Amenorrhea Explained in TCM
Primary Amenorrhea refers to women who are:
Over 16 years old, although they have developed secondary sexual characteristics, have not had menstrual periods
Over 14 years old, have not developed secondary sexual characteristics, and have not had menstrual periods
Secondary Amenorrhea refers to the absence of menstrual periods for more than 3 cycles or 6 months after the onset of menstruation.
Amenorrhea indicates that the ovarian function in women is impaired and they are unable to ovulate normally. In addition, amenorrhea can also cause abnormal proliferation of the endometrium, leading to infertility.
In Traditional Chinese Medicine (TCM), the etiology and pathogenesis of amenorrhea are divided into two categories: deficiency and excess.
Deficiency type is mostly due to deficiency of organs such as the kidney, liver, and spleen, and lack of essence and blood, resulting in no blood flow.
Excess type is mostly due to pathogenic factors such as blood stasis or phlegm-dampness obstructing the meridians, resulting in the inability of menstrual blood to flow down.
Traditional Chinese Medicine treats amenorrhea based on the root causes:
For deficiency type, tonifying and promoting blood circulation are used to nourish the source of essence and blood, such as tonifying the kidney, and spleen, or nourishing essence and Yin.
For excess type, purging and promoting blood circulation are used to dredge the Chong and Ren meridians, such as regulating Qi and activating blood circulation or eliminating phlegm and removing stasis.
These treatments often involve different modalities such as acupuncture, moxibustion, herbal medicine, etc. to help our patients restore normal menstrual periods.
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