Menstrual Disorders; Treatments of Luteal Phase Defect Caused By Qi Deficiency in The Yang Phase Of Menstrual Cycle

In traditional Chinese medicine, qi is defined as a substance contains properties of motion and invisibility. It comes from 3 sources
1. Primordial qi ( Heredity)
2. Inhaled qi ( Air inhaled by lung)
3. Qi essence (Absorbed from food by spleen)

I. Symptoms of qi deficiency
1. Shortness of breath
2. Fatigue, loose stools
3. Dizziness,
4. Pale face,
5. Weakened voice/reluctance to speak,
6. Sweating with little exertion
7. Loose stool
8. Etc.

II. Causes of qi deficiency
1. Stomach abnormal function
Stomach is important to digest food when it enter the body. If stomach qi is deficiency or can not digestive food properly due to intake of raw foods or cold foods, etc. for a prolonged period of time, it will cause less qi to be converted, resulting in lessening the function of spleen in qi formation and distribution.

2. Spleen
After food is digested by the stomach, food qi and essences are absorbed by spleen. Intake of certain food and weakened parental qi will cause spleen qi deficiency that leads to not enough qi to perform its function in assisting liver and lung in qi distribution to the body.

3. Lung
Lung move qi in lung channels, if for what ever reason, lung is damaged due to smokes, diseases, etc. It can not perform its function in combining the qi from the spleen and inhaled qi from the air to move blood and fluids to the abdomen.

4. Liver
Liver is vital in blood formation and moving blood yin in blood vessels. If lung qi is deficient, it causes sluggish liver qi in moving blood to warm the uterus, leading to blood stasis and cold uterus.


III. Treatments
A. With herbs
1. Ren shen (Ginseng)
Ren shen is considered as one of most powerful herbs in strengthening the original qi in the body. Besides improving the spleen function in qi absorption, thus reducing the symptoms of distended chest and abdomen cramps and pain, it also enhances the lung qi by moistening the channels.
2. Xi yang shen (American ginseng)
Besides promoting the lung and spleen qi, it also increases the digestive system in absorbing vital energy and reducing the heat causes of qi stagnation by moistening the all qi transportation channels.
3. Dang shen (Pilose asiabell root)
Dang shen is a spleen and lung tonic herbs. It improves the lung function in moving qi smoothly through its channels and spleen function in absorbing qi after foods entering the stomach.
4. Tai zi shen (Pseudostellaria root)
Besides helping to increase the spleen and lung qi, it also generates fluids to prevent the heat causes of qi stagnation.
5. Huang qi (Astragalus root)
It is one of the herb that helps to increase the function of liver in generating more blood and liver qi in blood transportation.



B. With acupuncture
1. ST36 (Zu san li)
2.SP6 (San yin jiao)
3. KD3 (Tai xi)
4. LU9 (Tai yuan)
5. Etc.

C. With diet
1. Beef
2. Cherry
3. Chicken
4. Date
5. Goose
6. Grape
7. Sweet potato
8. Rice
9.Etc.
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All information is for general illustration only, please consult with your Chinese medicine practitioner for exacted differentiation.

Menstrual Disorders; Treatments of Shortened Luteal Phase Caused By Liver Qi Stagantion in The Yang Phase of Menstrual Cycle

I. Definition
Shortened luteal phase is defined as a luteal phase or yang phrase lasts less than 10 days
The Liver qi stagnation is defined as a condition of liver is no longer function normally in distributing of the flow of qi smoothly in the liver channels, leading to its inability to filter all the toxins out of the blood and handling mental and emotional stress, resulting in increasing the risk of blood stagnation and shorten yang phase, distorting the function of uterus lining in providing the suitable environment for fertilization.

II. Symptoms of shortened luteal phase caused by liver qi stagnation
1. Pain or discomfort anywhere along the sides of the body
2. Depression
3. Emotional swings
4. Anxiety
5. Easy being frustrate
6. Anger
7. Tiredness
8. Constipation
Etc.

III. Causes of Liver qi stagnation
Liver is important for blood formation and the lung. It helps to regulate the movement of qi in the body. Obstruction of blood in certain organs may also cause qi stagnation, leading to menstrual cramps and pain before, during and after menstruation. Causes of blood and qi stagnation include:
1. Chronic inflammation
The prolonged period of inflammation causes blood static as a result of increasing blood flow to inflammation regions and distorting the immune system in fighting against foreign bacteria and virus function, leading to blood stagnation.
2. Liver function
Liver is vital for blood formation and waste removal. Abnormal function of liver causes old estrogen or other hormones as well as old blood remaining in the body's organs, leading to blood stagnation thus increasing the risk of menstrual irregularity and dysmenorrhrea.
3. Inability of respiratory function
If the lung is damaged for whatever reasons, it may affect the lung's ability to move qi in the pathway of the meridian, leading to blood stagnation in the reproductive region.
4. Stress and depression
Stress and depression caused by an unexpected event can affect the liver function in regulating the psychosocial symptoms of the nervous system and physical symptoms of blood formation, leading to liver qi and blood stagnation that contribute to symptoms of dysmenorrhrea.
5. Unhealthy diet
Unhealthy diet high in saturated and trans fat affect the blood and qi movement, because it causes the building up of cholesterol in the blood stream, thereby reducing the lung's function in regulating qi movement and the heart's function in blood circulation.

IV. Treatments
A. With Chinese herbs
1. Xiang Fu (nut grass rhizome)

It is one the herbs helped to regulate the qi flow by smoothing the liver and congestion of Spleen qi caused by excessive yin or yang, thus reducing qi stagnation caused by disharmonization of liver and Spleen causes of abdominal cramps and pain. It is said that xiang fu also has a function impromoting regular menstruation.


2. Zhi Ke (ripe fruit of zhi shi)
Zhi ke promote healthy liver, it promotes a strong liver qi function, thereby, increasing its function in blood formation and transportation to the heart for circulation.

3. Wu Yao (lindera root)
Wu yao is one the warm with the main function of warming the kidney caused by kidney yang defieciency. It is only used for patient with evidence of liver qi stagnation caused by prolong intake of cold foods or working in a cold environment. Since its function is to restore the liver qi flow due to cold constraint, it reduces the blood stagnation causes of menstrual pain.

B. With acupuncture

Suggested acupuncture points
1. BL18 (Gan shu)
2. CV12 (Hon guan)
3. CV17 (Shan zhong)
4. LI3 (Tai chong)
5. LV4 (Zgong feng)
5.SP4 (Gong Sun)
6.ST36 (Zu san li)
7. GB20 (Feng chi)
8. Etc.
C. With Foods
1. Sweet potato
2. Date
3. Rice
4. Spearmint
5. Mushroom
6. Red bean
7. Sweet basil

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Menstrual Disorders - Treatments Of Luteal Phase Defect In The Yang Phase Of Menstrual Cycle

In Traditional Chinese medicine, when the egg is extruded into fallopian tube, liver transform yin energy to yang that triggers the yang ( progesterone) phrase. At this phrase, blood and qi move down ward, the uterus lining becomes softer in preparing for the implantation of the fertilized egg, if occurs. In conventional medicine, at this phrase corpus luteum starts to produce progesterone that triggers the softening of uterus lining for fertilized egg implantation.
Shortened luteal phase may interfere with endometrial lining readiness for egg implantation.

I. Causes
1. Yang deficiency
a) Kidney yang deficiency
Although yang is sub-dominant in the yin phrase, it is also required to balance the dominant yin in production of the follicles, if for what ever reason yang is too weak, it will causes ovaries do not respond well to the FSH, leading to inadequate follicle development, resulting in poor follicle formation or corpus luteum does not persist as long as it should or the uterine lining failure to develop properly.

b) Liver qi deficiency
Since liver in responsible for the transformation of yin phrase to the yang phrase, if liver qi is deficient caused by yang deficiency, it may interfere with liver qi in moving blood to the uterus, leading to not enough blood to ensure the development of the uterus lining for egg implantation.

2. Spleen qi deficiency
Spleen is vital distribution of food qi and essence to kidney in maintaining a normal menstrual cycle. If for what ever reason ( prolonged in take of cold and raw food, working in cold environment or drinking or eating a lot of artificial ingredient), spleen fails to provide enough yang for the kidney and liver to maintain the normal menstrual phrase, they may also fail to do their job in providing the suitable environment for uterus lining in egg implantation.

II. Symptoms
1. Shortened menstrual cycle
2. Bleeding
3. Frequent urination
4. Loose stools
5. Etc.

III. Treatments
A. With herbs
1. Dang gui (Chinese Angelica root)
Tradition Chinese medicine believes Dang qui is warm and especially good in invigorating and harmonizing blood by tonifying the liver and kidney channels

2. Bai Shao (White pony root)
It has been used in traditional Chinese medicine in nourishing blood, calming liver yang and preserving yin by tonifying the kidney and spleen channels

3. For Kidney yang deficiency
a) a) Tu si zi (Chinese dodder seed)
Tu si zi is a herb used in tonifying kidney and liver, strengthening spleen by enhancing the soothing liver and kidney channels.


b) Zi shi ying (Fluoritum)
The herb has been used to warm the uterus and lung, move qi downwards ny strengthening the lung and liver channels.

4. For Spleen qi deficiency
a) Ren shen (Ginseng)
It is one of most important herbs in traditional Chinese medicine in strongly tonify original qi, lung and spleen qi and in case of extreme Qi deficiency by tonifying lung and spleen channels.

b) Huang qi (Astragalus)
huang qi is one of the herb used in tonifying spleen and lung by raising the spleen qi and strengthening the lung downward movement.

5. Etc.

B. With acupuncture
Suggested acupuncture points
1. KI7 ( Fu liu)
2. ST36 (Zu san li)
3. REN6 (Qi hai)
4. DU4 (Ming men)
5. UB23 (Shen shu)
6. UB52 (Zhi shi)
7. Etc.

C. With foods
1. Black beans
2. Legumes
3. Kelp
4. Black sesame seeds
5. Raspberries
6. Wild rice
7. Wheat germ
8. Etc.
All information is for general illustration only, please consult with your Chinese medicine practitioner for exacted differentiation.

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Menstrual Cycle: Treatments of Sore Breast And Irritability in The Ovulation Phase of Menstrual Cycle

Some women may experience sore breast and irritability during ovulation phase of menstrual cycle. They are defined as conditions of liver qi can not move blood freely due to liver qi stagnation.

I. Causes
1. Spleen qi deficiency
Stomach is the primary organ in digestive food essence after foods are eaten. If for what ever reason, the stomach can not digest food properly, it may cause the inability of spleen in absorb food qi and essence for our body needs, leading to spleen qi deficiency, resulting in disturbing the qi formation and transporting it to the liver to move blood, leading to liver qi stagnation cause of sore breast and irritability.

2. Kidney in fluid distribution
Spleen is a vital organs in transporting fluid to the kidney for distribution to our body needs, if spleen fails to do it function or kidney' inability to transport fluid properly, it causes fluid retain in the body tissues. In this case, it causes fluid accumulated in the breast, leading to sore breast and irritability.

3. Lung qi deficiency
Lung qi is important to circulate qi in the entire body. Lung qi deficiency can be caused by spleen qi deficiency that interfere with the function of lung in assisting liver in moving qi in the blood vessels.

4. Liver qi stagnation
Liver qi stagnation can not transport blood and assist heart in moving blood freely in the blood vessel, leading to pain moving around and nervous tension. In this case, it causes pain in the breast and irritability.

II. Treatments
A. With Chinese herbs
1. Sheng ma (Black cohosh)
the cool herb helps to sooth the channels of lung, spleen, stomach and large intestine, thereby reducing the symptoms of sore freast and irritability caused by liver heat and toxicity as well as raising yang and guiding other herbs upwards.

2. Chai hu (Thorowax root)
It has been used in traditional Chinese medicine in treating liver qi stagnation as well as nourishing the deficiency of spleen and stomach and kidney, thereby reducing the risk of liver qi stagnation caused by spleen and stomach's inability to absorb food qi and essence.

3. Bai shao yao (White peony)
Beside having a function in nourishing blood and regulating period during menstrual cycle, it also enhances the liver function in calming yang and alleviating pain, including sore breast.

4. Qing pi (Tangerine peel)
the berb improve the function of liver qi causes of irritability and sore breast by promoting the soothing of channels of liver, gallbladder and large intestine.

5. Huang qi (Astragalus root)
It is one of the herb that helps to increase the function of liver in generating more blood and liver qi in blood transportation due to excessive blood loss during menstruation.

6. Etc.

B. Acupuncture
Suggested acupuncture points
1. LI4(Er jian)
2. LV3 (Tai chong)
3. LV4 (Zhong feng)
4. St36 (Zu san li)
5. GB20 (Feng chi)
6. Etc.

C. Diet
1. Garlic
2. Chicken
3. Coconut meat
4. Date
5. Cheery
6. Squash
7. Red and black date
8. Rice

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Menstrual Cycle: Treatments of Painful Ovulation Caused By Blood Stagnation in The Ovulation Phase of Menstrual Cycle

Painful ovulation is defined as a condition of blood and qi can not move freely due to liver qi and blood deficiency, as liver is the primary organ in preparing for the transferring of the yin to yang for the start of the yang phrase of menstrual cycle. Women feel cramps and pain in the ovulation phrase in the left or right side of the abdomen can be caused by either qi or blood stagnation or both.

I. Causes
A) In conventional medicine, painful ovulation is defined as a condition caused by a small leakage of blood from the ovary occurring at the time of ovulation, leading to irritation of the abdominal wall resulting in cramps and pain in either left or right side of the abdomen depending to which side of ovaries is responsible for the development of follicles.

B) In tradition Chinese medicine, painful ovulation is caused by
1. Kidney function in fluid distribution
Intake of hot and spicy causes dryness in the kidney fluid that interferes with kidney function in distributing fluid to the liver to form blood, leading to blood stasis.

2. Kidney yin deficiency
Kidney yin is required to surge for stimulate the ovaries in follicle production in this phrase, if there is not enough yin, it may cause ovulation delay, leading to painful ovulation.

3. Liver qi stagnation
Liver qi is important to transport the liver blood to heart and helps to move blood in the circulatory system, If qi is stasis, it may not move blood smoothly, leading to sharp cramps and pain. In the other case, if qi move to fast, it may cause breaking off some small vessels in the ovaries, leading to cramps and pain.

4. Liver blood stagnation
If liver blood is stasis caused by the inability of liver qi in moving blood in the small vessels in the ovaries or liver' inability in blood formation, it may cause cramps and pain.

II. Treatments
A) With Chinese herbs
1. Dan shen (Salvia root)
The cool herb has been used in traditional Chinese medicine in invigorating blood, breaking up blood stasis by soothing the heart and liver channels.

2. Wu ling zhi (Flying squirrel feces)
This warm herb has been used in invigorating blood in upper body channels.

3. Hong hua (Safflower flower)
Hong hua is a blood tonic herb which has been used to strengthen the liver and heart channels by
invigorating blood and dispelling blood stasis.

4. Chuan xiong ( Rhizom Chuanxiong
This herb has been used in history of traditional Chinese medicine in invigorating blood and promoting movement of qi.

5. Tao ren (Peach seed)
It has been used to sooth the liver, heart and lung channels by invigorating blood, removing stasis caused by qi stagnation.

6. Etc.

B) With acupuncture
The acupuncture points of suggestion
1. Sp6 (San yin jiao)
2, Sp8 (Di ji)
3. Sp10 (Xue hai)
4. UB17 (Ge shu)
5. UB40 (Weizhong)
6. ST36 (Zu san li)
7. Etc.

C) Diet
1. Red wine
2. Mutton,
3. Snake,
4. Chinese wolf berry
5. Beef,
6. Red dates
7. Black bean
8. Etc.
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Menstrual Cycle: Treatment of Blood Stagnation of Ovulation Phase of Menstrual Cycle

Many women are experience menstrual cramps and pain either on the left or the right of the abdomen, it is due to liver qi or blood stagnation disturbing the development of follicles in the ovaries. The cramps and pain can be reduced or avoid by adjusting the daily diet, life style or with the help of Chinese herbs.

 
Blood stagnation is defined as a condition of blood can not move freely due to liver qi deficiency, kidney essence depletion spleen's inability in qi distribution and liver's inability in blood formation, etc. Women who feel cramps and pain in the ovulation phrase in the left or right side of the abdomen can be caused by blood stagnation.

I. Symptoms
1. Dark, clotted vagina discharge
2. Painful menstruation
3. Irregular menstruation
4. Abdominal cramps and pain
5. Stabbing and sharp pain
6. Purple tongue
7. Wiry pulse
8. Etc.

II. Causes
1. Raw and cold food
Raw food and cold food are considered as cool and cod in nature, as they enter the stomach, they need to be heated up before can be digested. Sometime because of enormous energy needed, it distorts the function of stomach in food essence distribution, leading to qi deficiency that can not move blood in the vessels freely, resulting in blood stagnation.

2. Anemia
Anemia is defined as condition of blood and qi deficiency as can be treated by tonic qi and blood herbs. If there are blood and qi deficiency, blood can not move smoothly because of weakened qi, resulting in increasing the risk of blood stagnation.

3. Sluggish Liver
Liver is the organ responsible for blood formation and blood distribution. If the liver qi is weakened, it not only reduce its function in blood formation, but also interferes the movement of blood.

4. Kidney deficiency
Kidney essence is important in assisting liver in blood formation, by distributing fluids to build blood. If kidney essence or kidney qi is deficient, it may slow down the smooth movement of qi in the blood channels, leading to blood stagnation.

5. Lung qi deficiency
Our body qi is regulated by lung function in qi distribution. If the lung is damaged or can not received enough qi from the spleen, it can distort its function to move blood in the lung and heart channel.



III. Treatments
1. Chinese herbs
a) Yu jin (Turmeric root)
Yu jin promotes the function of heart lung and liver channels by invigorating blood and increasing the movement of qi of above organs.

b) Ru xiang (Bible frankincense)
The warm herb also enhances the function of heart, lung and liver by invigorating blood, dispelling blood stasis and relieving cramps and pain.

c) Mo yao (Abyssinian myrrh)
It has been used to enhance the function of heart, liver and spleen channels by relaxing sinews, promoting movement of qi and invigorating blood.

d) Yan hu suo (Turkey corn)
It helps to improve function of heart, liver, lung by promoting movement of qi through their channels and alleviating cramps and pain.

f) Jiang huang (Curcuma)
The herbs invigorates blood, unblocks blood stasis, reduces chest and abdominal pain, and treats amenorrhea, dysmenorrhea and swelling pain.

g) Etc.

2. Acupuncture
Suggested acupuncture points
a) ST36 ( Zu san li)
b) SP6 (San yin jiao)
c) SP10 (Xue hai)
d) UB40 (Wei zhong)
e) UB17 Ge shu)
f) Etc.

3. Diet
a) Brown sugar
b) Chestnut
c) Eggplant
d) Peach
e) Crab
f) Papaya
g) Etc.

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