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Your Cycle, Your Health: How Traditional Chinese Medicine Supports Menstrual Wellness

Woman curled up on a pink couch in pain from her menstrual cycle

Your menstrual cycle is more than just a monthly inconvenience. It’s a vital sign. In Traditional Chinese Medicine (TCM), the menstrual cycle offers a window into your overall health and inner balance. Whether your period is painful, irregular, heavy, or just “off,” TCM views these symptoms as messages from your body, not just problems to suppress.


Rather than masking symptoms with quick fixes, TCM looks at why those symptoms are happening and works with your body to restore harmony. The goal? A smoother, more balanced cycle—and better health all around.


Let’s explore how TCM understands menstruation, common cycle imbalances, and how acupuncture, herbal medicine, and lifestyle support can bring your hormones and energy back into rhythm.


The Menstrual Cycle in Chinese Medicine: A Monthly Report Card

In TCM, a healthy menstrual cycle reflects healthy Qi, Blood, and organ system function, especially the:

  • Liver – stores Blood and ensures its smooth flow

  • Kidneys – govern reproductive essence (Jing) and hormonal balance

  • Spleen – helps produce and hold Blood in the vessels

  • Heart – governs the Blood and is connected to emotional wellbeing


A balanced cycle typically includes:

  • Regular timing (every 26–32 days)

  • Minimal PMS or pain

  • Moderate flow (not too heavy or light)

  • 3–7 days of bleeding

  • Bright red, smooth-flowing blood without clots


When something’s off, TCM doesn't just treat the symptoms—it seeks the root imbalance behind them.


Common Menstrual Imbalances in TCM (and How We Treat Them)

Here are some of the most common menstrual issues and their typical TCM patterns:


1. Painful Periods (Dysmenorrhea)

  • TCM Causes: Qi and Blood Stagnation, Cold in the Uterus

  • Signs: Cramping, clots, dark or purple blood, better with heat

  • Treatment: Move Qi and Blood, warm the uterus, regulate Liver Qi


2. Irregular Cycles

  • TCM Causes: Liver Qi Stagnation, Kidney Deficiency, Spleen Deficiency

  • Signs: Periods that come early, late, or unpredictably

  • Treatment: Harmonize Liver, strengthen Kidneys and Spleen


3. Heavy Bleeding

  • TCM Causes: Heat in the Blood, Spleen Qi Deficiency, Blood Stasis

  • Signs: Flooding, fatigue, pale complexion

  • Treatment: Cool the Blood, stop bleeding, tonify Qi


4. Light or Scanty Periods

  • TCM Causes: Blood Deficiency, Cold, Kidney Yang Deficiency

  • Signs: Pale blood, light flow, short duration, fatigue

  • Treatment: Nourish Blood, warm Yang, support essence


5. PMS / Mood Swings / Breast Tenderness

  • TCM Causes: Liver Qi Stagnation

  • Signs: Irritability, bloating, breast distention, sighing

  • Treatment: Soothe the Liver, move Qi, calm the Shen (spirit)


6. Amenorrhea (No Periods)

  • TCM Causes: Blood Deficiency, Cold in the Uterus, Qi Stagnation, Kidney Deficiency

  • Signs: Missed periods for months (not due to pregnancy)

  • Treatment: Nourish Blood and Kidney essence, regulate cycle


How Acupuncture and Herbal Medicine Support the Cycle

Acupuncture helps regulate your cycle by:

  • Increasing blood flow to the uterus and ovaries

  • Calming the nervous system and balancing hormones

  • Relieving pain, inflammation, and stagnation

  • Supporting each phase of your cycle (follicular, ovulation, luteal, menstruation)


Chinese herbal medicine is tailored to your specific pattern and may include:

  • Dang Gui (Angelica Sinensis): Nourishes Blood and regulates menses

  • Chai Hu (Bupleurum): Soothes Liver Qi for PMS and mood

  • Yi Mu Cao (Leonurus): Moves Blood and relieves pain

  • Shu Di Huang: Builds Kidney and Blood reserves


Each formula evolves with your needs and cycle shifts over time.


Cycle Syncing with TCM: Treating Each Phase Naturally

We support your body differently depending on where you are in your cycle:

  1. Menstrual Phase (Days 1–5): Move Blood, relieve cramps, clear stagnation

  2. Follicular Phase (Days 6–12): Nourish Blood and Yin, build up lining and follicles

  3. Ovulation (Days 13–16): Support Qi movement, release the egg, encourage receptivity

  4. Luteal Phase (Days 17–28): Support Yang, hold the lining, ease PMS


TCM honors your body's rhythm—not overrides it.


Menstruation as a Vital Sign of Health

In TCM, menstruation is not an inconvenience or something to be "fixed" with suppression—it’s a meaningful sign of your internal health and harmony. Pain, irregularity, and emotional swings are not just “part of being a woman.” They’re signals. And they can be treated gently, naturally, and effectively.


Whether you’re struggling with painful periods, irregular cycles, or just want to feel more in tune with your body, Traditional Chinese Medicine offers a powerful path to hormonal harmony and menstrual wellness.

Let’s work together to bring your cycle—and your whole system—back into balance.


Book your acupuncture session today →  Here

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© 2023 by Sarah Johnson Acupuncture LLC

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