Irregular+Menstruation+(Irregular+Period)

Defined as menses occurring more than 7 days early or 7 days late for at least 3 consecutive months

TCM Etiology and Pathogenesis
-Disharmony between qi & blood -Dysfunction of Chong & Ren meridians Disturbance of the function of uterus to fill or discharge blood -Disturbance of liver, spleen & kidney functions -Kidney Qi deficiency -Liver Qi stagnation -Spleen Qi deficiency

Liver Qi Stagnation
heavy or scanty, red or purple flow w/ blood clots, difficult to discharge, distending pain in the breast or lower abdomen before periods relieved after coming of menses, distending pain in the chest & hypochondrium relieved after menstruation, irritability, emotional depression, fullness/oppression of the chest, frequent sighing
 * Tongue:** pale red or red tongue, thin white or yellow coat
 * Pulse:** Wiry or wiry, rapid
 * Treatment Principles:** Soothe the liver, move, qi, regulate periods
 * Acupuncture:** //LR-3, BL-18, SP-6, CV-6;// CV-4, SP-10, SP-4, PC-6, LR-14
 * Herbal Treatment:** Xiao Yao San OR Dan Zhi Xiao Yao San

Kidney Qi Deficiency
Scanty, pale red & thin menstrual flow, profuse thin leukorrhea, lassitude, dizziness, tinnitus, soreness & pain in the lumbar & sacral regions, frequent clear urine [Shu Di Huang (10g.), Shan Zhu Yu (10g.), Shan Yao (10g.), Tu Si Zi (10g.), Ren Shen (10g.), Wu Wei Zi (8g.), Yuan Zhi (10g.), Zhi Gan Cao (6g.)]
 * Tongue:** pale tongue, thin white coat
 * Pulse:** deep & weak, esp. in Chi position
 * Treatment Principles:** Nourish Kidneys, regulate periods
 * Acupuncture:** //BL-23, KI-3, SP-6, CV-6//; CV-4, KI-5, KI-8, ST-36
 * Herbal Treatment:** //Gu Yin Jian (Consolidate Yin Decoction)//, can use Gui Shen Wan

Spleen Qi & Blood Deficiency
Early or late, heavy or scanty, pale red color & thin quality, lassitude, shortness of breath, fatigue, desire to lie flat, poor appetite, loose stools, fullness in the stomach or abdomen [Ren Shen, Bai Zhu, Fu Ling, Gan Cao, Bai Shao, Dang Gui, Chen Pi, Xiang Fu, Mu Dan Pi]
 * Tongue:** Pale tongue; thin white coat
 * Pulse:** Slow & weak
 * Treatment Principles:** Strengthen spleen, supplement qi, nourish blood, regulate periods
 * Acupuncture:** //SP-6, ST-36, BL-20, CV-6//; CV-12, CV-4, SP-4, PC-6
 * Herbal Treatment:** //Jia Jian Ba Wu Tang (Modified Eight-Herb Decoction)//