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Tuesday, 19 November 2013

Menstrual Disorders - Amenorrhea - Treatments In Traditional Chinese medicine Perspective

Amenorrhea is defined as delay or absence of menstruation in a woman reproductive years. Women who have a delay or absence of period used to think that they may be pregnant, in fact, there are many reasons of amenorrhea.
Treaments
B. Chinese herbs
Traditional Chinese medicine classifies amenorrhea according the deficiency or excess pattern of three main organs, kidney, spleen and liver in the women body. Here are 4 common patterns causes of amenorrhea, Kidney Deficiency, Blood and qi deficiency, Qi Stagnation and Blood Stasis and Phlegm Dampness Retention.
1. Formula for Blood and qi deficiency : Nu Ke Ba Zhen Wan (Women's Precious Pills)
The pills was first described in the Yuan Dynasty (1279-1368AD) in the text of Rui Zhu Tang Pharmacy's Formulas from Experience has been used to tonify the blood and qi for women after menstruation and to treat amenorrhea due to qi and blood deficiency
ingredients include,
a. Dang Qui (Chinese Angelica root)
Main use; Strengthens Blood, Invigorates Blood, Harmonizes Blood, Regulates Menses
b. Bai Shao (White Peony Root)
Main use;
Nourishes the Blood, Pacifies the Liver, Retains the Yin
c. Shu Di Huang (Chinese Foxglove Root)
Main use; Tonifies the Blood, Tonifies the Heart, Liver & Kidneys
d. Chuan Xiong (Szechuan Lovage Root) Main use; Invigorates the Blood, Promotes the Circulation of Qi, Expels Wind
e. Dang Shen (Codonopsis Radix) Main use; Benefits the Qi, Nourishes Fluids, Strengthens the Lungs and Digestive Organs
f. Bai Zhu (Atractylodes Macrocephala rhizome)
Main use;
Benefits the Qi, Tonifies the Spleen, Dries Dampness
g. Fu Ling (Poria Cocos)
Main use;
Leeches out Dampness, Strengthens Digestion, Harmonizes the Middle Burner, Calms the Spirit.
h. Gan Cao (Licorice root)
main use; Tonifies the Spleen, Benefits the Qi, Detoxifies Fire Poisons, Moderates and Harmonizes other herbs, Improves the performance of other herbs.

2. Formula for blood deficiency: Si Wu Tang (Four Substances for Women) According to The Pharmacopoeia of the People's Republic of China (PPRC), compiled by the Pharmacopoeia Commission of the Ministry of Health of the People's Republic of China, is an official compendium of drugs, covering Traditional Chinese and western medicines, and giving information on the standards of purity, description, test, dosage, precaution, storage, and the strength for each drug, this formula is classified as normalize menstruation and enrich blood
Ingredients include
a. Shu Di Huang (Chinese Foxglove Root)
Main use; Tonifies the Blood, Tonifies the Heart, Liver & Kidneys
b. Bai Shao (White Peony Root)
Main use;
Nourishes the Blood, Pacifies the Liver, Retains the Yin
c. Dang Qui (Chinese Angelica root)
Main use; Strengthens Blood, Invigorates Blood, Harmonizes Blood, Regulates Menses
d. Chuan Xiong (Szechuan Lovage Root) Main use; Invigorates the Blood, Promotes the Circulation of Qi, Expels Wind.

3. Formula for Qi and blood deficiency and Cold Accumulation. Shi Chuan Da Bu Wan (Ten Flavor Teapills)
The formula was published in the "Tai Ping Imperical Grace Formulary" and Each maker of Chinese patent medicine changes the proportions of the herbs slightly.
a. Huang qi (astragalus root)
Main use; Tonifies Qi, Raises Yang, Strengthens the Defensive-Qi, Strengthens the Exterior
b. Rui Qui (Chinese cinnamon bark)
Mian use: Tonifies Fire, Benefits the Yang, Disperses Cold, Calms pain, Promotes circulation in the channels, Moves Blood.
c. Shu Di Huang (Chinese foxglove root)
Main use; Tonifies the Blood, Tonifies the Heart, Liver & Kidneys
d. Bai Shao Yao (Chinese peony root)
Main use; Nourishes the Blood, Pacifies the Liver, Retains the Yin
e. Chuan Xiong (ligusticum rhizome)
Main use; Invigorates the Blood, Promotes the Circulation of Qi, Expels Wind.
f. Dang Qui (Chinese angelica root)
Main use; Strengthens Blood, Invigorates Blood, Harmonizes Blood, Regulates Menses
g. Ren Shen (ginseng root)
Main use; Tonifies Fire, Benefits the Qi, Disperses Cold, Calms pain, Promotes circulation in the channels, Moves Blood.
h. Fu Ling (tuckahoe mushroom)
Main use; Leeches out Dampness, Strengthens Digestion, Harmonizes the Middle Burner, Calms the Spirit.
i. Bai Zhu (white atractylodes rhizome)
Main use; Benefits the Qi, Tonifies the Spleen, Dries Dampness
j. Gan Cao (Chinese liquorice root)
Main use; Tonifies the Spleen, Benefits the Qi, Detoxifies Fire Poisons, Moderates and Harmonizes other herbs, Improves the performance of other herbs.

4. Formula for Blood Stagnation; Tong Jing Wan (Calm in the Sea of Life) a. Xiang Fu (Nutgrass)
Main use; Drains the Liver Fire, Regulates the Qi, Regulates menstruation, Calms pain.
b. Yan Hu Suo (Corydalis Repens)
Main use; Moves Blood, Moves Qi, Calms pain.
c. Bai Shao (White Peony Root)
Main use;
Nourishes the Blood, Pacifies the Liver, Retains the Yin
d. Gan Jiang (Ginger Roots)
Warms the Middle, Stremgthen Yang, Warms the Lungs, Transforms Phlegm.
e. Hong Hua (Carthamus Tinctrius)
Main use: Moves Blood, Eliminates Blood stasis, Treats amenorrhea due to anemia.
f. Chuan Xiong (ligusticum rhizome)
Main use; Invigorates the Blood, Promotes the Circulation of Qi, Expels Wind.
g. Yi Mu Cao (Motherwort)
Main use; Moves Blood, Eliminates Blood accumulation, Diuretic, Resolves dampness.

5. Formula for Blood Stagnation with Cold Accumulation; Shao Fu Zhu Yu Wan (Stasis in the Palace of Blood)
a. Tao Ren (Peach Kernel)
Main use; Moves Blood, Eliminates accumulations.
b. Hong Hua (Carthamus Tinctrius)
Main use: Moves Blood, Eliminates Blood stasis, Treats amenorrhea due to anemia.
c. Dan Shen (Red Sage Root)
Main use; Moves Blood, Eliminates Blood accumulation, Cools Blood, Dissolves furuncle, Nourishes Blood.
d. Chuan Xiong (ligusticum rhizome)
Main use; Invigorates the Blood, Promotes the Circulation of Qi, Expels Wind.
e. Dang Qui (Chinese angelica root)
Main use; Strengthens Blood, Invigorates Blood, Harmonizes Blood, Regulates Menses
f. Nu Xi (achyranthes root)
Main use; Invigorates blood, Expels blood stasis, Treats dysmenorrhea, amenorrhea, Clears damp heat, Moves blood downward.
g. Zhi Qiao (Citrus Aurantium Fruit)
Main use; Moves Qi, Reduces Distension, Transforms Phlegm, Expels Focal Distention
h. Chi Shao (Red Peony Root)
Main use; Clears Heat, Cools Blood, Eliminates Blood accumulation, Calms pain
i. Jie Geng (Platycodon Root)
Main use; Stimulates the Lung dispersing and descending functions,Transforms Phlegm, Drains the pus.
j. Chai Hu (Bupleurum Root)
Main use; Regulates and Clears Heat, Drains the Liver and resolves depression and stagnation, Raises Yang Qi.
k. Shu Di Huang (Chinese foxglove root)
Main use; Tonifies the Blood, Tonifies the Heart, Liver & Kidneys
l. Gan Cao (Chinese liquorice root)
Main use; Tonifies the Spleen, Benefits the Qi, Detoxifies Fire Poisons, Moderates and Harmonizes other herbs, Improves the performance of other herbs.

6. Formula for Blood Stasis and Blood Deficiency; Tao Hong Si Wu Tang (Menstro Ease Decoction). The formula was recorded in Yi Zong Jin Jian, an official medical textbooks compiled in Qing Dyansty under the order of the Emperor Qian Long, published in 1742.Tao Hong Si Wu Tang has been helping numberless women to restore healthy menstrual cycle over thousand of years in China. In a article of "Diagnosis and treatment of female infertility" in Chinese medicine, the author wrote that the following well-known formula (Tao Hong Si Wu Tang) can be given in a patent pill form to encourage complete discharge of menses. However, if there are clinical signs of Blood stagnation, a decocted or granulated herbal preparation would be preferable to pills because they would have a more powerful action.
1. Tao Ren (Peach Kernel)
Main use; Moves Blood, Eliminates accumulations.
2. Hong Hua (Carthamus Tinctrius)
Main use: Moves Blood, Eliminates Blood stasis, Treats amenorrhea due to anemia.
3. Dan Shen (Red Sage Root)
Main use; Moves Blood, Eliminates Blood accumulation, Cools Blood, Dissolves furuncle, Nourishes Blood.
4. Dang Qui (Chinese angelica root)
Main use; Strengthens Blood, Invigorates Blood, Harmonizes Blood, Regulates Menses
5. Chi Shao (Red Peony Root)
Main use; Clears Heat, Cools Blood, Eliminates Blood accumulation, Calms pain 6. Chuan Xiong (ligusticum rhizome)
Main use; Invigorates the Blood, Promotes the Circulation of Qi, Expels Wind.

7. Etc. 
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