There is one famous saying in Chinese Medicine: It is better to treat 20 men than 1 woman. This is an acknowledgement that women’s bodies are more complex than a mans and therefore harder to treat. This is due to the fact that women have extreme fluctuations throughout the month.
A woman’s menstruation should be free from any pain, clots, have sufficient fresh colour and have minimal pre/post symptoms.
If there are any negative symptoms involving the menstruation, this means some aspect of organ function is out of balance. The organs more closely related to menstruation include the liver, spleen and kidneys, with the kidneys being the origin of menstruation itself.
Liver: The Liver has two functions that affect menstruation. First, the Liver stores the Blood. Second, the Liver regulates the distribution of Blood amount in the body. The Liver also smoothes and regulates Qi, making Qi flow freely in the whole body and activates Blood circulation.
When Liver Blood goes down to the “Sea of Blood” (Chong Meridian) and changes into menstrual Blood, women have menstruation. Often liver Qi disruption is involved with breast symptoms around menstruation time, as the liver channel passes through the breasts
Spleen: The Spleen and Stomach, since they are an earth element, have the function of transforming the food essence into Blood and Qi (life force energy), so the Spleen and Stomach are the source of Qi and Blood. Menstrual Blood originates from the Blood, therefore a Spleen weakness causes menstrual problems by failing to make enough Blood.
Spleen Qi has the function of holding Blood and if Spleen Qi is weak, Blood may leak out and cause bleeding problems. Finally, the Spleen also has the function of transforming water and is known as the pivot for water metabolism.
For these three reasons, if some pathogenic factor such as eating improperly or too much thinking injures Spleen function, a deficiency can occur and the Spleen can no longer transform food and water or control the Blood in the vessels and gynecological problems will happen.
Kidney: The kidney’s strength decides the arrival of menstruation. Both the Kidney Essence and Blood are the material basis for menstrual Blood. The Kidney yin and yang energy maintain a dynamic balance involved in the monthly cycle.
By observing the symptoms and asking questions a practitioner can determine which organ/s are out of balance and precible the appropriate treatment to strengthen or reduce what my be weak or in excess.