Late or Delayed Menses
(Yue Jing Ho Ji)

Blood Deficiency (Xue Deficiency Kidney Qi Deficiency)

Formulas and Herbs:

• Gui Shen Wan (Shu Di, Shan Yao, Shan Zhu Yu, Fu Ling, Dang Gui, Gou Qi Zi, Du Zhong, Tu Si Zi) Zi He Si, Rou Cong Rong, Dan Shen, Niu Xi

Modifications:

• With cold: Rou Gui
• With abdominal pain: E Jiao, Xiang Fu
• With not much Kidney Deficiency: use either Ba Zhen Tang or Gui Pi Tang, modify as needed

Acupuncture Points:

• REN-4
• KI-13 Moxa

Yang Deficiency

Formulas and Herbs:

• You Gui Yin (Shu Di, Shan Yao, Shan Zhu Yu, Gou Qi Zi, Gan Cao, Du Zhong, Rou Gui, Fu Zi)

Modifications:

• You Gui Wan is You Gui Yin Gan Cao, Tu Si Zi, Lu Jiao Jiao, Dang Gui.
  This form is stronger in function but more slowly absorbed, used for long term (3 or months, follow-up)

Acupuncture Points:

• Use points indicated for the general pattern

Yin Deficiency

Formulas and Herbs:

• Zuo Gui Yin (Shu Di, Shan Yao, Gou Qi Zi, Zhi Gan Cao, Fu Ling, Shan Zhu Yu) Dan Shan, Niu Xi, Yi Mu Cao (sometimes)

Modifications:

• With insomnia: Suan Zao Ren
• With intense thirst: Nan Sha Shen, Bei Sha Shen, Mai Men Dong
• With night sweats: Wu Wei Zi

Acupuncture Points:

• NO Moxa.
• Use DU, KI, LIV, Spleen channels (otherwise, the same as Yang Deficiency)

Cold Congestion

Formulas and Herbs:

• Wen Jing Tang (Dang Gui, Chuan Xiong, Ren Shen, Bai Shao, Rou Gui, E Zhu, Mu Dan Pi, Niu Xi, Gan Cao) Wu Zhu Yu, Gui Zhi, E Jiao

Modifications:

• When treatment is not working: Shi Xiao San (Pu Huang, Wu Ling Zhi)
• With heavy bleeding: E Zhu, Niu Xi Pao Jiang, Ai Ye

Acupuncture Points:

• REN-6
• KI-13
• ST-29,25 Moxa
• With more cold: REN-4 Moxa

Qi Stagnation

Formulas and Herbs:

• Jia Wei Wu Chen San (Sha Ren, Tan Xiang or Mu Xiang, Yan Hu Suo, Xiang Fu, Gan Cao, Wu Yao) Dang Gui, Chuan Xiong

Modifications:

• With delayed period and dark, red heavy bleeding: Mu Dan Pi, Zhi Zi
• With very tender breasts , chest pain: Chen Pi, Bai Shao

Acupuncture Points:

• REN-3,4
• SJ-4
• LIV-14
• GB-34
• LIV-3

Phlegm Blockage - Tan Zhu

Formulas and Herbs:

• Er Chen Tang (Ban Xia, Chen Pi or Ju Hong, Fu Ling, Zhi Gan Cao, Sheng Jiang) Dang Gui, Chuan Xiong

Modifications:

• If in need of more drying action: + Ju Hong Chen Pi
• With more Spleen Qi Deficiency: Ren Shen, Bai Zhu
• With nausea, chest tightness: Sha Ren, Zhi Ke
• With heavy vaginal discharge: Cang Zhu, Yi Yi Ren
• With vertigo (DH-type): Tian Ma, Yuan Zhi

Acupuncture Points:

• REN-6,12
• ST-36,40
• BL-17,20
• SP-6,9

References:

• Obstetrics & Gynecology in Chinese Medicine
  - Giovanni Maciocia
• Five Branches Institute Gynecology Classes
  - TCM Faculty
• Thomas Dehli, L.Ac.