Absence of menstruation according to Chinese Medicine

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Absence of menstruation 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 absence of menstruation 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 absence of menstruation is often associated with dizziness, abdominal pain and scanty periods in the pattern “Blood Stagnation”. As you will see below, we have in record five patterns that can cause absence of menstruation.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of absence of menstruation 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 absence of menstruation.

The five "patterns of disharmony" that can cause absence of menstruation

In Chinese Medicine absence of menstruation 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), Wiry (Xian), Firm (Lao)

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 absence of menstruation, other symptoms associated with Blood Stagnation include dizziness, abdominal pain and scanty periods.

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".

Read more about Blood Stagnation here

Peach Kernels (Tao Ren) is the king ingredient for Xue Fu Zhu Yu Tang, a formula used for Qi And Blood Stagnation

Qi And Blood Stagnation

Pulse type(s): Choppy (Se), Deep (Chen), Fine (Xi)

In addition to absence of menstruation, other symptoms associated with Qi And Blood Stagnation include dizziness, depression and insomnia.

From a Western Medicine standpoint Qi And Blood Stagnation is associated with health issues such as Menstrual Cramps, Absence Of Menstruation or Menopausal Syndrome.

Qi And Blood Stagnation is often treated with Xue Fu Zhu Yu Tang, a herbal formula made of 11 herbs (including Peach Kernels - Tao Ren - as a key herb). Xue Fu Zhu Yu 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: "Invigorates the Blood".

Read more about Qi And Blood Stagnation here

Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Er Chen Tang, a formula used for Phlegm

Phlegm

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Sticky coating, Thick coating

Tongue shape: Swollen

The concept of Phlegm is much wider and important in Chinese Medicine than in the West. Broadly speaking, Phlegm is a substance produced when the body fails to handle Body Fluids properly.

In addition to absence of menstruation, other symptoms associated with Phlegm include dizziness, depression and scanty periods.

From a Western Medicine standpoint Phlegm is associated with health issues such as Low Breast Milk Supply, Late Menstruation or Scanty Menstruation.

Phlegm is often treated with Er Chen Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Er Chen Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries Damp and dispels Phlegm".

Read more about Phlegm here

The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine

Kidney and Liver Yin Deficiency

Pulse type(s): Empty (Xu), Floating (Fu)

Tongue coating: Partial absence of coating

Tongue color: Red

In addition to absence of menstruation, other symptoms associated with Kidney and Liver Yin Deficiency include dizziness, insomnia and night sweats.

From a Western Medicine standpoint Kidney and Liver Yin Deficiency is associated with health issues such as Absence Of Menstruation, Menopausal Syndrome or Vaginal Itching.

Kidney and Liver Yin Deficiency is often treated with Zuo Gui Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Zuo Gui Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Yin".

Read more about Kidney and Liver Yin Deficiency here

Dong Quai (Dang Gui) is the king ingredient for Sheng Yu Tang, a formula used for Blood and Qi Deficiency

Blood and Qi Deficiency

Pulse type(s): Weak (Ruo), Fine (Xi)

Tongue coating: Partial absence of coating

Tongue color: Pale

In addition to absence of menstruation, other symptoms associated with Blood and Qi Deficiency include dizziness, depression and insomnia.

From a Western Medicine standpoint Blood and Qi Deficiency is associated with health issues such as Low Breast Milk Supply, Menstrual Cramps or Absence Of Menstruation.

Blood and Qi Deficiency is often treated with Sheng Yu Tang, a herbal formula made of 6 herbs (including Dong Quai - Dang Gui - as a key herb). Sheng Yu Tang belongs to the category of "formulas that tonify blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi and Blood".

Read more about Blood and Qi Deficiency here

Five herbal formulas that might help with absence of menstruation

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 absence of menstruation?

Because it is a formula often recommended to treat the pattern 'Blood Stagnation' of which absence of menstruation is a symptom.

According to Chinese Medicine, Blood Stagnation can contribute to many health issues, including Abnormal Uterine Bleeding.

Read more about Tao He Cheng Qi Tang here

Gui Zhi Fu Ling Wan

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Promotes Blood and lymphatic circulation, thus eleminates Blood Stagnation. Softens and resolves hard lumps such as cysts and fibroids.

Why might Gui Zhi Fu Ling Wan help with absence of menstruation?

Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which absence of menstruation is a symptom.

According to Chinese Medicine, Qi And Blood Stagnation can contribute to many health issues, including Menopausal Syndrome.

Read more about Gui Zhi Fu Ling Wan here

Sheng Yu Tang

Source date: 1336 AD

Number of ingredients: 6 herbs

Key actions: Tonifies Qi and Blood. Preserves the Blood.

Why might Sheng Yu Tang help with absence of menstruation?

Because it is a formula often recommended to treat the pattern 'Blood and Qi Deficiency' of which absence of menstruation is a symptom.

According to Chinese Medicine, Blood and Qi Deficiency can contribute to many health issues, including Absence Of Menstruation.

Read more about Sheng Yu Tang here

Xiong Gui Er Chen Tang

Source date: 1575 AD

Number of ingredients: 7 herbs

Key actions: Resolves Damp-Phlegm. Nourishes Blood.

Why might Xiong Gui Er Chen Tang help with absence of menstruation?

Because it is a formula often recommended to treat the pattern 'Phlegm' of which absence of menstruation is a symptom.

According to Chinese Medicine, Phlegm can contribute to many health issues, including Menopausal Syndrome.

Read more about Xiong Gui Er Chen Tang here

Gui Shao Di Huang Tang

Source date: 1706 AD

Number of ingredients: 8 herbs

Key actions: Nourishes Blood. Nourishes Yin.

Why might Gui Shao Di Huang Tang help with absence of menstruation?

Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which absence of menstruation is a symptom.

According to Chinese Medicine, Kidney and Liver Yin Deficiency can contribute to many health issues, including Menopausal Syndrome.

Read more about Gui Shao Di Huang Tang here

Acupuncture points used for absence of menstruation

The five Chinese Medicinal herbs most likely to help treat absence of menstruation

Why might Dong Quai (Dang Gui) help with absence of menstruation?

Because it is both specifically indicated to treat absence of menstruation and also because it is an ingredient in herbal formulas known to treat absence of menstruation as a symptom (such as Sheng Yu Tang for instance).

Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.

Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.

Read more about Dong Quai here

Why might Szechuan Lovage Root (Chuan Xiong) help with absence of menstruation?

Because it is both specifically indicated to treat absence of menstruation and also because it is an ingredient in herbal formulas known to treat absence of menstruation as a symptom (such as Shao Fu Zhu Yu Tang for instance).

Szechuan Lovage Roots is a Warm herb that tastes Pungent. It targets the Gallbladder, the Liver and the Pericardium.

Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.

Read more about Szechuan Lovage Roots here

Why might Mudan Peony Bark (Mu Dan Pi) help with absence of menstruation?

Because it is both specifically indicated to treat absence of menstruation and also because it is an ingredient in herbal formulas known to treat absence of menstruation as a symptom (such as Da Huang Mu Dan Pi Tang for instance).

Mudan Peony Bark is a Cool herb that tastes Bitter and Pungent. It targets the Heart, the Kidney and the Liver.

Its main actions are: Cools the Blood, activates Blood circulation and resolves Blood stasis.

Read more about Mudan Peony Bark here

Why might Peach Kernel (Tao Ren) help with absence of menstruation?

Because it is both specifically indicated to treat absence of menstruation and also because it is an ingredient in herbal formulas known to treat absence of menstruation as a symptom (such as Tao He Cheng Qi Tang for instance).

Peach Kernels is a Neutral herb that tastes Bitter and Sweet. It targets the Heart, the Large intestine and the Liver.

Its main actions are: Moves Blood and breaks up Stasis. Moistens the Intestines. Relieves coughing.

Read more about Peach Kernels here

Why might Safflower (Hong Hua) help with absence of menstruation?

Because it is both specifically indicated to treat absence of menstruation and also because it is an ingredient in herbal formulas known to treat absence of menstruation as a symptom (such as Xue Fu Zhu Yu Tang for instance).

Safflowers is a Warm herb that tastes Pungent. It targets the Heart and the Liver.

Its main actions are: Moves Stagnant Blood and regulates menses. Relieves pain caused by Blood Stasis.

Read more about Safflowers here