Prolonged Menstrual Periods in Traditional Chinese Medicine

Understanding different prolonged menstrual periods patterns according to TCM theory

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1
TCM Pattern
3
Formulas
Overview
What causes it 1 TCM pattern documented
How to recognize Symptoms specific to each prolonged menstrual periods pattern
Classical remedies 3 herbal formulas documented

Traditional Chinese Medicine (TCM) approaches prolonged menstrual periods as a symptom of imbalances within the body. Unlike Western medicine, which often focuses on the symptom itself, TCM seeks to understand the underlying disharmony causing it.

Prolonged menstruation is viewed through the lens of holistic health, where physical symptoms are intertwined with the body's Qi (energy), blood, and organ systems. Identifying the specific pattern of disharmony is crucial for effective TCM treatment.

TCM Patterns for Prolonged Menstrual Periods

Each pattern represents a distinct underlying imbalance that can cause prolonged menstrual periods

Qi Deficiency

Qi Deficiency

Symptoms 10
Formulas 2

Diagnostic signs

Pulse

Empty (Xu), Weak (Ruo)

Tongue

The tongue is typically pale and slightly puffy or tender in texture, often with scalloped edges from the teeth pressing into the swollen tongue body. The coating is thin and white, which is close to normal but lacks the healthy pinkish-red colour of a well-nourished tongue. In mild cases the tongue may appear nearly normal in colour but with subtle teeth marks. The overall impression is of a tongue that looks soft, slightly enlarged, and lacking vitality. If the tongue begins to show dryness or a peeled coating, this may suggest the pattern is evolving toward Yin or Blood Deficiency.

Accompanying symptoms you may experience

General weakness Weak voice Generalized fatigue Apathy Dislike of speaking Spontaneous sweat Frequent colds or flu Loss of appetite

Recommended herbal formulas

Symptoms 6
Formulas 1

Diagnostic signs

Pulse

Deep (Chen), Weak (Ruo), Fine (Xi)

Tongue

The tongue is characteristically pale and swollen, often with tooth marks along the edges where the enlarged tongue presses against the teeth. The coating is white and tends toward being moist or slippery, reflecting the internal accumulation of dampness due to weak Spleen transportation. The root of the tongue (corresponding to the Kidney area) may be particularly pale or waterlogged. In some presentations, the tongue body may appear slightly puffy and tender (soft in texture), indicating the deficient Qi's inability to maintain firm tissue tone.

Accompanying symptoms you may experience

Excessive menstruation Pale menstrual flow Thin menstrual blood Prolonged menstrual periods Shortness of breath Palpitations

Recommended herbal formulas

Herbal Formulas for Prolonged Menstrual Periods

Traditional Chinese Medicine formulas used to address prolonged menstrual periods

Liu Jun Zi Tang

Addresses these prolonged menstrual periods patterns:

Qi Deficiency

Si Jun Zi Tang

Addresses these prolonged menstrual periods patterns:

Qi Deficiency