~ Menopause and Estrogen

Relationship Between Menopause and Estrogen

Basic TCM Seven Year Cycle of Female Physiology

  • Energy of kidney appears at the age of 7 (Hardness of the teeth,full growth of the hair)
  • Period appears at age of 14, the activation of Ren Meridian, menses presented and possibility of impregnation
  • Flourishing of kidney qi at age of 21
  • Female body reaches maturity at age of 28
  • Decline of the Yangming meridian accelerates at age 35, (e.g., the complexion begins to degenerate)
  • Decline of the Three Yang meridians appears at the age of 42, (e.g.,. the hair begins to turn whitish)
  • Ren meridian has become weak and the period has ceased at age 49, (e.g., infertility)

Mechanism of Menopause (Western)

Menopause is the period of gradual degeneration of the ovary Function. The female genitalia start to atrophy, usually between the ages of 45 - 55 years old. Almost 85% of menopausal women have the following symptoms:

Pre Menopause

The ovary cell can't be developed because the amount of estrogen excreted is less; the amount that is excreted is without progesterone (lutein). Clinical manifestation: Generally, although the period appears, it is without an ovary cell. Possibly the period is prolonged and irregular, and the amount of flow can be more or less. Generally, the last period is the menopausal stage.

Post Menopause

After discontinuation of the period, the ovary function has ceased and the atrophy of the female genitalia is complete. In post menopause, the ovary will not secrete estrogen. It can effect the autonomic nerve and cause the dysfunction of the coronary, and carotid arteries. Lack of estrogen can impact bone, skin, adipose tissue, urinary tract, kidney, and liver. About 30% of menopausal women show signs of osteoporosis.

  • The reduction of estrogen can cause the atrophy of the female genitalia and interference of sexual intercourse. Without the sensation associated with lubrication during sexual intercourse, dryness of the vagina can occur.
  • Urinary tract infection and vaginitis.
  • Cardiovascular system will be impacted. It manifests in possible palpitations, irregular rhythms, ascending of systolic pressure, and coronary arteriosclerosis.
  • Mental symptoms: Tension, excitement, Easy to anger, and hysteria
  • Swelling skin, diarrhea
  • Depression, fatigue, weakness, insomnia or mental disturbance, loneliness, slow reactions.
  • Breast pain and fullness and the presence of small nodular lesion(s), with or without tenderness, approximately 6% of menopausal women have this symptom.
  • Sore, achy joints. Usually it appears in the sacral-iliac and extremities
  • Swelling and pain in joints, abdominal wall, and the visceral organ. Weight can increase 2.5 kg - 5 kg
  • Skin manifestation - Tinglitis, perineal ulcer, eczema, urticaria, acne

Laboratory Analysis

  • Estrogen, Estrodial and Progesterone and LH test FSH
  • LH and FSH level is high
  • Estrodial level is low or zero

TCM Theory Diagnosis


  • Deficiency of Yin resource
  • Malnutrition of heart liver &kidney Yin
  • Excessive fire & qi
  • Imbalance of Yin & Yang


  • The accumulation of liver qi, anxiety & anger, sweating, pain & fullness of both hypochondrium
  • Pain and distension of lower abdomen
  • Breast pain & fullness, with lumps
  • Hot flash with sweating, headache (not migraine)


  • Pulse Manifestation - Wiry or Wiry with slippery
  • Tongue Manifestation - Usually normal, with slight thin coat

Principal Treatment (Western)

  • Regulate the function of hormone (side effects can occur)

TCM Treatment

Supplementation of kidney is the principle treatment for menopause

  • Purgation of kidney fire. (Clear deficiency heat of the kidney)
  • Supplement kidney Yin
  • Nutrition of Yin resources
  • Warming the kidney Yang

Note: Hormonal treatments can have side effects

Herbal Ingredients: (Far East Summit OB/GYN-hormonal balancing formula)

  • Sheng di Huang (Rehmannia-raw)
  • Gui Ban (Tortoise shell)
  • Go Gi Zi (Lycium Fruit)
  • Bai Shao (White Peony Root)
  • Tu Si Zi (Cuscutae Seed)
  • Ying Yang Huo (Epimedium Hb)
  • Ba Ji Tian (Morinda Root)
  • Zhi Mu (Anemarrhena Rz)
  • Rou Cong Rong (Cistanches Rz)
  • Huang Bai (Phellodendron Bark)
  • Fu Ling (Poria Mushroom)
  • Huang Lian (Coptidis Rz)
  • Dang Shen (Codonopsis Root)
  • Shi Chang Pu (Grass Leaved Calamus)
  • Bai Zi Ren (Biota seed)

Herbal Analysis:

  • Rehmannia-raw, Tortoise shell, Lycium fruit: supplement the kidney Yin & Yin resources
  • Rehmannia. & tortoise shell: help to activate the production of estrodial
  • Cuscutae, Epimedium, and Morinda: mildly warming to the kidney Yang
  • Morinda, Epimediurn: lubricate vagina
  • Cistanches and Cuscutae: moisturizing to the skin and vagina
  • Phellodendron and Anemarrhena: cleanse the lower warmer fire
  • Codonopsis, Poria Mushroom: expel the dampness & supplement spleen
  • Copditis: clears the heart fire
  • Grass Leaved Calamus, Biota Seed: nourish the heart and also has a tranquilizing effect
  • White Peony Rt: softens the liver, and disperse the accumulation of liver qi
  • Biota Seed: treats excitement and palpitations, tranquilizes the visceral organs, moisturizes the kidney, and improves memory. Moisturizes, the skin, enhances eye brightness and hearing, leaves no feeling of hunger, rejuvenate, healthy and prolongs life. The characieristics of this herb are sweet and neutral; therefore not cold and dry. It can penetrate the heart & kidney, supplement the spleen & stomach.
  • Grass Leaved Calamus: nourishes visceral organs, treats memory, promotes mental clarity, prolongs life, disperses the stagnation of heart qi, and promotes happiness and good spirit

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