Menstrual Disorders

Menstrual Disorders

Differentiation

Symptoms

Formula

E x c e s s

Blood retention in the lower Jiao with heat

dysmenorrhea with severe
and persistent abdominal cramps, the pain is aggravated by pressure and relieved after clots are expelled, menstrual blood color is purple with

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

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

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

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

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