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Condition

Acupuncture for PMS

Premenstrual syndrome (PMS) is the cluster of physical and emotional symptoms – mood swings, breast tenderness, bloating, headaches, cravings – that appear in the days before a period and ease once it starts. In Traditional Chinese Medicine, PMS is not one single problem: the same monthly symptoms can come from quite different imbalances. Finding your pattern is what lets us treat the cause, not just the symptoms.

Acupuncture for PMS
TCM pattern diagnosis

What type of pms do you have?

Most people with PMS fit mainly into one of these patterns (sometimes a mix of two). Read the symptoms – which one sounds most like you?

1

Liver Qi Stagnation

肝气郁结
“Tense, irritable and tender before my period”
Tongue: Normal-coloured tongue, sometimes slightly red on the sides, thin white coating
Pulse: Wiry

PMS: Irritability, low mood and breast or rib-side distension build up in the week before the period and ease once bleeding starts; the cycle may be a little irregular.

  • Breast tenderness or swollen, lumpy-feeling breasts
  • Mood swings, frustration, feeling like crying
  • Frequent sighing, tight chest or throat
  • Bloating and abdominal distension
  • Symptoms clearly worse with stress
2

Liver Qi Stagnation turning to Heat

肝郁化火
“Short-fused, hot and headachy”
Tongue: Red tongue, redder on the sides, thin yellow coating
Pulse: Wiry and rapid

PMS: Strong anger or irritability, headaches and feeling hot before the period; periods may come early and the flow is often red and heavy.

  • Outbursts of anger, very short temper
  • Headaches at the temples, red face or eyes
  • Bitter taste or dry mouth
  • Disturbed sleep before the period
  • Spots or acne flaring before the period
  • Constipation or dark urine
3

Spleen Qi Deficiency with Damp

脾虚湿阻
“Bloated, puffy and wiped out”
Tongue: Pale, swollen tongue with teeth marks and a white, slightly greasy coating
Pulse: Soft and weak, sometimes slippery

PMS: Bloating, fluid retention and tiredness dominate before the period; the flow is often pale and may be either light or prolonged.

  • Puffy face, ankles or fingers, weight gain before the period
  • Strong cravings for sweet food
  • Tiredness and heavy limbs
  • Loose stools, especially around the period
  • Poor appetite, feeling full quickly
4

Liver Blood Deficiency

肝血不足
“Low, tearful and drained”
Tongue: Pale tongue, possibly slightly dry, with a thin white coating
Pulse: Thin and choppy

PMS: Low mood, tearfulness and tiredness before or towards the end of the period; the flow tends to be light and pale, and cycles may be long.

  • Feeling weepy, anxious or low rather than angry
  • Dizziness, especially when standing up
  • Dry skin, hair or eyes, blurred vision
  • Pale complexion and pale lips or nails
  • Poor sleep and palpitations
  • Tingling or numbness in the limbs

Not sure which one fits? That’s normal – many people have a mix. At your first consultation we look at your tongue, take your pulse and ask detailed questions to confirm your pattern.

Treatment

How we treat each pattern

Your treatment plan follows your pattern – the same condition can need quite different treatment.

1
Liver Qi Stagnation肝气郁结

Acupuncture to move Liver Qi and relax the body, often timed for the week before your period, with cupping on the back for tension and a herbal prescription to smooth the flow of Qi. Many patients notice their mood and breast tenderness ease within the first one or two cycles.

2
Liver Qi Stagnation turning to Heat肝郁化火

Calming, ‘draining’ acupuncture points to settle the Liver and clear heat, usually combined with cooling herbs. Moxa is not used here because the pattern is already ‘hot’.

3
Spleen Qi Deficiency with Damp脾虚湿阻

Tonifying acupuncture with moxibustion (warming) to strengthen digestion and help the body clear fluid, plus herbs and simple diet advice (fewer cold, raw and sugary foods). Bloating and energy usually improve first.

4
Liver Blood Deficiency肝血不足

Gentle acupuncture and moxibustion to nourish Blood and support the Liver, with a Blood-building herbal prescription and dietary advice. Energy and mood tend to lift gradually over a few cycles.

What to expect

Treatment outcomes

For PMS, progress is usually judged over 2–3 cycles, though many patients notice milder symptoms from the first cycle of treatment.

  1. Weeks 2–3First improvements

    Most patients start to notice a change within the first two to three weeks of regular treatment.

  2. Around 2 monthsBecoming stable

    Improvements become more consistent. If treatment stops as soon as you feel better, the body hasn’t settled yet and symptoms can slip back to where they started.

  3. ConsolidateLock in the result

    Continuing a little longer after you improve lets the new balance hold. Stopping at this point, symptoms are much less likely to return.

  4. ThenTaper off

    We space sessions out and finish. You won’t need to rely on treatment forever.

Every case is different: some conditions are stable within 1–2 months, longer-standing ones can take up to around 6 months. We’ll give you a realistic estimate at your first consultation.

Patient reviews

What our patients say on Google

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tatiana b
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I had acupuncture and cupping with Emma, and she truly worked wonders on my back and neck. I came in barely able to turn my head, and now I feel so much better relaxed, pain-free, and mobile again. I’d had a bad experience elsewhere before, but Emma completely turned things around. Highly recommend!
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GS PK
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I am very satisfied with the herbal remedies for perimenopause. I don't have hot flashes after the medication. And electric acupuncture soothes my plantar fascists on both feet. The capsules for bowel movement are working very well.
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Marina Helmke
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The staff specially Yao meng did an excellent job. In addition she is very kind and explain to the patients what to expect. Thank you very much.
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Amal Alkhlewi
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I highly recommend Acupro. They are very professional and take the time to tailor your treatment for you.
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