Women HealthIntroduction to Perimenopause and Chinese Herbal Medicine

Introduction to Perimenopause and Chinese Herbal Medicine


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Perimenopause marks the transition phase leading up to menopause, typically occurring in women in their late 40s or early 50s, although it can begin earlier for some. During this time, hormonal fluctuations occur as the body prepares to cease menstruation entirely. Common symptoms of perimenopause include hot flashes, night sweats, mood swings, irregular periods, vaginal dryness, and sleep disturbances.

In Chinese medicine, perimenopause is seen as a natural stage of life where the body’s yin and yang energies are shifting, leading to imbalances that manifest as symptoms. Chinese herbal medicine offers a holistic approach to health, aiming to restore balance and harmony within the body rather than just alleviating symptoms. By addressing the root cause of disharmony, Chinese herbs can effectively manage perimenopause symptoms and support overall well-being.

Common Chinese Herbs for Perimenopause

Dang Gui (Angelica sinensis): Dang Gui is one of the most widely used herbs in Chinese medicine for women’s health. It is known for its ability to nourish the blood and regulate menstruation. During perimenopause, Dang Gui can help alleviate symptoms such as irregular periods, hot flashes, and mood swings. It is often used in combination with other herbs to enhance its effects.

Dang Gui can be taken in various forms, including decoctions, tinctures, or capsules. The recommended dosage typically ranges from 6-12 grams per day, depending on the severity of symptoms.

Black Cohosh (Actaea racemosa): Black Cohosh is a North American herb that has been widely studied for its effectiveness in relieving menopausal symptoms. In Chinese medicine, it is known for its ability to clear heat and cool blood, making it useful for hot flashes and night sweats during perimenopause. It also has mild sedative properties, which can help improve sleep quality.

Black Cohosh is available in various forms, including capsules, tablets, and tinctures. The recommended dosage is typically 20-40 mg per day, but it is important to follow the instructions on the product label.

Rehmannia (Rehmannia glutinosa): Rehmannia is a widely used herb in Chinese medicine known for its ability to nourish yin and blood. It is particularly beneficial for symptoms such as hot flashes, night sweats, and insomnia, which are often associated with yin deficiency during perimenopause. Rehmannia can also help support adrenal function and alleviate fatigue.

Rehmannia can be taken as a decoction, powder, or tincture. The recommended dosage varies depending on the form and concentration of the preparation, so it is important to follow the guidance of a qualified healthcare practitioner.

Bai Shao (Paeonia lactiflora): Bai Shao, also known as white peony root, is a commonly used herb in Chinese medicine for its ability to nourish blood and regulate the liver. It is often used in formulas for perimenopausal women to alleviate symptoms such as irritability, mood swings, and menstrual irregularities. Bai Shao also has mild analgesic properties, which can help relieve pain associated with cramps or headaches.

Bai Shao is typically taken as a decoction or in powdered form. The recommended dosage is around 6-12 grams per day, but it is best to consult with a qualified practitioner for personalized recommendations.

Safety and Precautions

While Chinese herbs can be highly effective for managing perimenopause symptoms, it is essential to use them safely and responsibly. Some herbs may interact with medications or have contraindications for certain medical conditions. It is crucial to consult with a qualified healthcare practitioner before starting any herbal regimen, especially if pregnant, breastfeeding, or having pre-existing health conditions.

Additionally, it is essential to purchase Chinese herbs from reputable sources to ensure quality and purity. Look for suppliers that adhere to Good Manufacturing Practices (GMP) and have third-party testing for potency and contaminants. Store herbs properly in a cool, dry place away from direct sunlight to maintain their efficacy.

Where to Buy Chinese Herbs

When purchasing Chinese herbs, it is essential to choose reputable sources that prioritize quality and safety. Here are some recommendations for buying high-quality herbs:

Traditional Chinese Medicine (TCM) Practitioners: Consult with a licensed TCM practitioner who can prescribe customized herbal formulas tailored to your specific needs.

Herbal Pharmacies: Many cities have herbal pharmacies that specialize in Chinese herbs and can provide expert guidance on product selection and dosage.

Online Retailers: There are several reputable online retailers that sell Chinese herbs and herbal products. Look for companies that provide detailed product descriptions, customer reviews, and transparent sourcing practices.

Health Food Stores: Some health food stores carry a selection of Chinese herbs and herbal supplements. Make sure to choose products from trusted brands with a good reputation for quality and purity.


In conclusion, Chinese herbal medicine offers a natural and holistic approach to managing perimenopause symptoms by addressing the underlying imbalances within the body. By incorporating key herbs such as Dang Gui, Black Cohosh, Rehmannia, and Bai Shao into your wellness routine, you can support hormonal balance, relieve symptoms, and promote overall health and well-being. Remember to prioritize safety by consulting with a qualified healthcare practitioner and purchasing herbs from reputable sources.


What Chinese herbs increase estrogen levels?

Chinese herbs like Dong Quai, Red Clover, and Ginseng are known to potentially increase estrogen levels. Dong Quai, in particular, has been used traditionally to support hormonal balance and may help regulate estrogen levels in the body.

What is the best natural perimenopause supplement?

Black cohosh is often considered one of the best natural supplements for perimenopause. It may help alleviate symptoms like hot flashes and mood swings. Additionally, supplements containing ingredients like soy isoflavones, red clover, and evening primrose oil are also popular choices for managing perimenopause symptoms naturally.

What is the Chinese treatment for hormonal imbalance?

Traditional Chinese Medicine (TCM) often addresses hormonal imbalance through a combination of acupuncture, herbal medicine, and dietary therapy. Specific herbs like Dong Quai, Licorice root, and Rehmannia are commonly used to rebalance hormones in TCM practices, tailored to individual needs and symptoms.

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