Bi Jing – Amenorrhea - No Periods

Diagnosis of Amenorrhea in Chinese Medicine

– Primary Bi Jing – Menstruation has never come

- Secondary Bi Jing – women’s period stops completely for more than 3 months.

- Normal times Amenorrhea

– Pregnancy

- During puberty when period isn’t regulated yet

- Pre-menopausal

- During breast-feeding 

- Environmental change

- Stress

Differentiate Amenorrhea From:

Pregnancy: period usually stops suddenly with pregnancy signs i.e.- morning sickness, cravings.

Etiology (causes) of Amenorrhea :

1. Liver and Kidney Deficiency - young age, essence can’t transform blood and liver has no blood to store so Chong and Ren meridians never receive any blood - poor diet, over sexual activity …

2. Kidney Yang- Ming men fire is deficient creating deficient cold blocking the meridians.

3. Qi and Blood- Spleen and stomach deficiency do not produce blood so there are no stores of blood. There is no Qi to push and move blood out of uterus.

4. Yin/Blood- no source of blood, sea of blood is dry (blood dryness)

5. Qi and Blood stag - cold invasion and stress leads to Qi and blood stagnation

6. Phlegm-Damp accum.- Spleen Qi/Yang deficiency blocks Chong and Ren meridians. Patient will usually be over weight.

Primary Amenorrhea – female needs physical check up to see if there are any physical problems.

Chinese Medicine Differentiation and Treatment of Amenorrhea : 

Liver and Kidney Deficiency -primary Bi Jing -secondary Bi Jing – cycle slowly gets slower and slower till it gradually stops, weak body symptoms Plus – Liver Kidney sym. T– pale P- deep, weak

Principle of Treatment: - Nourish liver and kidney to regulate menstruation

Herbal Medicine Formula: - Gui Shen Wan

Qi and Blood Deficiency  - gradually menstruation becomes smaller and disappears before - Amount -little Amenorrhea – Colour – pale, Consistency -thin Plus – whole body Qi/Blood sym. T-pale-thin P-empty

Principle of Treatment: - nourish Qi and Blood to regulate period

Herbal Medicine Formula: - Ren Shen Yang Ying Tang (Ba Zhen Tang = base formula for deficiency Qi and blood

Yin with dry Blood patient had scanty menstruation which slowly becomes smaller and disappears. Plus – Yin sym. T- red, scanty coat P- thin, rapid

Principle of Treatment: - nourish yin and blood, clearing deficient heat to regulate period.

Herbal Medicine Formula: - Jia Jian Yi Yin Jian

Qi and Blood Stagnation. - absence of menstruation, easily angered and/or depressed with hypochondriac / chest fullness, pain in lower abdomen. Plus - T- purple P- wiry-uneven-deep

Principle of Treatment: - regulate Qi, promote blood circulation and remove blood stasis to regulate period.

Herbal Medicine Formula:- Zue Fu Zhu Yu Tang

Phlegm Dampness - patient generally over weight - puffy face, ankle edema, large amount of leucorrhoea, fullness in chest, heavy feeling with fatigue. Plus - T- greasy coat P- slippery

Principle of Treatment: - eliminate phlegm and dampness, regulate Qi and Blood topromote period.