Menstrual Cramps in Traditional Chinese Medicine

Understanding different menstrual cramps patterns according to TCM theory

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8
TCM Patterns
42
Formulas
Overview
What causes it 8 TCM patterns documented
How to recognize Symptoms specific to each menstrual cramps pattern
Classical remedies 42 herbal formulas documented

Traditional Chinese Medicine (TCM) interprets menstrual cramps as an indication of disharmony within the body's internal systems. Contrasting with the more symptom-focused approach of Western medicine, TCM views these cramps as a manifestation of imbalances in the flow of Qi (vital energy) and Blood, particularly involving the Liver and Uterus.

TCM emphasizes diagnosing and treating the specific pattern of disharmony causing the cramps, thereby addressing both the symptoms and their underlying causes. This holistic approach considers the entire individual, including emotional and physical health.

TCM Patterns for Menstrual Cramps

Blood Stasis

Causes: dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Painful period, Intense period pain, Premenstrual pain

7 variations documented
Qi And Blood Stagnation
How it presents with menstrual cramps

dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Painful period, Intense period pain

Along with: Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails,

Blood Stagnation
How it presents with menstrual cramps

Painful period, Premenstrual pain

Along with: Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps,

Liver Blood Stagnation
How it presents with menstrual cramps

Painful period

Along with: Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods,

Pericardium Blood Stagnation
How it presents with menstrual cramps

Painful period

Along with: Palpitations, Chest pain, Chest distension, Stifling sensation in the chest, Shortness of breath, Purple lips,

Traditional Herbal Formulas
Blood Stagnation and Phlegm in the Uterus
How it presents with menstrual cramps

Painful period

Along with: Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain,

Traditional Herbal Formulas
Blood Stagnation in the Directing and Penetrating Vessels
How it presents with menstrual cramps

Painful period

Along with: Irregular periods, Brown vaginal discharge, Dark menstrual clots, Menstrual cramps, Dark menstrual blood, Prolonged lochia,

Traditional Herbal Formulas
Blood Stagnation in the Lower Burner caused by Cold
How it presents with menstrual cramps

Painful period

Along with: Abdominal masses, Lower abdominal pain, Lower abdominal distension, Lower back pain, Abnormal uterine bleeding, Menstrual cramps,

Traditional Herbal Formulas

Qi Stagnation

Causes: Menstrual cramps, dysmenorrhea, dysmenorrhoea, painful periods, menstrual cramps, Painful period, Intense period pain, Painful periods that get worse with hot food or drinks

4 variations documented
Stagnant Liver Qi turning into Fire
How it presents with menstrual cramps

Menstrual cramps, dysmenorrhea, dysmenorrhoea, painful periods

Along with: Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression,

Qi And Blood Stagnation
How it presents with menstrual cramps

dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Painful period, Intense period pain

Along with: Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails,

Liver Qi Stagnation
How it presents with menstrual cramps

Menstrual cramps

Along with: Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia,

Liver Qi Stagnation that transforms into Heat
How it presents with menstrual cramps

Painful periods that get worse with hot food or drinks

Along with: Intermittent upper abdominal pain, Hernia-Related pain, Dysmenorrhea exacerbated by hot food or drinks, Irritability, Bitter taste in the mouth, Peptic ulcer,

Traditional Herbal Formulas

Heat

Causes: Menstrual cramps, dysmenorrhea, dysmenorrhoea, painful periods, menstrual cramps, Painful periods that get worse with hot food or drinks

4 variations documented
Stagnant Liver Qi turning into Fire
How it presents with menstrual cramps

Menstrual cramps, dysmenorrhea, dysmenorrhoea, painful periods

Along with: Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression,

Damp-Heat
How it presents with menstrual cramps

dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods

Along with: Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst,

Damp-Heat in the Liver
How it presents with menstrual cramps

Menstrual cramps

Along with: Hypochondrial fullness and distention with pain alleviated by warmth, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Loss of appetite,

Liver Qi Stagnation that transforms into Heat
How it presents with menstrual cramps

Painful periods that get worse with hot food or drinks

Along with: Intermittent upper abdominal pain, Hernia-Related pain, Dysmenorrhea exacerbated by hot food or drinks, Irritability, Bitter taste in the mouth, Peptic ulcer,

Traditional Herbal Formulas

Cold

Causes: dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Painful period

4 variations documented
Cold in the Uterus
How it presents with menstrual cramps

dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Painful period

Along with: Diarrhea, Loss of appetite, Generalized fatigue, General weakness, Thin vaginal discharge

Empty-Cold
How it presents with menstrual cramps

Painful period

Along with: Chills, Cold extremities, Pale face, Absence of thirst, Apathy, Excessive sweating,

Blood Stagnation in the Lower Burner caused by Cold
How it presents with menstrual cramps

Painful period

Along with: Abdominal masses, Lower abdominal pain, Lower abdominal distension, Lower back pain, Abnormal uterine bleeding, Menstrual cramps,

Traditional Herbal Formulas
Full Cold in the Directing and Penetraing Vessels
How it presents with menstrual cramps

Painful period

Along with: Menstrual cramps, Cold sensation in lower abdomen, Infertility, Late menstruation, Dark menstrual clots, Postpartum abdominal pain,

Traditional Herbal Formulas

Dampness

Causes: dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Menstrual cramps

2 variations documented
Damp-Heat
How it presents with menstrual cramps

dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods

Along with: Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst,

Damp-Heat in the Liver
How it presents with menstrual cramps

Menstrual cramps

Along with: Hypochondrial fullness and distention with pain alleviated by warmth, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Loss of appetite,

Qi Deficiency

Causes: dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Dull menstrual cramps

1 variation documented
Qi and Blood Deficiency
How it presents with menstrual cramps

dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Dull menstrual cramps

Along with: General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations,

Traditional Herbal Formulas

Blood Deficiency

Causes: dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Dull menstrual cramps

1 variation documented
Qi and Blood Deficiency
How it presents with menstrual cramps

dysmenorrhea, dysmenorrhoea, menstrual cramps, painful periods, Dull menstrual cramps

Along with: General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations,

Traditional Herbal Formulas

Phlegm

Causes: Painful period

1 variation documented
Blood Stagnation and Phlegm in the Uterus
How it presents with menstrual cramps

Painful period

Along with: Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain,

Traditional Herbal Formulas

Herbal Formulas for Menstrual Cramps

Traditional Chinese Medicine formulas used to address menstrual cramps

Xiao Yao San

Addresses these menstrual cramps patterns:

Blood Stasis Qi Stagnation Heat Dampness

Shao Fu Zhu Yu Tang

Addresses these menstrual cramps patterns:

Cold Blood Stasis Qi Stagnation

Xuan Yu Tong Jing Tang

Addresses these menstrual cramps patterns:

Qi Stagnation Heat

Tao Hong Si Wu Tang

Addresses these menstrual cramps patterns:

Blood Stasis Qi Stagnation

Er Miao San

Addresses these menstrual cramps patterns:

Heat Dampness

Ba Zhen Yi Mu Tang

Addresses these menstrual cramps patterns:

Qi Deficiency Blood Deficiency

Jia Wei Xiao Yao San

Addresses these menstrual cramps patterns:

Qi Stagnation Heat

Ge Xia Zhu Yu Tang

Addresses these menstrual cramps patterns:

Blood Stasis Qi Stagnation

Qing Re Tiao Xue Tang

Addresses these menstrual cramps patterns:

Heat Dampness