Early Periods

Diagnosis Menstruating 7 days early for 3 months consecutive. May also bleed between periods (mid-cycle) – not a true period. Etiology (causes): Ren and Chong not consolidated 1.Spleen Qi deficiency – diet, fatigue, overwork, worry, over-think, makes Qi sink – can’t keep blood in vessels. 2. Kidney Qi deficiency – pre-heaven def., pre-menopausal, cycles shorten between 40-50, pregnancy close together or amount of miscarries etc all use Kidney essence/Qi. Kidney Qi controls lower orifices, this makes Ren and Chong lose control. 3. Hyper Yang with heat in blood – general Yang life/constitution, lots of spicy food, fire invasion, hot working environment. 4. Liver Qi stagnation with heat in the blood – attack Ren and Chong, can’t consolidate. 5. Yin deficiency with heat in blood – TB, long term bleeding will injure Yin, over active reproductive parts (sex – babies), Ren and Chong can’t consolidate. 6. Blood Stasis – after delivery or during menses get attacked by ext. pathos, emotional upset can cause Qi Stagnation – Stasis, period stops early – next month comes early (blood stasis clogs uterus). Chinese Medicine Differentiation and Treatment Spleen Qi deficiency early period, more blood (not hold in vessels), less blood (SP Qi sink, pale-red colour, watery, low abdominal empty feeling, T – pale, white coat P - weakPlus – Spleen deficiency symptoms (see Appendix 1) Principle of Treatment:– nourish Spleen and middle Jiao Qi Herbal Medicine Formula:– Gui Pi Tang (stops heavy bleeding, or Bu Zhong Yi Qi Tang (raises Qi , light bleeding) Kidney Qi deficiency early period, more blood (Chong and Ren can’t consolidate), less blood (Essence deficiency), pale-brown red in colour, clear thin watery, T – pale P - weak Plus – Kidney Qi deficiency symptoms (see Appendix 1) Principle of Treatment: – nourish Kidney Qi – consolidate Ren and Chong Herbal Medicine Formula: Gui Shen Wan (KI tonic), or Wen Chong Tang (more cold signs) excess Yang with Heat in the blood blood amount is more, fresh red or darker and sticky, blood may feel hot, T – red, yellow coat P – slippery, rapid Plus – Heat symptoms (see Appendix 1) Principle of Treatment:– clear Heat – cool blood to regulate menses. Herbal Medicine Formula: Qing Jing Tang Liver Qi stagnation with Heat can be more or less quantity of blood, deep red in colour, thick clotted blood that does not flow smoothly (start and stop), breast distention and low abdominal pain, T – red sides P – wiry Plus – Liver Qi stagnation symptoms (see Appendix 1) Principle of Treatment: – soothe Liver clear heat and cool blood to consolidate Chong Mai Herbal Medicine Formula: Dan Zhi Xiao Yao San Yin deficiency with heat in the blood this pattern happens more around menarche and menopause deficiency Heat in Chong and Ren push blood out of Jing = early scanty, dark colour and sticky, T – red, scanty coat P – fine rapid Plus – Yin deficiency symptoms (see Appendix 1) Principle of Treatment: – nourish Yin, clear heat, consolidate Chong Herbal Medicine Formula: Liang Di tang Blood Stasis cold blocks blood, Chong, and Ren - new blood can’t stay in uterus, woman starts spotting dark with clots, painful although better once clots pass, cold in uterus, whole body may not show cold signs, T – purple spots P – uneven Plus – Blood Stasis symptoms (see Appendix 1) Principle of Treatment: – promote blood circulation, remove Blood Stasis to regulate menses. Herbal Medicine Formula: Tao Hong Si Wu tang