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Women Specialty > Premenstrual Syndrome (PMS) > TCM Treatment Modalities for Premenstrual Syndrome > Herbal Prescriptions
 
Treatment modalities : I. Using Chinese Herbs to Regulate Periods | II. Herbal Prescriptions | III. Acupuncture  | IV. Auricular Acupuncture Therapy  | V. Massage Therapy  | IV. External Remedies  | IV. Chinese Patent Remedies

Herbal Prescriptions


For the Chinese, syndrome-based prescriptions are one of the most popular healing approaches. The prescriptions are usually recommended to be taken in decocting form, which are characterized by quick absorption, favorable therapeutic outcomes and few toxic side effects. The ingredients in the decoctions can be modified, increased or decreased on a daily basis, allowing physicians to tailor treatment to the patient's changing conditions and needs. Flexibility is one of the main reasons why the decoction method is still being used as the clinical mainstay after thousands of years.

1. Mood Swings

Heart-blood Deficiency
Therapeutic aim: to replenish the blood and qi (vital energy), soothe the heart and calm the spirit.
Basic prescription: Decoction of Nourishing the Heart and Spirit (甘麥大棗湯合養心湯)
Radix Glycyrrhizae
gan cao
Liquorice root
Fructus Tritici Levis
xiao mai
Wheat
Fructus Ziziphi Jujubae
da zao
Common jujube fruit
Radix Salviae Miltiorrhizae
dan shen
Red sage root
Poria preparated with cinnabar
fu shen
Poria processed by cinnabar
Semen Ziziphi Spinosae
suan zao ren
Spine date seed
Radix Salviae Miltiorrhizae
dan shen
Red sage root
Fructus Schisandrae
wu wai zi
Schisandra
Radix Polygalae
yuan zhi
Chinese senega
Medulla junci
deng xin cao
Common rush
Heart Nourishing Decoction: liquorice root, wheat and common jujube.

In the prescription, the liquorice, wheat and jujube fruit nourish the heart and spleen. The red sage root removes stasis. The poria, spine date, schisandra, arborvitae kernel and Chinese senega enrich the blood and nourish heart. The common rush expels heart fire. The whole combination works together to soothe the heart so as to settle the spirit and maintain calmness.

Fire Accumulated in the Liver Meridian
Therapeutic aim: to clear the liver to disperse stagnation and purge fire to soothe the spirit.
Basic prescription: The Free and Easy Wanderer Plus (加味消遙散加減)
Source: Neike Zhaiyao (A Synopsis of Internal Medicine)
Radix Bupleuri
chai hu
Bupleurum root
Radix Angelicae Sinensis
dang gui
Chinese angelica root
Radix Paeoniae
Bai shao
White peony root
Rhizoma Atractylodis Macrocephalae
bai shu
Largehead Atractylodes rhizome
Poria
fu ling
Indian bread
Radix Glycyrrhizae Praeparata
zhi gan cao
Roasted liquorice root
Crotex Moutan Radicis
dan pi
Peony tree root bark
Fructus Gardeniae
zhi zi
Cape jasmine fruit

In the prescription, bupleurum root serves as the monarch herb, which soothes the liver to relieve the stagnation. The angelica and white peony assist the monarch herb's work. atractylodes rhizome, Indian bread and liquorice fortify spleen to replenish qi. The peony root bark clears away heat in the blood; Cape jasmine fruit expels the liver heat. The whole combination regulates the menses by dispersing liver stagnation, fortifying the spleen and harmonizing the blood.

Phlegm and Fire Harassing Upwards
Therapeutic aim: to clear heat and resolve phelgm to remove blockages in the orifices and to tranquilize.
Basic prescription:Gallbladder Warming Decoction (溫膽湯加減)
Source: Sanyin Jiyi Bingzheng Fanglun (Treatise on Three Causes of Diseases with Syndromes and Remedies)
Rhizoma Pinellae
ban xia
Pinellia tuber
Caulis Bambusae in Taeniam
zhu ru
Bamboo shavings
Fructus Aurantii Immaturus
zhi shi
Immature bitter orange
Pericarpium citri Reticulatae
chen pi
Tangerine peel
Rhizoma Zingiberis Recens
sheng jiang
Fresh ginger
Radix Glycyrrhizae
gan cao
liquorice root
Poria
fu ling
Indian bread

In the prescription, pinellia tuber brings downward the reversed flow of qi in the stomach and dries dampness to resolve phlegm. They serve as monarch herbs together. Bamboo shavings clear heat in the gallbladder and harmonize the stomach; the two herbs act as the minister herbs. The bitter orange and tangerine peel regulate the movement of qi to resolve phlegm. Indian bread fortifies the spleen to eliminate dampness and stops further phlegm production. The ginger promotes the spleen and stomach while also counteracts the side effects of pinellia tuber. Liquorice serves as buffer.



2. Breast Tenderness

Phlegm and Fire Harassing Upwards
Therapeutic aim: to soothe the liver, regulate the flow of qi to remove blockages in the meridians and to relieve pain.
Basic prescription:Bupleurum Liver-Soothing Powder (柴胡疏肝散加減)
Source:Jingyue Quanshu (The Complete Work of Zhang Jingyue)
Radix Bupleuri
chai hu
Bupleurum root
Pericarpium citri Reticulatae
chen pi
Tangerine peel
Radix Paeoniae
bai shao
White peony root
Fructus Aurantii
zhi ke
Bitter orange
Radix Glycyrrhizae Praeparata
zhi gan cao
Roasted liquorice root
Rhizoma Ligustici Chuanxiong
chuan xiong
Sichuan lovage
Rhizoma Cyperi
xiang fu
Nutgrass flatsedge rhizome

In the prescription, bupleurum root soothes the liver to disperse the stagnation, which serves as the monarch herb. The tangerine peel, bitter orange, lovage and nutgrass rhizome activate the qi (vital energy) and blood, which are the minister herbs. The white peony assists to smooth the liver; liquorice roots acts as buffer.

Stomach Deficiency and Phelgm Stagnation
Therapeutic aim: To fortify the stomach and activate the blood to expel phelgm and relieve pain.
Basic prescription:Modified Four Herbs Plus Two Vintage Herbs Decoction (四物合二陳湯)
Radix Angelicae Sinensis
dang gui
Chinese angelica root
Radix Paeoniae Rubra
chi shao
Red peony root
Rhizoma Ligustici Chuanxiong
chuan xiong
Sichuan lovage
Rhizoma Rehmanniae
sheng di
Rhemannia rhizome
Pericarpium citri Reticulatae
chen pi
Tangerine peel
Rhizoma Pinellae
ban xia
Pinellia tuber
Crotex Moutan Radicis
dan pi
Peony tree root bark
Poria
fu ling
Indian bread
Sargassum
hai zao
Seaweed
Rhizoma Cyperi
xiang fu
Nutgrass flatsedge rhizome
Flos Carthami
hong hua
Safflower
Radix Glycyrrhizae
gan cao
liquorice root

In the prescription, the tangerine peel, pinellia tuber and Indian bread fortify the stomach to expel the phlegm. Angelica, red peony, lovage and safflower activate the blood, remove blockages and smooth the meridians; Rhemannia and peony root bark cool the blood and relieve the stagnation. Nutgrass rhizome soothes the liver and regulates the flow of qi; seeweed resolves the accumulation. The whole formula has the effect of fortifying the stomach, expelling phlegm, activating qi and blood circulation, smoothing the meridian system and resolving accumulations inside the body.



3. Headache

Blood and Qi Deficiencies
Therapeutic aim: to replenish the blood and qi (vital energy) to nourish the orifices and relieve pain.
Basic prescription:Eight Treasures Decoction (八珍湯加減)
Source:Zhengti Leiyao (A Repertory of Traumatology)
Radix Angelicae Sinensis
dang gui
Chinese angelica root
Radix Ginseng
ren shen
Ginseng
Radix Paeoniae
bai shao
White peony root
Rhizoma Atractylodis Macrocephalae
bai shu
Largehead atractylodes root
Poria
fu ling
Indian bread
Rhizoma Rehmanniae Praeparatae
shu di
Processed rhemannia root
Rhizoma Ligustici Chuanxiong
chuan xiong
Sichuan lovage
Radix Glycyrrhizae Praeparata
zhi gan cao
Roasted liquorice root

In the prescription, ginseng and rhemannia root invigorate the qi and nourish the blood; both of them are the monarch herbs. The Indian bread and atractylodes root fortify the spleen to eliminate the dampness; angelica and peony nourish the blood so as to harmonize the organs. The lovage activates the blood and qi flows; liquorice acts as buffer.

Yin Deficiency and Hyperactive Liver
Therapeutic aim: to enrich the yin to suppress the yang and soothe the liver to ease pain.
Basic prescription:Six Rehmannia Pills Plus Wolfberry and Chrysanthemum (杞菊地黃丸加減)
Source:Yi Ji (Medicine Rank)
Rhizoma Rehmanniae Praeparatae
shu di
Processed rhemannia rhizome
Fructus Corni
shan yu rou
Dogwood fruit
Rhizoma Dioscoreae
shan yao
Chinese yam
Rhizoma Alismatis
ze xie
Oriental water plantain
Poria
fu ling
Indian bread
Crotex Moutan Radicis
dan pi
Peony tree root bark
Fructus Lycii
gou qi chi
Wolfberry fruit
Flos Chrysanthemi
ju hua
Chrysanthemum

In the prescription, the monarch herbs, rhemannia rhizome and wolfberry fruit nourish the kidney yin and tonifies the essence to engender the blood. The Dogwood's sour and warm properties help to arrest excessive consumption of yin; Chinese yam replenishes the spleen yin. All four ingredients exert tonifying effects that may produce extra endogenous pathogens, thus water plantain is used for expelling the turbid in the kidneys, peony bark and chrysanthemum are used for eliminating the liver-fire and Indian bread helps to diffuse the dampness. The whole formula exerts both tonification and reduction actions, which serve as a mild tonic for general weakness especially for the liver-yin and kidney-yin deficiencies.

Blood Stasis Obstruction
Therapeutic aim: to activate the blood and dissolve stasis to smooth the meridians and ease pain.
Basic prescription:Orifice Dredging and Blood Activating Decoction (通竅活血湯加減)
Source:Yilin Gaicuo (Correction of Errors in Medical Circles)
Semen Persicae
tao ren
Peach kernel
Flos Carthami
hong hua
Safflower
Radix Paeoniae Rubra
chi shao
Red peony root
Rhizoma Ligustici Chuanxiong
chuan xiong
Sichuan lovage
Bulbus Allii Fistulosi
lao cong
Spring onion
Rhizoma Zingiberis Recens
sheng jiang
Fresh ginger
Fructus Ziziphi Jujubae
da zao
Chinese date
Moschus
she xiang
Musk

In the prescription, kernel and safflower are the monarch herbs for activatng blood circulation. The peony, lovage and dates assist to nourish the blood; spring onion, ginger and musk remove the blockages in the orifices so as to relieve the pain.

Phlegm and Dampness Obstructed in the Middle Burner
Therapeutic aim: to dry dampness and dissolve phlegm to smooth the meridians and ease pain.
Basic prescription:Pinellia, Largehead Atractylodes and Gastrodia Decoction (半夏白術天麻湯加減)
Source:Yixue Xinwu (Medicine Comprehended)
Rhizoma Pinelliae
ban xia
Pinella tuber
Rhizoma Gastrodiae
tian ma
Gastrodia tuber
Poria
fu ling
Indian bread
Pericarpium Citri Reticulatae
ju hong
Tangerine peel
Rhizoma Atractylodis Macrocephalae
bai shu
Largehead Atractylodes root
Radix Glycyrrhizae
gan cao
Liquorice root

This is a common formula for dizziness and headache due to wind or phlegm influences. In the prescription, pinella tuber dries the dampness and resolves the phlegm. Gastrodia tuber soothes the liver. Both herbs are monarch herbs. Atractylodes root and Indian bread fortify the spleen to expel dampness while tangerine peel regulates the qi movement to facilitate phlegm dissolving. Liquorice acts as buffer.



4. Edema

Spleen Deficiency
Therapeutic aim: to replenish the blood and qi (vital energy) to nourish the orifices and relieve pain.
Basic prescription:Atractylodes, Indian Bread, Cassia Twig and Liquorice Decoction (白術散合苓桂術甘湯)
Rhizoma Atractylodis Macrocephalae
bai shu
Largehead Atractylodes root
Rhizoma Ligustici Chuanxiong
chuan xiong
Sichuan lovage
Fructus Piperis
hu jiao
Pepper fruit
Cohcha Ostreae
mu li
Oyster shell
Poria
fu ling
Indian bread
Ramulus Cinnamomi
gui zhi
Cassia twig
Radix Glycyrrhizae
gan cao
Liquorice root

In the prescription, the Atractylodes root invigorates the spleen to eliminate the dampness; lovage activates the blood and qi to ease pain; pepper warms the middle burner and stops pain, oyster shell soothes the liver, Indian bread and cassia twig warms the yang to facilitate diuresis. Liquorice acts as buffer.

Kidney Deficiency
Therapeutic aim: to warm the kidneys and enhance vaporization to faciliate diuresis and relieve edema.
Basic prescription:Divine Black Bird Decoction (真武湯)
Source:Shanghanlun (Treatise on Cold-induced Diseases)
Poria
fu ling
Indian bread
Radix Paeoniae
bai shao
White peony root
Rhizoma Atractylodis Macrocephalae
bai shu
Largehead Atractylodes root
Rhizoma Zingiberis Recens
sheng jiang
Fresh ginger
Radix Aconiti Praeparata
shu fu zi
Prepared aconite lateral root

This is a classic formula for warming the yang to excrete water. Being extremely pungent and hot in nature, the aconite acts as the monarch herb to warm the kidneys and strongly enhance its vaporization. The atractylodes root and Indian bread promote the spleen to expel dampness; fresh ginger disperses the lung energy to other parts of the body and warms the middle burner; these three herbs serve as minister herbs to ensure the effect of the aconite. White peony works as buffer.

Qi Stagnation
Therapeutic aim: to regulate the qi and remove stagnation to diffuse dampness and relief edema.
Basic prescription: Decoction of Eight Ingredients (八物湯加減)
Source:Jiyin Gangmu (A Synopsis of Female Diseases)
Radix Angelicae Sinensis
dang gui
Chinese angelica root
Rhizoma Ligustici Chuanxiong
chuan xiong
Sichuan lovage
Radix Paeoniae
bai shao
White peony root
Rhizoma Rehmanniae Praeparatae
shu di
Processed rhemannia rhizome
Rhizoma corydalis
yan hu suo
Corydalis tube
Fructus Meliae Toosendon
chuan lian zi
Sichuan Chinaberry
Radix Aucklandiae
mu xiang
Costus root
Semen Arecae
bing lang
Areca seed
Herba Lycopi
ze lan
Hirsute shiny bugleweed herb

In the prescription, the first four ingredients nourish and activate blood circulation. Corydalis tube removes the stagnation of blood, bugleweed herb activates the blood to relieve edema while Sichuan chinaberry, costus root and areca seed soothe the liver to regulate the movement of qi.



5. Oral Sores

Hyperactive Fire and Yin Deficiency
Therapeutic aim: to nourish yin to depress fire
Basic prescription: Bolus of Anemarrhena, Phellodendron and Rehmannia ( 知柏地黃丸加減 )
Source: Yizong Jinjian (Golden Mirror of Medicine)
Rhizoma Rehmanniae Praeparatae
shu di
Processed rhemannia rhizome
Fructus Corni
shan yu rou
Dogwood fruit
Rhizoma Dioscoreae
shan yao
Chinese yam
Rhizoma Alismatis
ze xie
Oriental water plantain
Poria
fu ling
Indian bread
Crotex Moutan Radicis
dan pi
Peony tree root bark
Rhizoma Anemarrhenae
zhi mu
Anemarrhena
Cortex Phellodendri
huang bai
Phellodendron

In the prescription, a high dosage of rhemannia is used to nourish the kidney yin and replenish the essence. The dogwood fruit and anemanrrhena invigorate the liver and kidney to arrest further essence exhaustion. The Chinese yam promotes the spleen to ensure nourishing sources. The water plantain dispels the turbid dampness; peony bark and phellodendron eliminate excessive fire; Indian bread promotes diursis; these four herbs also counteract the side effects of the main ingredients.

Heat Accumulated in the Stomach
Therapeutic aim: to clear the stomach and purge fire.
Basic prescription: Powder for Clearing Heat Above the Diaphram ( 涼膈散加減 )
Source: Taiping Huimin Heji Jufang (Formulary of the Taiping Welfare Dispensary Bureau)
Radix et Rhizoma Rhei
da huang
Chinese rhubarb
Natrii Sulfas
mang xiao
Sodium sulfate
Fructus Gardeniae
zhi zi
Cape jasmine fruit
Herba Ephedrae
bo he
Pepper mint
Radix Scutellariae
huang qin
Bacial skullcap
Fructus Forsythiae
lian qiao
Forsythia
Herba Lophatheri
zhu ye
Bamboo leaf
Radix Glycyrrhizae
gan cao
Liquorice root

In the prescription, forsythia is used in high dosage to clear heat and counteract toxics. The bacial skullcap disperses the heat in the chest; cape jasmine fruit induces the heat throughout the triple burner downwards while rhubarb and sodium sulfate promote bowel movement to expel the heat. Bamboo leaf and peppermint disperse the heat in an upward direction.



6. Skin Rash

Blood Deficiency
Therapeutic aim: to nourish the blood and disperse wind to stop itching.
Basic prescription: Angelica Drink ( 當歸飲子加減 )
Source: Zhengzhi Zhunsheng (Standards for Diagnosis and Treatment)
Radix Angelicae Sinensis
dang gui
Chinese angelica root
Radix Paeoniae
bai shao
White peony root
Rhizoma Ligustici Chuanxiong
chuan xiong
Sichuan lovage
Radix Polygoni Mulitflori
shou wu
Fleece flower root
Radix Astragali seu Hydysari
huang qi
Astragalus root
Spica Schizonepetae
jing jie
Schizonepeta
Radix Ledebouriellae
fang feng
Ledebouriella root
Fructus Tribuli
bai ji li
Caltrop
Radix Glycyrrhizae
gan cao
Liquorice root

This formula is for heat accumulation due to blood deficiency with a simultaneous attack by wind evils. The first three ingredients act as a blood tonic. Others like fleece flower root, schizonepeta and ledebouriella root expel wind evils; the caltrop disperses the wind in the liver; astragalus and liquorice replenish qi and consolidate the bodily surface to facilitate the elimination of evils.

Wind-heat Accumulated in the Skin
Therapeutic aim: to disperse wind and clear heat to stop itching.
Basic prescription: Wind Dispelling Powder ( 消風散加減 )
Source: Waike Zhengzong (Orthodox External Medicine)
Spica Schizonepetae
jing jie
Schizonepeta
Radix Ledebouriellae
fang feng
Ledebouriella root
Fructus Arctii
niu bang zi
Arctium fruit
Periostracum Cicadae
chan tui
Cicada slough
Rhizoma Atractylodis
cang zhu
Atractylodes rhizome
Radix Sophorae Flavescentis
ku shen
Flavescent sophora root
Gypsum Fibrosum
shi gao
Gypsum
Rhizoma Anemarrhenae
zhi mu
Anemarrhena rhizome
Radix Angelicae Sinensis
dang gui
Chinese angelica root
Semen Sesamum
hu ma ren
Sesame seed
Radix Rehmanniae
sheng di
Rehmannia root
Radix Glycyrrhizae
gan cao
Liquorice root
Caulis Akebiae
mu tong
Akebia stem

This is a common formula for dealing with skin rashes and eczema. In the prescription, schizonepeta, ledebouriella root, cicada slough and arctium fruit are the monarch herbs, which dispel the wind evils in the skin to stop itching. The atractylodes rhizome expels wind and dries dampness; sophora root clears away heat and removes dampness; akebia stem induces urination to eliminate damp-heat. Gypsum and anemrrhena rhizome clear away heat and purge fire. Angelica, sesame seed and rehmannia root nourish and activate the blood. Liquorice root acts as buffer. The whole combination focuses on dispelling wind, but also helps to remove dampness, clear heat and nourish the blood.