Heavy menstruation according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
excessive menstrual discharge, excessive menstruation, excessive periods, heavy periods, menorrhagia, profuse menstruation and profuse periods redirect here
Heavy 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 heavy 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 heavy menstruation is often associated with feeling of heat, anxiety and dark clots in menstrual blood in the pattern “Heat in the Blood”. As you will see below, we have in record five patterns that can cause heavy menstruation.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of heavy 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 heavy menstruation.
The five "patterns of disharmony" that can cause heavy menstruation
In Chinese Medicine heavy 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.
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 heavy menstruation, other symptoms associated with Heat in the Blood include feeling of heat, anxiety and dark clots in menstrual blood.
From a Western Medicine standpoint Heat in the Blood is associated with health issues such as Early Menstruation or Abnormal Uterine Bleeding.
Heat in the Blood is often treated with Xi Jiao Di Huang Tang, a herbal formula made of 4 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Xi Jiao Di Huang Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats severe fevers and Heat in the Blood system".
Ginseng (Ren Shen) is the king ingredient for Si Jun Zi Tang, a formula used for Qi Deficiency
Qi Deficiency
Pulse type(s): Empty (Xu), Weak (Ruo)
Tongue color: Pale
Qi Deficiency simply means lack of Qi. It includes the lack of Original Qi, Nutritive Qi, Defensive Qi or the Qi that resides in Organs or Channels. It mainly manifests itself in a weakened function of Organs and a declining ability of the body to resist diseases.
In addition to heavy menstruation, other symptoms associated with Qi Deficiency include palpitations, thin and watery periods and dizziness.
From a Western Medicine standpoint Qi Deficiency is associated with health issues such as Abnormal Uterine Bleeding or Heavy Menstruation.
Qi Deficiency is often treated with Si Jun Zi Tang, a herbal formula made of 4 herbs (including Ginseng - Ren Shen - as a key herb). Si Jun Zi Tang belongs to the category of "formulas that tonify qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi".
Water Buffalo Horns (Shui Niu Jiao) is the king ingredient for Xi Jiao Di Huang Tang, a formula used for Loss of Blood
Loss of Blood
In addition to heavy menstruation, other symptoms associated with Loss of Blood include dark clots in menstrual blood, bloody sputum and bloody stools.
Loss of 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".
Peach Kernels (Tao Ren) is the king ingredient for Tao He Cheng Qi Tang, a formula used for Blood Stagnation
Blood Stagnation
Pulse type(s): Choppy (Se), Firm (Lao), Wiry (Xian)
Tongue color: Reddish-Purple
Blood Stagnation, like the name indicates, is when Blood flow becomes Stagnant. It can happen in the whole body or in specific Organs. It is one of the most important diagnostic conditions in Chinese Medicine because it is frequently the cause of intractable pain syndromes anywhere in the body.
In addition to heavy menstruation, other symptoms associated with Blood Stagnation include dark clots in menstrual blood, restlessness and dizziness.
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".
Baikal Skullcap Roots (Huang Qin) is the king ingredient for Qing Re Gu Jing Tang, a formula used for Heat in Uterus Blood
Heat in Uterus Blood
Pulse type(s): Rapid (Shu), Wiry (Xian)
In addition to heavy menstruation, other symptoms associated with Heat in Uterus Blood include feeling of heat, anxiety and restlessness.
From a Western Medicine standpoint Heat in Uterus Blood is associated with health issues such as Heavy Menstruation.
Heat in Uterus Blood is often treated with Qing Re Gu Jing Tang, a herbal formula made of 11 herbs (including Baikal Skullcap Roots - Huang Qin - as a key herb). Qing Re Gu Jing Tang belongs to the category of "formulas that clear heat from deficiency", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Empty Heat".
Five herbal formulas that might help with heavy menstruation
Gu Jing Wan
Source date: 1481 AD
Number of ingredients: 6 herbs
Key actions: Nourishes Yin . Clears Heat. Stops bleeding. Stabilizes the menses.
Why might Gu Jing Wan help with heavy menstruation?
Because it is a formula often recommended to treat the pattern 'Heat in the Blood' of which heavy periods is a symptom.
Si Jun Zi Tang
Source date: 1107 AD
Number of ingredients: 4 herbs
Key actions: Tonifies Qi. Strengthens the Spleen and Stomach.
Why might Si Jun Zi Tang help with heavy menstruation?
Because it is a formula often recommended to treat the pattern 'Qi Deficiency' of which heavy menstruation is a symptom.
Xi Jiao Di Huang Tang
Source date: 650 AD
Number of ingredients: 4 herbs
Key actions: Treats severe fevers and Heat in the Blood system. Removes Blood Stagnation.
Why might Xi Jiao Di Huang Tang help with heavy menstruation?
Because it is a formula often recommended to treat the pattern 'Loss of Blood' of which heavy periods is a symptom.
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 heavy menstruation?
Because it is a formula often recommended to treat the pattern 'Blood Stagnation' of which heavy menstruation is a symptom.
Qing Re Gu Jing Tang
Source date: 1988
Number of ingredients: 11 herbs
Key actions: Clears Empty Heat. Tonifies the Kidney Yin. Stops bleeding. Supplies Body Fluids.
Why might Qing Re Gu Jing Tang help with heavy menstruation?
Because it is a formula often recommended to treat the pattern 'Heat in Uterus Blood' of which heavy periods is a symptom.
Acupuncture points used for heavy menstruation
The five Chinese Medicinal herbs most likely to help treat heavy menstruation
Why might White Peony Root (Bai Shao) help with heavy menstruation?
Because White Peony Root is an ingredient in several formulas indicated to treat heavy menstruation as a symptom, like Xuan Yu Tong Jing Tang or Gu Jing Wan for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
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.
Why might Liquorice (Gan Cao) help with heavy menstruation?
Because Liquorice is an ingredient in several formulas indicated to treat heavy menstruation as a symptom, like Si Jun Zi Tang or Jia Wei Xiao Yao San for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Mudan Peony Bark (Mu Dan Pi) help with heavy menstruation?
Because Mudan Peony Bark is an ingredient in several formulas indicated to treat heavy menstruation 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.
Why might Dong Quai (Dang Gui) help with heavy menstruation?
Because Dong Quai is an ingredient in several formulas indicated to treat heavy menstruation as a symptom, like Xuan Yu Tong Jing Tang or Bu Gan Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
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.
Why might Unprepared Rehmannia (Di Huang) help with heavy menstruation?
Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat heavy menstruation as a symptom, like Liang Di Tang or Qing Re Tiao Xue 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.
Other symptoms often associated with heavy menstruation
Palpitations Feeling of heat Anxiety Dark clots in menstrual blood Restlessness Thin and watery periods Dizziness Dark Urine Anger Pale menstrual blood