Scanty Periods

Diagnosis for Scanty Periods – amount of blood quite small or spotting, only 1-3 days of bleeding. Generally starts @ menarche. Certain birth control methods can cause this. WATCH for possible early pregnancy.

Etiology (causes) of Scanty Periods:

1. Blood - Spleen can’t produce blood, any severe bleeding, other illness – trauma

2. Kidney - late menarche, excessive sex, overwork stress essence can’t make enough blood for Chong/Ren

3. Cold in Blood – external cold invades meridian blocks blood movement, internal cold (SP KI) can’t T and T enough blood

4. Qi Stagnation – emotions Stagnation Blood Stasis

5. Phlegm Stagnation – any reason (create phlegm) block Qi/Blood circ.

Chinese Medicine Differentiation and Treatment

Blood - pale thin, commonly delayed Plus – Blood sym. T-pale-thin P-thin

Principle of Treatment: – nourish blood and Spleen Qi

Herbal Medicine Formula: Ba Zhen Tang (Si Wu Tang + Si Jun Zi Tang)

Kidney Deficiency - scanty and late menarche, or gradually becomes scanty delayed, pale, thin. Plus – Kidney sym. T-pale P-deep-thin

Principle of Treatment: – nourish Kidney Qi and essence

Herbal Medicine Formula: Zou Gui Wan or Shen Qi Wan

Cold in Blood – cold pain and difficult to start full flow, dark colour, clots, delayed (late) Plus – Cold pain in low abd., history of Cold inv. T-normal pale P-tense

Principle of Treatment: – warm meridians, disperse Cold

Herbal Medicine Formula:– Wen Jing Tang

Qi stagnation – difficult to start full flow, distention in breasts and abd., normal (if stasis = dark w/ clots) Plus – PMS T-purple spots on sides P-wiry-uneven

Principle of Treatment: – regulate Qi, promote blood circ.

 
Herbal Medicine Formula:– Xiao Yao San

Phlegm-Stagnation – sticky, mixed w/ sticky fluids, delayed (late), leukorrhea, Plus – Phlegm sym., generally overweight, chest oppression T-swollen greasy P-slippery

 
Principle of Treatment: – eliminate phlegm – promote circ.

Herbal Medicine Formula:– Er Chen Tang + blood invigorating herbs