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TCM Herbal Prescriptions for Amenorrhea

According to Traditional Chinese Medicine (TCM), normal regular menses not only indicates a proficient blood circulation, but also signifies the entire being V physical, intellectual, emotional and spiritual V is well maintained. When a menstrual disorder occurs and is not taken care of properly, temporary and reversible conditions will become permanent. It is then that they become a potential risk for other problems like emotional instability, endocrine disturbances, premature aging and infertility.

Amenorrhea (missed periods) is a complex disorder that may require long-term treatment. Physicians identify the problem based on syndrome differentiation and may apply different regimens for each individual. All of the therapies are aimed at regulation and balancing the hormonal system to restore a normal menstrual cycle.

The following are typical prescriptions for the common syndrome patterns.

Moutan bark
Pinellia tuber
dwarf lily-turf


1. Deficiency of kidney-qi

Therapeutic aim: Reinforce kidney-qi, assist Thoroughfare and Conception Vessels
Basic prescription: Cistanche and Dodder Seeds Pill vT鵷lY
Source: Zhengzhi Zhunsheng (Standards for Diagnosis and Treatment)

Herba Cistanchis
rou cong rong
Cistanche
Fructus Rubi
fu pen zi
Raspberry fruit
Fructus Cnidii
she chuang zi
Common cnidium fruit
Radix Ligustici Chuanxiong
chuan xiong
Szechuan lovage
Radix Angelicae Sinensis
dang gui
Angelica root
Semen Cuscutae
tu si zi
Dodder seed
Radix Paeoniae Alba
bai shao
White peony root
Concha Ostreae
mu li
Oyster shell
Os Sepiae
hai piao xiao
Cuttlefish bone
Fructus Schisandrae
wu wei zi
Schisandra
Radix Saposhinkoviae
fang feng
Fangfeng
Radix Scutellariae
huang qin
Baical skullcap root
Folium Artemisiae Argyi
ai ye
Artemisia leaf

In the prescription, cistanchi and dodder seed are the main active ingredients, which serve to reinforce the kidneys. The other herbs assist the main ingredients by enriching the blood and reinforcing the power of the kidneys. In addition, ingredients such as fanfeng and skullcap root are used for the elimination of evils, because the body can easily be attacked by evils such as wind-heat or wind-cold in this kind of deficiency.

2. Deficiency of kidney essence

Therapeutic aim:Nourish kidneys, replenish essence and blood
Basic prescription: Restoring Kidney Pill kǤY
Source: Jingyue Quanshu (The Complete Work of Zhang Jingyue)

Radix Rehmanniae Praeparatae
shu di
Rhemannia root (processed)
Cortex Eucommiae
du zhong
Eucommia bark
Semen Cuscutae
tu si zi
Dodder seed
Fructus Lycii
gou qi chi
Chinese wolfberry fruit
Radix Angelicae Sinensis
dang gui
Angelica root
Fructus Corni
shan yu rou
Asiatic cornelian cherry fruit
Rhizoma Dioscoreae
shan yao
Chinese yam
Poria
fu ling
Poria

In the prescription, rhemannia acts as the monarch herb to nourish kidney yin. Eucommia bark, dodder seed, angelica and wolfberry help to enrich the blood and essence; Chinese yam and poria promote the spleen to ensure the nutrient supply. The whole combination nourishes the yin and blood so as to replenish the essence and bone marrow.

Balloonflower root Orange fruit Achyranthes root


3. Deficiency of blood and qi

Therapeutic aim: Replenish blood and assist with boosting qi (vital energy)
Basic prescription: Curing Dysmenorrhea Decoction tU
Source: Yizong Jinjian (Golden Mirror of Medicine)

Radix Rehmanniae Praeparatae
shu di
Rhemannia root (processed)
Radix Paeoniae Alba
bai shao
White peony root
Radix Ligustici Chuanxiong
chuan xiong
Szechuan lovage
Radix Angelicae Sinensis
dang gui
Angelica root
Radix Astragali
huang qi
Astragalus
Radix Ginseng
ren shen
Ginseng

The first four ingredients make up the well-known combination known as the Four Herbs Decoction, which aids and regulates the blood. With the astragalus and ginseng, the prescription enriches both qi and blood and promotes circulation.

4. Blood stasis and congealed cold

Therapeutic aim: Warm meridians and expel coldness
Basic prescription: Warm the Menses Decoction Ÿg
Source: Jinkui Yaolue (Synopsis of the Golden Chamber)

Fructus Corni
shan yu rou
Asiatic cornelian cherry fruit
Radix Angelicae Sinensis
dang gui
Angelica root
Radix Paeoniae
shao yao
Peony
Radix Ligustici Chuanxiong
chuan xiong
Szechuan lovage
Radix Ginseng
ren shen
Ginseng
Ramulus Cinnamomi
gui zhi
Cassia twig
Colla Corii Asini
e jiao
Donkey-hide gelatin
Cortex Moutan Radicis
mu dan pi
Moutan bark
Rhizoma Zingiberis Recens
sheng jiang
Fresh ginger
Radix Glycyrrhizae
gan cao
Liquorice root
Rhizoma Pinelliae
ban xia
Pinellia tuber
Radix Ophiopogonis
mai dong
dwarf lily-turf

In the prescription, cherry fruit and cassia twig are the monarch herbs, which warm the meridians and promote circulation. Angelica and lovage remove blood stasis; donkey-hide gelatin, lily-turf and peony nourish yin to produce blood; moutan bark clears heat; ginseng, ginger and pinellia harmonize the stomach and promote blood and qi production. Liquorice root acts as buffer.

5. Stagnation of blood and qi

Therapeutic aim: Sooth liver and regulate qi (vital energy)
Basic prescription: Drive Out Stasis in the Mansion of Blood Decoction 婲v
Source: Yilin Gaicuo (Correction of Errors in the Medical Circles)

Semen Persicae
tao ren
Peach kernel
Flos Carthami
hong hua
Safflower
Radix Angelicae Sinensis
dang gui
Angelica root
Radix Paeoniae Rubra
chia shao
Red peony root
Radix Ligustici Chuanxiong
chuan xiong
Szechuan lovage
Radix Platycodi
jie geng
Balloonflower root
Radix Bupleuri
chai hu
Chinese tororwax root
Radix Rehmanniae
sheng di
Rhemannia root
Fructus Aurantii
zhi qiao
Orange fruit
Radix Achyranthis Bidentatae
niu xi
Achyranthes root
Radix Glycyrrhizae
gan cao
Liquorice root

This is a common formula for blood stasis in the chest. The peach kernel and safflower flower are the monarch herbs that serve to activate blood and remove stasis. The angelica, peony and lovage work together to nourish the blood. Balloonflower, tororwax root, orange fruit and achyranthes ensure that the flow of qi and blood flow in the normal direction. Rhemannia clears heat in the blood; liquorice root acts as buffer.

6. Obstruction of phlegm and dampness

Therapeutic aim: Expel phlegm and dry dampness
Basic prescription: Atractylode and Nut-grass Decoction for Phlegm Elimination aɷ
Source: Guangsi Jiyao (Essential Discipline for Spreading Progeny)

Poria
fu ling
Poria
Rhizoma Pinelliae
ban xia
Pinellia tuber
Pericarpium Citri Reticulatae
chen pi
Tangerine peel
Radix Glycyrrhizae
gan cao
Liquorice root
Rhizoma Cyperi
xiang fu
Nut grass
Rhizoma Atractylodis
cang zhu
Atractylodes rhizome
Arisaema cum Bile
dan nan xing
Arisaema with bile
Fructus Aurantii
zhi qiao
Orange fruit
Rhizoma Zingiberis Recens
sheng jiang
Fresh ginger

In the prescription, arisaema and pinellia tuber serve as monarch herbs to dry the dampness and expel the phlegm. Atractylodes root, poria and tangerine peel fortify the spleen to enhance fluid metabolism. Nut grass, ginger and orange fruit regulate the movement of qi; liquorice acts as buffer.