Pale menstrual blood according to Chinese Medicine

TCM Education Center > Symptoms list > Pale menstrual blood

Pale menstrual blood 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 pale menstrual blood 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 pale menstrual blood is often associated with dizziness, scanty periods and late period in the pattern “Phlegm”. As you will see below, we have in record five patterns that can cause pale menstrual blood.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of pale menstrual blood 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 pale menstrual blood.

The five "patterns of disharmony" that can cause pale menstrual blood

In Chinese Medicine pale menstrual blood 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.

Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Er Chen Tang, a formula used for Phlegm

Phlegm

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Sticky coating, Thick coating

Tongue shape: Swollen

The concept of Phlegm is much wider and important in Chinese Medicine than in the West. Broadly speaking, Phlegm is a substance produced when the body fails to handle Body Fluids properly.

In addition to pale menstrual blood, other symptoms associated with Phlegm include dizziness, scanty periods and late period.

From a Western Medicine standpoint Phlegm is associated with health issues such as Low Breast Milk Supply, Late Menstruation or Scanty Menstruation.

Phlegm is often treated with Er Chen Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Er Chen Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries Damp and dispels Phlegm".

Read more about Phlegm here

Prepared Rehmannia (Shu Di huang) is the king ingredient for Si Wu Tang, a formula used for Blood Deficiency

Blood Deficiency

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

Tongue color: Pale

Someone has a Deficiency of Blood when their entire body, a part of body or a particular Organ is insufficiently nourished by Blood.

This can be caused by blood-loss, a lack of of Spleen Qi (responsible to produce Blood) or congealed Blood which prevents new Blood from forming.

In addition to pale menstrual blood, other symptoms associated with Blood Deficiency include dizziness, scanty periods and late period.

From a Western Medicine standpoint Blood Deficiency is associated with health issues such as Late Menstruation or Scanty Menstruation.

Blood Deficiency is often treated with Si Wu Tang, a herbal formula made of 4 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). 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 Blood 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 pale menstrual blood, other symptoms associated with Kidney Yin Deficiency include dizziness, scanty periods and malar flush.

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

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 pale menstrual blood, other symptoms associated with Qi Deficiency include dizziness, fatigue and palpitations.

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".

Read more about Qi Deficiency here

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

Kidney-Deficiency

Pulse type(s): Deep (Chen), Weak (Ruo)

Tongue color: Pale

In addition to pale menstrual blood, other symptoms associated with Kidney-Deficiency include dizziness, scanty periods and tinnitus.

From a Western Medicine standpoint Kidney-Deficiency is associated with health issues such as Scanty Menstruation.

Kidney-Deficiency is often treated with Dang Gui Di Huang Yin, a herbal formula made of 7 herbs (including Dong Quai - Dang Gui - as a key herb). Dang Gui Di Huang Yin 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: "Nourishes Blood".

Read more about Kidney-Deficiency here

Five herbal formulas that might help with pale menstrual blood

Xiong Gui Er Chen Tang

Source date: 1575 AD

Number of ingredients: 7 herbs

Key actions: Resolves Damp-Phlegm. Nourishes Blood.

Why might Xiong Gui Er Chen Tang help with pale menstrual blood?

Because it is a formula often recommended to treat the pattern 'Phlegm' of which pale menstrual blood is a symptom.

According to Chinese Medicine, Phlegm can contribute to many health issues, including Late Menstruation.

Read more about Xiong Gui Er Chen 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 pale menstrual blood?

Because it is a formula often recommended to treat the pattern 'Kidney-Deficiency' of which pale menstrual blood is a symptom.

According to Chinese Medicine, Kidney-Deficiency can contribute to many health issues, including Scanty Menstruation.

Read more about Dang Gui Di Huang Yin here

Da Bu Yuan Jian

Source date: 1624 AD

Number of ingredients: 8 herbs

Key actions: Tonifies Yin and Blood. Nourishes Qi and Yang.

Why might Da Bu Yuan Jian help with pale menstrual blood?

Because it is a formula often recommended to treat the pattern 'Blood Deficiency' of which pale menstrual blood is a symptom.

According to Chinese Medicine, Blood Deficiency can contribute to many health issues, including Late Menstruation.

Read more about Da Bu Yuan Jian here

Liu Wei Di Huang Wan

Source date: 1119 AD

Number of ingredients: 6 herbs

Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).

Why might Liu Wei Di Huang Wan help with pale menstrual blood?

Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which pale menstrual blood is a symptom.

According to Chinese Medicine, Kidney Yin Deficiency can contribute to many health issues, including Irregular Menstruation.

Read more about Liu Wei Di Huang Wan here

Ju Yuan Jian

Source date: 1624 AD

Number of ingredients: 5 herbs

Key actions: Tonifies Qi and Blood.

Why might Ju Yuan Jian help with pale menstrual blood?

Because it is a formula often recommended to treat the pattern 'Qi Deficiency' of which pale menstrual blood is a symptom.

According to Chinese Medicine, Qi Deficiency can contribute to many health issues, including Heavy Menstruation.

Read more about Ju Yuan Jian here

The five Chinese Medicinal herbs most likely to help treat pale menstrual blood

Why might Dong Quai (Dang Gui) help with pale menstrual blood?

Because Dong Quai is an ingredient in several formulas indicated to treat pale menstrual blood as a symptom, like Xiong Gui Er Chen Tang or Dang Gui Di Huang Yin 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 Prepared Rehmannia (Shu Di Huang) help with pale menstrual blood?

Because Prepared Rehmannia is an ingredient in several formulas indicated to treat pale menstrual blood as a symptom, like Da Bu Yuan Jian or Liu Wei Di Huang Wan for instance.

Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.

Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.

Read more about Prepared Rehmannia here

Why might Ginseng (Ren Shen) help with pale menstrual blood?

Because Ginseng is an ingredient in several formulas indicated to treat pale menstrual blood as a symptom, like Gui Pi Tang or Ren Shen Yang Rong Tang for instance.

Ginseng is a Warm herb that tastes Bitter and Sweet. It targets the Spleen, the Heart and the Lung.

Its main actions are: Very strongly tonifies the Qi. Tonifies the Lungs and Spleen. Assists the body in the secretion of Fluids and stops thirst. Strengthens the Heart and calms the Shen (mind/spirit).

Read more about Ginseng here

Why might Liquorice (Gan Cao) help with pale menstrual blood?

Because Liquorice is an ingredient in several formulas indicated to treat pale menstrual blood as a symptom, like Ju Yuan Jian or Bu Zhong Yi Qi 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.

Read more about Liquorice here

Why might Poria-Cocos Mushroom (Fu Ling) help with pale menstrual blood?

Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat pale menstrual blood as a symptom, like Ren Shen Zi Xie Tang or Xiang Sha Liu Jun Zi Tang 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.

Read more about Poria-Cocos Mushrooms here