  •  Positively:
     Greater assertiveness
     Greater creativity
     Greater clarity
      Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Early or profuse menstruation
  • Restlessness
  • Thirst
  • Angry outbursts maybe alternating with crying and depression
  • Dizziness
  • Tinnitus
  • Insomnia
  • Fearful dreams
  • T: Red sides and tip
  • C: Normal
  • P: Wiry and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Weepiness
  • Irritability
  • Frustration
  • Positively:
    Greater assertiveness
    Greater creativity
    Greater clarity
    Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Edema of the face, eyelids, ankles
  • May be whole body edema
  • Abdominal distention and bloating
  • Chest and epigastric heaviness and oppression
  • Clumsiness
  • Anorexia
  • Loose stools
  • Diarrhea
  • Nausea
  • Craving sweets
  • Cold extremities
  • Pallor
  • Fatigue
  • Listlessness
  • Sighing
  • With Kidney Yang Deficiency:
  • Cold limbs and body
  • Weak or aching low back and knees
  • T: Swollen and pale with teethmarks, may be pale or purple spots on the edges
  • C: White and sticky
  • P: Wiry and slippery or soggy
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  •  Positively:
     Greater assertiveness
     Greater creativity
     Greater clarity
      Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Sore back and knees
  • Dizziness
  • Frequent urination
  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Insomnia
  • Anxiety
  • T: Red and dry
  • C: Scanty
  • P: Rapid, thin and wiry
Treatment Principle
  • Enrich Kidney and Liver Yin
  • Spread Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  •  Positively:
     Greater assertiveness
     Greater creativity
     Greater clarity
      Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Migraines before period
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Scanty or delayed menstruation
  • Dream disturbed sleep
  • Constipation
  • Pallor
  • Dizziness
  • Insomnia
  • Fatigue
  • Cold body and extremities
  • Neck, shoulder and upper back pain
  • Hard or knotted muscles
  • T: Normal or Darkish and/or Purplish edges or Pale, worse on the edges
  • C: Normal
  • P: Wiry or Thin and wiry
Treatment Principle
  • Regulate Qi
  • Nourish the Blood
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
  • 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
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  •  Positively:
     Greater assertiveness
     Greater creativity
     Greater clarity
      Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Restlessness
  • Thirst
  • Insomnia
  • Angry outbursts maybe alternating with crying and depression
  • Severe, possibly sharp breast pain
  • Fearful dreams
  • Itchy nipples
  • Hypersensitive nipples
  • Heat sensations in the breasts
  • Irritability
  • Restlessness
  • Excessive leukorrhea
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Excessive thirst
  • Vomiting sour or bitter liquid
  • Constipation or dry stools
  • Maybe rib pain
  • Facial acne
  • If attacking Stomach:
    More digestive symptoms
    Thicker tongue coat
  • If attacking the Lungs:
    Premenstrual facial swelling
  • Swelling of the hands and feet
  • Oppressive sensation in chest
  • T: Darkish red
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Unsteady gait
  • With Wind-Stroke:
    Sudden loss of consciousness
    Tongue stiffness with aphasia
    Facial paralysis
    Hemiplegia
  • Maybe coma
  • Sometimes death
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  •  Positively:
     Greater assertiveness
     Greater creativity
     Greater clarity
      Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Restlessness
  • Thirst
  • Angry outbursts maybe alternating with crying and depression
  • Dizziness
  • Tinnitus
  • Severe, possibly sharp breast pain
  • Insomnia
  • Fearful dreams
  • Itchy nipples
  • Hypersensitive nipples
  • Heat sensations in the breasts
  • Irritability
  • Restlessness
  • Dry mouth
  • Thirst
  • Excessive leukorrhea
  • T: Red
  • C: Yellow and dry
  • P: Wiry and rapid
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • A quick temper
  • Poor memory
  • Frightens easily
  • Insomnia with difficulty falling asleep or frequent waking
  • Much dreaming
  • Restless sleep
  • Maybe talking during sleep
  • Severe: Sleep walking
  • Tinnitus
  • Waking with a dry throat or thirst
  • Palpitations
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Red and dry
  • C: Little or None
  • P: Wiry or Thready and rapid
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
  • Nourish Yin
  • Calm the Hun
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • 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
  • 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
  • Frequently bleeding gums
  • Vomiting after intake of water
  • Palpitations
  • Persistent daytime drowsiness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Forgetfulness
  • Irritability
  • Fidgeting
  • 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
  • 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
  • Unblock the channels
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Premenstrual diarrhea with a strong,  unpleasant smell
  • Burning sensation in the anus
  • Lower abdominal pain and/or heaviness
  • Dark urine
  • Dark menstrual blood
  • Irritability
  • Easily angered
  • Excessive white or yellow vaginal discharge with unpleasant smell and irritation
  • Bitter taste in the mouth
  • Red face
  • Lower back and/or hip pain
  • T: Red
  • C: Yellow dry or greasy (especially at the root)
  • P: Wiry slippery and rapid
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Regulate Qi
  • Transform Phlegm
  • Clear the Gallbladder
  • Harmonize the Stomach
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense and deep and slow
Treatment Principle
  • Invigorate Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduces fixed abdominal pain
Herb Formulas
Points