Menstrual Cycle: Symptoms,Causes and Treatments of Spleen Qi Deficiency Cause of Prolonged Yin Phase of Menstrual Cycle

Spleen is an organ responsible for foods absorption and transformation food essence and qi to the body organs, deficiency of spleen qi causes not enough energy being transport to kidney, leading to kidney qi deficiency that disturbs the normal process of kidney in regulating each step of menstrual cycle, including phase I.

I. Symptoms
1. Shallow breathing
It is caused by the inability of spleen in controlling the upright qi and assisting the function of kidney in moving qi upward.

2. Headache
Since spleen in the house of thought, deficiency of spleen causes nervous tension, leading to prolonged headache.

3. Dizziness and fatigue
Spleen is important for nourishing the formation of blood of the liver, deficiency of spleen causes abnormal function of liver function, leading to not enough blood in circulating in the blood vessel, resulting in dizziness, fatigue and tiredness.

4. Bloating, gas and abdominal discomfort
Since spleen controls the transformation and distribution of qi and absorption of food essence, deficiency of spleen causes indigestion, leading to bloating, gas and dampness accumulation in the abnormal region, resulting in admen discomfort.

II. Causes
1. Cool Food diet
Prolonged period of eating raw, cool and may cold food hinders the spleen function in transformation and distribution of spleen function, leading to spleen qi deficiency.
2. Eating habits
People who eat little protein, irregular eating or excessive eat can also cause spleen deficiency.
3. Occupation
Women who works in the damp condition can also cause dampness accumulation leading to spleen deficiency.
4. Stress and worrisomeness
Since spleen control the mind and though, prolonged period of stress and worrisomeness can cause spleen qi deficiency.
5. Stomach disorder
If the stomach is unable to digest food properly, it will affect the spleen function in food essence transformation and distribution as a result of spleen qi deficiency.
III. Treatments
1. Herbs
a) Codonopsis (Dangshen)
It is one of the most used herb that reinforces the spleen, nourishes blood.

b) Ginseng (Renshen)
Ginseng is a very powerful qi tonic herb and used to tonify original Qi and extreme qi deficiency.

c) Astragalus (Huangqi)
it has been used in traditional Chinese medicine in tonifying spleen and lung qi and raising spleen and stomach qi.

d) Jujube Dates (Dazao)
It is a good herb for tonifying spleen qi and short of breath and nourishing blood.2. Acupuncture
Acupuncture suggested points
CV12 (zhongwan), ST36 (Zusanlin) ,SP6 (Sanyinjao), SP3 (Taibai), UB20 (Pishu),UB21 (Weishu), CV6 (Qihai)

3. Foods
a) Pumpkin
b) Carrot
c) Lamb
d) Ginger tea
e) Brown rice
f) Avoid intake of raw, cool, cold foods and foods with artificial ingredients.
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Menstrual Cycle: Symptoms,Causes and Treatment Of Kidney Yang Deficiency in Yin Phase of Menstrual Cycle

Opposite to Kidney yin deficiency, yang is necessary for the liver to transform the yin energy to yang energy to promote the implantation of egg into the uterus and kidney is the main organ to regulate each step of the reproductive function. If there is not enough yang, it may cause prolong yin phrase as a result of our body needs time to perform each step of phase I.

I. Symptoms
1. Cold and pain in the lower abdomen during or after menstruation
Since kidney yang is important to warm and support the uterus for a healthy conception, deficiency of kidney yang causes cold to accumulate in the womb which interferes with the normal function of the kidney in regulating the temperature of the uterus, leading to muscle contraction, resulting in lower abdominal cramps and pain.

2. Small volume of dark menstrual discharge
Spleen is important to assist the heart in transporting blood to the reproductive organs and to support the kidney in nourishing and moistening the body's blood vessels. Deficiency of yang reduces blood and fluid in the reproductive organs, leading to a small volume of dark menstruation.

3. Weak and aching lower back and legs
Yang is necessary to support the daily activity in the body. Deficiency of yang causes constriction of the lower back and leg muscles.

II. Causes
1. Colding effect
Eating cold foods for a prolonged period of time will cause kidney yang deficiency. Cold foods are yin in nature, after entering the stomach, our body needs to provide more yang to digest it that depletes the yang qi.

2. Life style
Some people like to drink cold drink after taking straight from the refrigerator, eat raw foods, swim in a cold water, go out a lot in rainy weather or cold water,etc., they will cause extra yang produced by the body to counter the affect of the cold.

3. Excessive exercise
Exercise is considered healthy if you can do it properly and understand the limitation of your physical body. Rigid exercise pushes you body over limitation and consume, leading to kidney yang deficiency.

III. Treatments
A. Herbs
1. Lu rong
Lu rong is also known as deer antler, deer antler velvet, it is a great herb that helps to reduce the blockage of the meridian liver and kidney. Since yang qi deficiency is also caused blood deficiency, improving the body yang by strengthening the liver's function in blood formation and kidney's function in fluid distribution, it reduces the yang deficiency in the body.

2. Du Zhong
It is also known ecommia bark, it is one the most used herb to enhance the function of meridian kidney-liver by promoting the qi and blood formation. Since the liver is a organ in charge of blood storing and blood formation and kidney is in charge of fluid regulation, it increases blood flow to the entire body and reduces fluid accumulated in the body, thus enhancing yang.

3. Ba Ji Tian
Ba ji tian is also known as Chinese morinda root, sweet and warm in nature. It is also one the herbs used to strengthen the liver and kidney qi and blood yang by enhancing the liver in blood formation and kidney in urinary secretion, thus reducing the yang deficiency causes of abdominal distention, including cramps and pain during menstrual cycle.

B. Acupuncture
Suggested acupuncture points
UB23 (Shenshu), GV4 (Mingmen), CV4(Guanyang), CV6 (Qihai), KD3 (taixi), KD7 (Fuliu) and UB52 (Zhishi).

3. Foods
a) Chicken,
b) Mutton
c) Beef
d) Avoid cool and raw foods

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Menstrual Cycle: Treatment of Kidney Yin Deficiency in The Yin Phase of Menstrual Cycle

I. Definition
Kidney yin deficiency is defined as a condition of the yang is not rising. Since kidney is one of organ governed the reproductive system and regulates the production of certain hormones during the process of menstrual cycle, deficiency of kidney yin distorts each step of the reductive function in phrase I, leading to prolonged yin phase.

II. Symptoms
1. Vagina dryness caused by the inability of kidney in fluid distribution
2. Scanty cervical mucus caused by the inability of liver in stimulating cervical gland in cervical mucus production due to deficiency of yin.
3. Sensation of heat due to body dryness
4. Dizziness caused by affecting of the brain due to the inability of kidney in performing its function as the brain, the spinal cord, the bone matrix and marrow regulator.
5. Heat flushes due to lack of estrogen.

II. Causes
1. Typical American diet
Women who love to diet with high level of saturated fat and trans fat as well as drinking cold drink comes directly from the refrigerator are most likely to suffer kidney yin deficiency caused by excessive yang produced in the stomach's function in food absorption.

2. Spleen qi deficiency
Since spleen in charge of transformation qi and fluid in the body and to the other organ, damage of the spleen or stomach inability to provide enough yin for the productive organ to perform its normal menstrual cycle, cause prolonged yin phase.

3. Rigid exercise
Rigid exercise depletes the yang from the body and diverts blood and yin qi away from the reproductive system.

4. Sex
Since traditional Chinese medicine defines women as yin in nature, excessive sexual activity depletes not only the kidney essence, but also Jing from the kidney, leading to kidney yin deficiency.

5. Lung qi
Since lung is important to moves the qi downward to support the blood movement to the reproductive organ, deficiency of lung qi reduces the kidney function in moving qi upward, leading to kidney deficiency.

IV. Treatment
1. Herbs
a) Chinese angelica roots (Dong qui)
It is one of most effective blood tonic herb. Whenever there are qi deficiency, it also causes blood deficiency.
b) Rehmannia glutinosa (Shu di huang)
It is one of the good herb for tonifying blood, nourishing yin and blood and enriching kidney essence.
c) Ligustrum lucidum (Nu zhen zi)
Nu zhen zi is good for liver and kidney tonification and clearing heat due to yin deficiency.
d) Morus Albus (Sang shen)
The herbs is most used in nourishing yin, tonifying blood and promoting the generation of body fluids

2. Acupuncture
Suggested acupuncture points:
BL15 (Xinshu), BL18 (Ganshu) BL23 (Shenshu) HT7 (Shemeen), KD3(Tai Xi) and LI3 (Taichong) and SP6 (Sanyinjiao).

3. Foods
a) Chlorella
b) eggs
c) Royal jelly
d) Grain
e) Vegetable and fruits

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Menstrual Cycle: Causes Of Prolonged Yin Phase In TCM Perspective

All women experience menstrual disorder sometime during their child bearing years, before menopause. While Western medication has never viewed menstruation disorder is a problem of women reproductive system, traditional Chinese medicine looks at this problem seriously, if untreated, it will disharmonize the women ecosystem, leading to nervous tension and other health problems, including infertility.

The normal yin phrase is about 10 - 14 days, if your yin phrase is longer than 14 days, according to traditional Chinese medicine, it is caused by
1. Kidney yin deficiency ( Not excessive yang)
Kidney yin deficiency is defined as a condition of the yang is not rising, because of not enough yang in the body. Since kidney is one of the organ governed the reproductive system and regulated the production of certain hormones during the process of menstrual cycle, deficiency of kidney yin distorts each step of the reductive function in phrase I, leading to prolonged yin phrase.

2. Kidney yang deficiency (Not excessive yin)
Opposite to the above, yang is necessary for the liver to transform the yin energy to yang energy in promoting the implantation of egg into the uterus. If there is not enough yang, it may cause prolong yin phrase as a result of our body needs time to transform from yin phase I to ovulation phrase.

3. Spleen qi deficiency
Spleen is an organ responsible in absorption and transformation of the food essence and qi to the body organs, deficiency of spleen qi causes not enough energy being transported to kidney, leading to kidney qi deficiency that disturbs the normal process of kidney in regulating each step of menstrual cycle, including phase I.

4. Intake of oily, greasy, spicy and hot foods
Oily, greasy, spicy and hot foods are yang pathogens and hot in nature. Prolonged period intake of these kind of foods causes excessive yang that suppresses the yin qi of kidney.

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The Normal Menstrual Cycle In TCM Perspective

A normal menstrual cycle is normally from 28- 35 days, without any symptom that causes discomfort (excluding dull pain) and menstrual discharge is red and last from 3- 5 days without spotting. Not all women with abnormal menstrual cycle are infertile, but if you are diagnosed with the unexplained cause of infertility, then your abnormal menstrual cycle may be the cause. 

Traditional Chinese medicine, before treating any cause of infertility would like to restore your normal menstrual cycle so you can conceive quickly.

Depending to how the Chinese practitioner divides the menstrual cycle, it may be 4 or 5 phrases.
I would like to make it easily for the reader, by dividing it to 4 phrase (it is still the same).

I. Phase I -the yin phase (about 12 - 14 days)
At the beginning of the yin phrase, yin surges (the rise of estrogen) that leads to the growth of fluids in the uterus, that not only helps to moisten the uterus, but also thickens the endometriosis in order to prepare the uterus for normal conception. The increasing yin also supports the production of blood and produces sperm friendly mucus which is important for sperm invasion.
In conventional medicine as the estrogen rise, the brain signals the hypothalamus to secret gonadotrophin-releasing hormone (FSH), which in turn stimulates the pituitary gland to produce the follicle stimulating hormone that initiates the growth and recruitment of immature follicles in the ovary.

II. Phase II - ovulation phase (about 4 days)
As the yin (estrogen) at its peak, liver triggers the start the ovulation phrase by extruding the mature follicle into the fallopian tube. In this phrase, uterus continues producing sperm friendly mucus as qi and blood move downward to warm the uterus and promote the implantation of the egg.

III. Phase III - the yang or luteal phase (about 12 -14 days)
When the egg is extruded into fallopian tube, liver transform yin energy to yang that trigger the yang ( progesterone) phrase. At this phrase, blood and qi move down ward, the endometrial lining become softer to prepare the implantation of the fertilized egg, if occurs.
In conventional medicine, at this phase corpus luteum starts to produce progesterone that triggers the softening of endometrial lining for fertilized egg implantation.

IV. Phase IV- menstruation phrase (about 3-5 days)
If there is no conception occurred, the yang drops that cause the shedding of the uterus lining. The menstrual discharge is bright red and profuse and only last between 3 - 5 days ( spotting does not count).

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Menstrual Disorders: Oligomenorrhea - Treatments In Treatments in Traditional Chinese medicine

Oligomenorrhea is an irregular menstruation and defined as a condition of infrequent period or a woman menstrual period does not occur at a interval of greater than 35 days.

Treatments in Traditional Chinese medicine
1. Angelica root
Chinese Angelica is a sturdy perennial plant that is native to China and Japan. It has been used for over 5000 years in traditional Chinese medicine in treating an overall tonic for the reproductive system as well as balancing hormones and it is also used to relieve the discomforts of premenstrual syndrome, dysmenorrhea, irregular menstruation. oligomenorrhea and amenorrhagia. It is well known as female ginseng.

2. Radix Notoginseng
Also known as tian san qi or tien chi ginseng. It has been used in China for centuries in treating excessive bleeding in irregular menstruation. It is widely used in Asia for angina to help lower cholesterol and triglycerides, and to expand coronary arteries in order to promote blood circulation and prevent blood clots thereby helping to control excessive menstrual bleeding or menorrhagia. It also is a powerful antioxidant that helps to reduce inflammation thus reducing pain caused by menstruation disorders.

3. Licorice
Licorice has been used in traditional Chinese medicine to detoxify and to enhance or balance the effects of other herbs in herbal formula as well as promote estrogenic activity. In a study of "Estrogen-like activity of licorice root constituents: glabridin and glabrene, in vascular tissues in vitro and in vivo". by Somjen D, Knoll E, Vaya J, Stern N, Tamir S., researchers concluded that glb behaved differently than E2 or gla, but similarly to raloxifene, being a partial agonist/antagonist of E2. Glabridin, on the other hand, demonstrated only estrogenic activity. Therefore, we suggest the use of glb with or without E2 as a new agent for modulation of vascular injury and atherogenesis for the prevention of cardiovascular diseases in post-menopausal women.

4. Motherwort
Motherwort is a herbaceous perennial plant in the mint family, It has been used in traditional Chinese medicine in tonifying the uterus and preventing the uterus against infection. Leonurine, a compound in the herb has an effect in promoting uterine contractions. As an emmenagogue, it enhance blood flow.

5. Skullcap
Skullcap is a genus of flowering plants in the mint family, Lamiaceae. It has been used in traditional Chinese medicine to tonify the heart, treat insomnia and enhance immune system. It is said that a infusion of the plant can be used to promote menstruation. According to the article Skullcap - Botanical and Common Names posted in Innvista, the author indicated that An infusion of the fresh aerial parts (if possible) is used to soothe nervous exhaustion, excitability, overanxiety, and premenstrual tension.
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Menstrual Disorders: Oligomenorrhea - Treatments In Herbal Medicine

Oligomenorrhea is an irregular menstruation and defined as a condition of infrequent period or a woman menstrual period does not occur at a interval of greater than 35 days.

 Treatments In Herbal medicine  

1. Black Cohosh
Black cohosh beside has been used as an emmenagogue to contracts the uterus and initiate menstruation, it also enhances hormone balancing.

2. Chaste tree berry
Chaste tree berry is considered as a queen herb in herbal medicine to regulate the women menstrual cycle by balancing the estrogen and progesterone produced by the ovaries throughout the menstrual cycle.

3. Raspberry leaf
Red Raspberry leaf, a pale-green leaf produced by the raspberry plant has been used in herbal medicine because of its rich content in vitamins, minerals, and tannins and as an aid in delivery. Herbalists suggested that red raspberry leaf enhances the lining of uterus and promotes female reproductive system, including Oligomenorrhea.

4. Cat's claw
Cat's claw is a woody vine found in the tropical jungles of South and Central America> The herb has been used traditionally to treat gastrointestinal ailments, Crohn's disease, gastric ulcers tumors, and women's hormone imbalances.

5. Turmeric
Turmeric is a rhizomatous herbaceous perennial plant of the ginger family and has been use as an antiseptic agent for cuts, burns and bruises as well as an aid digestion and liver function, relieve arthritis pain, and regulate menstruation, in traditional medicine.

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Menstrual Disorders: Oligomenorrhea - Hormone Treatment in Conventional Medicine - Progesterone only pill

Oligomenorrhea is an irregular menstruation and defined as a condition of infrequent period or a woman menstrual period does not occur at a interval of greater than 35 days.

Symptoms

Hormone Treatment in Conventional Medicine - Progesterone only pill
Norethisterone a progestogen and has been used used treat premenstrual syndrome, painful periods, abnormal heavy bleeding, irregular periods. In a study of A comparative study of danazol and norethisterone in dysfunctional uterine bleeding presenting as menorrhagia M. Bonduelle, J.J. Walker and A.A. Caldert, researcher found that Since this study was undertaken, a report of
objective measurement of blood loss in small groups of patients9 casts further doubt on the
efficacy ofnorethisterone, although it confirms that of danazol. Since norethisterone is very widely used, a detailed assessment of its efficacy and safety in comparison to danazol is overdue. Should such a study confirm the findings discussed here then danazol could usefully be employed as first line therapy in the management of dysfunctional uterine bleeding presenting as menorrhagia.

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Menstrual Disorders: Oligomenorrhea -Hormone Treatment in Conventional Medicine - Contraceptive pill

Oligomenorrhea is an irregular menstruation and defined as a condition of infrequent period or a woman menstrual period does not occur at a interval of greater than 35 days.


Hormone treatment in conventional medicine
1. Contraceptive pill
a. Low-dose combination birth control pills which contains low-dose synthetic forms of the hormones estrogen and progesterone may be use to treat amenorrhea by controlling the menstrual cycle or bring the period back to mormal.
b. Risks and side effects
b.1. Growth of fibroids
Growth of fibroid is caused high level of estrogen and progesterone. The intake of the pill increase the level of both hormones resulting in increase the risk of growth of fibroid.
b.2. Recurrent of menstrual symptoms
Some women stop taking the pill may see all the menstrual symptoms coming back.
b3. Blood clots
Estrogen in the pill may cause blood clots in the small vessels in the leg and the lung.
b.4. Stroke and heart diseases
Study shows that women who have higher natural estrogen levels may have a higher risk of stroke and heart diseases.
b.5. Depression and mood swing
At the beginning, it may cause abnormal fluctuations in estrogen and progesterone elevate both physical and psychological stress, eventually resulting in both depression and mood swing
b.6. Bleeding and spotting
Bleeding and spotting is normal for the first six months for women who begin with any oral contraceptive combination pill treatment.
b.7. Lost interest in sex
Some women may experience lower sexual desire
b.8. Nutritional deficiency
Oral contraceptive pill causes vitamin and mineral imbalances or deficiencies.
b.9. Etc.

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