Abnormal Uterine Bleedingaccording to TCM

What is Abnormal Uterine Bleeding?

Abnormal uterine bleeding encompasses a spectrum of menstrual irregularities, including variations in timing, duration, and volume of menstrual flow outside of the normal ranges. Conditions under this umbrella term may involve prolonged menstruation, bleeding between periods, unexpectedly early menstruation, reduced or extended menstrual cycle durations, and irregular or unpredictable hemorrhage. Such symptoms can significantly impact an individual's quality of life and may indicate underlying health concerns that require attention.

How does TCM view Abnormal Uterine Bleeding?

Traditional Chinese Medicine (TCM) approaches abnormal uterine bleeding with a holistic lens, viewing it as a manifestation of imbalance within the body's energetic system. Unlike Western medicine, which often focuses on the symptom itself, TCM seeks to understand the root cause of the disharmony—be it Qi (energy), Blood, Yin, or Yang imbalances.

This diagnosis then informs a tailored treatment strategy aimed at restoring balance, emphasizing the importance of identifying the specific pattern of disharmony to effectively address the condition.

Root Causes of Abnormal Uterine Bleeding in TCM

TCM identifies several patterns that may lead to abnormal uterine bleeding, with Qi Deficiency and Blood Stasis being among the primary culprits. Qi Deficiency can manifest as generalized weakness and fatigue, leading to an inability to control blood flow properly.

Conversely, Blood Stagnation, characterized by dark menstrual clots and stabbing pain, suggests an obstruction in blood circulation within the uterus. Understanding these patterns is vital for devising a treatment strategy that addresses both the symptoms and their underlying causes, showcasing TCM's comprehensive approach to health and healing.

Explore below more details about what might cause Abnormal uterine bleeding according to TCM.

  • By Syndrome
  • By Organ
  • Blood Stasis
  • Heat
  • Qi Stagnation
  • Qi Deficiency
  • Blood Deficiency
  • Yin Deficiency
  • Yang Deficiency
  • Dampness
  • Phlegm
  • Cold
Detailed description of the cause

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Menstrual Cramps Irregular Periods Abdominal Masses Dark Menstrual Clots Amenorrhea Dark Menstrual Blood Abdominal Pain Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Blood Stagnation abnormal uterine bleeding, dysfunctional uterine bleeding, abnormal vaginal bleeding, atypical vaginal bleeding, bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Hesitant periods, oligomenorrhea, Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps, Dark menstrual clots, Dark menstrual blood, Lumps... see more Tao Hong Si Wu Tang | Shi Xiao San | Shao Fu Zhu Yu Tang | Zhu Yu Zhi Xue Tang | Ge Xia Zhu Yu Tang
Qi And Blood Stagnation long menstruation, long periods, prolonged menstrual bleeding, prolonged menstruation, prolonged periods, Irregular menstruation, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Shi Xiao San | Shao Fu Zhu Yu Tang | Si Wu Tang | Jin Ling Zi San | Ge Xia Zhu Yu Tang | Wen Jing Tang | Gui Zhi Fu Ling Wan | Guo Qi Yin | Chai Hu Shu Gan San | Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Qi Li San | Dan Shen Yin
Liver Blood Stagnation Irregular menstruation, Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods, Dark menstrual clots, Infertility, Abdominal masses, Purple nails, Purple lips, Purple face, Skin dryness, Petechiae... see more Shi Xiao San | Xiao Yao San | Ge Xia Zhu Yu Tang | Chai Hu Shu Gan San
Blood Stagnation in the Lower Burner caused by Cold Abnormal uterine bleeding, Abdominal masses, Lower abdominal pain, Lower abdominal distension, Lower back pain, Menstrual cramps, Dark menstrual clots... see more Shao Fu Zhu Yu Tang
Blood and Qi Deficiency with Blood Stagnation Irregular menstruation, Lack of appetite, Weak limbs, Lower back pain, Abdominal distention, Irregular periods, Red and white vaginal discharge, Infertility... see more Ba Zhen Yi Mu Tang
Blood Stagnation and Phlegm in the Uterus Irregular menstruation, 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, Prolonged lochia, Infertility, Postpartum hemorrhage, Retained placenta... see more Gui Zhi Fu Ling Wan
Blood Stagnation in the Directing and Penetrating Vessels Irregular menstruation, Irregular periods, Brown vaginal discharge, Dark menstrual clots, Menstrual cramps, Dark menstrual blood, Prolonged lochia, Lower abdominal pain, Umbilical pain, Breast engorgement, Breast pain... see more Gui Zhi Fu Ling Wan
Blood Deficiency and Stagnation Irregular menstruation, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations, Poor constitution, Irregular periods, Amenorrhea, Lower abdominal pain... see more Tao Hong Si Wu Tang | Si Wu Tang
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Bitter Taste In The Mouth Dizziness Excessive Menstruation Irritability Menstrual Cramps Feeling Hot Thirst Fever

Pattern Name Relevant Symptoms Relevant Formulas
Heat in the Blood abnormal uterine bleeding, dysfunctional uterine bleeding, abnormal vaginal bleeding, atypical vaginal bleeding, Early periods, advanced menstruation, advanced periods, early menstruation, menstruation ahead of schedule, periods ahead of schedule, Trickling blood after period, Feeling hot, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Hemoptysis, Nosebleeds, Excessive menstruation... see more Qing Jing San | Long Dan Xie Gan Tang | Liang Di Tang | Di Gu Pi Yin | Jia Wei Xiao Yao San
Damp-Heat bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Irregular menstruation, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling hot, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Long Dan Xie Gan Tang | Ba Zheng San | Yi Huang Tang
Damp-Heat in the Liver Midcycle bleeding, Irregular menstruation, Hypochondrial fullness with warmth relief, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Lack of appetite, Nausea, Feeling of heaviness, Yellow vaginal discharge, Vaginal itching, Vulvar eczema, Vulvar sores, Bleeding between periods, Midcycle bleeding pain, Red and swollen scrotum, Red and swelling genital, Papules, Itchy vesicular rashes, Urinary dysfunction, Urinary burning, Dark urine... see more Long Dan Xie Gan Tang | Yin Chen Hao Tang
Stagnant Liver Qi turning into Fire Irregular menstruation, Hypochondriac distention, Upper abdominal distension, Feeling of oppression of the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling hot, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Dan Zhi Xiao Yao San
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Abnormal uterine bleeding, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Palpitations, Lower abdominal oppression, Painful urination, Excessive menstruation, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Kidney and Liver Yin Deficiency causing Heat in the Blood bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Dizziness, Tinnitus, Night sweats, Back pain, Dark urine Liang Di Tang | Zuo Gui Wan | Er Zhi Wan | Liu Wei Di Huang Wan
Heat Excess in the Liver or Gallbladder Shortened menstrual cycle in women, Hypochondriac pain, Headaches, Dizziness, Red and irritated eyes, Hearing loss, Ear swelling, Bitter taste in the mouth, Irritability, Painful urination, Swollen and itchy external genitalia... see more Long Dan Xie Gan Tang
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Irritability Irregular Periods Menstrual Cramps Mood Swings Depression Breast Engorgement Abdominal Pain Excessive Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Qi And Blood Stagnation long menstruation, long periods, prolonged menstrual bleeding, prolonged menstruation, prolonged periods, Irregular menstruation, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Shi Xiao San | Shao Fu Zhu Yu Tang | Si Wu Tang | Jin Ling Zi San | Ge Xia Zhu Yu Tang | Wen Jing Tang | Gui Zhi Fu Ling Wan | Guo Qi Yin | Chai Hu Shu Gan San | Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Qi Li San | Dan Shen Yin
Liver Qi Stagnation irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Jia Wei Xiao Yao San | Xiao Yao San | Wu Yao Tang | Chai Hu Shu Gan San | Yue Ju Wan | Yi Guan Jian
Qi Stagnation Irregular menstruation, General fullness, Moving pain, Depression, Irritability, Mood swings, Sighing Xiao Yao San | Chai Hu Shu Gan San | Si Mo Tang | Qi Ge San
Stagnant Liver Qi turning into Fire Irregular menstruation, Hypochondriac distention, Upper abdominal distension, Feeling of oppression of the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling hot, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Dan Zhi Xiao Yao San
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Abnormal uterine bleeding, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Palpitations, Lower abdominal oppression, Painful urination, Excessive menstruation, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Blood and Qi Deficiency with Blood Stagnation Irregular menstruation, Lack of appetite, Weak limbs, Lower back pain, Abdominal distention, Irregular periods, Red and white vaginal discharge, Infertility... see more Ba Zhen Yi Mu Tang
Detailed description of the cause

Qi Deficiency

Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more

Qi Deficiency Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Generalized Fatigue Palpitations Dizziness Spontaneous Sweat Lack Of Appetite General Weakness Diarrhea Shortness Of Breath

Pattern Name Relevant Symptoms Relevant Formulas
Qi Deficiency abnormal uterine bleeding, dysfunctional uterine bleeding, abnormal vaginal bleeding, atypical vaginal bleeding, General weakness, Weak voice, Generalized fatigue, Low energy, Reluctance to speak, Spontaneous sweat, Frequent colds or flu, Lack of appetite, Diarrhea, Shortness of breath... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | Gu Ben Zhi Beng Tang
Liver Qi Deficiency Irregular menstruation, Dizziness, Blurry vision, Eye floaters, Nervousness, Timidity, Easily startled, Lack of bravery, Indecision, Sighing, Vivid dreaming, Depression, Irritability, Hypochondriac distention, Irregular periods, Lack of appetite, Generalized fatigue, Abdominal distention... see more Bu Zhong Yi Qi Tang | Si Wu Tang | Xiao Yao San
Heart and Spleen Deficiency Abnormal uterine bleeding, Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips... see more Gui Pi Tang
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Abnormal uterine bleeding, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Palpitations, Lower abdominal oppression, Painful urination, Excessive menstruation, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Spleen or Kidney Qi Deficiency Early periods, advanced menstruation, advanced periods, early menstruation, menstruation ahead of schedule, periods ahead of schedule, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Palpitations, Spontaneous sweat, Generalized fatigue... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | He Che Da Zao Wan
Detailed description of the cause

Blood Deficiency

Blood Deficiency in TCM is like when your body's tank runs low on the vital energy that blood provides. It's not exactly the same as anemia in modern medicine, which is about having too few red blood cells. Instead, Blood Deficiency in TCM is about your body not having enough of the life-giving qualities that blood brings, like nourishment and moisture. This can make you feel tired, look pale, and even feel dizzy or have blurry vision. It's like a garden not getting enough water to stay lush and vibrant. TCM sees this as an imbalance where the body isn't being nourished as it should be, impacting overall health and well-being.... see more

Blood Deficiency Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Dizziness Palpitations Insomnia Lack Of Appetite Scanty Menstruation Irregular Periods Pale Face Poor Memory

Pattern Name Relevant Symptoms Relevant Formulas
Blood Deficiency oligomenorrhea, Dizziness, Scanty menstruation, Amenorrhea, Dull shallow face, Pale lips, Poor memory, Insomnia... see more Si Wu Tang | Ren Shen Zi Xie Tang
Heart and Spleen Deficiency Abnormal uterine bleeding, Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips... see more Gui Pi Tang
Blood and Qi Deficiency with Blood Stagnation Irregular menstruation, Lack of appetite, Weak limbs, Lower back pain, Abdominal distention, Irregular periods, Red and white vaginal discharge, Infertility... see more Ba Zhen Yi Mu Tang
Blood Deficiency and Stagnation Irregular menstruation, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations, Poor constitution, Irregular periods, Amenorrhea, Lower abdominal pain... see more Tao Hong Si Wu Tang | Si Wu Tang
Blood Deficiency with disharmony of Liver and Spleen Irregular menstruation, Chest distension, Chest pain, Anemia, Dizziness, Headaches, Dry mouth, Dry throat, Lack of appetite, Irregular periods, Leukorrhea... see more Xiao Yao San
Detailed description of the cause

Yin Deficiency

Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more

Yin Deficiency Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Back Pain Dizziness Tinnitus Night Sweats Scanty Menstruation Frequent Urination Chills Cold Extremities

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yin Deficiency long menstruation, long periods, prolonged menstrual bleeding, prolonged menstruation, prolonged periods, irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Perspiration, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Constipation, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Liang Di Tang | Zuo Gui Wan | Er Zhi Wan | Liu Wei Di Huang Wan
Kidney-Deficiency abnormal uterine bleeding, dysfunctional uterine bleeding, abnormal vaginal bleeding, atypical vaginal bleeding, oligomenorrhea, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more Liang Di Tang | You Gui Wan | Zuo Gui Wan | Er Zhi Wan | He Che Da Zao Wan | Dang Gui Di Huang Yin | Shi Quan Da Bu Tang
Kidney and Liver Yin Deficiency causing Heat in the Blood bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Dizziness, Tinnitus, Night sweats, Back pain, Dark urine Liang Di Tang | Zuo Gui Wan | Er Zhi Wan | Liu Wei Di Huang Wan
Deficiency of both the Kidney Yin and Yang Irregular menstruation, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Perspiration, Irritability, Generalized fatigue, General weakness, Depression, Palpitations... see more Er Xian Tang
Detailed description of the cause

Yang Deficiency

Yang deficiency in TCM refers to a state where the body's Yang energy, which is responsible for warmth, activity, and function, is weakened or diminished. This pattern of disharmony often arises from chronic illness, aging, or inherent constitutional weakness. Symptoms of Yang deficiency are typically associated with cold and sluggishness, such as a feeling of coldness, cold extremities, pale complexion, low energy or fatigue, and a desire for warmth. Digestive issues like poor appetite, loose stools, and water retention can also be indicative of Yang deficiency.... see more

Yang Deficiency Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Dizziness Chronic Glomerulonephritis Hypertension Tinnitus Back Pain Generalized Fatigue Depression Chills

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination... see more Er Xian Tang
Spleen or Kidney Yang Deficiency bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Palpitations, Coughing, Vomit... see more Gu Ben Zhi Beng Tang
Deficiency of both the Kidney Yin and Yang Irregular menstruation, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Perspiration, Irritability, Generalized fatigue, General weakness, Depression, Palpitations... see more Er Xian Tang
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Feeling Of Heaviness Fever Sticky Taste In The Mouth Bitter Taste In The Mouth Abdominal Fullness Thick Menstrual Blood Sore And Weak Limbs Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Irregular menstruation, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling hot, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Long Dan Xie Gan Tang | Ba Zheng San | Yi Huang Tang
Damp-Heat in the Liver Midcycle bleeding, Irregular menstruation, Hypochondrial fullness with warmth relief, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Lack of appetite, Nausea, Feeling of heaviness, Yellow vaginal discharge, Vaginal itching, Vulvar eczema, Vulvar sores, Bleeding between periods, Midcycle bleeding pain, Red and swollen scrotum, Red and swelling genital, Papules, Itchy vesicular rashes, Urinary dysfunction, Urinary burning, Dark urine... see more Long Dan Xie Gan Tang | Yin Chen Hao Tang
Damp-Phlegm in the Uterus oligomenorrhea, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Amenorrhea Infertility Polycystic Ovary Syndrome Late Menstruation Scanty Menstruation Lower Abdominal Pain Abdominal Heaviness Feeling Of Oppression Of The Chest

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus oligomenorrhea, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang
Blood Stagnation and Phlegm in the Uterus Irregular menstruation, 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, Prolonged lochia, Infertility, Postpartum hemorrhage, Retained placenta... see more Gui Zhi Fu Ling Wan
Detailed description of the cause

Cold

In TCM "Cold" as a pattern of disharmony refers to a specific type of imbalance within the body's systems, often linked to a deficiency or weakness. It's not about feeling physically cold or having a common cold, but rather a metaphorical description of certain symptoms and underlying conditions. When a TCM practitioner says someone suffers from "Cold," it usually implies that the body's Yang energy, which is warm and active, is insufficient or overpowered by Yin energy, which is cool and passive. Symptoms of Cold in TCM can include a general feeling of coldness, cold limbs, pale complexion, low energy, slow metabolism, and a preference for warmth. ... see more

Cold Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Lower Abdominal Pain Menstrual Cramps Dark Menstrual Clots Abdominal Masses Lower Abdominal Distension Lower Back Pain Diarrhea Lack Of Appetite

Pattern Name Relevant Symptoms Relevant Formulas
Cold in the Uterus Irregular menstruation, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Shao Fu Zhu Yu Tang | Wen Jing Tang | Wen Qi Hua Shi Tang
Blood Stagnation in the Lower Burner caused by Cold Abnormal uterine bleeding, Abdominal masses, Lower abdominal pain, Lower abdominal distension, Lower back pain, Menstrual cramps, Dark menstrual clots... see more Shao Fu Zhu Yu Tang
Detailed description of the cause

Liver

In TCM the Liver is viewed as the organ responsible for the smooth flow of Qi, Blood, and emotions throughout the body. It plays a key role in regulating mood, storing blood, supporting digestion, and ensuring the health of tendons and eyes. When the Liver malfunctions or is imbalanced in TCM, it can lead to a range of issues such as irritability, mood swings, menstrual irregularities, eye problems, and muscular stiffness or pain. A malfunctioning Liver in TCM reflects not only physical disturbances but also emotional and mental disharmony, emphasizing the holistic approach of TCM in addressing health and wellness.... see more

Liver Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Irregular Periods Irritability Menstrual Cramps Dizziness Lack Of Appetite Headaches Bitter Taste In The Mouth Hypochondriac Pain

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat in the Liver Midcycle bleeding, Irregular menstruation, Hypochondrial fullness with warmth relief, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Lack of appetite, Nausea, Feeling of heaviness, Yellow vaginal discharge, Vaginal itching, Vulvar eczema, Vulvar sores, Bleeding between periods, Midcycle bleeding pain, Red and swollen scrotum, Red and swelling genital, Papules, Itchy vesicular rashes, Urinary dysfunction, Urinary burning, Dark urine... see more Long Dan Xie Gan Tang | Yin Chen Hao Tang
Liver Qi Stagnation irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Jia Wei Xiao Yao San | Xiao Yao San | Wu Yao Tang | Chai Hu Shu Gan San | Yue Ju Wan | Yi Guan Jian
Liver Blood Stagnation Irregular menstruation, Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods, Dark menstrual clots, Infertility, Abdominal masses, Purple nails, Purple lips, Purple face, Skin dryness, Petechiae... see more Shi Xiao San | Xiao Yao San | Ge Xia Zhu Yu Tang | Chai Hu Shu Gan San
Liver Qi Deficiency Irregular menstruation, Dizziness, Blurry vision, Eye floaters, Nervousness, Timidity, Easily startled, Lack of bravery, Indecision, Sighing, Vivid dreaming, Depression, Irritability, Hypochondriac distention, Irregular periods, Lack of appetite, Generalized fatigue, Abdominal distention... see more Bu Zhong Yi Qi Tang | Si Wu Tang | Xiao Yao San
Stagnant Liver Qi turning into Fire Irregular menstruation, Hypochondriac distention, Upper abdominal distension, Feeling of oppression of the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling hot, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Dan Zhi Xiao Yao San
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Abnormal uterine bleeding, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Palpitations, Lower abdominal oppression, Painful urination, Excessive menstruation, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Kidney and Liver Yin Deficiency causing Heat in the Blood bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Dizziness, Tinnitus, Night sweats, Back pain, Dark urine Liang Di Tang | Zuo Gui Wan | Er Zhi Wan | Liu Wei Di Huang Wan
Heat Excess in the Liver or Gallbladder Shortened menstrual cycle in women, Hypochondriac pain, Headaches, Dizziness, Red and irritated eyes, Hearing loss, Ear swelling, Bitter taste in the mouth, Irritability, Painful urination, Swollen and itchy external genitalia... see more Long Dan Xie Gan Tang
Blood Deficiency with disharmony of Liver and Spleen Irregular menstruation, Chest distension, Chest pain, Anemia, Dizziness, Headaches, Dry mouth, Dry throat, Lack of appetite, Irregular periods, Leukorrhea... see more Xiao Yao San
Detailed description of the cause

Kidney

In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more

Kidney Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Dizziness Back Pain Tinnitus Chills Night Sweats Generalized Fatigue Scanty Menstruation Pale Menstrual Flow

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yin Deficiency long menstruation, long periods, prolonged menstrual bleeding, prolonged menstruation, prolonged periods, irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Perspiration, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Constipation, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Liang Di Tang | Zuo Gui Wan | Er Zhi Wan | Liu Wei Di Huang Wan
Kidney Yang Deficiency irregular cycles, chaotic periods, irregular periods, unpredictable menstruation, unpredictable periods, irregular menstruation, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination... see more Er Xian Tang
Kidney-Deficiency abnormal uterine bleeding, dysfunctional uterine bleeding, abnormal vaginal bleeding, atypical vaginal bleeding, oligomenorrhea, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more Liang Di Tang | You Gui Wan | Zuo Gui Wan | Er Zhi Wan | He Che Da Zao Wan | Dang Gui Di Huang Yin | Shi Quan Da Bu Tang
Kidney and Liver Yin Deficiency causing Heat in the Blood bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Dizziness, Tinnitus, Night sweats, Back pain, Dark urine Liang Di Tang | Zuo Gui Wan | Er Zhi Wan | Liu Wei Di Huang Wan
Spleen or Kidney Yang Deficiency bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Palpitations, Coughing, Vomit... see more Gu Ben Zhi Beng Tang
Spleen or Kidney Qi Deficiency Early periods, advanced menstruation, advanced periods, early menstruation, menstruation ahead of schedule, periods ahead of schedule, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Palpitations, Spontaneous sweat, Generalized fatigue... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | He Che Da Zao Wan
Detailed description of the cause

Spleen

In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more

Spleen Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Palpitations Dizziness Generalized Fatigue Menopausal Symptoms Lack Of Appetite Pale Face Diarrhea Uterine Hemorrhage

Pattern Name Relevant Symptoms Relevant Formulas
Heart and Spleen Deficiency Abnormal uterine bleeding, Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips... see more Gui Pi Tang
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Abnormal uterine bleeding, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Palpitations, Lower abdominal oppression, Painful urination, Excessive menstruation, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Spleen or Kidney Yang Deficiency bleeding between periods, intermenstrual bleeding, mid cycle bleeding, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Palpitations, Coughing, Vomit... see more Gu Ben Zhi Beng Tang
Spleen or Kidney Qi Deficiency Early periods, advanced menstruation, advanced periods, early menstruation, menstruation ahead of schedule, periods ahead of schedule, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Palpitations, Spontaneous sweat, Generalized fatigue... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | He Che Da Zao Wan
Blood Deficiency with disharmony of Liver and Spleen Irregular menstruation, Chest distension, Chest pain, Anemia, Dizziness, Headaches, Dry mouth, Dry throat, Lack of appetite, Irregular periods, Leukorrhea... see more Xiao Yao San
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Abnormal Uterine Bleeding

Common Symptoms: Amenorrhea Infertility Late Menstruation Scanty Menstruation Lower Abdominal Pain Generalized Fatigue Diarrhea Polycystic Ovary Syndrome

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus oligomenorrhea, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang
Cold in the Uterus Irregular menstruation, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Shao Fu Zhu Yu Tang | Wen Jing Tang | Wen Qi Hua Shi Tang
Blood Stagnation and Phlegm in the Uterus Irregular menstruation, 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, Prolonged lochia, Infertility, Postpartum hemorrhage, Retained placenta... see more Gui Zhi Fu Ling Wan
Detailed description of the cause

Heart

In TCM the Heart is considered the "emperor" of all organs, primarily responsible for governing Blood and housing the mind, known as "Shen." It plays a crucial role in maintaining mental-emotional equilibrium and controlling the circulation of Qi and blood throughout the body. When the Heart is imbalanced or malfunctions in TCM, it can lead to a range of issues like heart palpitations, insomnia, dream-disturbed sleep, anxiety, and a flushed complexion. Emotional disturbances such as excessive joy or lack of joy are also seen as signs of Heart disharmony. These symptoms reflect not just physical heart conditions but also the state of one's Shen, indicating the interconnectedness of physical and emotional well-being in TCM.... see more

Heart Patterns That Can Lead to Abnormal Uterine Bleeding

Pattern Name Relevant Symptoms Relevant Formulas
Heart and Spleen Deficiency Abnormal uterine bleeding, Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips... see more Gui Pi Tang
Detailed description of the cause

Gallbladder

In TCM the Gallbladder has a unique role in storing and excreting bile, but more importantly, it's seen as crucial for decision-making and courage. It's closely connected to the Liver, assisting in the smooth flow of Qi (vital energy) and supporting the Liver's role in maintaining emotional balance. When the Gallbladder malfunctions or is imbalanced in TCM, it can lead to physical symptoms like gallstones, jaundice, or a bitter taste in the mouth. There might also be digestive disturbances, particularly related to fat metabolism. On an emotional level, a Gallbladder disorder can manifest as indecisiveness, timidity, or a tendency to easily succumb to stress. These symptoms highlight the TCM view of the Gallbladder as integral to both physical processes and emotional resilience.... see more

Gallbladder Patterns That Can Lead to Abnormal Uterine Bleeding

Pattern Name Relevant Symptoms Relevant Formulas
Heat Excess in the Liver or Gallbladder Shortened menstrual cycle in women, Hypochondriac pain, Headaches, Dizziness, Red and irritated eyes, Hearing loss, Ear swelling, Bitter taste in the mouth, Irritability, Painful urination, Swollen and itchy external genitalia... see more Long Dan Xie Gan Tang

TCM Herbal Formulas for Abnormal Uterine Bleeding

To address the diverse causes of abnormal uterine bleeding, TCM utilizes a variety of herbal formulas. For Qi Deficiency, Bu Zhong Yi Qi Tang, enriched with Milkvetch Roots (Huang Qi), aims to bolster the body's Qi, supporting the proper function of the spleen and stomach, organs pivotal in blood production and regulation.

In cases of Blood Stasis, Tao Hong Si Wu Tang leverages Peach Kernels (Tao Ren) to invigorate blood circulation, dissolve clots, and alleviate pain. These formulas exemplify TCM's nuanced approach, aiming to rebalance the body's energies and restore menstrual regularity.

Explore below some TCM herbal formulas used to address abnormal uterine bleeding, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Blood Stasis
  • Heat
  • Qi Stagnation
  • Qi Deficiency
  • Blood Deficiency
  • Yin Deficiency
  • Yang Deficiency
  • Dampness
  • Phlegm
  • Cold
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that nourish yin and tonify
  • Formulas that promote qi movement
  • Formulas that tonify blood
  • Formulas that tonify qi and blood
  • Formulas that tonify yin and yang
  • Formulas that harmonize liver-Spleen
  • Formulas that clear heat and expel dampness
  • Formulas that dry dampness and transform phlegm
  • Formulas that clear blood-Heat
  • Formulas that clear heat from the organs
  • Formulas that tonify qi
  • Formulas that warm yang and tonify
  • Formulas that warm interior cold
  • Formulas that rescue devastated yang
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that tonify
  • Formulas that warm the middle and dispel cold
  • Formulas that regulate blood
  • Formulas that clear liver-Heat

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Blood Stasis

Formula Patterns Suitable For
Shao Fu Zhu Yu Tang Blood Stagnation, Blood Stagnation in the Lower Burner caused by Cold, Qi And Blood Stagnation... see more
Shi Xiao San Blood Stagnation, Qi And Blood Stagnation, Liver Blood Stagnation
Ge Xia Zhu Yu Tang Blood Stagnation, Qi And Blood Stagnation, Liver Blood Stagnation
Gui Zhi Fu Ling Wan Qi And Blood Stagnation, Blood Stagnation and Phlegm in the Uterus, Blood Stagnation in the Directing and Penetrating Vessels... see more
Si Wu Tang Qi And Blood Stagnation, Blood Deficiency and Stagnation
Chai Hu Shu Gan San Qi And Blood Stagnation, Liver Blood Stagnation
Tao Hong Si Wu Tang Blood Stagnation, Blood Deficiency and Stagnation
Xiao Yao San Liver Blood Stagnation
Wen Jing Tang Qi And Blood Stagnation
Zhu Yu Zhi Xue Tang Blood Stagnation
Jin Ling Zi San Qi And Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation
Ba Zhen Yi Mu Tang Blood and Qi Deficiency with Blood Stagnation

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Heat

Formula Patterns Suitable For
Long Dan Xie Gan Tang Heat in the Blood, Damp-Heat, Damp-Heat in the Liver, Heat Excess in the Liver or Gallbladder... see more
Liang Di Tang Heat in the Blood, Kidney and Liver Yin Deficiency causing Heat in the Blood
Jia Wei Xiao Yao San Heat in the Blood, Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat... see more
Zuo Gui Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Er Zhi Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Liu Wei Di Huang Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Qing Jing San Heat in the Blood
Di Gu Pi Yin Heat in the Blood
Ba Zheng San Damp-Heat
Yi Huang Tang Damp-Heat
Yin Chen Hao Tang Damp-Heat in the Liver
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Qi Stagnation

Formula Patterns Suitable For
Chai Hu Shu Gan San Qi And Blood Stagnation, Liver Qi Stagnation, Qi Stagnation
Xiao Yao San Liver Qi Stagnation, Qi Stagnation
Jia Wei Xiao Yao San Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat, Liver Qi Stagnation... see more
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Si Wu Tang Qi And Blood Stagnation
Shi Xiao San Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Wen Jing Tang Qi And Blood Stagnation
Gui Zhi Fu Ling Wan Qi And Blood Stagnation
Jin Ling Zi San Qi And Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation
Wu Yao Tang Liver Qi Stagnation
Yue Ju Wan Liver Qi Stagnation
Yi Guan Jian Liver Qi Stagnation
Ba Zhen Yi Mu Tang Blood and Qi Deficiency with Blood Stagnation
Si Mo Tang Qi Stagnation
Qi Ge San Qi Stagnation
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Qi Deficiency

Formula Patterns Suitable For
Gui Pi Tang Qi Deficiency, Heart and Spleen Deficiency, Spleen or Kidney Qi Deficiency
Bu Zhong Yi Qi Tang Qi Deficiency, Spleen or Kidney Qi Deficiency, Liver Qi Deficiency
Xiao Yao San Liver Qi Deficiency
Si Wu Tang Liver Qi Deficiency
Jia Wei Xiao Yao San Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat
Gu Ben Zhi Beng Tang Qi Deficiency
He Che Da Zao Wan Spleen or Kidney Qi Deficiency

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Blood Deficiency

Formula Patterns Suitable For
Si Wu Tang Blood Deficiency, Blood Deficiency and Stagnation
Xiao Yao San Blood Deficiency with disharmony of Liver and Spleen
Gui Pi Tang Heart and Spleen Deficiency
Tao Hong Si Wu Tang Blood Deficiency and Stagnation
Ren Shen Zi Xie Tang Blood Deficiency
Ba Zhen Yi Mu Tang Blood and Qi Deficiency with Blood Stagnation

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Yin Deficiency

Formula Patterns Suitable For
Liang Di Tang Kidney-Deficiency, Kidney Yin Deficiency, Kidney and Liver Yin Deficiency causing Heat in the Blood... see more
Zuo Gui Wan Kidney-Deficiency, Kidney Yin Deficiency, Kidney and Liver Yin Deficiency causing Heat in the Blood... see more
Er Zhi Wan Kidney-Deficiency, Kidney Yin Deficiency, Kidney and Liver Yin Deficiency causing Heat in the Blood... see more
Liu Wei Di Huang Wan Kidney Yin Deficiency, Kidney and Liver Yin Deficiency causing Heat in the Blood
He Che Da Zao Wan Kidney-Deficiency
Er Xian Tang Deficiency of both the Kidney Yin and Yang
You Gui Wan Kidney-Deficiency
Dang Gui Di Huang Yin Kidney-Deficiency
Shi Quan Da Bu Tang Kidney-Deficiency

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Yang Deficiency

Formula Patterns Suitable For
Er Xian Tang Kidney Yang Deficiency, Deficiency of both the Kidney Yin and Yang
Gu Ben Zhi Beng Tang Spleen or Kidney Yang Deficiency

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Dampness

Formula Patterns Suitable For
Long Dan Xie Gan Tang Damp-Heat, Damp-Heat in the Liver
Ba Zheng San Damp-Heat
Yi Huang Tang Damp-Heat
Yin Chen Hao Tang Damp-Heat in the Liver
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Phlegm

Formula Patterns Suitable For
Gui Zhi Fu Ling Wan Blood Stagnation and Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

All Formulas Recommended for Abnormal Uterine Bleeding Caused by Cold

Formula Patterns Suitable For
Shao Fu Zhu Yu Tang Blood Stagnation in the Lower Burner caused by Cold, Cold in the Uterus
Wen Jing Tang Cold in the Uterus
Wen Qi Hua Shi Tang Cold in the Uterus

All "formulas that invigorate blood and dispel blood stagnation" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Shao Fu Zhu Yu Tang Blood Stagnation in the Lower Burner caused by Cold, Blood Stagnation, Cold in the Uterus, Qi And Blood Stagnation... see more
Shi Xiao San Blood Stagnation, Liver Blood Stagnation, Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Blood Stagnation, Liver Blood Stagnation, Qi And Blood Stagnation
Wen Jing Tang Cold in the Uterus, Qi And Blood Stagnation, Dampness and Phlegm in the Uterus
Gui Zhi Fu Ling Wan Blood Stagnation and Phlegm in the Uterus, Blood Stagnation in the Directing and Penetrating Vessels, Qi And Blood Stagnation... see more
Zhu Yu Zhi Xue Tang Blood Stagnation
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation

All "formulas that harmonize liver-Spleen" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Xiao Yao San Liver Qi Stagnation, Liver Blood Stagnation, Liver Qi Deficiency, Qi Stagnation, Blood Deficiency with disharmony of Liver and Spleen... see more
Jia Wei Xiao Yao San Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat, Heat in the Blood, Liver Qi Stagnation... see more

All "formulas that tonify blood" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Si Wu Tang Qi And Blood Stagnation, Blood Deficiency, Liver Qi Deficiency, Blood Deficiency and Stagnation... see more
Tao Hong Si Wu Tang Blood Stagnation, Blood Deficiency and Stagnation
Ren Shen Zi Xie Tang Blood Deficiency
Dang Gui Di Huang Yin Kidney-Deficiency
Guo Qi Yin Qi And Blood Stagnation

All "formulas that nourish yin and tonify" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Liang Di Tang Heat in the Blood, Kidney-Deficiency, Kidney Yin Deficiency, Kidney and Liver Yin Deficiency causing Heat in the Blood... see more
Zuo Gui Wan Kidney-Deficiency, Kidney and Liver Yin Deficiency causing Heat in the Blood, Kidney Yin Deficiency... see more
Er Zhi Wan Kidney-Deficiency, Kidney Yin Deficiency, Kidney and Liver Yin Deficiency causing Heat in the Blood... see more
Liu Wei Di Huang Wan Kidney and Liver Yin Deficiency causing Heat in the Blood, Kidney Yin Deficiency
Di Gu Pi Yin Heat in the Blood
Yi Guan Jian Liver Qi Stagnation

All "formulas that tonify qi and blood" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Gui Pi Tang Qi Deficiency, Heart and Spleen Deficiency, Spleen not controlling Blood, Spleen or Kidney Qi Deficiency... see more
Gu Ben Zhi Beng Tang Qi Deficiency, Spleen or Kidney Yang Deficiency
Ba Zhen Tang Not applicable

All "formulas that promote qi movement" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Chai Hu Shu Gan San Liver Blood Stagnation, Liver Qi Stagnation, Qi And Blood Stagnation, Qi Stagnation... see more
Jin Ling Zi San Qi And Blood Stagnation
Wu Yao Tang Liver Qi Stagnation
Yue Ju Wan Liver Qi Stagnation
Si Mo Tang Qi Stagnation
Qi Ge San Qi Stagnation

All "formulas that tonify yin and yang" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
He Che Da Zao Wan Spleen or Kidney Qi Deficiency, Kidney-Deficiency
Er Xian Tang Kidney Yang Deficiency, Deficiency of both the Kidney Yin and Yang
Shi Quan Da Bu Tang Kidney-Deficiency

All "formulas that clear heat and expel dampness" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Yin Chen Hao Tang Damp-Heat in the Liver
Ba Zheng San Damp-Heat

All "formulas that dry dampness and transform phlegm" recommended for abnormal uterine bleeding

Formula Patterns Suitable For (if applicable)
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

Acupoints for Abnormal Uterine Bleeding

TCM also employs acupuncture as a complementary therapy for abnormal uterine bleeding. Specific points like Dadun LIV-1, located on the dorsum of the great toe, can regulate Qi in the lower burner and liver, addressing Damp-Heat in the genitourinary system.

Zhongji REN-3, found below the umbilicus, is another pivotal point that clears Dampness from the Lower Burner and benefits the uterus, promoting menstrual regularity. These acupoints illustrate the precision of TCM's approach, targeting the energetic roots of menstrual irregularities to foster holistic well-being.

Explore below some acupoints used to address abnormal uterine bleeding, organized by meridian.

  • By Meridian
  • Kidney Channel
  • Bladder Channel
  • Liver Channel
  • Spleen Channel
  • Gall Bladder Channel
  • Stomach Channel
  • Directing Vessel
  • Extra Points: Lower Extremities (EX-LE)
  • Pericardium Channel
  • Triple Burner Channel
  • Extra Points: Chest and Abdomen (EX-CA)
Rangu KID-2

Rangu KID-2

Anterior and inferior to the medial malleolus tip, in the depression on the lower border of the navicular bone, at the border of the 'red and white' skin.

Taixi KID-3

Taixi KID-3

In the depression between the medial malleolus tip and Achilles tendon (Calcaneal tendon), level with the tip of the medial malleolus.

Shuiquan KID-5

Shuiquan KID-5

1 cun directly below Taixi KID-3, in the depression over the joint space between the talus and calcaneus.

Zhaohai KID-6

Zhaohai KID-6

Approximately 1 cun below the medial malleolus tip, over the joint space between the talus and the calcaneus.

Jiaoxin KID-8

Jiaoxin KID-8

2 cun above Taixi KID-3, 0.5 cun anterior to Fuliu KID-7, posterior to the medial border of tibia.

Dahe KID-12

Dahe KID-12

4 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Qixue KID-13

Qixue KID-13

3 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Siman KID-14

Siman KID-14

2 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Zhongzhu KID-15

Zhongzhu KID-15

1 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Shenshu BL-23

Shenshu BL-23

1.5 cun lateral to the lower border of the spinous process of the 2nd lumber vertebra (L2).

Qihaishu BL-24

Qihaishu BL-24

1.5 cun lateral to the lower border of the spinous process of the 3rd lumber vertebra (L3).

Baihuanshu BL-30

Baihuanshu BL-30

At the level of the 4th posterior sacral foramen, 1.5 cun lateral to the posterior midline.

Shangliao BL-31

Shangliao BL-31

In the 1st posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.

Ciliao BL-32

Ciliao BL-32

In the 2nd posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.

Zhongliao BL-33

Zhongliao BL-33

In the 3rd posterior sacral foramen, between the posterior superior iliac spine and the midline.

Dadun LIV-1

Dadun LIV-1

On the lateral side of the dorsum of the great toe terminal phalanx, between the lateral corner of the nail and interphalangeal joint.

Taichong LIV-3

Taichong LIV-3

On the dorsum of the foot, between the 1st and 2nd metatarsal bones, in the depression proximal to the metatarsophalangeal joints and the proximal angle between the two bones.

Yinbao LIV-9

Yinbao LIV-9

4 cun above the medial epicondyle of the femur, between vastus medialis and sartorius muscle.

Yinlian LIV-11

Yinlian LIV-11

2 cun inferior to Qichong ST-30 which is on the upper border of the symphysis and 2 cun lateral to the anterior midline.

Gongsun SP-4

Gongsun SP-4

In the depression distal and inferior to the base of the 1st metatarsal bone, at the border of the red and white skin.

Sanyinjiao SP-6

Sanyinjiao SP-6

3 cun directly above the tip of the medial malleolus, on the posterior border of the tibia, on the line drawn from the medial malleolus to Yinlingquan SP-9.

Diji SP-8

Diji SP-8

3 cun below the medial condyle of the tibia, on the line connecting Yinlingquan SP-9 and the the medial malleolus.

Xuehai SP-10

Xuehai SP-10

When knee is flexed, Xuehai SP-10 is 2 cun above the medial upper border of the patella, in a depression on the vastus medialis muscle.

Daimai GB-26

Daimai GB-26

Level with the umbilicus, directly below Zhangmen LIV-13 which is on the free end of the 11th rib.

Wushu GB-27

Wushu GB-27

In the lateral side of the abdomen, in the front of the anterior superior iliac spine (ASIS), 3 cun below the level of the umbilicus.

Weidao GB-28

Weidao GB-28

Anterior and Inferior to the anterior superior iliac spine (ASIS), 0.5 cun anterior and inferior to Wushu GB-27.

Tianshu ST-25

Tianshu ST-25

2 cun lateral to the center of the umbilicus.

Guilai ST-29

Guilai ST-29

4 cun below the umbilicus, 2 cun lateral to the anterior midline.

Qichong ST-30

Qichong ST-30

5 cun below the umbilicus, 2 cun lateral to the anterior midline, superior to the inguinal groove, on the medial side of the femoral artery, nerve and vein.

Zhongji REN-3

Zhongji REN-3

On the anterior midline, 4 cun below the umbilicus, 1 cun above Qugu REN-2, which is located at the upper border of the symphysis pubis.

Yinjiao REN-7

Yinjiao REN-7

On the midline of the abdomen, 1 cun below the umbilicus.

Bafeng EX-LE-10

Bafeng EX-LE-10

This is a group of 8 points, all located on the foot dorsum, slightly proximal to the margins of the interdigital webs. Xingjian LIV-2, Neiting ST-44 and Xiabai GB-43 are part of the Bafeng EX-LE-10 points. Xingjian LIV-2 is between the 1st and 2nd toes, on the dorsum of the foot, 0.5 cun proximal to the margin of the web. Neiting ST-44 is between the 2nd and 3rd toes, while Xiaxi GB-43 is between the 4th and 5th toes.

Duyin EX-LE-11

Duyin EX-LE-11

On the plantar aspect of the 2nd toe, at the midpoint of the transverse crease of the distal interphalangeal joint.

Jianshi P-5

Jianshi P-5

3 cun above the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Neiguan P-6

Neiguan P-6

2 cun above Daling P-7 on the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Yangchi TB-4

Yangchi TB-4

At the junction of the ulna carpal bones of the wrist dorsum, in the depression lateral to the tendon of extensor digitorum and extensor digiti minimi muscle.

Zigong EX-CA-1

Zigong EX-CA-1

3 cun lateral to the anterior midline and 1 cun superior to the upper border of the pubic symphysis.