PROBLEMS AT PERIOD TIME

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PROBLEMS AT PERIOD TIME

Chapter contents

PREMENSTRUAL TENSION

BREAST DISTENSION

PREMENSTRUAL TENSION

Interrogation, Chapter 46

Liver-Qi stagnation

Irritability, depression, moodiness, propensity to outbursts of anger, impatience, irregular periods, breast distension, hypochondrial or epigastric distension, a feeling of a lump in the throat, Wiry pulse.

Liver- and Heart-Fire

Propensity to outbursts of anger, irritability, mental restlessness, shouting, anxiety, insomnia, breast distension, heavy periods, a feeling of heat, headache, red face, dizziness, tinnitus, thirst, bitter taste, constipation, dark urine, palpitations, mouth and tongue ulcers, Red tongue with redder sides and tip and yellow coating, Overflowing-Wiry-Rapid pulse.

Heart-Fire

Mental restlessness, anxiety, insomnia, dream-disturbed sleep, breast distension, heavy periods, palpitations, thirst, mouth and tongue ulcers, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse.

Phlegm-Fire harassing upwards

Mental restlessness, anxiety, insomnia, hyperactivity, dream-disturbed sleep, mental confusion, breast distension, swelling and pain, a feeling of heaviness and muzziness of the head, a feeling of heat, red face, greasy skin, a feeling of oppression of the chest, sputum in the throat, expectoration of yellow sputum, dizziness, nausea, Red and Swollen tongue with sticky yellow coating, Slippery-Rapid pulse.

Liver-Blood deficiency with secondary Liver-Qi stagnation

Weepiness, crying, depression, mild irritability, mild breast distension, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Liver- and Kidney-Yin deficiency

Weepiness, crying, depression, lack of motivation, insomnia, scanty menstruation or amenorrhoea, dizziness, tinnitus, lower backache, dull occipital or vertical headache, numbness/tingling of the limbs, dry eyes, blurred vision, dry throat in the evening, dry hair and skin, brittle nails, night sweating, dry stools, normal-coloured tongue without coating, Floating-Empty pulse.

Spleen- and Kidney-Yang deficiency

Weepiness, crying, depression, lack of motivation, tiredness, lassitude, scanty or heavy periods, lower backache, a sensation of cold in the back, a feeling of cold, bright-white complexion, decreased libido, tiredness, lassitude, abundant clear or scanty clear urination, urination at night, apathy, oedema of the lower legs, loose stools, poor appetite, slight abdominal distension, a desire to lie down, Pale and wet tongue, Deep-Weak pulse.

Spleen-Qi deficiency with Dampness and secondary Liver-Qi stagnation

Weepiness, depression, tiredness, lassitude, feeling of heaviness, swelling of the breasts, mild irritability, poor appetite, slight abdominal distension after eating, pale complexion, weak limbs, loose stools, abdominal fullness, sticky taste, nausea, excessive vaginal discharge, Pale tongue with sticky coating, Soggy pulse.

• Remember: premenstrual tension is not always due to a Liver disharmony. For example, Heart-Fire can also cause it.

HEADACHE

Interrogation, Chapter 46

Liver-Blood deficiency

Dull vertical headache during or after the period, scanty period, dizziness, blurred vision, Pale tongue, Choppy or Fine pulse.

Liver-Yang rising

Throbbing headache on the temples before or during the period, dizziness, tinnitus, irritability, propensity to outbursts of anger, red face, Wiry pulse.

Liver-Fire

Throbbing headache on the temples or eyes during the period, bloodshot eyes, red face, thirst, bitter taste, headaches, dizziness, tinnitus, irritability, propensity to outbursts of anger, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Blood stasis

Stabbing headache on the temples during the period, painful periods with dark blood and clots, Purple tongue, Wiry pulse.

BREAST DISTENSION

Interrogation, Chapter 46

Liver-Qi stagnation

Premenstrual breast distension, hypochondrial or epigastric distension, irritability, moodiness, Wiry pulse.

Liver-Blood stasis

Premenstrual breast distension and pain, painful period with dark blood and clots, hypochondrial pain, abdominal pain, dark complexion, Purple tongue, Wiry pulse.

Phlegm with stagnation of Qi

Premenstrual breast distension, breast nodularity, swollen and painful breasts, a feeling of oppression of the chest, sighing, obesity, Swollen tongue, Slippery-Wiry pulse.

Liver- and Kidney-Yin deficiency with Liver-Qi stagnation

Slight premenstrual breast distension, scanty periods, dizziness, tinnitus, irregular periods, tongue without coating, Fine and slightly Wiry pulse.

Stagnant Liver-Qi turning to Liver-Fire

Premenstrual breast distension and pain, abdominal distension, bitter taste, thirst, insomnia, irritability, Red tongue with redder sides and yellow coating, Wiry-Rapid pulse.

Spleen- and Kidney-Yang deficiency with Liver-Qi stagnation

Slight premenstrual breast distension, late periods, irregular periods, infertility, backache, dizziness, tiredness, loose stools, Pale and Swollen tongue, Weak pulse.

Liver-Blood and Kidney-Yang deficiency

Slight breast distension before or during the period, irregular periods, dizziness, tinnitus, blurred vision, backache, pale face, Pale tongue, Deep-Weak pulse.

Lung-Qi stagnation

Premenstrual breast distension, a feeling of oppression or distension of the chest, slight breathlessness, sighing, a feeling of a lump in the throat, difficulty in swallowing, sadness, irritability, depression, tongue slightly Red on the sides in the chest areas, pulse very slightly Tight on the right Front position.

Phlegm with Lung-Qi stagnation

Phlegm in the throat, a feeling of a lump in the throat, a feeling of oppression or distension of the chest, slight breathlessness, difficulty in swallowing, sighing, sadness, irritability, depression, sputum in the throat, tongue slightly Swollen on the sides in the chest areas, Slippery pulse that is also very slightly Tight on the right Front position.

• Remember: premenstrual breast distension is not always due to a Liver disharmony. Stagnation of Lung-Qi (with or without Phlegm) also affects the breasts.

FEVER

Blood-Heat

Fever before or during the period, heavy period, mental restlessness, thirst, hot nose, red lips, Red tongue, Rapid-Overflowing pulse.

Kidney- and Liver-Yin deficiency with Empty-Heat

Low-grade fever during the period, five-palm heat, night sweating, mental restlessness, dizziness, tinnitus, Red tongue without coating, Floating-Empty and Rapid pulse.

Qi and Blood deficiency with disharmony of Nutritive and Defensive Qi

Low-grade fever during or after the period, pale complexion, dizziness, tiredness, Pale-Thin tongue, Fine-Rapid pulse.

Blood stasis in the Uterus

Fever during the period that is worse in the evening, painful periods, dark blood with clots, Purple tongue, Wiry-Rapid pulse.

BODY ACHES

Blood deficiency

Aches during or after the period, mostly in the limbs, numbness/tingling of the limbs, tiredness, dizziness, Pale-Thin tongue, Choppy pulse.

Blood stasis

Severe aches during or before the period, painful periods with dark blood and clots, Purple tongue, Wiry pulse.

OEDEMA

Interrogation, Chapter 46

Spleen- and Kidney-Yang deficiency

Oedema during or after the period especially of the ankles, backache, tiredness, loose stools, heavy periods, Pale and wet tongue, Deep-Weak pulse.

Qi stagnation

Non-pitting oedema during or before the periods, abdominal and breast distension, premenstrual tension, irritability, Wiry pulse.

DIARRHOEA

Interrogation, Chapter 46

Spleen-Qi deficiency

Diarrhoea during or after the period, slight abdominal distension, poor appetite, tiredness, pale complexion, loose stools, Pale tongue, Empty pulse.

Stagnant Liver-Qi invading the Spleen

Diarrhoea before the period, alternating constipation and diarrhoea, premenstrual tension, breast distension, irritability, Wiry pulse.

Kidney-Yang deficiency

Diarrhoea after the period, irregular periods, backache, dizziness, tinnitus, a feeling of cold, weak knees, bright-white complexion, tiredness, abundant clear urination, Pale and wet tongue, Deep-Weak pulse.

CONSTIPATION

Interrogation, Chapter 46

Stagnant Liver-Qi invading the Intestines

Constipation with bitty stools, abdominal distension, premenstrual irritability, irregular periods, hypochondrial or epigastric distension, irritability, moodiness, a feeling of a lump in the throat, Wiry pulse.

Liver-Blood deficiency

Constipation with dry stools, premenstrual weepiness and depression, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Kidney-Yang deficiency

Constipation with infrequent bowel movements, lower backache, cold knees, a sensation of cold in the lower back, a feeling of cold, weak legs, bright-white complexion, weak knees, tiredness, lassitude, abundant clear or scanty clear urination, urination at night, oedema of the lower legs, depression, decreased libido, Pale and wet tongue, Deep-Weak pulse.

NOSEBLEED

Stagnant Liver-Qi turning into Fire

Nosebleed before or during the period, heavy bleeding, abdominal distension, bitter taste, thirst, irritability, headache, Red tongue with redder sides and yellow coating, Wiry-Rapid pulse.

Lung- and Kidney-Yin deficiency with Empty-Heat

Nosebleed during or after the period, dry cough, scanty period, night sweating, dizziness, tinnitus, five-palm heat, Red tongue without coating, Floating-Empty and Rapid pulse.

Stomach-Fire

Nosebleed during the period, bleeding gums, burning epigastric pain, intense thirst with a desire to drink cold liquids, mental restlessness, dry stools, sour regurgitation, foul breath, a feeling of heat, tongue Red with a thick, dry dark-yellow coating, Deep-Full-Rapid pulse.

Spleen-Qi deficiency

Nosebleed during the period, poor appetite, tiredness, slight abdominal distension, pale complexion, loose stools, Pale tongue, Empty pulse.

MOUTH ULCERS

Kidney-Yin deficiency with Empty-Heat

Mouth or tongue ulcers during the period, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, scanty-dark urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

Stomach-Fire

Mouth ulcers during the period, bleeding gums, burning epigastric pain, intense thirst with a desire to drink cold liquids, mental restlessness, dry stools, sour regurgitation, foul breath, a feeling of heat, tongue Red with a thick, dry dark-yellow coating, Deep-Full-Rapid pulse.

Stomach Damp-Heat with Spleen-Qi deficiency

Mouth ulcers, cold sores around the lips, abdominal distension, loose stools, thirst with no desire to drink, a sticky taste, poor appetite, Pale tongue but with a sticky yellow coating in the centre, Weak and Slippery pulse.

SKIN ERUPTIONS

Blood deficiency

Itchy papular skin eruptions during or after the period, insomnia, dizziness, scanty periods, Pale-Thin tongue, Choppy pulse.

Wind-Heat invading Blood

Itchy skin eruptions during or before the period, irritability, dry mouth, Red tongue with red points, Rapid pulse.

DIZZINESS

Blood deficiency

Dizziness during or after the period, blurred vision, scanty periods, Pale-Thin tongue, Choppy pulse.

Kidney- and Liver-Yin deficiency with Liver-Yang rising

Severe dizziness during or before the period, tinnitus, scanty periods, insomnia, dizziness, tinnitus, night sweating, tongue without coating, Floating-Empty pulse.

Phlegm with Spleen-Qi deficiency

Severe dizziness during or before the period, a feeling of heaviness and muzziness of the head, excessive vaginal discharge, swelling of the breasts before the period, Pale and Swollen tongue, Slippery and slightly Weak pulse.

VOMITING

Interrogation, Chapter 46

Stagnant Liver-Qi invading the Stomach

Vomiting before or during the period, belching, epigastric distension and pain, irritability, Wiry pulse.

Stomach- and Spleen-Qi deficiency

Vomiting of thin fluids or nausea during or after the periods, dull epigastric pain, poor appetite, tiredness, slight abdominal distension, pale complexion, loose stools, Pale tongue, Empty pulse.

Phlegm with Spleen-Qi deficiency

Vomiting during the periods, nausea, a feeling of oppression of the chest, tiredness, loose stools, poor appetite, Pale and Swollen tongue, Slippery and slightly Weak pulse.

INSOMNIA

Liver-Yang rising

Insomnia before the periods, anxiety, dizziness, headache, dry throat, irregular periods.

Other symptoms and signs, including pulse and tongue, depend on the condition underlying the Liver-Yang rising, which may be Liver-Blood deficiency, Liver-Yin deficiency or Kidney-Yin deficiency.

Liver- and Heart-Fire

Insomnia during the period, dream-disturbed sleep, agitation, anxiety, bitter taste, thirst, palpitations, bloodshot eyes, propensity to outbursts of anger, dizziness, headache, epistaxis, heavy periods, red face, Red tongue with redder sides and yellow coating, Wiry and Rapid pulse.

Heart- and Spleen-Blood deficiency

Insomnia during or after the period, slight anxiety, depression, tiredness, blurred vision, dizziness, poor appetite, Pale-Thin tongue, Choppy pulse.

EYE PAIN

Liver-Blood deficiency

Dull eye pain at period time, dull headache, dizziness, blurred vision, floaters, numbness/tingling of limbs, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Liver-Blood deficiency giving rise to internal Wind

Eye pain at period time, facial tic, giddiness, vertigo, headache, sallow complexion, blurred vision, floaters, Pale-Thin tongue, Wiry pulse.

Liver-Fire

Eye pain at period time, bloodshot eyes, premenstrual tension, heavy periods, red face, thirst, bitter taste, headaches, dizziness, tinnitus, irritability, propensity to outbursts of anger, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Liver-Blood stasis

Stabbing eye pain at period time, painful periods with dark clotted blood, hypochondrial pain, abdominal pain, dark complexion, Purple tongue, Wiry pulse.

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