Advanced menstruation:an introduction of shortened menstrual cycle or early periods.


 TCM Knowledge:Gynecology Syndromes,Women Syndromes ✵Gynecology of TCM is a branch to study the physiological and pathological characteristics of women and to prevent and treat syndromes specific to women. Gynecology of TCM research scope including irregular menstruation, amenia, metrorrhagia, infertility, postpartum syndromes, breast syndromes, and miscellaneous syndromes, etc.

Advanced menstruation(early periods).
advanced menstruation 
 ✵The advanced menstruation(early periods) is a syndrome periods that come one week or more ahead of due time, it is also known as early periods or polymenorrhea, or shortened menstrual cycle, advanced menstruation, short period cycles,short menstrual cycle, Preceded menorrhea, etc.

 ✵Normally, the periods comes eight to nine days ahead of due time, or even twice in a month are normally named advanced menstruation, or early periods.

 ✧In case the periods come 3 to 5 days ahead of due time(not over 5 days), and no any uncomfortable sensations, or the periods comes 1 day ahead of due time occasionally and recovered to normal periods, it is the normal menstruation.

 ✦The pathogenic reason that leads to the early periods or advanced menstruation, are known mostly due to blood heat, or Qi deficiency, Blood dryness of the spleen, stagnancy stasis of the spleen, anger and fire of liver, fire motivation from labor and strain, etc. So the advanced menstruation is normally classified into different types accordingly.

Advanced menstruation of Blood-Heat type(advanced menstruation or early periods due to blood heat).
advanced menstruation of Blood-Heat 
 ✵The advanced menstruation of blood-heat type(advanced menstruation or early periods due to blood heat) is mainly due to internal heat, or habit to eat barbecue or roasted food, hot and spicy food, or depression and dysthymia lead to liver fire, which disturbs the Chong channel and the Ren channel, disquiet the blood, and as a result, the periods comes early than due time.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative works are introduced and quoted:

 "The advanced menstruation is the condition of blood heat..." [02].

 "The case of early periods is due to blood heat...","the case of early periods is due to blood deficiency with heat..." [03].

 "For the early periods, there are cases due to blood dryness of the spleen, or due to depression stasis of the spleen, or due to anger and fire of the liver, or due to heat in blood-phase, or due to fire motivation from labor and strain." [04].

 "Woman suffers from late periods, what is it? It is the condition of blood deficiency with heat...there is also the case of excessive Qi hurt the blood sea..."[05].

 "Woman suffers from early periods, due to blood heat... In all cases of early periods, there are cases due to blood dryness of the spleen, or cases due to spleen stagnancy-heat, or cases due to liver stagnancy-heat, or cases due to blood-phase heat, or cases due to heat and fire from the strain..."[06].

 "The blood is the basis of a woman...if the Qi and blood are in a disordered state, imbalance of Yin and Yang, much Yang and generate heat, then the period comes early, much Yin and generate cold, then the period comes later..."[07].

 "The menses comes monthly is normal, in the condition excessive Yang and menses comes early, one month earlier than another month, and the appearance color mostly is red, or purple and thick, the woman's Zang-viscera Qi is cold, she prefers to cold diet and drinks, aversion to heat, is the condition of blood heat..."[08].



Advanced menstruation of Qi-deficiency type(advanced menstruation or early periods due to Qi deficiency).
advanced menstruation of Qi-Deficiency 
 ✵The advanced menstruation of Qi-deficiency type(advanced menstruation or early periods due to Qi deficiency) is mainly due to serious disease, chronic disease, and physical weakness, or overwork, result hurt the Qi and blood, and lead to deficiency of Spleen Qi, and lose the control of blood, as a result, the periods comes earlier than due time.

Advanced menstruation of Blood dryness of spleen type(advanced menstruation or early periods due to blood dryness of spleen).
Advanced menstruation of Blood dryness of spleen 
 ✵The advanced menstruation of blood dryness of spleen type(advanced menstruation or early periods due to blood dryness of spleen) is mainly due to blood dryness of the spleen, as a result, the periods comes earlier than due time.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative works are introduced and quoted:

 (1)."For the early periods, there are conditions due to blood dryness of spleen, or..." [04].

 (2)."Woman suffers from early periods, due to blood heat... In all cases of early periods, there are cases due to blood dryness of the spleen, or cases due to spleen stagnancy-heat, or cases due to liver stagnancy-heat, or cases due to blood-phase heat, or cases due to heat and fire from the strain..."[06].



Advanced menstruation of stagnancy stasis of spleen type(advanced menstruation or early periods due to stagnancy stasis of spleen).
advanced menstruation of stagnancy stasis of spleen 
 ✵The advanced menstruation of stagnancy stasis of spleen type(advanced menstruation or early periods due to stagnancy stasis of spleen) is mainly due to stagnancy stasis of the spleen, as a result, the periods comes earlier than due time.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative works are introduced and quoted:

 (1)."For the early periods, there are conditions due to stagnancy stasis of spleen..." [04].



Advanced menstruation of anger and fire of liver type(advanced menstruation or early periods due to anger and fire of liver).
advanced menstruation of anger and fire of liver 
 ✵The advanced menstruation of anger and fire of liver type(advanced menstruation or early periods due to anger and fire of liver) is mainly due to stagnancy stasis of the spleen, as a result, the periods comes early than due time.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative works are introduced and quoted:

 (1)."For the early periods, there are condition...due to anger and fire of liver..." [04].



Advanced menstruation of fire motivation from labor and strain type(advanced menstruation or early periods due to fire motivation from labor and strain).
advanced menstruation of fire motivation 
 ✵The advanced menstruation of fire motivation from labor and strain type(advanced menstruation or early periods due to fire motivation from child birth and strain) is mainly due to stagnancy stasis of the spleen, as a result, the periods comes earlier than due time.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative works are introduced and quoted:

 (1)."For the early periods, there are conditions...due to fire motivation from labor and strain." [04].



References:
  • 01.Advanced menstruation:an introduction of shortened menstrual cycle or early periods.
  • 02.Kun Yuan Shi Bao(the Kun Essence is Guaranteed).By 薛轩(Xuē Xuān)[Song].
  • 03.Song Shi Nǚ Ke Cuo Yao(the Synopsis of Song's Gynaecology).By 宋林皋(Sòng Lín Gāo)[Ming].
  • 04.Nǚ Ke Cuo Yao(the Synopsis of Gynaecology).By 薛己(Xuē Jǐ)[Ming].
  • 05.Fù Kē Bǎi Biàn(the Differentiations in Hundred Syndromes of Gynaecology).By 庄履严(Zhuāng Lǚyán)[Ming].
  • 06.Nǚ Ke Bǎi Xiào Quán Shū(the Efficacious Complete Book of Gynaecology).By 龚居中(Gōng Jūzhōng)[Ming,1630].
  • 07.Huang Shi Nǚ Ke(the Synopsis of Huang's Gynaecology).By 黄彦荣(Huáng Yànróng)[Ming,1504].
  • 08.Ye Shi Nǚ Ke Zhèng Zhì(the Syndromes and Therapeutics of Ye's Gynaecology).By 叶桂(Yè Guì)[1817].

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