Premenstrual Syndrome (PMS) is often viewed as a “problem” or illness. It’s not. Instead, PMS is a variety of responses to an ordinary event in women’s lives: menstruation. PMS usually occurs monthly, accompanied with specific symptoms and signs that can appear seven to ten days before menstruation and then disappear after the onset of the menstrual flow. To better understand PMS, it is important to look at the whole picture. Although PMS is due to unbalanced hormonal fluctuations, other factors such as stress, a nutritionally inadequate diet, lack of exercise and sleep, and a hectic or sedentary lifestyle can exacerbate the symptoms. Because most women exhibit as many as four to ten symptoms one to two weeks prior to menstruation, their lives—from relationships with family and friends, to work productivity and the ability to appreciate and take pleasure in their own bodies—may become diminished. To make matters worse, women may be at increased risk for PMS if They are over 30 years old They are experiencing significant amounts of stress Their nutritional habits are poor They have suffered side effects from birth control pills They have difficulty maintaining a stable weight They do not get enough exercise They’ve had a pregnancy complicated by toxemia They have had children (the more children, the more severe the symptoms) They have a family history of depression What To Do About PMS In treating PMS, Western medicine recommends diet and lifestyle changes coupled with medications that manipulate the levels of progesterone and estrogen (i.e. birth control pills), tranquilizers and/or antidepressants (for nervousness, anxiety and depression) that affect mood and emotions. Although prescription medications can sometimes bring immediate relief, they unfortunately do not address the underlying cause of PMS, and they can cause unwanted side effects that may mimic PMS symptoms. A Natural Approach In 1997, the National Institute of Health (NIH)1 issued a consensus report that suggested acupuncture is effective in the treatment of menstrual cramps, and other symptoms associated with PMS. Acupuncture can address PMS symptoms naturally, without medication, by restoring balance and harmony, both physically and emotionally. In Chinese medicine, the root cause of PMS is usually an imbalance or blockage of Qi, (pronounced “chee”) or vital energy, and blood within specific organ and meridian systems. When Qi and blood become imbalanced or blocked, symptoms and signs associated with PMS will appear. The role of an acupuncturist is to investigate the underlying causes leading to PMS symptoms. After a thorough diagnostic evaluation to determine what organ and meridian systems are out of balance, they treat PMS symptoms according to each individual patient’s imbalances and concerns. By inserting fine, sterile needles into specific points on the body, an acupuncturist is able to stimulate and activate the movement of Qi and blood. When Qi and blood begin to travel freely throughout the body, balance and normal function are restored and PMS symptoms are alleviated. Acupuncture restores hormonal balance and provides deep relaxation to help reduce stress, ultimately encouraging and supporting greater health and well-being of both body and mind. A practitioner may also recommend lifestyle changes such as eating a nourishing, organic, whole foods diet, getting regular aerobic exercise and adequate sleep, enjoying warm baths, supplementing the diet with vitamins and herbs, and practicing deep relaxation exercises such as meditation, breathing exercises, or yoga. Whether you suffer from PMS symptoms on an occasional or a monthly basis, acupuncture and Chinese medicine can offer a safe, natural and effective approach to alleviating these symptoms. Acupuncture and Chinese medicine may hold the key to a healthier, balanced, PMS-free life. Resources: 1 National Institutes of Health (NIH) – National Institutes of Health Consensus Conference on Acupuncture, Program & Abstracts (Bethesda, MD, November 3-5, 1997). Office of Alternative Medicine and Office of Medical Applications of Research. Bethesda

Menopause is a natural, physiological cycle that occurs in all women. Conventional medical treatments only address various symptoms and signs associated with menopause. However, symptoms and signs are just one part of the whole picture. Acupuncture and Chinese medicine understand that symptoms and signs are merely indications of an imbalance deep within the body. This 5,000 year-old healing art focuses upon correcting underlying imbalances that have occurred over the years. These imbalances, if left unchecked, will result in a variety of symptoms and signs normally associated with a Western diagnosis of menopause. Acupuncture And A Woman’s Natural Process Menopause signifies “a change” within a woman’s life. This change occurs because a woman’s body chemistry is shifting. Chinese medicine recognizes this chemistry change as a natural process. Estrogen is similar to what acupuncturists call Jing Qi. Jing Qi is like a gift that is given to all of us at the time of conception. It is the battery that provides us with the basic energy to power all our life functions. When Jing Qi is abundant, our ability to adapt to disease, illness and stress is optimal. As we age, our supply of Jing Qi energy is slowly drained. Generally, Jing Qi naturally begins to decline between the ages of 35 to 60, although some people drain it faster than others. When Jing Qi declines, the Organ Systems within our body become unbalanced. This leads to various symptoms and signs, such as graying hair, loss of libido, weakness of knees, urinary difficulty, poor memory, backache and fatigue. Another factor that can contribute to menopause is an imbalance in Yin and Yang energies. One possible scenario is an imbalance caused by the slowing of the flow of Yin. Yin can be thought of as the cooling system of the body. When this cooling system declines, heat symptoms will naturally arise, leading to night sweats, restlessness, hot flashes, mood swings, heart palpitations and insomnia. How Jing Qi can be drained: Over working Overexertion Over doing it Poor dietary habits Inherited weakness Burning the candle at both ends Siting or standing for long periods Excessive activities (sexual, alcohol, drugs, late nights) The decline of Yang energy can also lead to imbalance. Yang represents the warming and metabolizing functions of the body. When Yang is unbalanced, symptoms may include water retention, cold hands and feet, weight gain, edema, indigestion, hypertension, or raised cholesterol levels. Left untreated, a decline and imbalance of Jing, Yin or Yang will lead to the symptoms and signs that are normally associated with a Western diagnosis of menopause. What Can An Acupuncturist Do? An acupuncturist will conduct a thorough evaluation and a complete health history. The symptoms, signs and other information that is gathered are pieces of the diagnostic health puzzle. Putting together this puzzle allows a practitioner to develop a unique treatment plan that will address each patient’s individual concerns. When treating menopausal symptoms, an acupuncturist must first determine where the energy has changed, and what Organ Systems have become unbalanced. Once this is known, various natural therapies such as acupuncture, herbs, meditation, Qi Gong and diet can be used to correct the imbalances. Acupuncture and Chinese medicine offer a safe, natural, drug-free and effective way to address menopause. Treatment supports the healing energies of Jing, Yin and Yang, providing the body with the building blocks it needs in order to nourish, heal, and regain balance.