HYPOMENORRHEA (SCANTY MENSTRUATION) (OLIGOMENORRHEA)

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
  • Aversion to Cold
  • Bleeding
  • Borborygmus
  • Bloating
  • Catches cold easily
  • Chronic low grade fever
  • Clouded vision
  • Cold extremities
  • Constipation
  • Deafness
  • Depression
  • Desire for warm beverages
  • Diarrhea or dysentery, may be chronic
  • Dizziness
  • Drooping upper eyelids
  • Dry itching nose
  • Dry lungs
  • Dyspnea
  • Dysuria
  • Edema with prolapse
  • Enuresis
  • Epilepsy
  • Eye fatigue after extended use
  • Eye sores
  • Fatigue
  • Fecal incontinence
  • Fever without Cold which alternates between low and high
  • Fever with vexation
  • Frequent bowel movements
  • Frequent urination
  • Fever or Heat in the flesh in cool or cold weather
  • Genital sores
  • Goiter
  • Headache
  • Hemafecia
  • Hematemesis
  • Hematuria
  • Hemorrhoids
  • Hiccup
  • Hoarseness
  • Incessant thirst
  • Intermittent dull abdominal pain, better with warmth and pressure
  • Intermittent fever (worse on exertion)
  • Laconic speech
  • Leukorrhea
  • Limbs may become emaciated
  • Lingering, dull tooth pain
  • Loose and watery stools or diarrhea
  • Loss of voice
  • Maybe chronic weak cough
  • Maybe cloudy urine
  • Maybe cold body
  • Maybe cough
  • Maybe low back pain due to Dampness
  • Maybe scabs on the nasal mucosa
  • Myasthenia gravis
  • Menstrual flooding or spotting
  • Narrow visual field
  • Nasal congestion
  • Nausea and vomiting
  • Night blindness
  • Night sweats
  • Obstinate sores on the tongue with the opening of the sore falling downward
  • Obstructed urination
  • Oral sores
  • Painful urination
  • Pale complexion
  • Premature ejaculation
  • Prolapse of any organ
  • Prolonged runny nose may be malodorous
  • Protracted, soft, tender, numb tongue
  • Runny nose with clear, watery discharge may be precipitated by Cold or allergen
  • Sagging and distention of the lower abdomen
  • Sallow complexion
  • Seizures
  • Sensitivity of back to Cold and Wind
  • Shiny, pale complexion
  • Shortness of breath
  • Slight thirst with desire for warm drinks
  • Soft voice
  • Somnolence
  • Spontaneous perspiration
  • Suppuration
  • Susceptibility to Wind and Cold
  • Tendency to curl up
  • Terminal dribbling
  • Thirst with a desire for warm drinks
  • Tidal fever which is worse on exertion
  • Tinnitus
  • Urinary obstruction
  • Urinary incontinence
  • Vaginal itching
  • Vertigo
  • Visual disturbances
  • Warmness of the body
  • Waxy, pale complexion
  • Weak eyelids
  • Weakness of the extremities
  • T: Pale, swollen with tooth marks, maybe tender or Slightly Red
  • C: White
  • P: Rootless at right - middle position or Weak and forceless or Big or Large and Surging or Weak, thready, Deficiency and moderate or Deficient and soggy or Deficient and large or Slow and weak
Treatment Principle
  • Tonify Middle Jiao Qi
  • Benefit Qi
  • Regulate Qi
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
  • 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
  • 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 the Blood
  • Subdue Wind
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
  • Impaired vision
  • Night blindness
  • Tinnitus
  • Irascibility
  • Throbbing headache with distended feeling
  • Flushed face
  • Blurred vision
  • Red, dry eyes with feeling of grit in eye
  • Dry mouth and throat with bitter taste in mouth
  • Palpitations
  • 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 and dry
  • C: Little or None
  • P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome)
  • Weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Dry mouth and tongue
  • Lower back and knee pain
  • Urinary difficulty
  • Weakness of the lower back, knees and extremities
  • Steaming bones
  • Light-headedness
  • Vertigo
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Muscular weakness
  • Irritability
  • Dry skin
  • 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
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • T: Red
  • C: Little or None
  • P: Thready and rapid (large at the Kidney positions)
Treatment Principle
  • Enriches Yin
  • Nourish the Essence of the Liver and Kidneys
  • Reduce Deficiency Fire
Herb Formulas
Points
Clinical Manifestations
  • Scanty and late menarche or
  • Gradually becomes scanty
  • Menstruation may be delayed
  • Blood is pale and thin
For Yin Deficiency predominant:
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Soreness and weakness in low back and legs
  • Spontaneous and nocturnal emissions
  • Night sweats
  • Dry mouth and throat
  • Thirst with a desire to drink
  • Dizziness
  • Forgetfulness
  • Deafness
  • Rhinitis
  • Dizziness
  • Dribbling of urine
  • Malar flush
  • Five sole heat
  • Insomnia
  • Hair loss
  • Loss of teeth
  • Infertility
  • Amenorrhea
  • Uterine bleeding
  • Spontaneous perspiration
  • Spermatorrhea
  • Poor vision
  • T: Red and shiny
  • C: Little or None
  • P: Thready and rapid
For Yang Deficiency predominant:
  • Aversion to Cold
  • Watery stools with undigested food
  • Lower back pain
  • Weakness of the lower extremities
  • A cold sensation in the lower half of the body
  • Tenseness in the lower abdomen
  • Pain and cramps in the lower abdomen
  • Panting and irritability to the point of having difficulty lying down
  • Will breathe most comfortably while leaning against something
  • Nocturia
  • May be numbness in the lower abdomen
  • Urinary difficulty with edema or Spasmodic pain in the lower abdomen
  • Excessive urination
  • If severe, may be incontinence of urine
  • May have persistent diarrhea
  • Dysuria
  • May have flushed face (Yang floating upward)
  • Thirst with frequent, copious urination (Xiao Ke)
  • Fatigue (severe)
  • May have severe perspiration (Yang floating upward)
  • Constipation
  • Lassitude
  • Pale face
  • Edema of the face and feet
  • Severe edema of the legs (may prevent walking)
  • Maybe cough
  • Maybe asthma
  • T: Pale, may be swollen
  • C: Thin, white and moist
  • P: Deep or Deep and thready or Weak and slow
Treatment Principle
  • Tonify Kidney Qi
  • Nourish Jing
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
  • Difficult to start full flow
  • Distention in the breasts and abdomen
  • The Blood is dark with clots
  • Premenstrual syndrome
  • 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
  • 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 with red edges or Purple spots on sides
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient or Wiry and choppy
Treatment Principle
  • Regulate Qi
  • Promote Blood circulation
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
  • 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
  • One or two days before or during first day of menses there is:
    Lower abdominal distension and pain
    Distention and pain in the lower chest and the breasts
    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
  • Stomach distention and upset
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Hypochondriac distention
  • T: Dark and red or Purple with purple spots on the side and possible sublingual vein distention
  • C: White
  • P: Wiry or Choppy or Wiry, choppy and tight or Deep and wiry, or Slippery and wiry or Wiry, choppy and strong
Treatment Principle
  • Regulate Qi
  • Soothe the Liver
  • Invigorate the Blood
  • Break up Stasis
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Pale thin Blood
  • Maybe just spotting
  • Period is commonly delayed
  • Pallid or sallow complexion
  • Palpitations with anxiety that may be continuous
  • Reduced appetite
  • Shortness of breath
  • Laconic speech
  • Easily fatigued extremities
  • Light-headedness and/or vertigo
  • Dizziness
  • Anorexia
  • Thirst
  • Course skin
  • Headache
  • Blurred vision
  • Lassitude
  • Midline pain in women
  • Lower abdominal pain which is better with pressure
  • Lower abdominal distention
  • Severe chills and fever
  • Irregular menstruation
  • Weight loss
  • Abscesses that neither suppurate nor improve
  • Continuous spotting from uterine bleeding
  • Weakness of the limbs
  • Itching
  • Under weight
  • T: Pale
  • C: Thin and white
  • P: Thin and frail or Large and Deficient without strength
Treatment Principle
  • Tonify Spleen Qi
  • Nourish the Blood
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
Clinical Manifestations
  • Scanty menstruation
  • Irregular menstruation
  • Palpable masses that may or may not be painful
  • Lower abdominal pain without palpable masses which is worse with pressure
  • Lower abdominal distention
  • Lower back pain
  • Lower abdominal distention during menstruation
  • Maybe distention along the flanks
  • 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
  • Cold lower abdominal pain
  • Difficult to start full flow
  • Dark color
  • Clots
  • Menstruation is delayed (late)
  • History of Cold Invasion
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Infertility
  • Dry lips
  • Dry mouth
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • Low grade fever at dusk
  • Irritability
  • Five sole Heat
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Normal or Pale or Purple with petechiae
  • C: Normal
  • P: Tense or Thready and choppy
Treatment Principle
  • Warm the channels
  • Disperse Cold
Herb Formulas
Points
Clinical Manifestations
  • The Blood is sticky and , mixed with sticky fluids
  • Menstruation is delayed (late)
  • Leukorrhea
  • The patient is generally overweight
  • Chest and hypochondriac stuffiness
  • Fatigue
  • Weak lower extremities
  • T: Swollen
  • C: Greasy
  • P: Slippery or Wiry, slippery or Deep and thready
Treatment Principle
  • Eliminate Phlegm
  • Resolve Dampness
  • Tonify the Spleen
  • Promote circulation
Herb Formulas
Points