Friday, October 23, 2009

Menstruation Disorders - Dysmenorrhea - Blood and Qi Stagnation's Tonic Herbs In TCM Perspective

All women experience menstrual disorders sometimes during their child bearing years, before menopause. While Western medication has never viewed that irregular menstruation is a problem of women reproductive system, traditional Chinese medicine looks at this problem seriously, if untreated, it will disharmonize the women ecosystem, leading to nervous tension and other health problems, including dysmenorrhea and infertility. Girls in South East Asia have learnt in their early women life from grand mother wisdoms, that they do not engage in any activity, distorting their regular period and any menstrual disorder should be treated immediately according to Traditional Chinese medicine. I have spent most of our times in discussing symptoms and causes of dysmenorrhea and they affect fertility, I believe that this is the best time to see how TCM helps to treat and manage dysmenorrhea with Chinese herbs.
Most used blood and qi stagnation's tonic herbs include the followings

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I. Herbs for qi stagnation
Qi stagnation can be classifies into 3 groups
A. Spleen and stomach qi stagnation
1. Mu Gua (quince fruit)
Besides helping to increase spleen function in food digestion, it increases the kidney function in qi and fluids regulation, thereby, reducing the dampness accumulated caused by kidney qi stagnation and preventing its the moving downward tendency, causing abdominal pain and spasms during menstrual cycle.

2. Chen Pi (tangerine peel)
Chen pi is Spleen and kidney tonic herb. It presentation besides improves the Spleen qi function moving downward, thereby, reducing spleen stagnation causes of abdominal distention, fullness, bloating and digestive disorder, it also increases of the function to dry dampness, thus decreasing the kidney congestion, leading to coughs with stifling sensation in the chest.

3. Zhi Shi (immature bitter orange)
Zhi shi has been used for thousand of years in traditional Chinese medicine in treating qi stagnation in kidney caused by accumulated of phlegm due to kidney deficiency, thereby reducing the dampness causes of abdominal cramps and pain and distention. Since it cool in nature, it helps to improve the abdominal pain and constipation caused by accumulation and stagnant qi.

B. Liver qi stagnation
1. Xiang Fu (nut grass rhizome)
It is one the herbs helped to regulate the qi flow by smoothing the liver and congestion of Spleen qi caused by excessive yin or yang, thus reducing qi stagnation caused by disharmonization of liver and Spleen causes of abdominal cramps and pain. It is said that xiang fu also has a function impromoting regular menstruation.

2. Zhi Ke (ripe fruit of zhi shi)
Zhi ke promote healthy liver, it promotes a strong liver qi function, thereby, increasing its function in blood formation and transportation to the heart for circulation.

3. Wu Yao (lindera root)
Wu yao is one the warm with the main function of warming the kidney caused by kidney yang defieciency. It is only used for patient with evidence of liver qi stagnation caused by prolong intake of cold foods or working in a cold environment. Since its function is to restore the liver qi flow due to cold constraint, it reduces the blood stagnation causes of menstrual pain.

C. Lung qi stagnation.
1. Chen xiang (Aloeswood )
The herb is a warm her with bitter taste. According to traditional Chinese medicine, it works well to restore the lung qi stagnation caused by spleen, stomach and kidney channels dis-harmonization. By warming and regulating the lung qi downward movement pungent and bitter in flavour, and warm in nature, thereby reducing the upper and middle qi congestion ,thus eliminating hiccup, relieving asthma and abnormal cramps and pain caused by constipation.

2. Tan Xiang (sandalwood)
Tan xiang promotes lung qi movement, thus alleviating the pain caused by chest congestion and and abdomen pain caused by rebellion qi flow.

II. Herbs for blood stagnation
Normally blood stagnation is caused by qi stagnation or liver blood stasis. If the causes of blood stagnation is caused by qi stagnation, then by smoothing the qi flow, it will eliminate the blood stagnation. On the hand, if the blood stasis is caused by liver congestion, then the following herbs can be helpful
1. White Peony Root - (bai shao)
White peony root nourishes the blood and tones the uterus, it reduces the symptoms of yin deficiency causes of abdomen cramps and pain.

2. Ass-hide glue - (e jiao)
Ass-hide glue is a blood tonic herb that promotes the liver function in blood formation and lung dryness caused by yin deficiency. It is said that ass-hide glue also alleviates abnormal cramps and pain and stops abnormal bleeding during menstruation.

3. Wolfberry fruit - (gou qi zi)
Although wolfberry fruit is neutral herb, it has a function to promote yin and yang harmonization, thereby decreasing the dryness of lung qi which causes the blood stagnation causes of abdomen cramps and pain.

4. Polygonum multiflorum - (he shou wu)
Fleence is said to help improve the liver function by eliminating the liver toxin accumulation and expelling the "wind" from the skin, thereby increasing the liver function in blood formation and transportation.

5. Longan - (long yan rou)
Logan is warm in nature, it has been used in traditional Chinese medicine in treating yang deficiency causes of blood stagnation due to inability of the heart in blood circulation.

6. White mulberry fruit - (sang shen)
White mulberry fruit is a blood tonic herb, it helps to tonifies the blood as result of yin defieciency by promoting and generating body fluids, resulting in lessening the risk of blood stagnation causes of abdominal cramps and pain.

7. Angelica Root - (dang gui)
Angellica root is considered as a queen herb in TCM, beside helping to tonifies the blood and regulate the women menstruation, it also promotes blood flow to the abdomen, thus decreasing the risk of over active uterine muscles, causing dysmenorrhea.

There are many more herbs that help to treat liver blood stagnation, therefore there is no surprise to see your Chinese medicine practitioner uses herbs other than above. Since most herbs are classified as state of cold, hot, warm, cool and neutral, and used according to yin and yang deficiency. please make sure you talk to your Chinese medicine practitioner before applying. Intake of wrong kinds of Chinese herb can make the symptoms worse.

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