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Women's History Month Meets East Asian Medicine

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by Dr. Skylar Stumpf DTCM, LAcon March 12, 2024

This Women's History Month, let’s delve into the fascinating world of Traditional Chinese Medicine (TCM) and its profound impact on women's health.

As the invigorating energy of the Yang Wood Dragon year swirls around us, we’ll explore three powerful formulas: Minor Bupleurum Decoction (Xiao Chai Hu Tang), Zizyphus Sleep Formula (Suan Zao Ren Tang), and Relaxed Wanderer (Xiao Yao San).

These formulas aren't just a collection of herbs; they're stories whispered through the ages. They speak of resilience, balance, and the inherent strength the feminine possesses.

Xiao Chai Hu Tang: Harmonizing the Lesser Yang for Feminine Vitality

Imagine a seesaw, one side representing heat, the other cold. Xiao Chai Hu Tang, also known as Minor Bupleurum Decoction, aims to find that sweet spot in the middle.

Minor Bupleurum Decoction is a quintessential formula addressing shaoyang disharmony, characterized by alternating periods of heat and cold, and a struggle between exterior and interior forces. This formula embodies the principle of dynamic balance, essential for addressing women's health issues related to menstrual cycles, emotional well-being, and hormonal regulation.

Imagine a river that flows smoothly, its waters nourishing everything along its banks. Now, picture that river blocked, its flow interrupted, causing distress to the land it once nurtured. This is akin to what happens in our bodies when Qi becomes stagnant. In the realm of women's health, Xiao Chai Hu Tang acts like a skilled river guide, ensuring the Qi flows freely, particularly addressing the challenges women face with menstrual irregularities and PMS symptoms.

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At the heart of this herbal symphony is Bupleurum root (Chai Hu), a remarkable conductor that orchestrates the flow of Liver Qi. Think of Liver Qi as the body's traffic control system, managing our emotional well-being and bolstering our immune defenses. Bupleurum root gently nudges Liver Qi back into its natural rhythm, easing emotional upheavals and supporting women as they navigate the physical demands of post-menstruation or childbirth recovery. It's like smoothing out the wrinkles on a silk scarf, ensuring everything flows without a hitch.

But no conductor performs alone. Joining Bupleurum in this herbal ensemble are several key players, each with a unique role. Chinese skullcap root (Huang Qin) steps in to lower Liver Yang and sweep away Damp Heat, like a cool breeze on a sweltering day. Meanwhile, ginger cured Pinellia (Jiang Ban Xia) acts as the dehumidifier, drying out dampness and breaking down phlegm, ensuring the body's internal environment is just right. White Asian ginseng (Bai Ren Shen) and red jujube fruit (Hong Zao) are the nurturers, enriching Qi and Blood, providing a foundation of vitality and strength for the body's harmonious performance.

Together, these herbs form a cohesive unit, making Xiao Chai Hu Tang not just a formula but a holistic approach to addressing the intricate tapestry of gynecological health from a Traditional Chinese Medicine standpoint. It's an essential toolkit for ensuring women's wellness, balancing the delicate dance between nurturing and flowing, and maintaining the harmony that defines our health and well-being.

Indications: Alternating fever and chills, dry throat, bitter taste in the mouth, dizziness, irritability, sensation of fullness in the chest and hypochondria (often experienced as difficulty taking deep breaths), heartburn, nausea and vomiting, being down-cast with no desire to eat, a thin, white tongue coating, and a wiry pulse. There may also be palpitations, coughing, or urinary dysfunction.”

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Suan Zao Ren Tang: Nurturing Sleep and Calm

Feeling frazzled and sleep-deprived? Zizyphus Sleep Formula (Suan Zao Ren Tang) might be your new best friend. This formula focuses on nourishing the Liver and Heart, promoting a sense of calm and restful sleep. It's particularly helpful for women experiencing stress, insomnia, or menopausal symptoms.

Think of sour jujube seeds (Suan Zao Ren), the main ingredient, as tiny lullabies for your spirit. They soothe the Shen, which in TCM represents our emotional well-being. Partnered with herbs like Sichuan lovage rhizome (Chuan Xiong) and Poria (Fu Ling), they create a dream team, nourishing Yin and Blood, and gently ushering in peace and balance.

Suan Zao Ren Tang (Zizyphus Sleep Formula) focuses on nourishing the Liver and Heart Blood and Yin to soothe the spirit and calm the mind. It's particularly relevant for women experiencing stress, insomnia, or menopausal symptoms, reflecting an underlying Liver Blood deficiency leading to disturbance in the Shen.

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  • Suan Zao Ren Tang combines sour jujube seeds with other herbs like Sichuan lovage rhizome, Poria, and Anemarrhena rhizome (Zhi Mu), creating a synergistic effect that nourishes the Heart, calms the Shen, and clears deficiency Heat.
  • This blend not only addresses the root causes of insomnia and anxiety but also supports overall emotional well-being and hormonal balance in women.

Xiao Yao San: Fostering Freedom and Flow

Feeling stuck in a rut? Xiao Yao San, or Relaxed Wanderer, might be the key to unlocking a sense of flow. This formula embodies the TCM principle of smooth Liver Qi, aiming to address issues like stress, digestive problems, and menstrual irregularities. It's a testament to the adaptability and strength of feminine nature, promoting harmony between the Liver and Spleen, crucial for both physical and emotional health.

The heroine duo here is Dong Quai (Dang Gui) and White Peony root (Bai Shao), renowned for their blood-nourishing and Liver-smoothing properties. Bupleurum root (Chai Hu) joins the party again, easing stagnation, while ginger (Sheng Jiang) and licorice root (Gan Cao) add their supportive touch. Many patients enjoy how Xiao Yao San can be helpful in mitigating PMS challenges and promoting hormonal balance, making periods a breeze rather than a storm.

  • Xiao Yao San's application in feminine health is profound, with research supporting its role in mitigating PMS symptoms and promoting hormonal balance. By smoothing Liver Qi stagnation and nourishing Blood, it addresses the root causes of menstrual pain, irregularities, and emotional disturbances, showcasing the formula's comprehensive approach to women's health.
  • The formula's ingredients, including Dong Quai and White Peony root, are pivotal for their Blood-nourishing and Liver-smoothing properties. Bupleurum root, with its capacity to ease Liver Qi stagnation, alongside adjunct herbs like ginger and licorice root, underscores the formula's ability to address both the physical and emotional aspects of gynecological health.

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Embracing the Yang Wood Dragon Year's Vitality

The Yang Wood Dragon year in the Ba Zi cycle symbolizes growth, renewal, and the inherent strength of wood—bending without breaking. For women, this year encourages embracing change, nurturing inner strength, and cultivating flexibility. The discussed formulas, each in their unique way, support these themes by harmonizing Qi and Blood, calming the spirit, and promoting overall well-being, reflecting the essence of feminine power and resilience.

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Celebrating Women in TCM: Past and Present

The journey of Traditional Chinese Medicine (TCM) is dotted with the remarkable contributions of women who have broken barriers, challenged norms, and enriched the practice with their wisdom and dedication. Among these luminaries, Tan Yunxian and Miriam Lee stand out for their pioneering work, each leaving an indelible mark on the field of TCM. Their stories not only inspire but also illuminate the path for future generations of women in healthcare.

Tan Yunxian: A Trailblazer of the Ming Dynasty

Tan Yunxian (1461-1554) was a female physician during China's Ming Dynasty, a time when societal norms severely restricted women's roles in professional fields, especially medicine. Born into a family with a medical background—her grandfather was a respected doctor—Tan was introduced to the world of medicine at an early age. Under the tutelage of her grandfather and later her mother-in-law, both accomplished medical practitioners, Tan acquired extensive knowledge of herbal medicine and treatment techniques.

Despite the gender constraints of her time, Tan dedicated her life to treating women who had limited access to male doctors due to the era's strict segregation of genders. She specialized in gynecology, pediatrics, and geriatrics, providing free medical care to the poor and developing an extensive herbal pharmacopeia for women's health issues. Tan documented her clinical experiences and herbal prescriptions in a book titled Sayings of a Female Doctor, which survived through the centuries as one of the few records of a woman's medical practice in ancient China. Her work represents a significant contribution to TCM, offering unique insights into female healthcare and the therapeutic applications of herbs.

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Miriam Lee: Pioneering TCM in the West

Miriam Lee (1926-2009) was a key figure in the history of Traditional Chinese Medicine in the United States. Born in China, Lee trained as a nurse and midwife before studying acupuncture. In the 1970s, she moved to the U.S., where acupuncture was largely unknown and unpracticed. Lee quickly became one of the first acupuncturists in California and a passionate advocate for the recognition and legalization of acupuncture in the West.

Lee's practice in Palo Alto, California, became a beacon for patients seeking alternative or complementary medical treatments. She was known for her extraordinary clinical skills, particularly in treating chronic pain and immune disorders, using a combination of acupuncture and traditional Chinese herbs.

Lee's advocacy was instrumental in the 1976 decision by the California Acupuncture Committee to license acupuncturists, a pivotal moment that paved the way for the widespread acceptance and practice of TCM in the U.S.

Miriam Lee's legacy is one of perseverance, innovation, and the tireless promotion of TCM as a viable and effective medical practice.

Wrapping Up

Female wisdom, ability, and grounded vision form the backbone of human history. To nourish and fuel the art of the feminine, adequate sleep, hormonal balance, and mind-body integration are essential. East Asian medicine has many tools in the toolbox for supplementing Yin, clarifying Yang, and allowing for harmony reflected in daily life.

The ancient formulas Xiao Chai Hu Tang (Minor Bupleurum Decoction), Suan Zao Ren Tang (Zizyphus Sleep Formula), and Relaxed Wanderer (Xiao Yao San), with their vast breadth and depth, provide holistic support for the transformative essence of female strength. Consider them as allies within the herbal kingdom, from the more-than-human world in support of human-being blossoming.

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