Menstrual Irregularities: Insights from Traditional Chinese Medicine - Traditional Chinese Medicine

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About menstruation?


Hello, I have a few questions to ask you: I have very light menstrual flow every month, and there are a lot of blood clots, lasting only about two days.
Is this concerning or abnormal? A doctor I saw before mentioned that my body is relatively weak; is this related? I often experience irritability, mouth ulcers, and acne.
Can you explain why this happens and how I can improve it?

Liao's, 20~29 year old female. Ask Date: 2004/05/21

Dr. Yan Sumei reply Traditional Chinese Medicine


Excessive heat in the body, mouth ulcers, and acne, especially if they worsen around the menstrual cycle, indicate a connection with hormonal fluctuations.
Individuals with generally low physical vitality tend to experience lighter menstrual flow and more blood clots.
Such individuals often consume excessive amounts of cold foods and beverages, such as ice cream, shaved ice, and raw salads, or may have inherent deficiencies.
Traditional Chinese medicine can help regulate and improve these conditions.
It is advisable to avoid cold foods, particularly before and during menstruation, as consuming them may exacerbate the symptoms.

Reply Date: 2004/05/21

More Info


Menstrual irregularities can be a source of concern for many women, and understanding these issues through the lens of Traditional Chinese Medicine (TCM) can provide valuable insights. Your symptoms of scanty menstrual flow, the presence of blood clots, and the short duration of your periods suggest that there may be underlying imbalances in your body that TCM can help address.

In TCM, the menstrual cycle is closely linked to the balance of Qi (vital energy), Blood, Yin, and Yang within the body. A scanty menstrual flow, especially one accompanied by blood clots, often indicates a deficiency in Blood or Qi. This deficiency can lead to insufficient nourishment of the uterus, resulting in a shorter and lighter menstrual period. The symptoms you describe, such as feeling "虚" (deficient), experiencing heat signs like mouth ulcers and acne, can also be interpreted in TCM as an imbalance between Yin and Yang.

1. Understanding Your Symptoms:
- Scanty Menstrual Flow: This can be due to Blood deficiency, which may be caused by poor diet, excessive physical activity, or chronic stress. In TCM, Blood is considered the material basis for menstruation, and its deficiency can lead to insufficient menstrual flow.

- Blood Clots: The presence of clots can indicate stagnation of Blood, which may occur when there is a deficiency of Qi that fails to move the Blood effectively. This stagnation can lead to pain and discomfort during menstruation.

- Heat Symptoms: The symptoms of "火氣大" (excessive heat), such as mouth sores and acne, suggest an excess Yang or heat in the body. This can be a result of lifestyle factors, dietary choices, or emotional stress, which can contribute to the imbalance.

2. TCM Treatment Approaches:
- Dietary Adjustments: Incorporating foods that nourish Blood, such as dark leafy greens, red meats, and legumes, can help improve your condition. Avoiding overly spicy or hot foods may also help reduce heat symptoms.

- Herbal Remedies: TCM practitioners often prescribe herbal formulas to nourish Blood and regulate the menstrual cycle. Formulas like "Sheng Hua Tang" (生化湯) or "Dang Gui Bu Xue Tang" (當歸補血湯) may be beneficial, but it's essential to consult a qualified TCM practitioner for personalized recommendations.

- Acupuncture: This can be an effective treatment for regulating menstrual cycles and addressing symptoms of heat and deficiency. Acupuncture points that promote Blood circulation and nourish Yin may be particularly helpful.

3. Lifestyle Modifications:
- Stress Management: Practices such as meditation, yoga, or tai chi can help balance your emotions and reduce stress, which is crucial for hormonal balance.

- Regular Exercise: Moderate exercise can improve circulation and help regulate your menstrual cycle. However, avoid excessive physical strain, which can lead to further Qi and Blood deficiency.

4. Consultation with Healthcare Providers:
- It's important to work with both TCM practitioners and Western medicine providers to ensure a comprehensive approach to your health. If your symptoms persist or worsen, further evaluation may be necessary to rule out any underlying medical conditions.

In summary, your menstrual irregularities may be related to a combination of Blood deficiency and excess heat in the body, as interpreted by TCM. By addressing these imbalances through dietary changes, herbal remedies, acupuncture, and lifestyle modifications, you may find relief from your symptoms and improve your overall menstrual health. Always consult with qualified healthcare professionals to tailor a treatment plan that suits your individual needs.

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