Theory

Chinese Herbal and Acupuncture Treatment Protocols for Irregular Menstruation - Formulas, Protocols, TCM Diagnoses


Irregular Menstruation - Basics

Women with irregular menstruation may experience heavy bleeding during their periods, infrequent or frequent menstrual periods, or spotting between periods. These characteristics can be attributed to several different underlying problems including Amenorrhea, Dysmenorrhea, Endometriosis, Oligomenorrhea, Premature Ovarian Failure, and Uterine Fibroids.
Amenorrhea refers to the loss or absence of a woman's menstrual cycle that is not due to pregnancy. Dysmenorrhea occurs when a woman experiences irregularly painful menstruation, characterized by extreme lower abdominal and back pain. Endometriosis occurs when tissue that normally grows inside the uterus grows outside the uterus, most commonly in the pelvic area. When menstruation occurs, these tissue growths respond the same as those inside the uterus--breaking down into blood and tissue and exiting the body. However the endometrial tissue growing outside the uterus has no place to go. This can cause heavy menstruation, severe menstrual cramping, intestinal pain, spotting or bleeding between periods, fatigue, painful urination and/or bowel movements during menstruation, and infertility.
Women with Oligomenorrhea have infrequent or occasional menstrual periods. Premature Ovarian Failure (POF) is a halt in the normal functioning of the ovaries in women under age 40. Fibroids are benign masses of muscle cells and tissue that grow in and on the uterus. These growths can cause heavy or painful menstrual periods, lower back pain, excessive urination, pain during sex, pelvic pressure or reproductive issues such as miscarriages or infertility.
Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for irregular menstruation.


Irregular Menstruation - Diagnostic Patterns

The Chinese Medicine treatment of irregular menstruation generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

The following patterns may represent the underlying contributing factors for the development of irregular menstruation:



Irregular Menstruation - Acupuncture Protocols

The treatment of conditions with acupuncture can be a complicated endeavor that should only be undertaken by individuals with a deep understanding of the underlying Chinese Medicine theory (and/or whatever system being used for treatment). There are many approaches, but generally speaking few viable approaches are involved on a point to condition basis. Rather using proper diagnostic procedures the patients diagnostic pattern is ascertained and that is what is treated. The protocols listed here exemplify some of these clinical approaches.

The following Acupuncture Treatment Protocols May Be Used With Irregular Menstruation


Irregular Menstruation - Formulas From Our Store

The following herbal formulas are potentially useful in the process of treating irregular menstruation. For a complete list from our store with more details see our irregular menstruation formula section.


Irregular Menstruation - Questions

Need treatment options for irregular menstruation and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of irregular menstruation.



Irregular Menstruation - Related Acupuncture Points

The following (21) acupuncture points may be useful for irregular menstruation. A subset of these could potentially be useful with acupressure stimulation and/or tongren therapy methods as well.

Generally treatment would be based on the TCM patterns listed above instead of selecting points by function alone, (see general points selection rules.)



Irregular Menstruation - Related Chinese Herbs

The following (1) chinese herb may be useful for irregular menstruation. In most cases, however, treatment with Chinese Herbal Medicine is done with herbal formulas based on the TCM patterns listed above instead of selecting herbs by function alone. When available, relevant formulas will appear below and/or in the store listings above.



The following (12) Formulas TCM Herbal Formulas May Be Useful For Irregular Menstruation

Ba Zhen Wan

  • Eight Treasure Combination
    • For recovery of qi and blood after acute trauma or accident
    • For frequent heavy menstrual cycles
    • Pale complexion, fatigue, dizziness from qi deficiency
    • Vertigo, palpitations, anxiety from blood deficiency
  • Tonify
  • Tonify the Qi and Blood
  • Cautions
    • Do not confuse with Ba Zheng Wan - which is a clearing formula.

Chai Hu Shu Gan Wan

  • Bupleurum Powder to Spread the Liver
    • Hypochondriac pain with possible breast tenderness.
    • Irregular menstruation and or amenorrhea, PMS symptoms that result from liver qi stagnation.
    • Irritability and or depression may also manifest as the emotional component of liver qi stagnation.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Er Xian Tang Wan

Ge Xia Zhu Yu Wan

  • Drive Out Blood Stasis Below The Diaphragm Decoction
    • For blood stasis below the diaphgram - abdominal masses, liver and spleen masses/swelling, colitis.
    • A range of liver disorders are possibly applicable - cirrhosis, hepatic hemangioma, hepatitis, jaundice.
    • Spleen disorders - splenomegaly.
    • Pleural adhesions.
    • A range of menstrual disorders - fibroids, endometriosis, dysmenorrhea (although Shao Fu Zhu Yu Wan may be more appropriate as that targets more the lower jiao).
    • Pelvic inflammatory disease.
    • May be used to help expel ectopic pregnancy.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Use only under direction during menstruation.
    • Use only under direction if you are taking blood thinners.
    • Generally not for long term use.

Jia Wei Gui Pi Wan

  • Augmented Restore The Spleen Decoction
    • A combination of jia wei xiao yao wan and gui pi wan - similar effects but with more spleen qi and blood tonification.
    • A range of stress related issues - essentially mixes of stagnation with underlying deficiencies.
    • Potential uses with immune / idiopathic thrombocytopenic purpura (ITP) and other bruising/bleeding issues with appropriate diagnostic factors.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Jia Wei Xiao Yao Wan

  • Free and Easy Wanderer Pills
    • Derived from the base formula, xiao yao wan, an important formula for liver qi stagnation with herbs added to clear heat.
    • Liver qi stagnation - menstrual issues, painful cycles, irregular cycles, breast distention, PMS, acne.
    • A range of mild to moderate psychological issues arising from liver qi stagnation such as anxiety, depression, panic disorder, insomnia, anger issues, etc.
    • Physical symptoms from liver qi stagnation such as headaches, tightness in the chest, cold hands and feet, various eye issues.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Qi Xue Da Bu Wan

  • Nourish Qi & Blood Pills
    • Fatigue, lethargy, sensation of feeling heavy or cold.
    • Low appetite, bloating, borborygmus, loose bowels.
    • Impotence, infertility, low libedo.
    • Insomnia, night sweats, vivid dreams, nightmares.
  • Tonify
  • Tonify the Qi and Blood

Shao Fu Zhu Yu Wan

  • Abdominal Stasis Relief Pills
    • Qi and blood stagnation in the lower jiao - lower abdominal masses, fibroids, ovarian cysts, endometriosis.
    • Fertility issues in both men and women with the right underlying signs - amenorrhea, dysmenorrhea, irregular cycles, uterine bleeding.
    • Can be used to dispel ectopic pregnancy.
    • Ulcerative colitis, urinary stones.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Not generally applicable to heavy menstrual bleeding coming from deficiency.

Wen Jing Wan

Wu Ji Bai Feng Wan

Xiao Yao Wan

  • Free and Easy Wanderer
    • Depression, anxiety, loss of motivation - resulting from liver qi stagnation.
    • Fatigue, bloating, changes in appetite from the combination of spleen qi deficiency with liver qi stagnation.
    • PMS, breast distention, irregular menstruation and in some cases infertility.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen
  • Cautions
    • Use with caution during pregnancy.

Xue Fu Zhu Yu Wan

  • Blood Stasis Relief Pills
    • Qi and Blood stagnation - pain, cardiovascular issues, physical organ issues.
    • Coronary artery disease, angina and other cardiovascular issues.
    • Hepatitis and other liver function issues.
    • Migraines, headaches, neuralgia from most causes.
    • A range of menstrual issues including dysmenorrhea, endometriosis, ovarian cysts, fibroids - particularly with pain and/or bleeding.
    • Certain diagnostic types of psychological illness, schizophrenia, bipolar, chronic depression, etc.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Avoid with heavy menstrual bleeding.
    • Use only under direction if you are taking blood thinners.
    • Generally not for long term use.



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