TCM Syndrome Differentiation and Treatment of Premenstrual Period

Menstrual irregularities are mainly divided into early menstruation, late menstruation, irregular menstruation and other conditions. If the menstrual cycle is advanced by more than 7 days, or is about 20 days, and occurs for 2 cycles or more continuously, it is called early menstruation. Traditional Chinese medicine believes that the main cause of the disease is Qi deficiency and blood heat. If the blood and qi are not in control, the Chong and Ren meridians will not be nourished; if the blood is hot, the heat will disturb the Chong and Ren meridians, injuring the uterus and causing restlessness in the blood sea, both of which can cause menstruation to come early.

Premenstrual period is a syndrome name in TCM, which means early menstruation. It is usually considered early if it is more than 7 days early and lasts for 2 consecutive cycles. Early menstruation is a type of menstrual disorder, which is often accompanied by menorrhagia. In severe cases, there may be hemorrhage during menstruation. Therefore, it should not be regarded as a minor problem. Chinese medicine has the best effect in diagnosis and treatment.

1. Liver-Qi stagnation and blood-heat type: The amount of menstruation is more or less, the menstrual period is normal or increased, and the menstruation is dark purple with blood clots.

Prescription: Gentiana scabra, Rehmannia root, Prunella vulgaris, Bupleurum root, Red Peony root, Ligusticum chuanxiong, Chrysanthemum flower, Cortex Moutan, Mentha scabra (added later), Cnidium monnieri, Salvia miltiorrhiza, Gardenia jasminoides, Roasted Licorice root, Scutellaria baicalensis, Coix seed.

Usage: Boil in water 3 times, mix the medicine and take it warm in 3 times, 1 dose per day.

2. Liver Qi Stagnation Type: Abdominal pain during menstruation, chest pain, abdominal distension, low mood, depression,

Prescription: Bupleurum, red peony root, ginger slices, bergamot, yellow chrysanthemum, coix seed, hawthorn fruit, ginger magnolia bark, green peel, fructus aurantii, red peony root, Poria, Cyperus rotundus, chicken gizzard lining, king of electronic music, julibrissin bark, Ligusticum chuanxiong, Pinellia, Notopterygium wilfordii, purple salvia miltiorrhiza, Inula flower, Curcuma, Polygonum multiflorum, magnetite, and licorice.

Directions: Take 1 dose per day, divided into three doses.

3. Liver Qi Stagnation Fire Type: Early menstruation, abdominal pain, breast tenderness, feeling upset and easily angry

Secret recipe: Gentiana, Rehmannia root, Prunella vulgaris, Bupleurum, Coix seed, Chrysanthemum, Red Peony Root, Ligusticum chuanxiong, Scutellaria baicalensis, Linderae scutellariae, Toosendan fruit, Moutan bark, Poria, Gardenia jasminoides, Licorice, Bupleurum.

Usage: decoct each dose of medicine in tap water three times, then mix all the liquid and take it in three doses, one dose per day.

4. Yin deficiency and hyperactivity of fire type: the menstrual volume is more or less, the color is dark red or purple, the blood is thick, and the palms and soles of the feet are hot

Prescription: Cornus officinalis, Rehmannia root bark, Chinese yam, Coix seed, Rehmannia glutinosa, Adenophora Root, Red Peony Root, Ligusticum chuanxiong, Ophiopogon japonicus, Rehmannia glutinosa, donkey-hide gelatin cake (melted and taken in divided doses), Gentiana macrophylla, turtle shell, Cortex Moutan, Lophatherum gracile, Bupleurum chinense, Polygonum multiflorum, Anemarrhena asphodeloides.

Directions for use: Decoction in water, 1 dose per day, three times a day.

Menstruation is very important for women. Problems with menstruation will cause many symptoms. The first to be affected is fertility. It is impossible to get pregnant with irregular menstruation. Therefore, women should take medicine to treat menstrual problems in time. Don’t think that it will get better on its own. If other complications occur, it will be more difficult to treat.