Menoxenia in TCM
(Traditional Chinese Medicine) refers to the disorders in
menstrual cycle and period, and abnormalities in the amount,
color and nature of menstrual blood. In this category of
disorders, the commonest are preceded menstrual cycle, delayed
menstrual cycle, irregular menstrual cycle, menorrhagia, scanty
menstruation, etc.
Main Points of Diagnosis
1. The
condition in which menstruation occurs 7 or more days or even 10
days or more earlier than usual is referred to as preceded
menstrual cycle; while the condition in which menstruation
occurs a week or more later, or comes in 40¡ª50 days, is termed
delayed menstrual cycle. And if menstruation occurs over 7 days
either earlier or later irregularly, it is called irregular
menstrual cycle.
2. The condition in
which the amount of menstrual blood is obviously more than usual
but the cycle is basically normal is termed menorrhagia. If the
amount of menstrual blood is obviously less than usual and the
cycle is basically normal, this condition is referred to as
scanty menstruation.
Differentiation and Treatment of Common Syndromes
1. Heat
in the Blood
Main Symptoms and Signs:
Preceded menstrual cycle or profuse menstruation which is bright
or dark red, thick and sticky, accompanied with restlessness and
dry mouth, yellowish urine, constipation, redness of the tongue
proper with yellow fur, rapid pulse.
Therapeutic Principle:
Clearing heat from the blood to regulate menstruation.
Recipe: Modified Powder
for Clearing Menstruation-Heat
moutan bark,
wolfberry bark,
white peony root,
dried rehmannia root,
sweet wormwood,
phellodendron bark,
motherwort,
raw sanguisorba root.
All the above herbs are
to be decocted in water for oral administration.
If before menstruation,
there is a feeling of distension and fullness in the breasts,
and distending pain in the lower abdomen, fidgets, bitter taste,
exclude motherwort and phellodendron bark and add 9 grams of
capejasmine fruit, 9grams of bupleurum root and 9 grams of rose.
If the menstrual blood is scanty of rose. If the menstrual blood
is scanty accompanied with tidal fever, flushing of zygomatic
region, feverish sensation in the palms and soles, then subtract
sweet wormwood phellodendron and raw sanguisorba root and add 12
grams of scrophularia root, 9 grams of donkey-hide gelatin (tobe
melted and mixed in the finished decoction), 9 grams of glossy
privet fruit and 9 grams of eclipta.
2. Deficiency of Qi
Main Symptoms and Signs:
Advanced menstruation or profuse menstruation, thin blood with
light color, lack of vitality, tiredness in the extremities,
short of breath and want of speech, pale tongue with white fur,
thready and weak pulse.
Therapeutic Principle:
Regulating menstruation by invigorating qi and keeping the blood
flowing within the vessels.
Recipe: Modified
Decoction for Reinforcing the Middle-Warmer and Replenishing qi.
codonopsis root,
astragalus root,
bighead atractylodes rhizome,
prepared licorice root,
Chinese angelica root,
motherwort,
tangerine peel,
cimicifuga rhizome,
bupleurum root.
All the above herbs are
to be decocted in water for oral administration.
If palpitation or severe
palpitation is present, 9 grams of poria with hostwood and 15
grams of wile jujuba seed should be added; if accompanied with
soreness of waist and loose stool, 9 grams of antler glue which
is to be melted and mixed in the finished decoction and 9 grams
of eucommia bark should be added.
3. Blood Stasis
Main Symptoms and Signs:
Delayed menstrual cycle, scanty menstruation, dark-colored
menstrual blood with clots, pain in the lower abdomen,
dark-colored tongue or with ecchymoses, taut and unsmooth pulse.
Therapeutic Principle:
Promoting blood circulation and removing blood stasis or
regulate menstruation.
Recipe: Modified
Four-Ingredients Decoction plus Peach Kernel and Safflower.
peach kernel,
safflower,
motherwort,
rubia root,
Chinese angelica root,
white peony root,
ligusticum
rhizome,
dried rehmannia root,
parched cat-tail pollen,
parched trogopterus dung.
All the herbs mentioned
above are to be decocted in water for oral administration.
If there are symptoms of
cold-pain in the lower abdomen which can be relieved by warmth,
and intolerance of cold with cold limbs, the following drugs
should be added:
baked ginger,
bark of Chinese cassia tree,
evodia fruit,
common fennel fruit.
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