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
