Scanty Menstruationaccording to TCM

What is Scanty Menstruation?

Scanty menstruation, often referred to as oligomenorrhea, is a condition characterized by menstrual periods that are unusually light or brief. This symptom encompasses various forms, including light menstrual flow and decreased menstrual flow, reflecting different degrees of menstrual insufficiency.

The deviation from normal menstrual patterns indicates an underlying irregularity that can be influenced by various factors.

How does TCM view Scanty Menstruation?

Traditional Chinese Medicine (TCM) approaches scanty menstruation through a holistic lens, viewing it as a manifestation of imbalances within the body's Qi (vital energy) and blood. TCM doesn't isolate menstrual issues but rather sees them as part of a larger systemic imbalance.

This perspective differs from Western medicine by focusing on restoring overall harmony and addressing root causes like Blood Deficiency, Yin Deficiency, and Blood Stagnation.

Root Causes of Scanty Menstruation in TCM

In TCM, multiple patterns are recognized as potential causes of scanty menstruation. Blood Deficiency, for instance, is often identified by symptoms such as dizziness, pale lips, and insomnia alongside reduced menstrual flow, indicating a lack of nourishing blood in the body. Similarly, Yin Deficiency might present as back pain, knee pain, dizziness, and a pale menstrual flow, suggesting a depletion of the body's cooling and moistening energy.

Blood Stagnation, another common pattern in TCM, could manifest through symptoms like menstrual cramps, dark menstrual blood, and a dark complexion, pointing to impaired blood circulation. Additionally, Damp-Phlegm in the Uterus is characterized by symptoms like abdominal heaviness, feeling of chest oppression, and generalized fatigue, indicating an accumulation of dampness affecting menstrual regularity.

Explore below more details about what might cause Scanty menstruation according to TCM.

  • By Syndrome
  • By Organ
  • Blood Deficiency
  • Blood Stasis
  • Yin Deficiency
  • Phlegm
  • Qi Deficiency
  • Qi Stagnation
  • Dampness
  • Kidney
  • Uterus
Detailed description of the cause

Blood Deficiency

Blood Deficiency in TCM is like when your body's tank runs low on the vital energy that blood provides. It's not exactly the same as anemia in modern medicine, which is about having too few red blood cells. Instead, Blood Deficiency in TCM is about your body not having enough of the life-giving qualities that blood brings, like nourishment and moisture. This can make you feel tired, look pale, and even feel dizzy or have blurry vision. It's like a garden not getting enough water to stay lush and vibrant. TCM sees this as an imbalance where the body isn't being nourished as it should be, impacting overall health and well-being.... see more

Blood Deficiency Patterns That Can Lead to Scanty Menstruation

Common Symptoms: Dizziness Amenorrhea Pale Lips Poor Memory Insomnia Tingling Blurry Vision Depression

Pattern Name Relevant Symptoms Relevant Formulas
Blood Deficiency Scanty periods, hypomenorrhea, hypomenorrhoea, scanty menstruation, Dizziness, Amenorrhea, Dull shallow face, Pale lips, Poor memory, Insomnia Ren Shen Zi Xie Tang | Si Wu Tang
Qi and Blood Deficiency Menstruation decreases gratually, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more Shi Quan Da Bu Tang | Ren Shen Yang Rong Tang | Bu Zhong Yi Qi Tang | Gui Pi Tang
Detailed description of the cause

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Scanty Menstruation

Common Symptoms: Dark Face Purple Lips Stabbing Fixed Pain Abdominal Masses Purple Nails Menstrual Cramps Dark Menstrual Clots Dark Menstrual Blood

Pattern Name Relevant Symptoms Relevant Formulas
Blood Stagnation Scanty periods, hypomenorrhea, hypomenorrhoea, scanty menstruation, Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps, Dark menstrual clots, Dark menstrual blood, Lumps... see more Tao Hong Si Wu Tang | Ge Xia Zhu Yu Tang | Shao Fu Zhu Yu Tang
Qi And Blood Stagnation Menstruation decreases gratually, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Tao Hong Si Wu Tang | Ge Xia Zhu Yu Tang | Shao Fu Zhu Yu Tang | Wu Yao Tang | Jia Wei Xiao Yao San | Wei Jing Tang
Detailed description of the cause

Yin Deficiency

Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more

Yin Deficiency Patterns That Can Lead to Scanty Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Kidney-Deficiency Scanty periods, hypomenorrhea, hypomenorrhoea, scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities, Pale face... see more Dang Gui Di Huang Yin | Shi Quan Da Bu Tang | He Che Da Zao Wan
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Scanty Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Scanty periods, hypomenorrhea, hypomenorrhoea, scanty menstruation, Menstruation decreases gratually, Late menstruation, Amenorrhea, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang | Bu Zhong Yi Qi Tang | Xiang Sha Liu Jun Zi Tang
Detailed description of the cause

Qi Deficiency

Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more

Qi Deficiency Patterns That Can Lead to Scanty Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Qi and Blood Deficiency Menstruation decreases gratually, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more Shi Quan Da Bu Tang | Ren Shen Yang Rong Tang | Bu Zhong Yi Qi Tang | Gui Pi Tang
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Scanty Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Qi And Blood Stagnation Menstruation decreases gratually, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Tao Hong Si Wu Tang | Ge Xia Zhu Yu Tang | Shao Fu Zhu Yu Tang | Wu Yao Tang | Jia Wei Xiao Yao San | Wei Jing Tang
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Scanty Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Scanty periods, hypomenorrhea, hypomenorrhoea, scanty menstruation, Menstruation decreases gratually, Late menstruation, Amenorrhea, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang | Bu Zhong Yi Qi Tang | Xiang Sha Liu Jun Zi Tang
Detailed description of the cause

Kidney

In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more

Kidney Patterns That Can Lead to Scanty Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Kidney-Deficiency Scanty periods, hypomenorrhea, hypomenorrhoea, scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities, Pale face... see more Dang Gui Di Huang Yin | Shi Quan Da Bu Tang | He Che Da Zao Wan
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Scanty Menstruation

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Scanty periods, hypomenorrhea, hypomenorrhoea, scanty menstruation, Menstruation decreases gratually, Late menstruation, Amenorrhea, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Xiong Gui Er Chen Tang | Bu Zhong Yi Qi Tang | Xiang Sha Liu Jun Zi Tang

TCM Herbal Formulas for Scanty Menstruation

In treating scanty menstruation, TCM practitioners often prescribe specific formulas and herbs tailored to the patient's unique pattern. For Blood Deficiency, formulas such as Ren Shen Zi Xie Tang and Si Wu Tang, containing Ginseng and Prepared Rehmannia, are utilized to enhance blood nourishment. Addressing Yin Deficiency might involve the use of Dang Gui Di Huang Yin and Shi Quan Da Bu Tang, with key herbs like Dong quai and Milkvetch Roots, aimed at replenishing the body's Yin energy.

To combat Blood Stagnation, Tao Hong Si Wu Tang and Ge Xia Zhu Yu Tang are often recommended, leveraging the blood-invigorating properties of Peach Kernels and Szechuan Lovage Roots.

For conditions like Damp-Phlegm in the Uterus, formulas like Cang Fu Dao Tan Wan and Xiong Gui Er Chen Tang, incorporating Coco-Grass Rhizomes and Dong quai, are prescribed to address phlegm and dampness within the body. These treatments are carefully selected based on individual diagnostic patterns, focusing on restoring the body's natural balance and alleviating symptoms associated with scanty menstruation.

Explore below some TCM herbal formulas used to address scanty menstruation, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Blood Deficiency
  • Blood Stasis
  • Yin Deficiency
  • Phlegm
  • Qi Deficiency
  • Qi Stagnation
  • Dampness
  • Formulas that tonify blood
  • Formulas that tonify yin and yang
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that dry dampness and transform phlegm
  • Formulas that tonify
  • Formulas that tonify qi
  • Formulas that tonify qi and blood
  • Formulas that promote qi movement
  • Formulas that harmonize liver-Spleen
  • Formulas that clear internal abscesses and sores
  • Formulas that dispel phlegm

All Formulas Recommended for Scanty Menstruation Caused by Blood Deficiency

Formula Patterns Suitable For
Shi Quan Da Bu Tang Qi and Blood Deficiency
Bu Zhong Yi Qi Tang Qi and Blood Deficiency
Ren Shen Zi Xie Tang Blood Deficiency
Si Wu Tang Blood Deficiency
Ren Shen Yang Rong Tang Qi and Blood Deficiency
Gui Pi Tang Qi and Blood Deficiency

All Formulas Recommended for Scanty Menstruation Caused by Blood Stasis

Formula Patterns Suitable For
Tao Hong Si Wu Tang Blood Stagnation, Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Blood Stagnation, Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Blood Stagnation, Qi And Blood Stagnation
Wu Yao Tang Qi And Blood Stagnation
Jia Wei Xiao Yao San Qi And Blood Stagnation
Wei Jing Tang Qi And Blood Stagnation

All Formulas Recommended for Scanty Menstruation Caused by Yin Deficiency

Formula Patterns Suitable For
Shi Quan Da Bu Tang Kidney-Deficiency
Dang Gui Di Huang Yin Kidney-Deficiency
He Che Da Zao Wan Kidney-Deficiency

All Formulas Recommended for Scanty Menstruation Caused by Phlegm

Formula Patterns Suitable For
Bu Zhong Yi Qi Tang Damp-Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus

All Formulas Recommended for Scanty Menstruation Caused by Qi Deficiency

Formula Patterns Suitable For
Shi Quan Da Bu Tang Qi and Blood Deficiency
Bu Zhong Yi Qi Tang Qi and Blood Deficiency
Ren Shen Yang Rong Tang Qi and Blood Deficiency
Gui Pi Tang Qi and Blood Deficiency

All Formulas Recommended for Scanty Menstruation Caused by Qi Stagnation

Formula Patterns Suitable For
Tao Hong Si Wu Tang Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Wu Yao Tang Qi And Blood Stagnation
Jia Wei Xiao Yao San Qi And Blood Stagnation
Wei Jing Tang Qi And Blood Stagnation

All Formulas Recommended for Scanty Menstruation Caused by Dampness

Formula Patterns Suitable For
Bu Zhong Yi Qi Tang Damp-Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus

All "formulas that tonify blood" recommended for scanty menstruation

Formula Patterns Suitable For (if applicable)
Tao Hong Si Wu Tang Blood Stagnation, Qi And Blood Stagnation
Ren Shen Zi Xie Tang Blood Deficiency
Si Wu Tang Blood Deficiency
Dang Gui Di Huang Yin Kidney-Deficiency
Bu Gan Tang Not applicable

All "formulas that tonify yin and yang" recommended for scanty menstruation

Formula Patterns Suitable For (if applicable)
Shi Quan Da Bu Tang Kidney-Deficiency, Qi and Blood Deficiency
He Che Da Zao Wan Kidney-Deficiency

All "formulas that invigorate blood and dispel blood stagnation" recommended for scanty menstruation

Formula Patterns Suitable For (if applicable)
Ge Xia Zhu Yu Tang Blood Stagnation, Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Blood Stagnation, Qi And Blood Stagnation

All "formulas that dry dampness and transform phlegm" recommended for scanty menstruation

Formula Patterns Suitable For (if applicable)
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

TCM Herbs for Scanty Menstruation

Explore below some TCM herbs used to address scanty menstruation, organized by herb category.

  • By Herb Category
  • Herbs that invigorate the blood
  • Tonic herbs for qi deficiency
  • Tonic herbs for blood deficiency
  • Herbs that regulate qi
  • Tonic herbs for yang deficiency
  • Aromatic herbs that transform dampness
  • Cool/Acrid herbs that release the exterior
  • Herbs that clear heat and purge fire and/or clear summer heat

"Herbs that regulate Qi" recommended for scanty menstruation

Herb Formulas they belong to (if applicable)
Coco-Grass Rhizomes (Xiang Fu) Cang Fu Dao Tan Wan
Lindera Roots (Wu Yao) Wu Yao Tang