Should You Stop Taking Chinese Herbs Before Your Menstrual Period? - Traditional Chinese Medicine

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What should I do if I am taking Chinese herbal medicine that affects my menstrual cycle?


Can I continue taking traditional Chinese medicine (Bai Hu Tang, Long Dan Xie Gan Tang), or should I stop a few days before my menstrual period?

Xiao Xi, 10~19 year old female. Ask Date: 2016/02/29

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear online friend Xiao Xi: Hello.
Please refrain from eating for 7 days before your menstrual period and during your menstrual period.
Wishing you peace and success! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2016/02/29

More Info


When it comes to the use of Chinese herbs, particularly in relation to menstrual cycles, it's essential to consider both the specific herbs being used and the individual's unique health circumstances. Chinese herbal medicine operates on principles that may differ significantly from Western medicine, focusing on the balance of Yin and Yang, the flow of Qi (energy), and the overall constitution of the individual.

In your case, you mentioned two specific herbal formulas: Bai Hu Tang (白虎湯) and Long Dan Jie Gan Tang (龍膽瀉肝湯). Bai Hu Tang is traditionally used to clear heat and promote fluid generation, often indicated for conditions characterized by high fever, excessive thirst, and a rapid pulse. Long Dan Jie Gan Tang, on the other hand, is used to clear heat and dampness from the liver and gallbladder, often indicated for symptoms like irritability, bitter taste in the mouth, and urinary issues.

Regarding whether to continue taking these herbs before your menstrual period, it is generally advisable to consult with your healthcare provider or a qualified practitioner of traditional Chinese medicine (TCM). However, there are some general considerations:
1. Herbal Properties: Both Bai Hu Tang and Long Dan Jie Gan Tang contain ingredients that may have cooling properties. For some individuals, especially those who experience cold or deficiency symptoms, continuing these herbs may be beneficial. However, if you tend to have a more "cold" constitution or experience cold symptoms during your menstrual cycle, it might be wise to pause or adjust your herbal regimen.

2. Menstrual Cycle Dynamics: The menstrual cycle is a time when the body undergoes significant hormonal changes. Some practitioners recommend avoiding certain cooling herbs right before or during menstruation, as they may exacerbate symptoms like cramping or discomfort in individuals who are sensitive to cold.

3. Individual Response: Each person's body reacts differently to herbs. If you have noticed that taking these herbs leads to increased discomfort or symptoms during your menstrual period, it may be prudent to stop taking them a few days before your cycle begins. Conversely, if you find that they help alleviate symptoms associated with your cycle, you may choose to continue.

4. Consultation with a Practitioner: Ultimately, the best course of action is to discuss your specific situation with a TCM practitioner. They can provide personalized advice based on your health history, current symptoms, and the specific herbs you are taking. They may also suggest alternative herbs or modifications to your regimen that are more suitable for your menstrual health.

In summary, while there is no one-size-fits-all answer to whether you should stop taking Chinese herbs before your menstrual period, it is essential to consider the properties of the herbs, your individual constitution, and your symptoms. Consulting with a qualified practitioner will provide you with the most accurate and tailored advice for your situation. Remember, the goal of herbal medicine is to support your overall health and well-being, so adjustments may be necessary to align with your body's needs throughout your menstrual cycle.

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