Treating premenopause syndrome according to Oriental medicine

The decline in estrogen during perimenopause leads to many symptoms. Depending on each person's constitution, there are different remedies and treatments.

Perimenopause usually begins at the age of 41-45, sometimes up to 50, the short period can be from 5-7 months, the long period can be 1 to 2 years or longer (some cases last up to 10 years).

During this period, the ovaries begin to decline in function and gradually cease to function. As a result, the female hormone estrogen will suddenly decrease. Before that, some hormones secreted by the brain to stimulate ovarian activity also fluctuate. This fluctuation causes some symptoms of premenopause, the most prominent of which is "hot flashes".

Fo-ti is found in many forms of medicine.

Common symptoms include headaches, dizziness, insomnia, sweating, flushed face, feeling hot and restless, nervous, forgetful, feeling numb in the limbs or like ants crawling on the skin, irregular menstruation... Due to the decrease in ovarian hormones and the number of ovulations gradually decreasing until they stop, the vaginal glands also reduce secretions, causing the vagina to dry out, causing pain during intercourse, which can lead to vaginitis. At the same time, due to lack of estrogen, bone loss increases, leading to osteoporosis, easy bone fractures, along with symptoms such as fatigue, pain in the limbs, and spinal pain.

The severity of the above symptoms often depends on the woman's mental and emotional state. This disorder makes women irritable, hot-tempered, and unable to concentrate at work. People who do mental work often suffer more than manual workers.

Menstrual cycle is disrupted such as irregular, shortened or prolonged, menorrhagia, metrorrhagia... However, fertility is still possible until ovulation stops.

According to Oriental medicine, when a woman reaches the age of 42-49, the function of her internal organs is weakened, especially the kidneys. Kidney failure, along with the decline of blood and energy, causes an imbalance between the two elements of yin and yang in the body, affecting the normal functioning of other internal organs, causing premenopausal syndrome. In addition, other factors such as mental, physical, nutritional, reproductive, living conditions, labor, and economic conditions of women also affect the condition.

Therefore, treatment needs to combine medication with many other methods such as maintaining a peaceful and gentle mental life, avoiding negative emotions such as anger, sadness, excessive anxiety..., acupressure massage, practicing health exercises, qigong, tai chi, moderate physical exercise, suitable for one's physical condition.
Depending on each person's constitution, it is divided into different types such as kidney essence damage due to kidney yin deficiency or yin deficiency due to yang excess, kidney yang deficiency, liver meridian heat stagnation, heart and spleen deficiency, blood stasis and phlegm stagnation.

1. Kidney essence deficiency due to kidney yin deficiency

Menstruation often comes early, with little amount, headache, dizziness, blurred vision, insomnia, night sweats, red cheeks, back and thigh pain, hot palms and soles, dry mouth, thirst, and constipation.

Treatment: Nourish yin and clear heat.

Prescription: Tri ba dia hoang hoan with reduced ingredients (12g of prepared rehmannia root, 12g of raw rehmannia root, 10g of cornus officinalis root, 12g of single bark, poria, alisma, phellodendron root, anemarrhena rhizome, rehmannia root bark, each 20g of raw dragon bone, raw motherwort, and tortoise shell).

Traditional medicine: 16-20g raw rehmannia root, 12g black beans, 20g eclipta prostrata, 20g processed polygonum multiflorum, 12g motherwort, 12g processed cyperus rotundus, 12g pennywort (40g if fresh), 12g cogon root. Cook with 750ml water, reduce to 300ml, divide into 2 doses to drink before meals.

2. Kidney essence deficiency due to yin deficiency and yang excess

Menstrual disorders, dizziness, headache, pain in the ribs, trembling hands and feet, numbness or tingling, hot temper, irritability, anger, restlessness, difficulty sleeping.

Treatment: Nourish the kidney, calm the liver, and nourish yang.

Prescription: Reduced Chinese chrysanthemum and rehmannia root (16g raw rehmannia root, 12g Chinese yam, cornus officinalis root, single bark, poria, alisma, wolfberry, each, 10g chrysanthemum, 20g white peony root, 12g vinegar-roasted Bupleurum, 12g dried Chinese clematis root, 10g uncaria rhynchophylla, 10g roasted jujube seed).

Traditional medicine: 16g raw rehmannia root, 16g processed polygonum multiflorum root, 12g black beans, 12g wolfberry, 12g chrysanthemum, 12g cassia seed, 12g gotu kola, 10g plantago, 12g cogon root, 10g passionflower. Boil with 750 ml of water, reduce to 300 ml, divide into 2 doses to drink before meals.

3. Kidney yang deficiency

Heavy or early menstruation, cold body, cold hands and feet, fear of cold, fatigue, frequent urination, clear urine.

Treatment: Warm and nourish kidney yang.

Prescription: Kidney Qi Pill with additional ingredients (rehmannia glutinosa, Chinese yam, cornus officinalis, single bark, poria, alisma, each 12g, processed aconite 4g, cinnamon 4g, roasted jujube seed 20g, dodder seed 10g, pig's tongue 12g, turtle glue 6g, notoginseng powder 1-2g).

Traditional medicine: 16g of rehmannia root, 12g of processed polygonum multiflorum, 12g of roasted black beans, 12g of ginseng root, 12g of Smilax glabra root, 6g of cinnamon, 4g of processed aconite root, 10g of cogon root, 12g of passionflower, 10g of perilla leaves, 12g of cassia seed, 12g of processed cyperus rotundus, 2g of dried ginger. Boil with 750 ml of water until 300 ml remains, divide into 2 doses to drink before meals.

4. Liver heat syndrome

Early menstruation, pale complexion, rosy cheeks, fatigue, mental stress, restlessness, dizziness, pain in the flanks, dry and bitter mouth, insomnia, palpitations, night sweats.

Treatment: Relax the liver and relieve depression.

Prescription: Single-ingredient herbal medicine (Roasted angelica, roasted white peony soaked in wine, roasted white atractylodes, poria, bupleurum, each 10-12g, roasted peony bark, roasted gardenia fruit, each 8-10g, roasted licorice 4-6g, ginger root)

According to VnExpress - nt