Excessive menstrual discharge according to Chinese Medicine

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Excessive menstrual discharge 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 excessive menstrual discharge 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 excessive menstrual discharge is often associated with dizziness, irritability and feeling of heat in the pattern “Stagnant Liver-Qi turning into Fire”. As you will see below, we have in record four patterns that can cause excessive menstrual discharge.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of excessive menstrual discharge we’ve identified four 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 excessive menstrual discharge.

The four "patterns of disharmony" that can cause excessive menstrual discharge

In Chinese Medicine excessive menstrual discharge is a symptom for 4 patterns that we have on record. Below is a small explanation for each of them with links for more details.

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

Stagnant Liver-Qi turning into Fire

Pulse type(s): Wiry (Xian)

Tongue color: Red points on the sides

This pattern develops from Liver Qi Stagnation, which creates excessive amount of Heat and then turn into Liver Fire. The Heat is more intense here.

In addition to excessive menstrual discharge, other symptoms associated with Stagnant Liver-Qi turning into Fire include dizziness, irritability and feeling of heat.

From a Western Medicine standpoint Stagnant Liver-Qi turning into Fire is associated with health issues such as Menstrual Cramps or Spontaneous Flow Of Breast Milk.

Stagnant Liver-Qi turning into Fire is often treated with Dan Zhi Xiao Yao San, a herbal formula made of 8 herbs (including Mudan Peony Bark - Mu Dan Pi - as a key herb). Dan Zhi Xiao Yao San belongs to the category of "formulas that clear liver-heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Liver Fire from Stagnant Liver Qi".

Read more about Stagnant Liver-Qi turning into Fire here

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 excessive menstrual discharge, other symptoms associated with Heat in the Blood include dizziness, irritability and scanty periods.

From a Western Medicine standpoint Heat in the Blood is associated with health issues such as Early Menstruation, Abnormal Uterine Bleeding or Heavy Menstruation.

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".

Read more about Heat in the Blood 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 excessive menstrual discharge, other symptoms associated with Qi and Blood Stagnation include dizziness, irritability and scanty periods.

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

Phellodendron Bark (Huang Bo) is the king ingredient for Er Miao San, a formula used for Damp-Heat

Damp-Heat

Pulse type(s): Rapid (Shu), Slippery (Hua)

Tongue coating: Sticky coating, Yellow coating

Tongue color: Red

In addition to excessive menstrual discharge, other symptoms associated with Damp-Heat include dizziness, feeling of heat and restlessness.

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 Er Miao San, a herbal formula made of 2 herbs (including Phellodendron Bark - Huang Bo - as a key herb). Er Miao San belongs to the category of "formulas that expel dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Expels Dampness from the Lower Burner".

Read more about Damp-Heat here

Four herbal formulas that might help with excessive menstrual discharge

Xuan Yu Tong Jing Tang

Source date: 1826 AD

Number of ingredients: 10 herbs

Key actions: Pacifies the Liver. Removes Stagnation. Drains Fire. Unblocks the Meridians.

Why might Xuan Yu Tong Jing Tang help with excessive menstrual discharge?

Because it is a formula often recommended to treat the pattern 'Stagnant Liver-Qi turning into Fire' of which excessive menstrual discharge is a symptom.

According to Chinese Medicine, Stagnant Liver-Qi turning into Fire can contribute to many health issues, including Menstrual Cramps.

Read more about Xuan Yu Tong Jing Tang here

Jia Wei Xiao Yao San

Source date: Ming dynasty

Number of ingredients: 10 herbs

Key actions: Clears Liver and Spleen Qi Stagnation. Tonifies Spleen. Clears Deficient Heat. Nourishes the blood.

Why might Jia Wei Xiao Yao San help with excessive menstrual discharge?

Because it is a formula often recommended to treat the pattern 'Qi and Blood Stagnation' of which excessive menstrual discharge is a symptom.

According to Chinese Medicine, Qi and Blood Stagnation can contribute to many health issues, including Menstrual Cramps.

Read more about Jia Wei Xiao Yao San here

Xiao Yao San

Source date: 1107 AD

Number of ingredients: 6 herbs

Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.

Why might Xiao Yao San help with excessive menstrual discharge?

Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which excessive menstrual discharge is a symptom.

According to Chinese Medicine, Damp-Heat can contribute to many health issues, including Menstrual Cramps.

Read more about Xiao Yao San here

Liang Di Tang

Source date: 1826 AD

Number of ingredients: 6 herbs

Key actions: Nourishes Yin. Cools Blood. Stop bleeding.

Why might Liang Di Tang help with excessive menstrual discharge?

Because it is a formula often recommended to treat the pattern 'Heat in the Blood' of which excessive menstrual discharge is a symptom.

According to Chinese Medicine, Heat in the Blood can contribute to many health issues, including Early Menstruation.

Read more about Liang Di Tang here

The five Chinese Medicinal herbs most likely to help treat excessive menstrual discharge

Why might White Peony Root (Bai Shao) help with excessive menstrual discharge?

Because White Peony Root is an ingredient in several formulas indicated to treat excessive menstrual discharge as a symptom, like Xuan Yu Tong Jing Tang or Jia Wei Xiao Yao San for instance.

White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Spleen and the Liver.

Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.

Read more about White Peony Roots here

Why might Dong Quai (Dang Gui) help with excessive menstrual discharge?

Because Dong Quai is an ingredient in several formulas indicated to treat excessive menstrual discharge as a symptom, like Xuan Yu Tong Jing Tang or Xiao Yao San 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 Mudan Peony Bark (Mu Dan Pi) help with excessive menstrual discharge?

Because Mudan Peony Bark is an ingredient in several formulas indicated to treat excessive menstrual discharge as a symptom, like Dan Zhi Xiao Yao San or Qing Re Tiao Xue 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 Bupleurum Root (Chai Hu) help with excessive menstrual discharge?

Because Bupleurum Root is an ingredient in several formulas indicated to treat excessive menstrual discharge as a symptom, like Jia Wei Xiao Yao San or Xiao Yao San for instance.

Bupleurum Roots is a Cool herb that tastes Bitter. It targets the Gallbladder and the Liver.

Its main actions are: Harmonizes exterior and interior. Smoothes the Liver and upraises the Yang.

Read more about Bupleurum Roots here

Why might Unprepared Rehmannia (Di Huang) help with excessive menstrual discharge?

Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat excessive menstrual discharge as a symptom, like Liang Di Tang or Xi Jiao Di Huang Tang for instance.

Unprepared Rehmannia is a Cold herb that tastes Sweet. It targets the Heart, the Kidney and the Liver.

Its main actions are: Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes.

Read more about Unprepared Rehmannia here

Conditions associated with excessive menstrual discharge

Menstrual cramps Early menstruation Abnormal uterine bleeding