Irregular Periods

Diagnosis Menstruation is 7 days or more early, or 7 days or more late for 3 months consecutively. Etiology (causes): 1. Kidney Qi deficiency - stores essence, works w/ all other Zang to regulate menses. Kidney can’t store essence properly and other organs malfunction especially Liver. 2. Liver Qi stagnation – can’t control amount of blood in Chong Mai, stagnation = late, excess = early 3. Spleen Qi deficiency - can’t produce Blood or keep blood in vessels. Chong empty = late, blood escaping from vessels = early. Chinese Medicine Differentiation and Treatment Kidney Qi deficiency scanty, pale, thin, large amounts of clear thin vaginal discharge, T – pale P – weak Plus – Kidney Qi deficiency symptoms (see Appendix 1) Principle of Treatment: – nourish Kidney Qi to regulate menses Herbal Medicine Formula: Shen Qi Wan or You Gui Wan Liver Qi stagnation large or scanty amounts, colour normal, if heat it is darker, flow start/ stop, clots, PMS distended abdominal pain until menses, pre-menstrual breast distention, T – red on sides P – wiry Plus – Liver Qi stagnation symptoms (see Appendix 1) Principle of Treatment: – soothe Liver, harmonize Qi and blood to regulate menses. Herbal Medicine Formula: Dan Zhu Xiao Yao San (heat), Xiao Yao San (no heat) Spleen Qi deficiency more blood if vessels not controlled, less blood if production is poor, pale red, thin, T – pale, white coat P – weak Plus – Spleen Qi deficiency symptoms Principle of Treatment: – nourish Spleen Qi and blood Herbal Medicine Formula: Ba Zhen Tang (Si Jun Zi Tang + Si Wu Tang)