Scanty periods 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.
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Scanty periods 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 scanty periods 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 scanty periods is often associated with dizziness, insomnia and blurred vision in the pattern “Blood Deficiency”. As you will see below, we have in record five patterns that can cause scanty periods.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of scanty periods 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 scanty periods.
The five "patterns of disharmony" that can cause scanty periods
In Chinese Medicine scanty periods 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.
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 scanty periods, other symptoms associated with Blood Deficiency include dizziness, insomnia and blurred vision.
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".
Bupleurum Roots (Chai Hu) is the king ingredient for Xiao Yao San, a formula used for Qi Stagnation
Qi Stagnation
Pulse type(s): Tight (Jin), Wiry (Xian)
Tongue coating: Thin white coating
Tongue color: Red sides
Qi Stagnation refers to Qi becoming stuck or stagnant, a bit like a traffic jam on the freeway. This restricted flow of Qi can be body-wide or happen in any specific Organ.
In addition to scanty periods, other symptoms associated with Qi Stagnation include depression, late period and poor appetite.
From a Western Medicine standpoint Qi Stagnation is associated with health issues such as Late Menstruation.
Qi 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".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Blood Deficiency
Pulse type(s): Choppy (Se), Fine (Xi)
Tongue color: Pale
The Liver stores Blood, that is the reason any Blood Deficiency often involves the Liver. This pattern has an impact on areas the Liver relates to, such as the tendons, eyes, nails and menstruation. It arises from the same causes of general Blood Deficiency, such as poor diet, hemorrhages or Kidney Qi or Essence Deficiency.
In addition to scanty periods, other symptoms associated with Liver Blood Deficiency include dizziness, insomnia and blurred vision.
Liver 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".
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Spleen Blood Deficiency
Pulse type(s): Fine (Xi)
In addition to scanty periods, other symptoms associated with Spleen Blood Deficiency include insomnia, amenorrhea and depression.
Spleen Blood Deficiency is often treated with Gui Pi Tang, a herbal formula made of 12 herbs (including Ginseng - Ren Shen - as a key herb). Gui Pi Tang belongs to the category of "formulas that tonify qi and blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies and nourish Qi and Blood".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Wiry (Xian), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red points on the sides
This is a type of empty Fire pattern arising out of Liver Blood Deficiency or Kidney Yin Deficiency. It shares similar symptoms as Liver Blood Deficiency, but with extra signs of Dryness and Yin-Deficient Heat. It can be caused by excessive activity, overwork, 'burning the candle at both ends' without sufficient rest, and poor and irregular diet.
In addition to scanty periods, other symptoms associated with Liver Yin Deficiency include dizziness, insomnia and blurred vision.
Liver Yin Deficiency is often treated with Qi Ju Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Qi Ju 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: "Nourishes Kidney and Liver Yin".
Five herbal formulas that might help with scanty periods
Si Wu Tang
Source date: 846 AD
Number of ingredients: 4 herbs
Key actions: Restores and nourishes Blood. Stimulates Blood circulation.
Why might Si Wu Tang help with scanty periods?
Because it is a formula often recommended to treat the pattern 'Blood Deficiency' of which scanty periods is a symptom.
Chai Hu Shu Gan San
Source date: 1602
Number of ingredients: 7 herbs
Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.
Why might Chai Hu Shu Gan San help with scanty periods?
Because it is a formula often recommended to treat the pattern 'Qi Stagnation' of which scanty periods is a symptom.
Bu Gan Tang
Source date: 1742 AD
Number of ingredients: 7 herbs
Key actions: Tonifies and regulates the Blood. Nourishes the Liver Yin.
Why might Bu Gan Tang help with scanty periods?
Because it is a formula often recommended to treat the pattern 'Liver Blood Deficiency' of which scanty periods is a symptom.
Gui Pi Tang
Source date: 1529 AD
Number of ingredients: 12 herbs
Key actions: Tonifies and nourish Qi and Blood. Tonifies Heart and Spleen.
Why might Gui Pi Tang help with scanty periods?
Because it is a formula often recommended to treat the pattern 'Spleen Blood Deficiency' of which scanty periods is a symptom.
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 scanty periods?
Because it is a formula often recommended to treat the pattern 'Liver Yin Deficiency' of which scanty periods is a symptom.
Acupuncture points used for scanty periods
The five Chinese Medicinal herbs most likely to help treat scanty periods
Why might Dong Quai (Dang Gui) help with scanty periods?
Because Dong Quai is an ingredient in several formulas indicated to treat scanty periods as a symptom, like Sheng Yu Tang or Xiong Gui Er Chen 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 Liquorice (Gan Cao) help with scanty periods?
Because Liquorice is an ingredient in several formulas indicated to treat scanty periods as a symptom, like Gui Pi Tang or Da Ying Jian 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 White Peony Root (Bai Shao) help with scanty periods?
Because White Peony Root is an ingredient in several formulas indicated to treat scanty periods as a symptom, like Si Wu Tang or Ren Shen Yang Rong Tang 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 Prepared Rehmannia (Shu Di Huang) help with scanty periods?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat scanty periods as a symptom, like Si Wu Tang or Da Bu Yuan Jian 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.
Why might Poria-Cocos Mushroom (Fu Ling) help with scanty periods?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat scanty periods as a symptom, like Wen Qi Hua Shi Tang or Ren Shen Zi Xie Tang for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Other symptoms often associated with scanty periods
Dizziness Insomnia Blurred vision Amenorrhea Palpitations Depression Fatigue Poor memory Loose stools Numbness in the limbs