Flooding and Trickling Menses (Beng Luo)
Heat in the Blood - Deficiency Heat
Formulas and Herbs:
- Bao Yin Jian (Sheng Di, Shu Di, Huang Qin, Huang Bai, Bai Shao, Shan Yao, Xu Duan, Gan Cao)
Modifications:
- With heavy bleeding: + Hai Piao Xiao, Xian He Cao
- With spotting: Pu Huang, San Qi
- With Yin Deficiency Yang Kan + Gui Ban, Long Gu
- With long time bleeding (Qi + Yin Deficiency): + Sheng Mai San (Ren Shen, Mai Men Dong, Wu Wei Zi) or + Huang Qi, Bei Sha Shen
Acupuncture Points:
- REN-4, 6
- SP-1, 8
- KI-2, 10
- BL-23
- DU-4
- With night sweating: + HT-6 Sedate, KI-7 Tonify or EVEN
- With insomnia: + KI-6, BL-62 Sedate
Heat in the Blood - Excess Heat
Formulas and Herbs:
- Qing Re Ku Jing Tang (Huang Qin, Zhi Zi, Sheng Di, Di Gu Pi, Di Yu, Ou Jie, Chen Zhong Tan, E Jiao, Gui Ban, Mu Li, Gan Cao) + Bei Sha Shen
Modifications:
- During heavy bleeding time: + Ce Bai Ye, Yi Mu Cao
- With spotting: + San Qi, Qian Cao
- With Liver Qi Stagnation > Heat: + Chai Hu, Mu Dan Pi, Xia Ku Cao
- With True Heat + Dampness: + Bai Jiang Cao, Huang Bai, Hong Teng
- With constipation: + Da Huang
Acupuncture Points:
- REN-6
- SP-8, 10
- LI-11
- With Damp-Heat: REN-6, SP-1, 6, 9; LIV-5
- With Liver Qi Stagnation: + LIV-2, 3; SJ-5, GB-34
Kidney Yang Deficiency
Formulas and Herbs:
- You Gui Wan (Fu Zi, Rou Gui, Shu Di, Shan Yao, Shan Zhu Yu, Gou Qi Zi, Tu Si Zi, Lu Jiao Jiao, Dang Gui, Du Zhong) – Dang Gui, Rou Gui, + Huang Qi, Fu Pen Zi, Chi Shi Zhi
Modifications:
- During heavy flow (beng): + Lu Jiao Shuang, Bu Gu Zhi, Pao Jiang
- With spotting: + Ai Ye, Jing Jie Tan, Xiao Hui Xiang
- With Kidney and Spleen Yang Deficiency: + Dang Shen, Fu Ling, Sha Ren
- With young girls: + Zhi He Ce, Xian Mao, Xian Ling Pi/Yin Yang Huo
- When so heavy must use towels for the blood: Yunnan Paiyao, 1 red pill TID
Acupuncture Points:
- Moxa
- REN-4, 6
- ST-36
- KI-3, 10
- SP-1, 8
- BL-23, 52
- DU-4
- With heavy bleeding: + Duan Hong
Kidney Yin Deficiency
Formulas and Herbs:
- Zuo Gui Yin (Shu Di, Shan Yao, Gou Qi Zi, Zhi Gan Cao, Fu Ling, Shan Zhu Yu) + Tu Si Zi, Lu Jiao Jiao, E Jiao + Er Zhi Wan (Nu Zhen Zi, Han Lian Cao)
Modifications:
- With durring heavy flow (beng): + Lu Jiao Shuang, increase dose of Han Lian Cao (1-1.5 Liang)
- With spotting: + Hai Piao Xiao, Mu Li, Xue Yu Tan
- With Yin Deficiency Yang Kan: + Bai Shao, Xia Ku Cao, He Shou Wu
- With HT Yin Deficiency with Kidney Yin Deficiency: + Wu Wei Zi, Suan Zao R
Acupuncture Points:
- REN-4, 6
- KI-2, 6, 10
- LIV-8
- LU-7
- BL-18, 23
Spleen Qi Deficiency
Formulas and Herbs:
- Gu Ben Zhi Beng Tang (Ren Shan, Huang Qi, Bai Zhu, Shu Di, Dang Gui, Pao Jiang)
Modifications:
- During heavy bleeding time: – Dang Gui, + Sheng Ma, Shan Yao, Hai Piao Xiao
- With heavy Beng: + Jing Jie Tan, Chi Shi Zhi
- With spotting: + Qian Cao Tan, Pu Huang Tan
- With Blood Deficiency: + He Shou Wu, Hei Dou, E Jiao
- With palpitations: + Wu Wei Zi, Mai Men Dong,
Acupuncture Points:
- REN-6
- ST-36
- SP-1, 8
- BL-20 and KI-3 to tonify
- LIV-3 to soften Liver
- With very cold/pale patient: Moxa REN-4
Blood Stagnation - Xue Yu
Formulas and Herbs:
- Shi Xiao Si Wu Tang (Shu Di, Bai Shao, Dang Gui, Chuan Xiong, Wu Ling Zhi, Pu Huang) + Qing Cao Gen, Hai Piao Xiao
Modifications:
- With heavy Beng: – Dang Gui, Chuan Xiong, + Yi Mu Cao, Xue Yu Tan
- With spotting: + San Qi, Tao Ren
- With Qi Stagnation > Blood Stagnation: + Chai Hu, Yu Jin, Chuan Lian Zi
- With long time bleeding (Qi and Blood Deficiency): + Dang Shen, Huang Qi, Bai Zhu
- Alternate: Tao Hong Si Wu Tang, modify accordingly
Acupuncture Points:
- SP-8,10,12
- REN-3,4,6
- Ear Points: Zigong, internal circulation