Abnormal uterine bleeding according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
dysfunctional uterine bleeding, intermenstrual bleeding, metrorrhagia, metrostaxis, midcycle bleeding, midcycle bleeding pain, abnormal vaginal bleeding, atypical vaginal bleeding, flooding and dribbling, flooding and dripping and flooding and trickling redirect here
Abnormal uterine bleeding can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like abnormal uterine bleeding here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here abnormal uterine bleeding is often associated with dizziness, restlessness and dark clots in menstrual blood in the pattern “Blood Stagnation”. As you will see below, we have in record five patterns that can cause abnormal uterine bleeding.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of abnormal uterine bleeding we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat abnormal uterine bleeding.
The five "patterns of disharmony" that can cause abnormal uterine bleeding
In Chinese Medicine abnormal uterine bleeding is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Peach Kernels (Tao Ren) is the king ingredient for Tao He Cheng Qi Tang, a formula used for Blood Stagnation
Blood Stagnation
Pulse type(s): Choppy (Se), Firm (Lao), Wiry (Xian)
Tongue color: Reddish-Purple
Blood Stagnation, like the name indicates, is when Blood flow becomes Stagnant. It can happen in the whole body or in specific Organs. It is one of the most important diagnostic conditions in Chinese Medicine because it is frequently the cause of intractable pain syndromes anywhere in the body.
In addition to abnormal uterine bleeding, other symptoms associated with Blood Stagnation include dizziness, restlessness and dark clots in menstrual blood.
From a Western Medicine standpoint Blood Stagnation is associated with health issues such as Scanty Menstruation, Abnormal Uterine Bleeding or Heavy Menstruation.
Blood Stagnation is often treated with Tao He Cheng Qi Tang, a herbal formula made of 5 herbs (including Peach Kernels - Tao Ren - as a key herb). Tao He Cheng Qi Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dispels Heat and".
Korean Mint (Huo Xiang) is the king ingredient for Huo Xiang Zheng Qi San, a formula used for Damp-Heat
Damp-Heat
Pulse type(s): Soggy (Ru)
In addition to abnormal uterine bleeding, other symptoms associated with Damp-Heat include dizziness, restlessness and poor appetite.
From a Western Medicine standpoint Damp-Heat is associated with health issues such as Menstrual Cramps, Intermenstrual Bleeding or Abnormal Vaginal Discharge.
Damp-Heat is often treated with Huo Xiang Zheng Qi San, a herbal formula made of 11 herbs (including Korean Mint - Huo Xiang - as a key herb). Huo Xiang Zheng Qi San belongs to the category of "formulas that transform dampness and harmonize stomach", which might be why it is often recommended for this pattern. Its main action as a formula is: "Releases the Exterior".
Ginseng (Ren Shen) is the king ingredient for Si Jun Zi Tang, a formula used for Qi Deficiency
Qi Deficiency
Pulse type(s): Empty (Xu), Weak (Ruo)
Tongue color: Pale
Qi Deficiency simply means lack of Qi. It includes the lack of Original Qi, Nutritive Qi, Defensive Qi or the Qi that resides in Organs or Channels. It mainly manifests itself in a weakened function of Organs and a declining ability of the body to resist diseases.
In addition to abnormal uterine bleeding, other symptoms associated with Qi Deficiency include dizziness, thin and watery periods and palpitations.
From a Western Medicine standpoint Qi Deficiency is associated with health issues such as Abnormal Uterine Bleeding or Heavy Menstruation.
Qi Deficiency is often treated with Si Jun Zi Tang, a herbal formula made of 4 herbs (including Ginseng - Ren Shen - as a key herb). Si Jun Zi Tang belongs to the category of "formulas that tonify qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi".
Water Buffalo Horns (Shui Niu Jiao) is the king ingredient for Xi Jiao Di Huang Tang, a formula used for Heat in the Blood
Heat in the Blood
Pulse type(s): Rapid (Shu)
Tongue color: Red
Heat in the Blood (or Blood-Heat) refers to a condition whereby Heat, as a so-called "Pernicious Influence", entered the Blood. This invasion tends to accelerate Blood flow (leading to a faster pulse) and to manifest itself in various types of bleeding as well as other symptoms.
In addition to abnormal uterine bleeding, other symptoms associated with Heat in the Blood include dizziness, tinnitus and thin and watery periods.
From a Western Medicine standpoint Heat in the Blood is associated with health issues such as Early Menstruation or Abnormal Uterine Bleeding.
Heat in the Blood is often treated with Xi Jiao Di Huang Tang, a herbal formula made of 4 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Xi Jiao Di Huang Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats severe fevers and Heat in the Blood system".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Damp-Heat in the Liver
Pulse type(s): Rapid (Shu), Wiry (Xian)
Tongue coating: Sticky coating, Yellow coating
Tongue color: Red
This pattern is caused by excessive Heat in the Liver and Dampness due to Spleen Deficiency. Dampness can cause the formation of Phlegm. Patients often have a feeling of fullness. It is often caused by bad diet and lifestyle, hot and damp environment and emotional stress such as anger.
In addition to abnormal uterine bleeding, other symptoms associated with Damp-Heat in the Liver include poor appetite, dark urine and irregular menstruation.
Damp-Heat in the Liver is often treated with Long Dan Xie Gan Tang, a herbal formula made of 10 herbs (including Chinese Gentian - Long Dan Cao - as a key herb). Long Dan Xie Gan Tang belongs to the category of "formulas that clear heat from the organs", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat and Fire from the Liver and Gallbladder".
Five herbal formulas that might help with abnormal uterine bleeding
Tao He Cheng Qi Tang
Source date: 220 AD
Number of ingredients: 5 herbs
Key actions: Dispels Heat and. Eliminates Blood Stagnation.
Why might Tao He Cheng Qi Tang help with abnormal uterine bleeding?
Because it is a formula often recommended to treat the pattern 'Blood Stagnation' of which abnormal uterine bleeding is a symptom.
Yin Chen Hao Tang
Source date: 220 AD
Number of ingredients: 3 herbs
Key actions: Clears heat. Resolves dampness. Reduces jaundice.
Why might Yin Chen Hao Tang help with abnormal uterine bleeding?
Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which intermenstrual bleeding is a symptom.
Gui Pi Tang
Source date: 1529 AD
Number of ingredients: 12 herbs
Key actions: Tonifies and nourish Qi and Blood. Tonifies Heart and Spleen.
Why might Gui Pi Tang help with abnormal uterine bleeding?
Because it is a formula often recommended to treat the pattern 'Qi Deficiency' of which abnormal uterine bleeding is a symptom.
Xi Jiao Di Huang Tang
Source date: 650 AD
Number of ingredients: 4 herbs
Key actions: Treats severe fevers and Heat in the Blood system. Removes Blood Stagnation.
Why might Xi Jiao Di Huang Tang help with abnormal uterine bleeding?
Because it is a formula often recommended to treat the pattern 'Heat in the Blood' of which abnormal uterine bleeding is a symptom.
Long Dan Xie Gan Tang
Source date: 1682 AD
Number of ingredients: 10 herbs
Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.
Why might Long Dan Xie Gan Tang help with abnormal uterine bleeding?
Because it is a formula often recommended to treat the pattern 'Damp-Heat in the Liver' of which midcycle bleeding is a symptom.
Acupuncture points used for abnormal uterine bleeding
The five Chinese Medicinal herbs most likely to help treat abnormal uterine bleeding
Why might Cape Jasmine Fruit (Zhi Zi) help with abnormal uterine bleeding?
Because Cape Jasmine Fruit is an ingredient in several formulas indicated to treat abnormal uterine bleeding as a symptom, like Yin Chen Hao Tang or Long Dan Xie Gan Tang for instance.
Cape Jasmine Fruits is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Lung and the Sanjiao.
Its main actions are: Clears Heat and calms spirit. Drains Damp-Heat affecting the Liver and Gallbladder. Clears Heat in the Blood and stops bleeding. Anti-inflammatory.
Why might Liquorice (Gan Cao) help with abnormal uterine bleeding?
Because it is a key herb in Gui Pi Tang, a herbal formula indicated to treat the pattern '' (a pattern with abnormal uterine bleeding as a symptom)
Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Atractylodes Rhizome (Bai Zhu) help with abnormal uterine bleeding?
Because it is a key herb in Si Jun Zi Tang, a herbal formula indicated to treat the pattern 'Qi Deficiency' (a pattern with abnormal uterine bleeding as a symptom)
Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.
Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.
Why might Houpu Magnolia Bark (Hou Pu) help with abnormal uterine bleeding?
Because it is a key herb in Huo Xiang Zheng Qi San, a herbal formula indicated to treat the pattern 'Damp-Heat' (a pattern with abnormal uterine bleeding as a symptom)
Houpu Magnolia Bark is a Warm herb that tastes Bitter and Pungent. It targets the Lung, the Spleen and the Stomach.
Its main actions are: Moves Rebellious Qi downward, dries Dampness and relieves Food Stagnation. Transforms Phlegm and redirects Rebellious Qi of the Lung.
Why might Virgate Wormwood (Yin Chen) help with abnormal uterine bleeding?
Because it is a key herb in Yin Chen Hao Tang, a herbal formula indicated to treat the pattern 'Damp-Heat' (a pattern with abnormal uterine bleeding as a symptom)
Virgate Wormwood is a Cool herb that tastes Bitter and Pungent. It targets the Gallbladder, the Liver, the Spleen and the Stomach.
Its main actions are: Drains Damp and clears Heat, especially from the Liver and Gallbladder. Eliminates Heat and relieves the Exterior. Relieve Jaundice.
Other symptoms often associated with abnormal uterine bleeding
Dizziness Tinnitus Thin and watery periods Restlessness Night sweats Palpitations Poor appetite Cold limbs Malar flush Weak knees