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.
Hot flushes 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 hot flushes 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 hot flushes is often associated with dizziness, night sweats and tinnitus in the pattern “Kidney and Liver Yin Deficiency”. As you will see below, we have in record three patterns that can cause hot flushes.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of hot flushes 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 hot flushes.
The three "patterns of disharmony" that can cause hot flushes
In Chinese Medicine hot flushes is a symptom for 3 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 and Liver Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
In addition to hot flushes, other symptoms associated with Kidney and Liver Yin Deficiency include dizziness, night sweats and tinnitus.
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".
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 hot flushes, other symptoms associated with Kidney Yin Deficiency include dizziness, night sweats and tinnitus.
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)".
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 hot flushes, other symptoms associated with Qi and Blood Stagnation include dizziness, irritability and depression.
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".
Four herbal formulas that might help with hot flushes
Wen Jing Tang
Source date: 220 AD
Number of ingredients: 12 herbs
Key actions: Warms the Uterus and vessels. Nourishes Blood. Dispels Cold. Dispels Blood Stagnation.
Why might Wen Jing Tang help with hot flushes?
Because it is a formula often recommended to treat the pattern 'Qi and Blood Stagnation' of which hot flushes is a symptom.
According to Chinese Medicine, Qi and Blood Stagnation can contribute to many health issues, including Menopausal Syndrome.
Zuo Gui Yin
Source date: 1624 AD
Number of ingredients: 6 herbs
Key actions: Nourishes the Yin. Tonifies the Kidneys.
Why might Zuo Gui Yin help with hot flushes?
Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which hot flushes is a symptom.
According to Chinese Medicine, Kidney and Liver Yin Deficiency can contribute to many health issues, including Menopausal Syndrome.
Qi Ju Di Huang Wan
Source date: 1350 AD
Number of ingredients: 8 herbs
Key actions: Nourishes Kidney and Liver Yin. Improves vision.
Why might Qi Ju Di Huang Wan help with hot flushes?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which hot flushes is a symptom.
According to Chinese Medicine, Kidney Yin Deficiency can contribute to many health issues, including Menopausal Syndrome.
Ge Xia Zhu Yu Tang
Source date: 1830 AD
Number of ingredients: 12 herbs
Key actions: Invigorates Blood. Eliminates Blood Stagnation below the diaphragm. Stops pain. Promotes Qi movement.
Why might Ge Xia Zhu Yu Tang help with hot flushes?
Because it is a formula often recommended to treat the pattern 'Qi and Blood Stagnation' of which hot flushes is a symptom.
According to Chinese Medicine, Qi and Blood Stagnation can contribute to many health issues, including Menopausal Syndrome.
The five Chinese Medicinal herbs most likely to help treat hot flushes
Why might Dong Quai (Dang Gui) help with hot flushes?
Because Dong Quai is an ingredient in several formulas indicated to treat hot flushes as a symptom, like Wen Jing Tang or Ge Xia Zhu 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.
Why might Poria-Cocos Mushroom (Fu Ling) help with hot flushes?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat hot flushes as a symptom, like Gui Zhi Fu Ling Wan or Zuo Gui Yin for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Spleen, the Heart, the Kidney and the Lung.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might Mudan Peony Bark (Mu Dan Pi) help with hot flushes?
Because Mudan Peony Bark is an ingredient in several formulas indicated to treat hot flushes as a symptom, like Gui Shao Di Huang Tang or Gui Zhi Fu Ling Wan 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 Yam (Shan Yao) help with hot flushes?
Because Yam is an ingredient in several formulas indicated to treat hot flushes as a symptom, like Gui Shao Di Huang Tang or Qi Ju Di Huang Wan for instance.
Yam is a Neutral herb that tastes Sweet. It targets the Spleen, the Kidney and the Lung.
Its main actions are: Tonifies the Spleen and Stomach. Tonifies the Lung Qi and nourishes the Lung Yin. Nourishes the Kidneys and consolidates Jing.
Why might Liquorice (Gan Cao) help with hot flushes?
Because Liquorice is an ingredient in several formulas indicated to treat hot flushes as a symptom, like Zuo Gui Yin or Ge Xia Zhu Yu Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.
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.
Conditions associated with hot flushes
Other symptoms often associated with hot flushes
Dizziness Night sweats Tinnitus Irritability Depression Dry throat Irregular menstruation Palpitations Frequent urination Malar flush