Geng Nian Fang - 更年方 - Menopause Formula

English:	Menopause Formula
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae	Sheng Di Huang	9g	Clears Heat, Cools the Blood, Nourishes Yin and generates Fluids.
Fr. Ligustri Lucidi	Nu Zhen Zi	6g	Nourishes and tonifies Liver and Kidney Yin Clears Deficiency Heat.
Hb. Ecliptae	Han Lian Cao	4.5g	Nourishes and tonifies Liver and Kidney Yin, cools the Blood and stops bleeding. With Nu Zhen Zi, for dizziness, blurred vision, and premature graying of the hair due to severe Liver and Kidney Yin Deficiency with ascendant Yang.
Sm. Zizyphi Spinosae	Suan Zao Ren	4.5g	Nourishes Heart Yin, tonifies Liver Blood, calms the Spirit, astringes sweat and generates fluids.
Dens Draconis	Long Chi	12g	Settles anxiety, calms the Spirit, calms the Liver, anchors and preserves Floating Yang, prevents leakage of fluids and is especially effective for palpitations with anxiety, insomnia, dream-disturbed sleep, convulsions and delirium.
Plumula Nelumbinis	Lian Zi Xin	4.5g	Drains Heart Fire, relieves irritability, stops bleeding and astringes Jing.
Poria	Fu Ling	6g	Promotes urination, leaches out Dampness, strengthens the Spleen, quiets the Heart, calms the Spirit and soothes the nerves.
Cx. Albizziae	He Huan Pi	6g	Calms the Spirit and relieves constraint.
Rx. Lithospermi/ Arnebiae	Zi Cao	4.5g	Clears Heat, cools the Blood, invigorates Blood circulation, relieves Fire toxins.
Ram. cum Uncis Uncariae	Gou Teng	6g	Drains Liver Heat and pacifies Liver Yang.

Formula Actions

• Warms and tonifies Kidney Yang
• Promotes diuresis
• Soothes the Liver
• Regulates Qi
• Nourishes Yin
• Absorbs Fluids
• Calms the Mind

Syndromes

• Kidney Yin and Yang Deficiency

Clinical Manifestations

Weight gain Fluid retention Fatigue Cold hands and feet Aversion to Cold Cold limbs Frequent hot flashes with sweating Headache Dizziness Vertigo Tinnitus Dry mouth and throat at night Aches in the waist Aching in the bones Weakness Five Sole Heat

Malar flush Irregular menstruation Metrorrhagia Alternating Hot and Cold sensations Poor memory Hearing difficulty Night sweats Fatigue Depression Slight anxiety Abundant, pale urine T: Pale or Pink or Pale-pink C: Thin or None P: Deep and thready or Deep and weak or Deep, thready and wiry

Treats

Menopause syndrome

Contraindications And Herb/Drug Interactions

Notes

Modifications

For menopause syndrome due to Kidney Yin and Yang Deficiency with itching:		For menopause syndrome due to Kidney Yin and Yang Deficiency with dizziness and a headache:
+ Periostracum Cicadae	Chan Tui	+ Rz. Gastrodiae	Tian Ma
+ Rx. Saposhnikoviae	Fang Feng	+ Ram. cum Uncis Uncariae	Gou Teng
+ Cx. Erythrinae	Hai Tong Pi
+ Rz. Polygonati Odorati	Yu Zhu	+ Concha Haliotidis	Shi Jue Ming
For menopause syndrome due to Kidney Yin and Yang Deficiency with Liver Yin Deficiency:		+ Rx. Cyathulae	Chuan Niu Xi
+ Hb. Taxilli	Sang Ji Sheng
+ Fr. Ligustri Lucidi	Nu Zhen Zi
+ Hb. Ecliptae	Han Lian Cao