The Uterus in TCM

The Uterus governs menstruation, pregnancy, and parturition through its dependence on Kidney essence and the regulation of Chong and Ren vessels. It maintains intimate connections with Heart blood, Liver qi movement, and Spleen qi transformation for proper reproductive function. The Uterus relies on the Kidney-Uterus axis for hormonal regulation and the smooth flow of qi and blood through the extraordinary vessels. Its proper function requires adequate blood storage from the Liver and sufficient qi from the Spleen to nourish and move menstrual blood.

Common Patterns

Kidney Yang Deficiency

Prolonged cycles, scanty pale flow, cold limbs, lumbar soreness, infertility

Kidney Yin Deficiency

Short cycles, scanty dark flow, night sweats, dizziness, premature ovarian aging

Blood Stasis

Dark clotted flow, fixed stabbing pain, purple tongue with stasis spots

Liver Qi Stagnation

Irregular cycles, breast distension, irritability, PMS symptoms, wiry pulse

Spleen Qi Deficiency

Heavy prolonged flow, fatigue, loose stools, pale complexion, weak pulse

Heart Blood Deficiency

Scanty light flow, palpitations, insomnia, pale complexion, thin pulse

Phlegm-Dampness

Delayed ovulation, obesity, sticky discharge, chest oppression, slippery pulse

Cold in the Uterus

Painful periods with relief from warmth, cold limbs, clear discharge, slow pulse

Key Points

  • The Uterus is governed by the Kidney but requires coordination of Heart, Liver, and Spleen for optimal function
  • Chong Mai provides blood while Ren Mai governs conception and reproductive capacity
  • Blood stasis patterns often underlie chronic gynecological conditions and require long-term treatment
  • Kidney essence deficiency affects both menstrual regularity and fertility outcomes
  • Constitutional factors and emotional stress significantly impact Uterus patterns through Liver qi stagnation

Formulas Targeting the Uterus

166 formulas in our catalog

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Other Systems

LiverKidneySpleenLungHeartStomachIntestinesBladderGallbladder

Frequently Asked Questions

Kidney Yang deficiency presents with prolonged cycles, cold constitution, and pale scanty flow. Kidney Yin deficiency shows shortened cycles, heat signs, and dark scanty flow. Yang deficiency responds to warming; Yin deficiency requires nourishing and cooling.
SP-4 with PC-6 opens Chong Mai; LU-7 with KI-6 opens Ren Mai. For reproductive disorders, combine these confluent points with source points of the involved organ systems, particularly KI-3, SP-3, and LR-3.
Minimum three menstrual cycles for functional disorders, six cycles for structural changes like fibroids or endometriosis. Blood stasis patterns require sustained treatment beyond symptom resolution to prevent recurrence.

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