What is female constitution regulation?

For the physical changes of women during menstruation, pre-pregnancy and postpartum, and menopause, various traditional Chinese medicine methods such as Chinese herbs, moxibustion, and acupuncture are used for targeted constitution nourishment. Women experience significant changes in Qi and blood during special physiological stages, and traditional Chinese medicine emphasizes personalized adjustment based on the cycle and characteristics of the constitution.

Applicable Population and Common Symptoms

  • Menstrual Irregularity: Disrupted menstrual cycle, abnormal menstrual flow (either too little or too much), prolonged or shortened menstrual period, amenorrhea
  • Dysmenorrhea: Lower abdominal pain, backache, pale complexion, aversion to cold during premenstrual or menstrual period
  • Premenstrual Syndrome: Breast tenderness, irritability, headache, abdominal bloating
  • Postpartum Recovery: Postpartum weakness, persistent lochia, insufficient breast milk, postpartum body pain, postpartum hair loss
  • Menopausal Syndrome: Hot flashes, night sweats, irritability, insomnia, palpitations, joint pain, dry skin
  • Preconception Constitution Adjustment: Hope to improve constitution for pregnancy preparation
  • Chloasma/Sallow Complexion and other beauty issues related to insufficient Qi and blood or Qi stagnation and blood stasis

Mechanism of Action

Women take blood as the foundation and the liver as the innate element. Traditional Chinese Medicine focuses on soothing the liver and regulating qi, nourishing the blood and qi, and protecting the Chong and Ren meridians. According to the characteristics of different stages: before the period, the main focus is on soothing the liver and regulating qi; during the period, the main focus is on promoting blood circulation and regulating the menstrual cycle; after the period, the main focus is on nourishing the blood and yin; postpartum, the main focus is on replenishing qi and nourishing blood; and during menopause, the main focus is on nourishing yin and reducing fire.

Treatment Method

Caution when moxibustion is applied to the lumbar and sacral regions or abdomen during pregnancy

Precautions

  • Treated by licensed Chinese medicine practitioners within the scope of the department of traditional Chinese medicine
  • It is recommended to record the basal body temperature and menstrual conditions for reference in diagnosis
  • Maintain regular lifestyle and a light diet during the treatment period
  • Specific plans are formulated by licensed Chinese medicine practitioners after on-site diagnosis

The content above is for reference only, the specific treatment plan needs to be formulated after the TCM practitioner makes a diagnosis

Licensed TCM Physicians

Chai Xia Yang
Chai Xia Yang Traditional Chinese Medicine Practitioner
Tang Yulan
Tang Yulan Traditional Chinese Medicine Practitioner (Apprentice)

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Common Questions

Compiled based on real medical consultation scenarios, please take the face-to-face diagnosis of a practicing Chinese medicine physician as the standard.

My menstrual cycle is always irregular, sometimes coming every two months. An ultrasound says there's no problem, but I want to regulate it. Where should I start?

This situation requires a complete constitution identification first to determine the root cause - irregular menstruation may be caused by kidney deficiency, insufficient Qi and blood, liver depression and Qi stagnation, or phlegm and dampness obstruction, among other reasons. A normal ultrasound only indicates the absence of organic lesions (such as polycystic ovaries, fibroids, etc.), but does not mean there is no functional disorder. Traditional Chinese Medicine (TCM) treats according to the syndrome: kidney deficiency is treated with kidney tonification and essence supplementation, insufficient Qi and blood is treated with Qi and blood tonification, liver depression is treated with liver soothing, and phlegm and dampness is treated with phlegm and dampness elimination. It is recommended to record the basal body temperature for 3 months, which can help the doctor make a more accurate judgment of ovulation and TCM typing.

I want to have a second child, but I'm a bit older (37 years old). I want to do TCM fertility regulation. What should I prepare?

It is recommended to regulate both partners (male sperm quality is also closely related to kidney Qi). In TCM, female fertility is related to the kidney-Taiyi-Chongren-Guanong axis, with the core being the kidney and liver. Suggestions: 1. Do a TCM constitution identification to determine the constitution bias of both parties; 2. Record the female basal body temperature for 2-3 cycles to understand the ovulation status; 3. Regulate for about 3 physiological cycles to achieve a better uterine environment. At the same time, cooperate with diet, rest, and stress reduction guidance to create a good physical condition for pregnancy preparation. The TCM regulation cycle varies from person to person.

I just had a baby two months ago and I'm always losing hair, have backaches, and not much milk. Is this normal postpartum recovery?

Although postpartum hair loss is common, the combination of heavy hair loss + insufficient milk + backache suggests that you may be in a state of postpartum deficiency of Qi and blood - childbirth consumes a lot of Qi, blood, and kidney essence. If not treated in a timely manner, it may prolong the recovery period and affect the quality of breast milk and energy. TCM postpartum regulation focuses on Qi and blood tonification, and kidney and lactation, including herbal medicine (TCM formulas for postpartum tonification) + moxibustion at Guanyuan and Sanyinjiao. It does not affect breastfeeding - a licensed TCM practitioner will choose herbs that are safe during breastfeeding.

During menopause, I have hot flashes, night sweats, and irritability. Is it helpful to regulate, and how long should it take?

Menopausal syndrome is a typical manifestation of deficient Yin with excessive fire, kidney Yin deficiency in TCM - hot flashes are due to internal heat from Yin deficiency, night sweats are due to Yin not containing Yang, and emotional fluctuations are due to Yin hyperactivity with liver depression. A comprehensive approach of herbal medicine (Koubei Dihuang Wan-type formulaAddition and subtraction) + acupuncture for calming the mind + emotional guidance has a good effect on these symptoms. TCM regulation focuses on adjusting the balance of the whole body's kidney-liver-heart axis, not simply "estrogen supplementation," so it can improve not only hot flashes and night sweats but also insomnia, emotions, joint discomfort, and other symptoms accompanying menopause. The specific improvement time varies depending on individual differences and the severity of symptoms.

I have polycystic ovaries. My periods are irregular and I tend to gain weight. Does TCM have a way to help?

Polycystic ovary syndrome (PCOS) is closely related to kidney deficiency, phlegm and dampness, and blood stasis in TCM - irregular periods are due to ovulatory disorders caused by kidney deficiency and phlegm and dampness, weight gain is due to internal excess of phlegm and dampness, and acne and hirsutism are related to damp-heat. The direction of TCM regulation is kidney tonification and phlegm elimination, and blood circulation and period regulation, while also coordinating diet and exercise management. It is recommended to do a TCM constitution identification first, and let a licensed TCM practitioner formulate a plan according to the type. PCOS is a constitution that requires long-term management, and TCM nourishment is a gradual process.

The above Q&A is compiled based on common medical consultation scenarios.