Polycystic Ovary Syndrome in Traditional Chinese Medicine

Understanding different polycystic ovary syndrome patterns according to TCM theory

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6
TCM Patterns
9
Formulas
Overview
What causes it 6 TCM patterns documented
How to recognize Symptoms specific to each polycystic ovary syndrome pattern
Classical remedies 9 herbal formulas documented

In the realm of TCM, PCOS is primarily associated with the accumulation of Dampness and Phlegm within the body, disrupting the normal functioning of the reproductive system. Damp-Phlegm in the Uterus, a common pattern seen in PCOS cases, is characterized by symptoms such as delayed or absent menstruation, scanty periods, lower abdominal discomfort, and a feeling of heaviness.

These symptoms reflect the stagnation and obstruction caused by Damp and Phlegm, impeding the free flow of Qi and Blood necessary for reproductive health. Treatments focus on expelling Phlegm and Dampness, regulating Qi, and ensuring the smooth flow of Blood.

Targeted Herbal Remedies for PCOS in TCM

Addressing the complexity of PCOS requires a nuanced approach, with TCM offering specific formulas based on the individual’s unique pattern of disharmony. For the Damp-Phlegm pattern, Cang Fu Dao Tan Wan is a cornerstone formula, designed to dry Dampness, transform Phlegm, and regulate Qi.

It incorporates key herbs like Coco-Grass Rhizomes (Xiang Fu) to ensure Qi flows smoothly, tackling the root causes of PCOS symptoms. This tailored treatment underscores TCM's personalized approach, aiming not only to alleviate symptoms but also to restore balance and prevent recurrence.

Acupoints to Support PCOS Treatment

TCM acupuncture plays a pivotal role in managing PCOS, with specific acupoints selected to address the underlying patterns of imbalance. Shuidao ST-28 is a critical point, located 3 cun below the umbilicus and 2 cun lateral to the anterior midline.

Stimulating this point helps regulate Body Fluids in the Lower Burner, invigorate Qi and Blood in the Lower Burner, and ensure the smooth flow of menstrual Blood. Acupuncture, in conjunction with herbal therapy, offers a powerful synergy to restore the body's natural balance and promote reproductive health, illustrating TCM's holistic approach to treating Polycystic Ovary Syndrome.

TCM Patterns for Polycystic Ovary Syndrome

Phlegm

Thick, sticky pathological fluid that obstructs body functions and can manifest anywhere in the body

Causes: Polycystic ovary syndrome

1 variation documented
Onset Gradual
Location Local or systemic
Features Nodules/lumps • Heavy sensation • Mucus/expectoration • Mental confusion (if affecting mind)

Phlegm is both a pathological product and a pathogenic factor in Traditional Chinese Medicine. It results from impaired fluid metabolism when the body's transformative functions fail, particularly affecting the Spleen, Lungs, and Kidneys. Classical texts emphasize that "the Spleen is the source of phlegm production, while the Lungs are the storage vessel for phlegm."

Damp-Phlegm in the Uterus
How it presents with polycystic ovary syndrome

Polycystic ovary syndrome

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest,

Dampness

Heavy, sticky moisture that obstructs body functions and creates sluggishness

Causes: Polycystic ovary syndrome

1 variation documented
Onset Gradual
Location Systemic, especially digestive
Features Heavy/foggy feeling • Sticky/turbid discharges • Poor appetite • Bloating

Dampness manifests as swelling, bloating, a feeling of heaviness in the head and limbs, and digestive issues. It's like having waterlogged tissues that make everything feel heavy and slow. Common signs include a thick, greasy tongue coating, sticky mouth sensation, and stools that are difficult to flush.

Damp-Phlegm in the Uterus
How it presents with polycystic ovary syndrome

Polycystic ovary syndrome

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest,

Blood Stasis

Blood that is no longer flowing smoothly through the vessels

Causes: Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Fibroids and cysts in the lower abdomen, Painful period, Irregular menstruation, Abdominal pain, Lochia retention, Menstrual discomfort, Fibroids, Endometriosis, Brown vaginal discharge, Dark clots in menstrual blood, Dark colored blood, Lower abdominal pain, Umbilical pain, Breast distention, Breast pain, Anxiety, Irritability, Restlessness, Tendency to worry, Breast lumps, Abdominal masses

2 variations documented
Onset Gradual (trauma=sudden)
Location Often local, can be systemic
Features Fixed/stabbing pain • Purple/dark coloration • Masses/tumors • Pain worse at night

Blood Stasis represents blood that is no longer flowing smoothly through the vessels, either moving too slowly, pooling in certain areas, or congealing into clots. It's one of the most important pathological conditions in Traditional Chinese Medicine and can be both a result of disease and a cause of further illness.

Blood Stagnation and Phlegm in the Uterus
How it presents with polycystic ovary syndrome

Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Fibroids and cysts in the lower abdomen, Painful period, Irregular menstruation, Abdominal pain, Lochia retention, Menstrual discomfort, Fibroids, Endometriosis

Blood Stagnation in the Directing and Penetrating Vessels
How it presents with polycystic ovary syndrome

Irregular menstruation, Brown vaginal discharge, Dark clots in menstrual blood, Painful period, Dark colored blood, Lochia retention, Lower abdominal pain, Umbilical pain, Breast distention, Breast pain, Anxiety, Irritability, Restlessness, Tendency to worry, Breast lumps, Abdominal masses

Heat Excess in the Liver or Gallbladder

Causes: Fixed pain in the hypochondria, Headaches, Dizziness, Red and sore eyes, Diminished hearing, Swelling in the ears, Bitter taste in the mouth, Irritability, Short temper, Painful urination, Swollen and itchy external genitalia, Foul-smelling leukorrhea, Shortened menstrual cycle in women

1 variation documented
Heat Excess in the Liver or Gallbladder
How it presents with polycystic ovary syndrome

Fixed pain in the hypochondria, Headaches, Dizziness, Red and sore eyes, Diminished hearing, Swelling in the ears, Bitter taste in the mouth, Irritability, Short temper, Painful urination, Swollen and itchy external genitalia, Foul-smelling leukorrhea, Shortened menstrual cycle in women

Full Cold in the Directing and Penetraing Vessels

Causes: Painful period, Cold in the lower abdomen, Infertility, Late period, Dark clots in menstrual blood, Abdominal pain after childbirth

1 variation documented
Full Cold in the Directing and Penetraing Vessels
How it presents with polycystic ovary syndrome

Painful period, Cold in the lower abdomen, Infertility, Late period, Dark clots in menstrual blood, Abdominal pain after childbirth

Dampness and Phlegm in the Uterus

Causes: Late period, Painful period, Dark clots in menstrual blood, Brown vaginal discharge, Irregular menstruation, Abdominal pain after childbirth, Lochia retention, White vaginal discharge, Cold in the lower abdomen, Cold feeling in vagina, Infertility, Feeling of cold, Cold limbs, Purple lips

1 variation documented
Dampness and Phlegm in the Uterus
How it presents with polycystic ovary syndrome

Late period, Painful period, Dark clots in menstrual blood, Brown vaginal discharge, Irregular menstruation, Abdominal pain after childbirth, Lochia retention, White vaginal discharge, Cold in the lower abdomen, Cold feeling in vagina, Infertility, Feeling of cold, Cold limbs, Purple lips

Herbal Formulas for Polycystic Ovary Syndrome

Traditional Chinese Medicine formulas used to address polycystic ovary syndrome

Cang Fu Dao Tan Wan

Addresses these polycystic ovary syndrome patterns:

Phlegm Dampness

Wan Dai Tang

Addresses these polycystic ovary syndrome patterns:

Phlegm Dampness

Wei Ling Tang

Addresses these polycystic ovary syndrome patterns:

Phlegm Dampness

Xiong Gui Er Chen Tang

Addresses these polycystic ovary syndrome patterns:

Phlegm Dampness

Dang Gui Shao Yao San

Traditional formula for polycystic ovary syndrome

Gui Zhi Fu Ling Wan

Traditional formula for polycystic ovary syndrome

Wen Jing Tang

Traditional formula for polycystic ovary syndrome

Yu Lin Zhu

Traditional formula for polycystic ovary syndrome