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, depression and night sweats in the pattern “Kidney Yang Deficiency”. 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.

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

Kidney Yang Deficiency

Pulse type(s): Deep (Chen), Slow (Chi)

Tongue coating: Thin white coating

Tongue color: Pale

Tongue shape: Swollen

Kidney Yang Deficiency causes Internal Cold and weakness.

In addition to absence of menstruation, other symptoms associated with Kidney Yang Deficiency include dizziness, depression and night sweats.

From a Western Medicine standpoint Kidney Yang Deficiency is associated with health issues such as Late Menstruation, Menopausal Syndrome or Irregular Menstruation.

Kidney Yang Deficiency is often treated with Ba Wei Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Wei Di Huang 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: "Tonifies Yang".

Read more about Kidney Yang Deficiency here

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

Kidney Yin Deficiency

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

Tongue coating: Complete absence of coating

Tongue color: Red

Tongue shape: Cracked

Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.

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

From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.

Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang 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: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".

Read more about Kidney Yin Deficiency here

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

Pericardium Blood Deficiency

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

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

Pericardium Blood Deficiency is often treated with Shen Qi Si Wu Tang, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Shen Qi Si Wu 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: "Restores and nourishes Blood".

Read more about Pericardium Blood Deficiency here

Bupleurum Roots (Chai Hu) is the king ingredient for Xiao Yao San, a formula used for Qi and Blood Stagnation

Qi and Blood Stagnation

Pulse type(s): Choppy (Se), Wiry (Xian)

Tongue color: Normal (light red), Red, Red sides

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 Xiao Yao San, a herbal formula made of 6 herbs (including Bupleurum Roots - Chai Hu - as a key herb). Xiao Yao San belongs to the category of "formulas that harmonize liver-spleen", which might be why it is often recommended for this pattern. Its main action as a formula is: "Harmonizes the function of Liver and Spleen".

Read more about Qi and Blood Stagnation 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

You Gui Wan

Source date: 1624 AD

Number of ingredients: 10 herbs

Key actions: Warms and tonifies Kidney Yang. Replenishes the Essence. Tonifies the Blood.

Why might You Gui Wan help with absence of menstruation?

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

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

Read more about You Gui 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

Dang Gui Di Huang Yin

Source date: 1640 AD

Number of ingredients: 7 herbs

Key actions: Nourishes Blood. Tonifies Kidney and Liver Yin. Regulates the menstrual cycle.

Why might Dang Gui Di Huang Yin help with absence of menstruation?

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

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

Read more about Dang Gui Di Huang Yin here

Si Wu Tang

Source date: 846 AD

Number of ingredients: 4 herbs

Key actions: Restores and nourishes Blood. Stimulates Blood circulation.

Why might Si Wu Tang 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 Si Wu Tang here

Shen Qi Si Wu Tang

Source date: 846 AD

Number of ingredients: 6 herbs

Key actions: Restores and nourishes Blood. Stimulates Blood circulation. Tonifies Qi.

Why might Shen Qi Si Wu Tang help with absence of menstruation?

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

Other symptoms characteristic of Pericardium Blood Deficiency include dizziness, insomnia and palpitations.

Read more about Shen Qi Si Wu Tang here

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 Achyranthes Root (Niu Xi) 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 Dang Gui Di Huang Yin for instance).

Achyranthes Roots is a Neutral herb that tastes Bitter and Sour. It targets the Kidney and the Liver.

Its main actions are: Moves Blood and relieves pain in the raw state. Tonic to the Liver and Kidneys and strengthens the bones and sinews. Reduces Damp-Heat in the Lower Burner. Regulates the flow of reckless Blood caused by either ascendant Liver Yang or Yin Deficient Fire.

Read more about Achyranthes 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 Gui Shao Di Huang 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