Theory

Chinese Herbal and Acupuncture Treatment Protocols for Premenstrual Syndrome (PMS) - Formulas, Protocols, TCM Diagnoses


Premenstrual Syndrome (PMS) - Basics

Premenstrual Syndrome (PMS) is a set of emotional and physical symptoms that appear 5 to 11 days before the beginning of a woman's menstrual period. These symptoms include bloating, headache, constipation, joint inflammation, abdominal pain and cramps, painful menstruation, nausea, weight gain, breast tenderness, food cravings, anxiety, irritability, depression, fatigue, altered sex drive and others.
Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Premenstrual Syndrome.



Premenstrual Syndrome (PMS) - 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 Premenstrual Syndrome (PMS)


Premenstrual Syndrome (PMS) - Formulas From Our Store

The following herbal formulas are potentially useful in the process of treating premenstrual syndrome (pms). For a complete list from our store with more details see our premenstrual syndrome (pms) formula section.


Premenstrual Syndrome (PMS) - Questions

Need treatment options for premenstrual syndrome (pms) and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of premenstrual syndrome (pms).



Premenstrual Syndrome (PMS) - Related Acupuncture Points

The following (5) acupuncture points may be useful for premenstrual syndrome (pms). 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.)



Premenstrual Syndrome (PMS) - Related Chinese Herbs

The following (3) chinese herbs may be useful for premenstrual syndrome (pms). 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 (8) Formulas TCM Herbal Formulas May Be Useful For Premenstrual Syndrome (PMS)

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

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

Si Jun Zi Tang Wan

Si Ni San Wan

  • Frigid Extremities Powder Pills
    • Coldness in the limbs with simultaneous heat in the body.
    • Irritibility, possibly with fullness in the chest or epigastrium. 
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen
  • Cautions
    • Not for cold extremities from yang or Blood deficiency.
    • Use with caution or avoid in very weak patients who cannot sustain the movement that this formula creates.

Xiao Chai Hu Tang Wan

  • Minor Bupleurum Decoction
    • Shao Yang Syndrome (or "lesser yang stage") - alternating fever and chills, hypochondriac pain, irritability, bitter taste in mouth, poor appetite, nausea.  Often used for illnesses (chronic or short-term) such as the flu, etc. that have "cleared" but not completely.  People will describe not feeling quite right or having a range of low level symptoms for months or longer after a particular illness.  Instead of fever and chills alternating they may manifest with cold extremities and warm interior or other variations.
    • A range of liver related conditions including malaria, jaundice, hepatitis, liver cancer, meniere's disease, general protection from medicines that may harm the liver, etc. among issues with other digestive organs - pancreatitis, stomatitis, gastritis.
    • Liver/speen disharmonies resulting in broader issues such as depression, chronic fatigue syndrome, menstrual irregularities (PMS, cramping, etc.).
    • Other general immune issues such as the common cold, flu, tonsillitis, general seasonal allergies with the right underlying factors.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen
  • Cautions
    • Use with caution with yin and/or blood deficiencies.
    • Avoid cold, raw, and spicy foods while taking xiao chai hu tang.

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.

Yi Guan Jian Wan

  • Linking Decoction
    • GI issues from yin deficiency (liver and kidney) with liver qi stagnation leading to stomach yin issues - gastritis, ulcers, reflux, bloating.
    • The underlying factors lead to dryness of the blood, that coupled with liver qi stagnation and yin deficiency may lead to PMS, inosmnia, etc.
    • With the right underlying factors useful for a range of liver conditions - hepatitis, fatty liver.
    • Essential hypertension, preeclampsia.
  • Tonify
  • Tonify the Yin



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