Managing Premenstrual Anxiety: Traditional Chinese Medicine Solutions - Traditional Chinese Medicine

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Regarding premenstrual syndrome (PMS)..?


My menstrual cycle has always been regular, approximately 25 days, and I don't experience any significant pain.
However, I do notice that about a week before my period, which is around ovulation, I feel unusually anxious, almost like obsessive-compulsive disorder as seen in psychiatry.
My constitution tends to be more heat-prone, and I experience discomfort in my heart when I consume certain Chinese herbal medicines.
My body temperature is generally high, and it increases even more during my menstrual period.
The anxiety can sometimes escalate to insomnia and crying, and I become quite irritable, making it difficult to accomplish anything.
A gynecologist I consulted previously mentioned that my good health makes me more susceptible to hormonal fluctuations, which, combined with my cycle, results in about 14 days of instability each month.
I would like to ask if it is possible to seek treatment from a traditional Chinese medicine practitioner for my issues?

Mei, 20~29 year old female. Ask Date: 2006/12/10

Dr. Wang Ruomei reply Traditional Chinese Medicine


Hello, Miss Mei: The female menstrual cycle is related to the secretion of estrogen and progesterone stimulated by the brain-reproductive axis.
Due to hormonal activation, there may be some physiological conditions that differ from usual, but normally this should not cause significant discomfort for women.
Based on the symptoms you described, from a Traditional Chinese Medicine perspective, they seem to lean towards a heat syndrome.
Therefore, my suggestion is to consult a Traditional Chinese Medicine practitioner for a detailed diagnosis and targeted treatment to resolve your issues! Response from TCM practitioner Wang Ruomei.

Reply Date: 2006/12/10

More Info


Managing premenstrual anxiety can be a challenging experience, especially when it significantly affects your emotional well-being and daily functioning. Traditional Chinese Medicine (TCM) offers various approaches to address these symptoms, focusing on the balance of the body's energies and the regulation of hormonal fluctuations.

In TCM, premenstrual anxiety is often viewed as a manifestation of disharmony within the body, particularly involving the liver, spleen, and heart. The liver is responsible for the smooth flow of Qi (energy) and blood, and when it becomes stagnant, it can lead to emotional disturbances such as anxiety and irritability. The spleen plays a crucial role in producing blood and nourishing the heart, and a deficiency in spleen function can lead to insufficient blood supply to the heart, resulting in symptoms like palpitations and anxiety.
Given your description of feeling anxious, experiencing insomnia, and having a generally high body temperature, it is essential to consider a holistic approach that includes dietary adjustments, herbal remedies, and lifestyle changes. Here are some TCM strategies that may help:
1. Herbal Formulas: Certain herbal formulas can help calm the mind and regulate emotions. For example, "Xiao Yao San" (Free and Easy Wanderer) is a well-known formula that helps to soothe the liver and alleviate stress. Another option is "Tian Wang Bu Xin Dan" (Heavenly Emperor's Heart-Supplementing Pill), which nourishes the heart and calms the spirit. However, since you mentioned that some herbs cause discomfort, it's crucial to consult a qualified TCM practitioner who can tailor the herbal treatment to your specific constitution and symptoms.

2. Acupuncture: Acupuncture can be an effective way to restore balance in the body and alleviate symptoms of anxiety. By targeting specific acupuncture points, a practitioner can help regulate the flow of Qi, reduce stress, and improve emotional stability. Points such as Shenmen (HT7), Neiguan (PC6), and Sanyinjiao (SP6) may be particularly beneficial for calming the mind and addressing premenstrual symptoms.

3. Dietary Adjustments: A balanced diet that supports spleen health can be beneficial. Incorporating warm, cooked foods and avoiding excessive cold or raw foods can help strengthen the spleen. Foods rich in omega-3 fatty acids, such as fish, walnuts, and flaxseeds, may also support emotional health. Additionally, reducing caffeine and sugar intake can help stabilize mood swings.

4. Mind-Body Practices: Engaging in practices such as Tai Chi, Qi Gong, or meditation can help reduce stress and improve emotional regulation. These practices promote relaxation and can help you manage anxiety more effectively.

5. Lifestyle Modifications: Ensuring adequate sleep, regular physical activity, and stress management techniques can significantly impact your overall well-being. Establishing a consistent sleep routine and incorporating relaxation techniques, such as deep breathing exercises or mindfulness, can help mitigate anxiety symptoms.

6. Consultation with a TCM Practitioner: Since you have a unique constitution and specific symptoms, it is highly recommended to consult with a licensed TCM practitioner. They can conduct a thorough assessment, including pulse and tongue diagnosis, to determine the underlying imbalances and create a personalized treatment plan.

In conclusion, TCM offers a holistic approach to managing premenstrual anxiety by addressing the root causes of emotional disturbances and promoting overall balance in the body. By combining herbal remedies, acupuncture, dietary adjustments, and lifestyle changes, you may find relief from your symptoms and improve your emotional well-being. Always consult with a healthcare professional before starting any new treatment to ensure it is safe and appropriate for your individual needs.

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