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.
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, palpitations and depression in the pattern “Phlegm”. 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.
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 scanty periods, other symptoms associated with Phlegm include dizziness, palpitations and depression.
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".
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 amenorrhea.
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".
Peach Kernels (Tao Ren) is the king ingredient for Xue Fu Zhu Yu Tang, a formula used for Qi And Blood Stagnation
Qi And Blood Stagnation
Pulse type(s): Choppy (Se), Deep (Chen), Fine (Xi)
In addition to scanty periods, other symptoms associated with Qi And Blood Stagnation include dizziness, insomnia and amenorrhea.
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 Xue Fu Zhu Yu Tang, a herbal formula made of 11 herbs (including Peach Kernels - Tao Ren - as a key herb). Xue Fu Zhu Yu 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: "Invigorates the Blood".
Cinnamon Twigs (Gui Zhi) is the king ingredient for Wen Jing Tang, a formula used for Cold in the Uterus
Cold in the Uterus
Pulse type(s): Choppy (Se), Deep (Chen), Tight (Jin)
Tongue color: Bluish-Purple, Pale
In addition to scanty periods, other symptoms associated with Cold in the Uterus include late period, pale face and dark clots in menstrual blood.
From a Western Medicine standpoint Cold in the Uterus is associated with health issues such as Menstrual Cramps or Late Menstruation.
Cold in the Uterus is often treated with Wen Jing Tang, a herbal formula made of 12 herbs (including Cinnamon Twigs - Gui Zhi - as a key herb). Wen Jing 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: "Warms the Uterus and vessels".
Dong Quai (Dang Gui) is the king ingredient for Sheng Yu Tang, a formula used for Blood and Qi Deficiency
Blood and Qi Deficiency
Pulse type(s): Weak (Ruo), Fine (Xi)
Tongue coating: Partial absence of coating
Tongue color: Pale
In addition to scanty periods, other symptoms associated with Blood and Qi Deficiency include dizziness, insomnia and blurred vision.
From a Western Medicine standpoint Blood and Qi Deficiency is associated with health issues such as Low Breast Milk Supply, Menstrual Cramps or Absence Of Menstruation.
Blood and Qi Deficiency is often treated with Sheng Yu Tang, a herbal formula made of 6 herbs (including Dong Quai - Dang Gui - as a key herb). Sheng Yu 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: "Tonifies Qi and Blood".
Five herbal formulas that might help with scanty periods
Sheng Yu Tang
Source date: 1336 AD
Number of ingredients: 6 herbs
Key actions: Tonifies Qi and Blood. Preserves the Blood.
Why might Sheng Yu Tang help with scanty periods?
Because it is a formula often recommended to treat the pattern 'Blood and Qi Deficiency' of which scanty periods is a symptom.
According to Chinese Medicine, Blood and Qi Deficiency can contribute to many health issues, including Menstrual Cramps.
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 scanty periods?
Because it is a formula often recommended to treat the pattern 'Phlegm' of which scanty periods is a symptom.
According to Chinese Medicine, Phlegm can contribute to many health issues, including Late Menstruation.
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 'Blood Deficiency' of which scanty periods is a symptom.
According to Chinese Medicine, Blood Deficiency can contribute to many health issues, including Late Menstruation.
Jia Wei Xiao Yao San
Source date: Ming dynasty
Number of ingredients: 10 herbs
Key actions: Clears Liver and Spleen Qi Stagnation. Tonifies Spleen. Clears Deficient Heat. Nourishes the blood.
Why might Jia Wei Xiao Yao San help with scanty periods?
Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which scanty periods is a symptom.
According to Chinese Medicine, Qi And Blood Stagnation can contribute to many health issues, including Menstrual Cramps.
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 'Cold in the Uterus' of which scanty periods is a symptom.
According to Chinese Medicine, Cold in the Uterus can contribute to many health issues, including Late Menstruation.
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 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 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 Jia Wei Xiao Yao San 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.
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 Spleen and the Liver.
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 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.
Conditions associated with scanty periods
Late menstruation Scanty menstruation Menstrual cramps Prolonged periods Irregular menstruation Early menstruation Abnormal uterine bleeding
Other symptoms often associated with scanty periods
Dizziness Insomnia Amenorrhea Blurred vision Palpitations Depression Fatigue Loose stools Pale lips Late period