Clinical Information For the Treatment Of Irregular Menstruation

What Is Irregular Menstruation?

whatisirregularmenstruation?

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.

What Patterns Are Related To Irregular Menstruation?

whatpatternsarerelatedtoirregularmenstruation?

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:

Blood StagnationLiver Qi StagnationSpleen Qi Deficiency

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Which Acupuncture Point Protocols May Be Applied For Irregular Menstruation?

whichacupuncturepointprotocolsmaybeappliedforirregularmenstruation?

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:

21 Points Are Empirically Important For Irregular Menstruation

1 TCM Herb Are Potentially Used With Irregular Menstruation

Formulas and Products @ Our Store Associated With Irregular Menstruation

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

Ba Zhen Wan (Eight Treasure Combination)

Clinical Usages

  • 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

    Clinical Categorization

    Cautions

      • Do not confuse with Ba Zheng Wan - which is a clearing formula.

        Dang Gui Wan (Tangkuei Powder)

        Clinical Usages

        • For recovery of qi and blood after acute trauma or accident, similar in usage to ba zhen wan.
        • A range of menstrual issues when they arise from qi and blood deficiency - amenorrhea, menorrhagia, irregular cycles - also related fertility issues.
        • For pregnancy with the right diagnostic factors for habitual miscarriage, unstable pregnancy - as well as aiding with difficult labor and post-partum deficiencies such as weakness, anemia, and/or insufficient lactation.
        • Weakness and deficiencies from qi and blood deficiency generally - strong fatigue, orthostatic hypotension, anemia, floaters.
        • Any of the above issues may arise from malnutrition and/or eating disorder issues for which this formula may be supportive.
        • Vertigo/dizziness, possibly with anxiety and/or palpitations from blood deficiency.

          Clinical Categorization

          Er Xian Wan (Two Immortal Decoction)

          Clinical Usages

          • Kidney Yin and Kidney Yang deficiencies with Empty Heat - hormonal issues such as menopause (possibly w/hypertension), amenorrhea, hot flashes along with associated symptoms of fatigue, depression, insomnia, nervousness and more.
          • Infertility with appropriate underlying factors, particularly when arising with amenorrhea or irregular menstruation.
          • Aplastic anemia.

            Clinical Categorization

            Ge Xia Zhu Yu Wan (Drive Out Blood Stasis Below The Diaphragm Decoction)

            Clinical Usages

            • 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.

              Clinical Categorization

              Cautions

              • 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)

                Clinical Usages

                • 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.

                  Clinical Categorization

                  Jia Wei Xiao Yao Wan (Free and Easy Wanderer Pills)

                  Clinical Usages

                  • 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.

                    Clinical Categorization

                    Qi Xue Da Bu Wan (Nourish Qi & Blood Pills)

                    Clinical Usages

                    • Fatigue, lethargy, sensation of feeling heavy or cold.
                    • Low appetite, bloating, borborygmus, loose bowels.
                    • Impotence, infertility, low libedo.
                    • Insomnia, night sweats, vivid dreams, nightmares.

                      Clinical Categorization

                      Shao Fu Zhu Yu Wan (Abdominal Stasis Relief Pills)

                      Clinical Usages

                      • 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.

                        Clinical Categorization

                        Cautions

                        • Avoid during pregnancy.
                        • Not generally applicable to heavy menstrual bleeding coming from deficiency.

                          Wen Jing Wan (Warm the Menses Formula)

                          Clinical Usages

                          • Irregular menstruation, amenorrhea, excessive uterine bleeding or spotting between cycles. 
                          • Infertility, history of miscarriage. 

                            Clinical Categorization

                            Cautions

                              • Use with caution with patients that present with heat signs.

                                Wu Ji Bai Feng Wan (Black Chicken White Phoenix Pills)

                                Clinical Usages

                                Coming Soon...

                                  Clinical Categorization

                                  Xiao Yao Wan (Free and Easy Wanderer)

                                  Clinical Usages

                                  • 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.

                                    Clinical Categorization

                                    Cautions

                                      • Use with caution during pregnancy.

                                        Xue Fu Zhu Yu Wan (Blood Stasis Relief Pills)

                                        Clinical Usages

                                        • 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.

                                          Clinical Categorization

                                          Cautions

                                          • 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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