Menstrual Disorders
Differentiation |
Symptoms |
Formula |
E x c e s s |
Blood retention in the lower Jiao with heat |
dysmenorrhea with severe clots; purple tongue with dark spots, wiry and choppy pulse |
thick and reddish-purple blood with clots, thirst, restlessness, possible fever during the premenstrual and menstrual periods, in severe cases there may be manic behavior |
Tao He Cheng Qi Tang |
Blood stagnation in the womb |
immobile masses in the lower abdomen with pain and tenderness; or mild, persistent uterine bleeding during pregnancy; or retention of the lochia; amenorrhea |
Gui Zhi Fu Ling Wan |
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Blood and Qi stagnation |
distending lower abdominal pain during the premenstrual and menstrual periods; scanty and hesitant flow, breast distention, mental depression, palpitations, amenorrhea |
Xue Fu Zhu Yu Tang |
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Qi stagnation with constraint |
distending lower abdominal pain in the premenstrual and menstrual periods, pain that is aggravated by pressure, breast distention, mental depression, abdominal bloating, nausea, red tongue with yellow greasy coating, and a slippery and rapid pulse |
Yue Ju Wan |
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Liver Qi stagnation |
irregular menstrual cycle with hesitant flow; blood flow varies from profuse to scanty; purple color with clots, stuffiness of the chest; or premenstrual distending pain in the breasts, irritability, hypochondriac pain and distention, wiry pulse |
Si Ni San or Xiao Yao San |
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Damp-heat in the lower Jiao |
early menstrual cycle with profuse bleeding; menstrual blood is thick, sticky and deep red or purple with foul order; itching in the external genital area, increase in vaginal discharge, sensation of heaviness, red tongue with yellow greasy coat, slippery and rapid pulse |
Long Dan Xie Gan Tang |