ENDOMETRIOSIS

Clinical Manifestations
  • Endometriosis, defined by the presence of viable endometrial tissue outside the uterine cavity, is among the most common gynecologic disorders affecting women of reproductive age.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold.
Herb Formulas
Points
Clinical Manifestations
  • Chronic, intermittent, dull abdominal pain which is better with warmth and pressure and ingesting warm fluids
  • Waxy, pale or sallow lusterless complexion
  • Anorexia (maybe with vomiting)
  • Easily satiated
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations relieved by warmth
  • Intolerance of Cold
  • Cold limbs
  • Feeling chilled
  • Lethargy
  • Fatigue
  • Mental fatigue
  • Depression
  • Low spirits
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale maybe swollen
  • C: White or Thin and white or White and greasy
  • P: Deep, thready and forceless or Deep and weak or Thready and weak
Treatment Principle
  • Warm the Middle Jiao
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Swelling and pain in scrotum as if testicles were being pulled downward or
  • Swollen or distended testicles or
  • Contractions and cold sensations of scrotum which are alleviated by warmth
  • Pain, distention, fullness and cold sensation in lower abdomen
  • Cold limbs
  • Dislike of cold and preference for warmth
  • Lower abdominal pain radiating to the testicles
  • May be localized sensation of Cold
  • Menstrual pain and hardness
  • Hypochondriac pain
  • Abdominal pain
  • Mobile abdominal masses
  • Flank pain
  • Leukorrhea
  • T: Pale
  • C: White or White and greasy
  • P: Deep and slow or Wiry and tight or Deep and wiry or Slow or Deep and Excess
Treatment Principle
  • Warm the Liver
  • Dispel Cold.
Herb Formulas
Points
Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Nourish Liver Blood
  • Soften the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Scanty dark colored menstrual Blood with small clots
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Dry throat
  • Blurred vision
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
  • T:Red or Purple or Purple spots
  • C: Little or none
  • P: Thready and rapid or Choppy
Treatment Principle
  • Nourish Yin
  • Clear Deficiency Fire
Herb Formulas
Points
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
    Ascites
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky
  • P: Deep and thready
  • With Water Flooding the Lungs:
    Cough with copious, thin watery phlegm
    Asthma with phlegmy sound (wheezing)
    Dyspnea
    Facial edema
    Edema of limbs
    Dysuria
    T: Pale and swollen
    C: White and moist or White and greasy
    P: Superficial and tight
Treatment Principle
  • Warm Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • The origin of this pattern is either a constitutional weakness, or a history of surgical procedures
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Painful urination during menstruation
  • Low back pain
  • Sometimes no symptoms at all
  • Abdominal tenderness
  • A feeling of pressure and pain during or after periods
  • Soreness of the back, legs, and hips
  • Dizziness
  • Scanty periods or spotting
  • Blood clots with periods
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
  • T: Pale or with spots
  • C: Thin and white
  • P: Deep, thin and choppy
Treatment Principle
  • Nourish Kidney Yang
  • Invigorate the Blood
  • Eliminate Stasis
Herb Formulas
Points
Clinical Manifestations
  • The origin of this pattern is chronic illness or weakness.
  • Pain in the lower abdomen and pelvic region
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Periods that are either heavy or scanty, with light-colored, watery menses
  • Sometimes no symptoms at all
  • A preference for warmth
  • Feels better with pressure on the abdomen or
  • Dislikes pressure
  • Large clots
  • Fatigue
  • Bloating
  • Heavy pressure on the anus
  • A "dropping" sensation of the anus
  • Soft bowel movements
  • A pale complexion
  • Lethargy
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
  • T: Pale and Swollen with teethmarks and/or Purple
  • C: White
  • P: Deep, thin and weak or Thin, soft and weak
Treatment Principle
  • Nourish Qi to move Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • The origin of this pattern lies in emotional stress and anxiety.
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Sometimes no symptoms at all
  • Painful urination during menstruation
  • Low back pain
  • Abdominal tenderness
  • Pressure and pain before or during periods
  • Breast distention before periods
  • Distending pain under the rib cage before periods
  • Aversion to pressure on the abdomen
  • Blood clots with periods
  • The pain is relieved after the periods
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
  • T: Dark purple with spots
  • C: Thin and white
  • P: Wiry and choppy
Treatment Principle
  • Circulate Qi
  • Activate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe or
  • Pains that move around
  • Distending sensation of the breasts and abdomen
  • Depression
  • Irritability
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of the skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Lower abdominal pain before, during and after menstruation which may be severe
  • Tendency to hemorrhage dark blood or clots
  • T: Dark or Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Patches of endometrial tissue that are normally found only in the uterine lining grow the uterus, usually in the abdominal cavity (ovaries, uterine ligaments, intestines, ureters , bladder, vagina, surgical scars )
  • It may appear in other parts of the body (chest lining, brain). 
  • It quite commonly is attached to the outside of internal organs and most often adheres to the ovaries and uterine ligaments. 
  • This tissue still keeps the same traits it would have if it still were present inside the uterus; grows and builds mid cycle, and bleeds during menstruation. 
  • This causes pain of varying degrees in different women. 
  • When this continues for some time, the misplaced tissue may cause scarring that leads to an adhesion of internal surfaces
  • The origin of this pattern is chronic illness or weakness.
  • Pain in the lower abdomen and pelvic region
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Periods that are either heavy or scanty, with light-colored, watery menses
  • Sometimes no symptoms at all
  • A preference for warmth
  • Feels better with pressure on the abdomen or
  • Dislikes pressure
  • Large clots
  • Fatigue
  • Bloating
  • Heavy pressure on the anus
  • A "dropping" sensation of the anus
  • Soft bowel movements
  • A pale complexion
  • Lethargy
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
  • T: Pale and Swollen with teethmarks and/or Purple
  • C: White
  • P: Deep, thin and weak or Thin, soft and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Invigorate the Blood
  • Break up Stasis
Herb Formulas
Points
Etiology
  • Patches of endometrial tissue that are normally found only in the uterine lining grow the uterus, usually in the abdominal cavity (ovaries, uterine ligaments, intestines, ureters , bladder, vagina, surgical scars )
  • It may appear in other parts of the body (chest lining, brain). 
  • It quite commonly is attached to the outside of internal organs and most often adheres to the ovaries and uterine ligaments. 
  • This tissue still keeps the same traits it would have if it still were present inside the uterus; grows and builds mid cycle, and bleeds during menstruation. 
  • This causes pain of varying degrees in different women. 
  • When this continues for some time, the misplaced tissue may cause scarring that leads to an adhesion of internal surfaces
Clinical Manifestations
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
  • T: Purple or Purple spots
  • C: Normal
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • The origin of this pattern is a history of exposure to Cold, either cold temperatures, or the habitual consumption of cold foods, especially during menstruation.
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Abdominal tenderness
  • Pressure and pain before or during periods
  • A preference for warmth
  • An aversion to Cold
  • Blood clots with periods
  • The pain relieved after the periods
  • Pale complexion
  • Nausea or vomiting with severe menstrual pain
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
  • T: Pale and purplish with spots
  • C: White
  • P: Wiry and tight
Treatment Principle
  • Activate the Blood
  • Break up Stasis
  • Warm Cold
Herb Formulas
Points
Clinical Manifestations
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Infertility
  • Difficulty conceiving
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain
  • Painful urination during menstruation
  • Sometimes no symptoms at all
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
    Anxiety
    Susceptibility to infections and allergies
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain with icy cold hands and feet
  • Extremities are cyanotic and difficult to warm up
  • P: Thready or Imperceptible
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the Blood
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • The origin of this pattern is a history of genital infections.
  • Pain in the lower abdomen and pelvic region
  • Pain may be relieved by Cold
  • Heavy and/or irregular periods
  • Spotting between periods or before periods
  • Pain during sexual intercourse
  • Abdominal swelling
  • Painful bowel movements, especially during menstruation
  • Bleeding from the rectum during menstruation
  • Lower abdominal pain during menstruation
  • Low back pain during menstruation
  • Painful urination during menstruation
  • Abdominal tenderness, pressure, pain, and fever before, during, or after periods (the more severe the pain, the higher the fever)
  • Difficulty conceiving
  • Sometimes no symptoms at all
  • Infertility
  • Irregular menses
  • A preference for cold temperatures
  • Dislikes pressure
  • Large clots
  • Heat shows more during menstruation
  • Trichomonas infection
  • A bitter taste in the mouth
  • Thirst
  • A dry throat
  • Constipation
  • Anxiety
  • Anger
  • Other symptoms may include:
    Headaches
    Low grade fevers
    Depression
    Hypoglycemia
  • T: Red or Red tip or Purple spots on the sides of the tongue
  • C: Thin and yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Nourish Yin
  • Invigorate the Blood
  • Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin
  • The swellings are not hot to the touch
  • No thirst
  • Swollen and painful joints
  • Wasting of the muscles of the thigh and calf
  • T: Very pale or Pale-pink
  • C: White
  • P: Thready and forceless or Deep and slow
Treatment Principle
  • Warm the Yang
  • Tonify the Blood
  • Disperse Cold
  • Eliminate Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain and coldness
  • Pain alleviated by warmth and pressure
  • Irregular menstruation
  • Dysmenorrhea
  • Purple or clotted menstrual Blood
  • Infertility or
  • This type of pain during the second or third trimester
  • T: Normal
  • C: White
  • P: Retarded
Treatment Principle
  • Warm the uterus
  • Supplement the Blood
  • Calm the fetus if necessary
Herb Formulas
Points
Clinical Manifestations
  • Fixed lower abdominal pain in postpartum women
  • Incomplete expression of the placenta
  • Continual discharge of purple clotted lochia
  • T: Pale-purple
Treatment Principle
  • Activate the Blood
  • Break up Stasis
  • Warm the Uterus
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Lower abdominal Cold
  • Lower abdominal pain
  • Infertility
  • Dry lips
  • Dry mouth
  • Spermatorrhea
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • Low grade fever at dusk
  • Irritability
  • Five sole Heat
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Purple with petechiae
  • P: Thready and choppy
Treatment Principle
  • Warm the menses
  • Regulate menstruation
  • Dispel Cold
  • Warm the channels
  • Nourish the Blood
  • Dispel Blood Stasis
Herb Formulas
Points