Kai Chen Ph.D. in
Chinese Medicine
TCM Dr. in British Columbia, Canada
205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada
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TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Chinese Medicine
Women Disorders 1.
Menstruation disorders 1.1
Early periods The
period is earlier more than 21 days, at least in a successive two cycles. 1.1.1
Etiologies and pathogenesis Constitution
yang excess or over diet Emotion
Yin
deficiency Kidney
deficiency Qi
deficiency 1.1.2
Differentiations and treatments (1)
Blood yang excess Clinical
manifestations: Early period, the amount bigger or normal, color bright, red
tongue with yellow fur, rapid pulse Treatment
principle: Clearing heat from blood to regulate menstruation
Herb
formula: Qing Jing San (2)
Liver qi stagnation heat Clinical
manifestations: Early period, the amount bigger or normal, the color bright,
related with emotion, red tongue with yellow fur, taut pulse
Treatment
principle: Clearing heat from liver and soothing liver qi to regulate
menstruation Herb
formula: Dan Zhi Xiao Yao San (3)
Yin deficiency Clinical
manifestations: Early period, the amount litter, dark, red thin tongue, weak and
rapid pulse Treatment
principle: Tonifying yin and clearing heat to regulate menstruation
Herb
formula: Liang Di Tang (4)
Kidney deficiency Clinical
manifestations: Early period, light color kidney qi-, pale tongue with white fur, deep and weak pulse
Treatment
principle: Tonifying kidney to regulate menstruation Herb
formula: Shou Tai Wan (5)
Qi deficiency Clinical
manifestations: Early period, light color, qi-, pale and big tongue with white
fur, thin and weak pulse Treatment
principle: Tonifying spleen to regulate menstruation Herb
formula: Guipi Tang 1.2
Late periods The
period is later more than 35 days at least in a successive two cycles. 1.2.1
Etiologies and pathogenesis Blood
deficiency Emotion
Kidney
deficiency Blood
cold Phlegm
1.2.2
Differentiations and treatments (1)
Blood deficiency Clinical
manifestations: later period, light and small amount, pale tongue, weak pulse
Treatment
principle: Promoting spleen and tonifying qi to regulate menstruation
Herb
formula: Ren Shen Yang Ying Tang (2)
Emotion Clinical
manifestations: later period related with emotion, taut pulse
Treatment
principle: soothing liver to regulate menstruation Herb
formula: Xiao Yao San (3)
Kidney deficiency Clinical
manifestations: later period, small amount, kidney- Treatment
principle: Tonifying kidney to regulate menstruation Herb
formula: Zuo Gui Wan (4)
Blood cold Clinical
manifestations: later period, dark and small amount, abdomen cold pain
Treatment
principle: Warming channel and dispersing cold to regulate menstruation
Herb
formula: Wen Jing Tang (5)
Phlegm Clinical
manifestations: later period, light and sticky, greasy fur, slippery pulse
Treatment
principle: Promoting spleen and transforming phlegm to regulate menstruation
Herb
formula: Xiong Gui Er Chen Tang 1.3
Irregular periods The
period is irregular, sometime later more than 35 days or earlier more than 21
days at least in a successive two cycle periods. 1.3.1
Etiologies and pathogenesis Spleen
deficiency Emotion
Kidney
deficiency 1.3.2
Differentiations and treatments (1)
Kidney deficiency Clinical
manifestations: Irregular period, light and small amount, kidney -
Treatment
principle: Tonifying kidney to regulate menstruation Herb
formula: Gui Shen Wan (2)
Liver qi stagnation Clinical
manifestations: Irregular period, related with emotion
Treatment
principle: Smoothing liver qi to regulate menstruation
Herb
formula: Xiao Yao San (3)
Spleen deficiency Clinical
manifestations: Irregular period, light and small or big amount, spleen qi -
Treatment
principle: Tonifying spleen to regulate menstruation Herb
formula: Shen Ling Bai Zhu San 1.4
Heavy periods The
amount is bigger than the normal at least in a successive two cycles. 1.4.1
Etiologies and pathogenesis Liver
qi stagnation Yin
deficiency Yang
constitution Spleen
qi deficiency 1.4.2
Differentiations and treatments (1)
Qi deficiency Clinical
manifestations: Big amount, light, tired, shout breath, pale tongue, weak pulse Treatment
principle: Tonifying qi to regulate menstruation Herb
formula: Ju Yuan Qian (2)
Blood heat Clinical
manifestations: Big amount, bright, red tongue, and rapid pulse
Treatment
principle: Clearing heat from blood to regulate menstruation
Herb
formula: Shi Hui San (3)
Blood stasis Clinical
manifestations: Big amount, dark or purple color and clot, period pain, purple
tongue Treatment
principle: Promoting blood
circulation and removing stasis to regulate menstruation
Herb
formula: Si Wu Tang and Shi Hui San 1.5
Scanty periods The
amount is smaller than the norma1 at least in a successive two cycles. 1.5.1
Etiologies and pathogenesis Blood
deficiency Emotion
Kidney
deficiency Blood
cold Phlegm
1.5.2
Differentiations and treatments (1)
Blood deficiency Clinical
manifestations: Scanty amount with later period, pale tongue, weak pulse
Treatment
principle: Promoting spleen and tonifying blood to regulate menstruation
Herb
formula: Ren Shen Zi Xue Tang (2)
Emotion Clinical
manifestations: Scanty, irregular period, with emotion, taut pulse
Treatment
principle: Soothing liver to
regulate menstruation Herb
formula: Xiao Yao San and Si Wu Tang (3)
Kidney deficiency Clinical
manifestations: Scanty, irregular period, kidney- Treatment
principle: Tonifying kidney to regulate menstruation Herb
formula: Dang Gui Di Huang Yin (4)
Blood cold Clinical
manifestations: Dark and small amount, abdomen cold pain
Treatment
principle: Warming channel and dispersing cold to regulate menstruation
Herb
formula: Ai Fu Nuan Gong Tang (5)
Phlegm Clinical
manifestations: Scanty, light and sticky, greasy fur, slippery pulse
Treatment
principle: Promoting spleen and transforming phlegm to regulate menstruation
Herb
formula: Xiong Gui Er Chen Tang 1.6
No periods After
18 years old, the patient still does not have menstruation, or the menstruation
stops more than three months before normal menopause. 1.6.1
Etiologies and pathogenesis Kidney
deficiency Qi
and blood deficiency Blood
cold Qi
stagnation and blood stasis Phlegm
blocking the channel The
heat consuming blood 1.6.2
Differentiations and treatments (1)
Kidney deficiency Clinical
manifestations: No period after 18 years old or with kidney - Treatment
principle: Tonifying kidney to promote menstruation Herb
formula: Gui Shen Wan (2)
Qi and blood deficiency Clinical
manifestations: No period, qi and blood-, pale tongue with white fur, weak pulse
Treatment
principle: Tonifying qi and blood to promote menstruation
Herb
formula: Sheng Yu San (3)
Blood cold Clinical
manifestations: No period, cold abdomen pain, and pale tongue body with white
fur Treatment
principle: Warming channel and dispersing cold to promote menstruation
Herb
formula: Sheng Hua Tong Jing Tang (4)
Qi stagnation and blood stasis Clinical
manifestations: No period, liver qi stagnation, and taut pulse
Treatment
principle: Promoting qi and blood circulation to promote menstruation
Herb
formula: Xue Fu Zhu Yu Tang (5)
Phlegm blocking the channel Clinical
manifestations: No period, big amount discharge, greasy fur Treatment
principle: Transforming phlegm to promote menstruation
Herb
formula: Cang Fu Dao Tan Tang and
Fu Shou San (6)
The heat consuming blood Clinical
manifestations: No period, red tongue with yellow fur, rapid pulse
Treatment
principle: Clearing heat and promote menstruation Herb
formula: Qin Lian Si Wu Tang 1.7
Painful periods It is lower abdomen pain before or during or after
periods, and the pain is directly related with period. 1.7.1
Etiologies and pathogenesis Qi
stagnation and blood stasis Yang
deficiency Clod-damp
blocking Heat-damp
Qi-blood
deficiency Kidney
and liver deficiency 1.7.2
Differentiations and treatments (1)
Qi stagnation and blood stasis Clinical
manifestations: Before period 1-2 days or 1st day full and fixed pain, dark
clot, purple tongue Treatment
principle: Promoting blood and qi circulation, removing stasis to stop pain
Herb
formula: Ge Xia Zhu Yu Tang (2)
Yang deficiency Clinical
manifestations: Before and in period cold pain, small amount, and pale tongue
body with white fur, weak pulse Treatment
principle: Tonifying yang, warming uterus to stop pain
Herb
formula: Wen Jing Tang (3)
Clod-damp blocking Clinical
manifestations: Before or in period cold pain, warm alleviated and cold
aggravated, greasy white fur Treatment
principle: Warming uterus to stop
pain Herb
formula: Shao Fu Zhu Yu Tang (4)
Heat-damp Clinical
manifestations: Before period hot pain, red tongue yellow greasy fur
Treatment
principle: Clearing heat-damp, removing stasis to stop pain
Herb
formula: Qing Re Tiao Xue Tang (5)
Qi-blood deficiency Clinical
manifestations: After period dull pain, tired pale face shout breath, pale tongue whit fur
Treatment
principle: Tonifying blood and qi to stop pain Herb
formula: Shi Quan Da Bu Tang (6)
Kidney and liver deficiency Clinical
manifestations: After period dull pain, night sweating, emaciation, red tongue
with dry yellow fur Treatment
principle: Tonifying kidney to stop pain
Herb
formula: Yi Shen Tiao Jing Tang 1.8
Flood and trickling (Beng Lou) Beng
is flood, which is sudden, profuse bleeding often without normal period cycle; Lou is tricking, which is
bleeding not stop often whose amount is not too big.
1.8.1
Etiologies and pathogenesis Kidney
yin deficiency Liver
qi stagnation Damp-heat
in the lower jiao Qi-blood
deficiency Kidney
deficiency Blood
stasis 1.8.2
Differentiations and treatments (1)
Kidney yin deficiency Clinical
manifestations: Big bleeding or small amount but not stop period, dark red color,
night sweating, emaciation, tired, red tongue with
yellow tongue Treatment
principle: Tonifying yin and clearing heat,
and stopping bleeding Herb
formula: Qing Re Gu Jing Tang (2)
Liver qi stagnation Clinical
manifestations: Big bleeding or trickling, emotion change, hypochondria full pain, red
tongue, taut pulse Treatment
principle: Smoothing liver qi and clearing heat and stopping bleeding
Herb
formula: Zi Sui Qing Gan Yin (3)
Damp-heat in the lower jiao Clinical
manifestations: Big bleeding or trickling, dark clot, yellow and sticky discharge, red
tongue with yellow greasy fur Treatment
principle: Clearing heat-damp and stopping bleeding Herb
formula: San Miao Hong Teng Tang (4)
Qi-blood deficiency Clinical
manifestations: Big bleeding or trickling, light red, qi and blood-, pale tongue Treatment
principle: Tonifying qi and blood, stopping bleeding Herb
formula: Gu Ben Zhi Beng Tang (5)
Kidney deficiency Clinical
manifestations: Big bleeding or trickling, lower part weak and cold
Treatment
principle: Tonifying kidney and
stopping bleeding Herb
formula: Tong Mai Da Sheng Wan (6)
Blood stasis Clinical
manifestations: Big bleeding or trickling, dark clot, fixed sharp pain, purple tongue Treatment
principle: Promoting blood circulation to remove stasis and stopping bleeding
Herb
formula: Tao Hong Si Wu Tang 1.9
Pre-menstruation syndrome It
appears before period 7-14 days, including headache, breast full pain, fatigue,
emotion changes, insomnia and edema, etc. 1.9.1
Etiologies and pathogenesis Liver
qi stagnation Liver
and kidney yin deficiency Spleen
and kidney yang deficiency 1.9.2
Differentiations and treatments (1)
Liver qi stagnation Clinical
manifestations: Emotion change, breast full pain, hypochondria full pain, and
taut pulse Treatment
principle: Soothing liver qi Herb
formula: Xiao Yao San (2)
Liver and kidney yin deficiency Clinical
manifestations: Hot flush, easily irritated, headache, insomnia, and red
tongue with yellow fur Treatment
principle: Tonifying kidney yin Herb
formula: Yi Guan Qian (3)
Spleen and kidney yang deficiency Clinical
manifestations: Edema, abdomen distension, poor appetite, pale big tongue with white fur, weak
and deep pulse Treatment
principle: Tonifying kidney and spleen yang Herb
formula: Jin Gui Shen Qi Wan 1.10
Menopause syndrome It
appears before and after menopause, including period disorders, flush fever,
emotion changes, sex changes, etc. 1.10.1
Etiologies and pathogenesis Kidney
deficiency 1.10.2
Differentiations and treatments (1)
Kidney yin deficiency Clinical
manifestations: Period disorders, flush fever, irritated, insomnia, and red tongue
body with yellow fur Treatment
principle: Tonifying kidney yin Herb
formula: Zuo Gui Yin (2)
Kidney yang deficiency Clinical
manifestations: Period disorders, lower back cold pain, edema, pale tongue with
white fur Treatment
principle: Tonifying kidney yang
Herb
formula: Jin Gui Shen Qi Wan 2.
Leucorrhoea disorder It
is leucorrhoea amount, quality, color and odor disorder. 2.1
Etiologies and pathogenesis Spleen
deficiency Kidney
yang deficiency Kidney
yin deficiency Damp-heat 2.2
Differentiations and treatments (1)
Spleen deficiency Clinical
manifestations: Profuse, white discharge, non odor, qi-,
pale tongue with white fur Treatment
principle: Tonifying spleen qi and removing damp Herb
formula: Wan Dai Tang (2)
Kidney yang deficiency Clinical
manifestations: Profuse, white, very thin discharge, non- odor, yang-, pale
tongue with white fur Treatment
principle: Tonifying kidney yang
Herb
formula: Nei Bu Wan (3)
Kidney yin deficiency Clinical
manifestations: Small, sticky, yellow discharge, other yin deficiency symptoms,
and red tongue with yellow fur, rapid pulse Treatment
principle: Tonifying kidney yin and clearing heat Herb
formula: Zhi Bai Di Huang Tang (4)
Damp-heat Clinical
manifestations: Profuse, yellow, sticky discharge, foul odor, red tongue with
yellow fur Treatment
principle: Clearing heat-damp Herb
formula: Long Dan Xie Gan Tang 3.
Diseases related with pregnancy 3.1
Tai Lou (Colporrhagia) and Tai Dong
(Fetus restlessness) Both
of them occur in pregnancy women. Tai
Lou is a small amount of vaginal bleeding without lumber soreness and abdominal
pain. Tai Dong manifests lumbar
soreness, abdominal pain of dragging distention in the lower abdomen. Both of
them are threatened abortion. 3.1.1
Etiologies and pathogenesis Kidney
deficiency Qi
and blood deficiency Heat
in the blood Trauma Others 3.1.2
Differentiations and treatments (1)
Kidney deficiency Clinical
manifestations: Threatened abortion, low back sour and weak, frequent night
urination, tired, weak and
deep pulse Treatment
principle: Tonifying kidney to prevent abortion Herb
formula: Sang Ji Sheng San (2)
Qi and blood deficiency Clinical
manifestations: Threatened abortion, tired, pale face, shout breath, pale
tongue, weak pulse Treatment
principle: Tonifying qi and blood to prevent abortion Herb
formula: Tai Yuan Yin (3)
Heat in the blood Clinical
manifestations: Threatened abortion, red tongue with yellow fur, rapid pulse
Treatment
principle: Deficiency: Tonifying
yin and clearing heat from blood to prevent abortion
Excessive: Clearing heat from blood to prevent abortion Herb
formula: Yin deficiency: Bao Yin Jian
Excessive: Qing Re An Tai Yin (4)
Trauma Clinical
manifestations: Threatened abortion after trauma Treatment
principle: Tonifying qi, regulating blood to prevent abortion
Herb
formula: Xiong Qiong San 3.2
Pernicious vomiting It
manifests nausea, vomiting, dizziness, anorexia or prompt vomiting after eating
during pregnancy especially in the early stage. 3.2.1
Etiologies and pathogenesis Spleen
deficiency Phlegm
blocking middle jiao Disharmony
of liver and stomach 3.2.2
Differentiations and treatments (1)
Spleen deficiency Clinical
manifestations: Nausea, vomiting, dizziness, anorexia, qi deficiency symptoms,
and weak pulse Treatment
principle: Tonifying spleen to stop vomiting Herb
formula: Xiang Sha Liu Jun Zi Tang (2)
Phlegm blocking middle jiao Clinical
manifestations: Nausea, vomiting, dizziness, anorexia, overweight, greasy fur
and slippery pulse Treatment
principle: Transforming phlegm to stop vomiting Herb
formula: Ban Xia Fu Ling Tang (3)
Disharmony of liver and stomach Clinical
manifestations: Nausea, vomiting sour water, dizziness, anorexia, hypochondria
full pain, and taut pulse Treatment
principle: Soothing liver and regulate qi to stop vomiting
Herb
formula: Qinlian Banxie Zhuru Tang 4.
Post-delivery (postpartum) diseases 4.1
After childbirth body pain It
refers to after childbirth the joints, back, limbs and other part of body sore
and numb. Etiologies
and pathogenesis Blood
deficiency Kidney
deficiency Wind-cold
invading 4.1.1
Differentiations and treatments (1)
Blood deficiency Clinical
manifestations: After childbirth joints, back, limbs and other part of body sore
and numbness, especially numbness, pale tongue and white fur, deep and weak
pulse Treatment
principle: Tonifying blood and qi, warming the channels
Herb
formula: Huang Qi Gui Zhi Wu Wu Tang (2)
Wind-cold invading Clinical
manifestations: After childbirth joints, back, limbs and other part of body very
serious pain, aggravated by cold and relieved by warm, pale tongue and white
fur, deep pulse Treatment
principle: Dispersing wind-cold,
warming the channels Herb
formula: Du Huo Ji Sheng Tang (3)
Kidney deficiency Clinical
manifestations: After childbirth joints, back, limbs sore and numbness,
especially lower part of body, and other kidney deficiency symptoms Treatment
principle: Tonifying Kidney Herb
formula: Yang Rong Zhuang Shen Tang 4.2
Persistent lochial discharge It
refers to after childbirth the lochial discharging longer than normal and red
color. 4.2.1
Etiologies and pathogenesis Qi
deficiency Heat
in the blood Blood
stasis 4.2.2
Differentiations and treatments (1)
Qi deficiency Clinical
manifestations: Lochial discharging longer than normal and red color, often
profuse, thin, not foul lochial, qi deficiency symptoms
Treatment
principle: Tonifying qi and blood
Herb
formula: Bu Zhong Yi Qi Tang (2)
Heat in the blood Clinical
manifestations: Lochial discharging longer than normal and red color, dark
color, thick, foul lochial, red tongue with yellow fur
Treatment
principle: Tonifying yin and clearing heat to stop bleeding
Herb
formula: Bao Yin Jian (3)
Blood stasis Clinical
manifestations: Lochial discharging longer than normal and red color, often clot
lochial, fixed and sharp lower abdomen pain, purple tongue
Treatment
principle: Promoting blood circulation and removing stasis
Herb
formula: Sheng Hua Tang 4.3
After childbirth urination disorder It
refers to after childbirth urination difficulty, or retention, or incontinence. 4.3.1
Etiologies and pathogenesis Spleen
qi deficiency Kidney
deficiency Urine
bladder trauma Heat-damp
in the lower jiao 4.3.2
Differentiations and treatments (1)
Spleen qi deficiency Clinical
manifestations: After childbirth urination difficulty, or retention, or
incontinence, qi-, pale tongue with white fur Treatment
principle: tonifying qi and promoting urination Herb
formula: Bu Zhong Yi Qi Tang (2)
Kidney deficiency Clinical
manifestations: After childbirth urination difficulty, or retention, or
incontinence, kidney- Treatment
principle: Tonifying kidney and promoting urination Herb
formula: Jin Gui Shen Ji Wan (3)
Urine bladder trauma Clinical
manifestations: After childbirth urination incontinence,
lower abdomen pain Treatment
principle: Tonifying qi and blood to promote urine bladder recovery
Herb
formula: Huang Qi Dang Gui San (4)
Heat-damp in the lower jiao Clinical
manifestations: After childbirth urination difficulty, painful, urgent and
frequent or retention, red tongue with yellow greasy fur, rapid pulse
Treatment
principle: Clearing heat and damp Herb
formula: Jia Wei Wu Lin San 5.
Miscellaneous disorders 5.1
Women infertility It
is inability of pregnancy in mutual women who has at least two years normal
sexual life and whose partner has normal reproductive function. 5.1.1
Etiologies and pathogenesis Liver
qi stagnation Kidney
deficiency Blood
deficiency Phlegm
blocking Blood
stasis 5.1.2
Differentiations and treatments (1)
Liver qi stagnation Clinical
manifestations: Infertility, irregular period, breast and hypochondria pain,
taut pulse Treatment
principle: Tonifying blood and soothing liver
Herb
formula: Tiao Jing Zhong Yu Tang (2)
Kidney deficiency Clinical
manifestations: Infertility, late and small period, yang deficiency symptoms,
and pale tongue with white fur Treatment
principle: Tonifying kidney yang Herb
formula: Bu Shen Zhong Zi Fang (3)
Blood deficiency Clinical
manifestations: Infertility, late and small period, qi and blood deficiency
symptoms, and pale tongue with white fur
Treatment
principle: Tonifying qi and blood
Herb
formula: Gui Pi Tang (4)
Phlegm blocking Clinical
manifestations: Infertility, overweight, irregular period, big amount discharge,
greasy fur Treatment
principle: Promoting qi circulation and removing dampness
Herb
formula: Cang Zhu Dao Tan Tang (5)
Blood stasis Clinical
manifestations: Infertility, late and painful period, purple tongue
Treatment
principle: Promoting blood circulation to remove stasis
Herb
formula: Xue Fu Zhu Yu Tang 5.2 Vaginal itching It
is persistent itching of the vulva and / or vagina, or may an excessive vaginal
discharge. 5.2.1
Etiologies and pathogenesis Heat-damp
in liver channel Parasites
Blood
deficiency Liver
and kidney yin deficiency 5.2.2
Differentiations and treatments (1)
Heat-damp in liver channel Clinical
manifestations: Persistent hot itching of the vulva and / or vagina, with
profuse yellow discharge, red tongue with yellow greasy fur Treatment
principle: clearing heat-damp from
liver channel Herb
formula: Long Dan Xie Gan Tang External
liquid: San Huang Xi Ji (2)
Parasites Clinical
manifestations: Persistent itching of the vulva and / or vagina, with yellow or
pus discharge Treatment
principle: Killing parasites
Herb
formula: Zhi Dai Fang External
liquid: She Chuang Zi Tang (3)
Blood deficiency Clinical
manifestations: Persistent itching of the vulva and / or vagina, more serious at
night, blood deficiency symptoms, and pale tongue with white fur Treatment
principle: Tonifying blood
Herb
formula: Yang Xue Sheng Feng Tang (4)
Liver and kidney yin deficiency Clinical
manifestations: Persistent itching of the vulva and / or vagina, more serious at
night, yin deficiency symptoms, and red tongue body with yellow fur Treatment
principle: Tonifying yin and clearing heat
Herb
formula: Zhi Bai Di Huang Wan Copyright by Kai Chen Ph.D. in Chinese Medicine |