~ Pre-Menstrual Syndrome PMS

Pre-Menstrual Syndrome (PMS)

A series of symptoms are associated to women with PMS. These symptoms manifest themselves both mentally and physically. Menstruation follows shortly thereafter.

Clinically: anxiety, anger and tension will appear. Emotional sensitivity, bloating, diarrhea, breast distention are normal occurrences during PMS.

PMS usually begins 7 - 14 days prior to menstruation. Approximately 50% of women between the ages of 20 - 30 years of age have symptoms associated with PMS.

Diagnosis - Western

The cause is not yet known. However, the following should be considered:
  • The ratio of estrogen and progesterone levels is increased. This is caused by overly active pituitary glands causing the FSH to stimulate the intraovarian follicular resulting in excess production of estrogen.
  • Lack of VitaminE and Vitamin B6 can impact the metabolism and estrogen in the liver. This results in the accumulation estrogen in the body and a direct reaction to the kidney and angiostensincorticosteroid system. Swelling can occur through water retention and fluid penetration through the capillaries. Both prolactin and prostaglandin levels are elevated.
  • Mental appearance: Instability, depression, tension, uncertainty, irritability, angry, fatigue, weakness and insomnia. Uncontrolled crying and migraine headaches are also possible. More serious mental disturbances can occur.
  • Physical appearance: Breast distention and pain. Swelling of the breast and its' peripheral tissue.
Note: Approximately 70% of women with PMS symptoms will have tenderness with nodules.

Diagnosis - TCM
  • Accumulation of liver qi
  • Breast distention and pain during PMS
  • Depression, restlessness, anger, emotional crying
  • Lower abdomen distention with possible extreme anger
Deficiency of kidney yang:
  • Swelling of face, eyes and extremities.
  • Weakness and soreness of lower back and knees.
  • Body is weak and tight
Excessive fire of heart and liver:
  • Tension, mouth bitterness and dry throat
  • Tongue erosion, dark urine
  • Red tongue and yellowish coating
  • Pulse is wiry or slippery and rapid
Principal Treatment:
  • Regulate the liver function, increasing the blood circulation and dredge the channel
  • Purgation the liver fire, cleaning and tranquilizing the heart spirit
Update Research Note: This formula can be used for neurosis and hysteria. It helps regenerate the liver cells and accumulation of liver qi.

Herbal Ingredients: (Far East Summit OB/GYN-PMS formula)
  • Chai Hu (Bupleurum Root)
  • Dang Gui (Angelica Sinensis root)
  • Bai Shao (White Peony Root)
  • Zhi Me Don Pi (Fried Mouton Root Bark)
  • Zhi Zhi Zi (Fried Gardenia Fruit)
  • Chuan Xiong (Ligusticum wallichi)
  • Xiang Fu (Vinegar soaked Cyperus Rz)
  • He Huon Pi (-Albizzia bark)
Herbal Analysis:
  • Bupleurum Root and Vinegar soaked cyperus
  • Rz: smooth liver qi
  • White Peony: soften liver, astringe yin
  • Fried Mouton root bark: clear heat, protects yin
  • Fried Gardenia fruit: clear heat, not injure spleen/stomach
  • Dong Gui: nourish blood and activate blood circulation
  • Ligusticum wallichi: activate blood circulation, smooth the blood inside the qi
  • Albizzia bark: smooth emotions, help with depression
Health Care of Menstruation and Post-Menstruation

The manifestation of menstruation is periodical bleeding, genital organ and physical changes. Accumulation of blood in the vagina, pH value is low, opening of cervical orifice, and shedding of endometrium. The body is susceptible to bacterial or viral infection.

In addition, the fluctuation of hormone levels during pre- and post-menstruation impact the metabolism and nerve function. Most women have abdominal pain during pre-menses and menses period. After menses, headache, dizziness, tinnitus, dry throat, weakness and palpilations appear. Weakness is due to the loss of blood and the length of the bleeding cycle.

TCM Diagnosis: Menstruation is the normal physiologic 'phenomenon, which is effected by the visceral organs, meridians, qi & blood, in the uterus. The cycle of emotional health that effects the zang fu function combined with the monthly loss of blood and essence can be potentially damaging to female health, immunity and gynecology.

TCM Theory: The principle resource jing or essence) with blood is the major source of the 'Sea of Marrow'

The production, regulation and circulation of blood rely on die qi; qi and blood are complementary, "as blood is the mother of qi and qi the leader of blood". So called, "Blood is the Mother of Qi, Qi is the leader of blood". The physiologic effect of blood in women is "blood is lactate and menses".

Etiology and Mechanism

Gynecological disease is mainly due to external pathogenic invasion and internal damage due to seven modes of emotions. During menses, the blood descends and the uterus is in function, so the whole body in is a condition of deficiency of qi & blood, making it susceptible to external pathogenic invasion. It manifests swelling, headache, sleepiness, chilliness, and instability of modes. Pelvic blood stasis and lower abdominal distention can exist.

Qi, blood, meridians and zang organ relationship to menstruation:
  • Mental factor: Mental change will effect the function of visceral organs, qi and blood. The modes will impact chong and ren meridian. Menstruation disease, amenorrhea and menorrhalgia. Premenstrual tension symptoms, leukorrhea pain, mass, infertility, chronic disease and cancer.
  • Usually the external invasion factor is cold with and/or dampness and makes one susceptible to bacterial or viral infection. Sexual life can potentially contribute to this susceptibility.
  • Physical factor
    • Due to weakness internally, such as function disorder of kidney, liver, heart and spleen, the result can be a deficiency in qi and blood, congenital defect, insufficiency of kidney resource, and real nutrition.
    • Serious or chronic disease are often the result of zang organ imbalance leading to functional disorders in combination with the loss of blood and essence during the monthly female cycle.
  • Kidney in relationship to menstruation:
    • The kidney is the foundation and principle stores of resources. It is the kidney yin, qi is kidney yang. Both qi and blood are the basic materials of menses. The monthly loss of blood taxes the woman's principle resources and, therefore, potentially compromises her health and immune system
    • After the age of 45, due to the deficiency in kidney qi, pregnancy is less likely and can create health problems to both the child and mother. Kidney qi is the one of the main functions in menses and pregnancy.
  • Liver in relationship to menstruation: Liver stores blood, which is produced by the visceral organs. Liver blood accesses the chong meridian. In addition, liver needs to be dispersed; if the qi accumulates in the liver, it will cause disorder of menses.
  • Heart , in regards to Menstruation. Heart governs the blood; regulates the blood of all meridians.
  • Spleen, in regards to Menstruation Spleen produces and regulates the blood in the vessels. Blood is the basic material of the female.
  • In addition, menses is connected to the extra, chong, ren, du, and dai meridians.
  • Pulse manifestation - Thin and weak, possibly empty or hesitant
  • Tongue - Red with normal coat
SIgns/Symptoms During Menses:
  • Low back - May be slightly sore or weak during period.
  • Possible headache, fatigue, sensitivity to cold, possible insomnia or lengthened sleeping
Principal Treatment
  • Balance or tonify qi and blood
  • Regulate the menstrual cycle by seeking appropriate circulation of the blood
  • Mildly tonify kidney and essence
  • Get suitable rest & avoid a cold diet.
  • Prevent external pathogenic access to the body, such as, infection and common cold.
  • Keep external perineal region clean. Avoid sexual activity during menses, it may cause endometriosis and fallopian tube or bacterial infection.
  • Keep warm; avoid heavy work and serious sports to prevent increasing the amount of menses and extension of the period.
  • Avoid mental irritation during period. Keep joyfulness.
Update Research Note: This formula also treats irregular heart rhythm, deficiency of Qi and blood, irregular of period, weakness of extremities and various anemic conditions, Luekopnea and Thrombocytopenia.

Herbal Ingredients (Far East Summit OB/GYN-menstrual restorative formula)
  • Dang Gui (Angelica sinensis)
  • Shu Di Huang (Prepared Rehmannia)
  • Chuan Xiong (Ligusticum. wallichi)
  • Bai Shao (White Peony root)
  • Dang Shen (Codonopsis root)
  • Huang Jing (Polygonum sibiricum)
  • Zhi Xiang Fu (Wine treated Cyperius rhizome)
Herbal Analysis:
  • Dang Gui: Tonify blood and liver
  • Shu Di Huang: Nutrient to kidney and liver blood
  • Chuan Xiong: Nourish and move qi of blood. Help normalize cycle and flow of qi and blood during menses
  • Bai Shao: Tonify yin, soften liver
  • Dang Shen; Tonify spleen qi
  • Huang Jing: Nutrient to the jing and the 'Sea of Marrow', strengthen kidney, tonify spleen, moisten liver
  • Zhi Xiang Fu: Smooth liver qi, resolve depression, assist normalization of blood flow during female cycle

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