Women's Disorders

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Women's Physiology

Uterus Uterus and Zang Fu Phases of Menstruation Kidney Pathology Liver Pathology Spleen Pathology
Heart Pathlogy Lung Pathology Extraordinary Vessels Chong Mai Ren Mai Dai Mai
Yin Qiao Mai Yin Wei Mai Aetiology Menses Color Menses Blood Consistency Principles Treatment

Menstrual Irregularities

Early Periods Late Periods Heavy Periods    
Scanty Periods Painful Periods Bleeding Between Periods    
Flooding and Trickling Long Periods No Periods    

Problems During Period

Premenstrual Breast Distension Headaches Edema Diarrhea Dizziness
Pre-Menstrual Syndrome Epistaxis or Haemoptysis Mouth Ulcers Skin Eruptions Fever

 


Uterus

     

Called

  "Zi Gong" or "Zi Bao"

 

Location

Xiao Fu - Midline - Behind Bladder

Shao Fu - Lateral sides of Xiao Fu

Shape

It is a System

 
Related Heart (Bai Mai) and Kidney (Bao Luo)  
Functions Extra Organ - as a Zang and Fu Stores Essence and is Hollow Like Fu Organ
Menses and Pregnancy  
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Uterus and Zang Fu Relationship

Formation of Menses

Tian Gui >>>>>

Kidney Essence >

Next Ren Mai Opens

Menses Starts

Heart Yang >

Then Chong Fills Blood >
Kidneys

Kidney essence - Material Basis of Menstruation
Mutual Nourishment of Kidney Essence and Liver Blood

Influences a woman's reproductive system through the
Du Mai - Chong Mai - Ren Mai
The Gate of Life - Ming Men Fire and Water between the Kidneys

Liver

Liver Blood - Basis of Blood

Liver Qi influences menstruation by the qi moving the blood

Liver is also connected to Ren - Du - Chong - Dai

Spleen Spleen Makes the Blood Spleen Qi Holds the Organs and Holds the Blood in the Vessels
Heart Governs Blood
Connect to Uterus thru Bao Mai
Helps Kidney Essence Form Tian Gui
Lungs Governs Qi - with Spleen Lung Qi Stagnation = Breast Lumps - Masses
Stomach Relationship with Chong - St 30 Source of Qi and Blood
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Phases of Menstruation

Menarche 10-16yrs (12.8) -  Menopause 35-55yrs (49) - Cycle 7-28+7 (21-35 Days) - Bleeding 3-7 Days
Menstrual Phase
(About 5 Days)
Time of Qi and Blood Flowing Relies on Free Flow of Liver Qi and Liver Blood Scanty - Move Blood
Heavy - Stop Blood
Post-Menstrual Phase
(About 7 Days)
Blood and Yin are Relatively Depleted Chong and Ren are Depleted Nourish Blood and Yin
Mid-Cycle Phase
(About 7 Days)
Blood and Yin Gradually Filling Up Chong and Ren Period when Tian Gui Begins it's Formation Nourish Kidneys Promote Ovulation
Pre-Menstrual Phase
(About 7 Days)
Yang Qi Rises and Liver Qi Moves in Preparation of Period   Tonify Yang Qi if Xu
Move Liver Qi if Stagnant
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Kidney - Pathology of Internal Organs
Kidney Qi Xu Chong and Ren Unstable Dai Slack - Uterus Prolapse
Dai Slack - Restless Fetus
Can Not Consolidate Essence and Blood - Beng Lou
Fail to Control Regular Blood Flow - Irregular Menses
Fail to Retain Sperm - Essence - Embryo - Infertility
Kidney Yin Xu Essence and Blood Xu
Chong and Ren Xu
Late Period - Scanty Period - Amenorrhea
Fail to Nourish Uterus - Menopause Symptoms
Fail to Retain Sperm - Embryo - Infertility
Deficient Heat Hidden in Chong and Ren Heat Pushes Blood Flow - Early Period - Bing Lou
Kidney Yang Xu Failure to Warm
Chong and Ren
 Xu Cold
Abdominal Pain during Pregnancy - Restless Fetus - Infertility
Fail to Warm Blood During Menses (Mingmen Fire Slow)
Diarrhea During Period
Damp Turbidity Flows Down d/t Lack of Warmth
Vaginal Discharge - Leucorrhea
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Liver - Pathology of Internal Organs
Pathology Liver Qi Stag > Liver Fire > Liver Yin Xu > Deficient Heat > Liver Qi Stag.
Liver Yang Rising
Liver Qi Stagnation Qi and Xue Stagnation in Chong and Ren Irregular Periods - Dysmenorrhea - Amenorrhea
Liver Fire Burn Chong and Ren Abnormal Blood Flow - Early - Profuse - Chronic Bleeding
Beng Lou - Nose or Vomit Bleeding in Period
Liver Qi Stagnation Overact on Spleen Damp Heat Flowing Down to Chong and Ren,  plus Dai Slack causing discharge and itching
Liver Qi Stagnation Overact on Stomach Stomach Qi Rebellion - Vomiting and Nausea During or Before Period or Pregnancy
Liver Blood Stasis Develops from Liver Qi Stagnation Painful Periods with dark blood and dark clots
Typically seen in Pre-Menstrual Phase - Pain, which is relieved by Onset of Menses. Also can cause abdominal masses and cysts. Affects Shen
Liver Blood Heat Reasons
Prolonged Liver Qi Stagnation
Emotional Stress and Diet
Raging Ministerial Fire
(Long Term Anger, Frustration, Etc.)
Excess Menorrhagia
Liver Blood Xu 11 Common Pathologies of
Liver Blood Xu
Liver Yang Rising
Wind Heat in Skin
Empty Heat
Heart Blood Xu
Kidney Yin Xu
Kidney Yang Xu
Cold Limbs
Cold in Uterus
Qi Xu
Liver Blood Stasis
Liver Qi Stag.
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Spleen - Pathology of Internal Organs
Spleen Qi Xu Make Chong and Ren Unstable Failure to old Blood - Early / Profuse / Ben Lou / Periods
Failure to Hold Fetus - Restless - Beng Lou - Miscarriage
Failure to Hold Internal Organs - Uterus and Bladder Prolapse
Failure to Produce Blood and Qi
Chong and Ren Blood Xu
Late - Scanty Periods - Amenorrhea
Failure to Nourish Fetus - Miscarriage - Restless Fetus
Spleen Yang Xu Damp Accumulation Flow Down Chong / Ren / Plus Dai Slack Discharge or Edema During Pregnancy
Rebellious Qi plus Phlegm Vomit During Pregnancy
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Heart - Pathology of Internal Organs
Heart Fire Pathology Qi Stag. > Fire > Affects Heart Harass Downward > Affects Chong and Ren > Heavy Periods / Flooding /Trickling
Heart Yin Xu with Empty Heat Sadness (Long-term) Heart Yin Xu Heart Yang Floating Menorrhagia
Overwork Empty Heat Amenorrhea
Heart Blood Heat in Pregnancy Heart Blood Heat Disturbs Heart Mental Restlessness
Difficult Birth  (Worry agitating Heart)
Heart Qi and Blood Xu Heart Qi and Blood Flow Down to Kidneys and Uterus Assists in Formation of Menstrual Blood and also helps to move Blood
Indirectly lead to Blood Xu when Heart Fails to Communicate to Kidneys Amenorrhea or Scanty Periods
Can Lead to Blood Stasis when heart Fails to Move Blood Delayed or irregular Cycle
Heart Blood Stasis Heart Blood Should Flow Down to Uterus. Heart Blood Stasis leads > Irregular Cycle or Dysmenorrhea
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Lung - Pathology of Internal Organs
Lung Qi Xu Lung Qi Xu is Associated with
Spleen Qi Xu
Indirect Role in Menorrhagia or Uterine Prolapse
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Extraordinary Vessels
Chong Mai
 Sea of Blood
(Penetrating Vessel)
Begins between Kidneys, passes thru Uterus- Flows Down to Ren 1, emerges at St30 and then flows with Kidney Channel up to Kd 21, continues up to throat, encircles mouth, and goes to forehead Another branch flows down from St30 in the inner side of leg to the medial side of foot, splits into two branches following the Kidney and Spleen Channels (Big Toe)
Another Branch flows inside the spine
Related to Body Hair
Chong Mai and Ren Mai work together to regulate the uterus and menstruation
More Responsible for Menstruation and most of its irregularities
Ren Mai
Sea of Yin
(Directing Vessel)
Begins between Kidneys to Ren1 then up the Ren Channel to Ren24 - then encircles the mouth and enters the eyes at St1 A Branch arises in the Pelvic Cavity, enters the spine and ascends along the back.
Closely Related to the Uterus and to the Whole Female Reproductive System, including internal and external genitals. All problems of the Cervix, vagina, vulva are related to the Ren Mai
More Responsible for Conception, Fertility, Menarche, Pregnancy, and Menopause
Dai Mai
Horizontal Channel
(Girdle Vessel)
Horizontal Channel Runs All Over Body
Encircles the Waist and passes thru GB26-GB27-GB28. In the back it intersects with Kidney Divergent Channel (Level UB23)
Encircles the Leg Channels
Harmonizes the ascending and descending of both Spleen and Kidneys If Dai Mai is Slack, then Qi Cannot Rise, and  Prolapsed of Uterus or Miscarriage or Leucorrhoea can Occur
Du Mai
Sea of Yang
(Governing Vessel)
Branches Out from Ren 1
to Du1 to Du28
Branch runs near uterus to pubic bone, to vagina (connecting channel goes around the vagina, passes to perineum), to buttocks, down to meet Kidney and Bladder Channel inside upper thighs.
2nd Branch It rises up the spine to wrap around Kidneys (men goes around the penis and then perineum)
The Main Vessel Starts in the Abdomen and goes up to the Umbilicus, past the Heart, throat, and Chin, and Around the lips to reach the eyes
Du Mai Keeps a good balance of Yin and Yang. It represents the Yang aspect of a women's reproductive function The Ren and Du connect the Uterus with the Kidneys, Heart, and Brain.
Essence - Blood - Marrow
Yin Qiao Mai Passes near reproductive Organs Treats Excess Patterns
Fibroids - Pain
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Chong Mai - Pathology of Extraordinary Vessels
Rebellious Qi in Chong Mai The Main Symptom of the Chong Mai is Rebellious Qi Rising from Abdomen toward Chest and Face Heat In Face but Cold Feet - Palpations and Anxiety during Menopause - Morning Sickness During Pregnancy -
Other Conditions - Abdominal Pain- Dysmenorrhea - Breast Distension - Tightness in Chest - Anxiety - Obstruction in Throat
Chong Mai - Lactation Chong Channel travels upward along Kidney Channel to Breast Chong Channel Nourishes Breast for Lactation
Breast Milk
Chong Mai - Muscles Chong Mai Xu Muscle Fatigue and Soreness
Chong Mai Also Called the
 "Avenue of Qi in the Abdomen
More Responsible for menstruation and most of its irregularities
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Ren Mai- Pathology of Extraordinary Vessels
Ren Mai Tonifies Uterus and Ovaries Amenorrhea, Scanty Periods, Delayed Cycle, Infertility
Regulate Energy, tonify Blood and Yin to Reduce Empty Heat Night Sweats, Hot Flashes, Mental Irritability, anxiety, Dry Mouth, Dizziness, Tinnitus, Insomnia
Move Qi in Lower Jiao and Uterus Lumps, Fibroids, Carcinomas
Goes through throat and encircles mouth Dry Throat, Bleeding Gums, Receding Gums, especially with Gynecological Conditions or Pregnancy
Also Influences the Qi in the Upper Jiao Asthma, Wheezing, SOB, particularly when d/t a deficiency of both Lungs and Kidneys
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Dai Mai - Pathology of Extraordinary Vessels
Dai Mai Major Issue with Dai Mai > Leucorrhea - more Damp Heat
Xu Pattern Slack - Long Term Qi Xu or Post and Prenatal Qi Xu - Clear Qi Descending Kidney and Liver Xu - Spleen Qi Xu or Sinking - Ren, Du, Chong Xu These issues can Cause Organ dropping or prolapsed, Miscarriage. Vaginal Discharge
Excess Pattern Not Harmonized - Too Tight
Damp Cold in Spleen Channel, Exposed to Dampness
Abdominal Fullness, Heavy Back sensation like sitting in water, Back Pain radiating to Lower Abdomen, Heaviness of Body , Coldness of Back
Emotions - When Dai Mai is "Tight" may Cause Stress and Anxiety or Vice Versa Harmonize Dai Mai for Stress and Anxiety
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Du Mai - Yin Qiao Mai - Yin Wei Mai  - Pathology of Extraordinary Vessels
Du Mai Mingmen Fire Xu Amenorrhea - Delayed Cycle - Infertility
Depression in Gynecology - Du Connects to Kidneys - Heart - Brain Has a strong influence on the Mental-Emotional State
Yin Qiao Mai
(Yin Heel Vessel)
Lower Jiao Excess Masses, Lumps, Fibroids, Cysts, Difficult Delivery, Retention of Placenta. Useful to resolve adhesions following gynecological surgery
Yin Wei Mai
(Yin Linking Vessel)
Xu - Excellent for Nourishing Blood and Calming the Mind Amenorrhea, Delayed Cycle, Scanty Periods, - especially when associated with depression, anxiety, and a feeling of tightness of the Chest
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Aetiology - 10 Common Factors
Exterior Pathogenic Factors Cold Wind Cold Invasion or Cold Invading Uterus
Joint Pain and Painful Periods
Dampness Leucorrhea - Pain on Ovulation - Dysmenorrhea
Dampness with Heat - Damp Heat Abdominal Masses - Dysmenorrhea
Heat Wind Heat or Summer Heat  becomes Blood Heat
Excessive Bleeding - Beng Luo
Emotional Stress Sadness and Grief Depletes Heart Blood
Amenorrhea - Scanty periods or Delayed Cycle
Depletes Lung Qi
Fails to Move Blood - Amenorrhea
Can Affect Liver Directly - Liver Blood Xu
Worry Knots Up Lung Qi
Delayed Periods - Painful Periods
Anger Liver Qi Stagnation Causing Liver Blood Stasis
Dysmenorrhea - Abdominal Masses
Liver Qi Stagnation Causing Liver Fire and Blood Heat
Menorrhagia - Irregular periods - PMS - Dysmenorrhea
Fear Sudden Fright - Kidney Qi Descend
Chronic State of Anxiety - Empty Heat  (KD Yin Xu)
Shock Depletes Heart - Spleen - Kidneys
Amenorrhea
Guilt Affects Heart and Kidneys - Qi Stagnation and Qi Sinking
Frequent Urination - Bearing Down Sensation - Urinary Incontinence
Diet Cold Food Excessive Consumption - Cold in Uterus
Dysmenorrhea
Hot Food Excessive Consumption - Blood Heat
menorrhagia
Malnutrition Qi and Blood Xu
Amenorrhea - Scanty Periods - Infertility
Greasy Foods Internal Dampness Settle in Lower Jiao
Excessive Vaginal Discharge - Dysmenorrhea - Cysts
Excessive Physical Work
Excess Exercise
Weakens the Spleen, Liver, and Kidneys Affects the Chong and Ren Causing of Qi and/or Blood
U/L Cause is Blood Xu
Detrimental During a Girl's
Pubescent Years
Affects the Tender Chong and Ren Channels
Excessive Mental Work Early Stage Consumes Blood
Late Stage Consumes Kidney Yin
Common Cause of Menopausal Symptoms and Menorrhagia
Childbirth Childbirth may not be the primary cause, but may predispose a women in 5 Circumstances

#1. Invasion of Wind - Birth causes Wei Qi Xu, Blood Xu, and Ren Open

#2. Postnatal Depression - Blood Xu after Birth predisposes one to Postnatal Depression

#3. Psychosis - Pre-existing Phlegm aggravated by Birth affecting Shen

#4. Exacerbation of Previous Problems, Such As, Backache, Asthma, Migraine, ...

#5. Too Many Children too Close Together

Pregnancy    
Excessive / Insufficient
Sexual Activity
Excessive Sexual Activity:
Exhaust Minister Fire
Deplete Essences
May Seriously Weaken Kidneys and Injure Chong and Ren Channels
Sex During Periods
Dysmenorrhea - Qi and Blood Stagnation
Sex Soon After Period (1-2 Days)
Irregular Menstrual Bleeding
Those Women Prone to Miscarriage
No Sex First and Last 3 Months of Pregnancy
Insufficient Sexual Activity Minister Fire Harass Mind and Dysmenorrhea
No Sexual Outlet Can Lead to Accumulation of Minister Fire Giving Rise to Blood Heat and to Stagnation in Lower Jiao
Surgery and Hysterectomy Surgery Prone to Adhesions and Qi and Blood Stagnation
Hysterectomy Blood Xu
Kidney Xu
Qi Stagnation Transferred
Ex. from Uterus to Bladder
Occipital Headache
Kidney Channel Fails to Nourish Bladder Channel
Contraceptive Pill Long term Use Blood Xu or Blood Stasis
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Menstruation - Color
Dark Red or Bright Red Blood Blood Heat
Pale Blood Xu
Blackish - Very Dark Blood Stasis
Purplish Blood Stasis or Cold
Brownish and Dilute - Soy Sauce Xu Cold
Scarlet Red Xu Heat
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Menstruation - Blood Consistency
Clotted with Dark Dull Clots Blood Stasis or Cold
Clotted, Dark but Fresh Looking Clots Heat Stagnation
Large Clots Blood Stagnation
Small Clots, But Blood is Not Dark Cold Stagnation
Watery Xu
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Principles of Diagnosis and Treatment
Diagnosis Analysis of: Cycle
Amount of Bleeding
Color and Density of Blood
Clots and Smell
Treatment Principles Harmonize Qi and Blood
Tonify Kidney
Strengthen Spleen
Harmonize Liver
Regulate Chong and Ren
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Early Periods - Pathology
Qi Xu Spleen Qi Xu Gui Pi Wan
Kidney Qi Xu Jin Gui Shen Qi Wan
Blood Heat Excess (Full) Heat  (Diet/ Emotions) Si Wu Tang
Xu Heat Di Gu Pi Yin
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Late Periods - Pathology
Excess Conditions Cold in Uterus

Excess Cold -        Wen Jing Tang

Xu Cold -               Bu Xue Tiao Jing Pian

Chong and Ren Obstructed
d/t Qi and Blood Stagnation
Xiao Yao Wan
Xu Condition Blood Xu Ba Zhen Tang
Kidney Yang Xu Jin Gui Shen Qi Wan
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Heavy Periods - Pathology
Qi Xu Spleen Qi Xu Failing to Hold Blood Bu Zheng Yi Qi Wan
Qi Stagnation Liver Qi Stagnation to Blood Stasis to Blood Heat

Blood Heat -     Huai Jiao Wan

Blood Stasis -    Si Wu Tang Plus Shi Xiao San

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Scanty Periods - Pathology
Xu Condition Blood Xu Ba Zeng Tang
Kidney Xu

Kidney Yang Xu -   Jin Gui Shen Qi Wan

Kidney Yin Xu -     Liu Wei Di Huang Wan

Excess Condition Blood Stasis Tao Hong Si Wu Tang
Phlegm Obstruct Uterus Cang Fu Dao Tang Wan
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Long Periods - Pathology
Excess Condition Liver Qi Stagnation and Liver Blood Stasis Xiao Yao Wan
Xu Condition Kidney Yin Xu Producing Empty Heat Zhi Bai Di Huang Wan
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Painful Periods - Pathology
Excess Conditions Qi Stagnation Xiao Yao San
Blood Stasis Tao Hong Si Wu Tang
Cold Stagnation Wen Jing Tang
Blood Heat (Damp Heat) Si Miao San
Liver Qi Stagnation Turning
into Fire
Jia Wei Xiao Yao San
Xu Conditions Qi and Blood Xu Ba Zhen Tang
Yang and Blood Xu Si Wu Tang Plus Yang Tonics
Kidney Yin and Liver Yin Xu Liu Wei Di Huang Wan
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Bleeding Between Periods - Mid-Cycle Bleeding
Excess Conditions Damp Heat Si Miao San
Blood Stasis Tong Hong Si Wu Tang
Xu Conditions Liver and Kidney Yin Xu with Deficient Heat Liu Wei Di Huang Wan
Spleen and Kidney Yang Xu Gu Ben Zhi Beng Tang
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No Periods - Bi Jing - Amenorrhea
Xu Liver and Kidney Xu Dang Gui Di Huang Yin
Blood Xu Ba Zhen Tang
Spleen and Kidney Yang Xu Ba Zhen Tang
Liver and Kidney Yin Xu Liu Wei Di Huang Wan
Lung Yin and Blood Xu Bai He Gu Jin Tang
Heart and Kidney Yin Xu Tian Wang Bu Xin Dan
Heart and Spleen Blood Xu Gui Pi Tang
Excess
Qi and Blood Stagnation Tao Huang Si Wu Tang
Damp Phlegm in Uterus Cang Fu Dao Tan Wan + Fo Shou San
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Flooding and Trickling Patterns
The 3 Treatment Principles Urgent Treatment in Acute Flooding Manifestations (Biao), and Slow Treatment in Root (Ben) Chronic Cases Shore up the Flow
Means stop the Bleeding by harmonizing Blood
Settle the Source
Means treating the Root of the Condition
Restore the Old
Means Treating the Organs involved
Tonify - Regulate - Strengthen
The Kidneys - Liver - Spleen - Heart
Excess Blood Heat Qing Jing Tang
Liver Qi Stagnation Turning into Heat Jia Wei Xiao Yao Wan + Stop Bleeding Herbs
Blood Xu Heat Zhi Bai Di Huang Wan
Blood Stasis Tao Hong Si Wu Tang
Damp Heat in Uterus Modify Si Miao San
Xu Spleen not Holding Blood Gui Pi Tang
Kidney Yang Xu You Gui Wan
Kidney Yin Xu Zuo Gui Wan + Er Zhi Wan
Complex Patterns Full with Full
Blood Stasis and Blood Heat
Shi Xiao San
Empty with Empty
Qi and Yin Xu
Bai Yin Wan
Empty with Full
Qi Xu and Kidney Yang Xu with Blood Stasis
Shi Xiao San
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Pre-Menstrual Breast Distention
Excess Liver Qi Stagnation Xiao Yao Wan
Liver Blood Stasis Tao Hong Si Wu Tang
Phlegm with Qi Stagnation Ban Xia Hou Po Tang (Modified Breast Herbs)
Xiao Yao San + Er Chen Tang
Xu Liver and Kidney Yin Xu Liu Wei Di Huang Wan
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Headaches - Pre - Post - or During Period
Excess Liver Fire Blazing Long Dan Xie Gan Tang
Blood Stasis
Usually before or when 1st Start Period
Tao Hong Si Wu Tang
Xu Blood Xu Ba Zhen Tang
Liver Yang Rising d/t Yin Xu Tain Ma Gou Teng Yin
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Edema
Excess Stagnation of Qi Ba Wu Tang
Xu Spleen and Kidney Yang Xu Bai Zhu San
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Diarrhea
Xu Spleen Qi Xu Shen Ling Bai Zhu San
Kidney Yang Xu Jin Gui Shen Qi Wan
Excess Liver Qi Stagnation Invading Spleen Tang Xie Yao Fang
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Dizziness At Period Time
Xu Blood Xu Ba Zhen Tang
Kidney and Liver Yin Xu with
Liver Yang Rising
Qi Ju Di Huang Wan
Combination Phlegm with Spleen Qi Xu Ban Xia Bai Zhu Tian Ma Tang
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Pre-Menstrual Syndrome
Common symptoms are depression, sadness, irritability, loss of concentration, aggressiveness, Changes in Libido, changes in bowel habits, skin eruptions, abdominal and breast distention, insomnia.
Excess Liver Qi Stagnation
1-2 weeks before period
Xiao Yao San
Phlegm Fire Harassing Upwards Wen Dan Tang
Xu Liver Blood Xu Xiao Yao Wan
Liver and Kidney Yin Xu Qi Ju Di Huang Wan / Liu Wei Di Huang Wan
Spleen and Kidney Yang Xu You Gui Wan
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Menstrual Pain
     
     
     
     
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