Menopause symptoms – the traditional Chinese medicine perspective

Naturopath and Head of Education at Fusion Health, Sarah Culvershouse, talks herbs, hormones and traditional Chinese Medicine. 

Traditional Chinese medicine (TCM) has an interesting understanding of the changes that occur in a woman’s body during menopause. The insights offer a window into some of the core concepts of TCM as well as traditionally used symptom relief strategies for women experiencing menopausal symptoms.

Menopause is a time of Yin and Yang imbalance

The concepts of Yin and Yang and the key role that balance and harmony play in health and wellbeing1 is an aspect of TCM that most of us have some awareness of. These days, the familiar Yin-Yang symbol can be seen around the world, featured on everything from t-shirts and surfboards – and even the Fusion Health logo!

In summary, TCM teaches that Yin and Yang are two opposing forces that exist in an ever-changing relationship. One may dominate the other under certain circumstances, but as long as they’re continuously returning to balance, optimal health and wellbeing will be maintained.

In TCM, all Yin and Yang in the human body is traditionally believed to arise from the Kidney organ-meridian system, which is also regarded as governing all aspects of reproductive health and function – including the menopausal transition1.

During menopause, it’s traditionally understood that Kidney Yin becomes deficient relative to Kidney Yang2.

Yin has cooling and moistening properties, so when Kidney Yin is deficient, symptoms can develop that are characterised by heat (such as hot flushes and sweating2) and lack of moisture (such as vaginal dryness).

On the other hand, Yang is heating and drying, so as it becomes more dominant or hyperactive in comparison to Kidney Yin, heat-related menopausal symptoms worsen, and the fluids in the body begin to dry up.

In TCM, this symptom pattern is known as ‘internal heat in Yin deficiency’ or ‘deficiency heat’1.

Traditional Chinese Herbal Medicine for Menopause

Anemarrhena: traditional cooling herb

When the Kidney Yin deficiency pattern described above is present, anemarrhena is traditionally used to relieve hot flushes, night sweats and vaginal dryness in TCM.

It’s traditionally regarded as having cooling properties and the ability to moisten dryness, so is traditionally used in TCM to nourish Yin and cool deficiency heat.

Dong quai: traditionally used to relieve menopausal hot flushes

Dong quai is traditionally used to relieve menopausal symptoms, including hot flushes in TCM, and is also traditionally taken as a blood tonic.

Yoga for menopausal women

Research suggests that practising yoga might help women who are peri-menopausal or post-menopausal manage both vasomotor symptoms like hot flushes and night sweats, and psychological symptoms such as mood swings.

In particular, regular yoga may lead to a small-to-moderate reduction in the severity of hot flushes – but you’ll need to develop a regular practice, as these effects don’t occur in the short-term, according to research published in the journal Complementary Therapies in Medicine.


1.    Liu, Z. & Liu, L. (Eds.) (2009) Essentials of Chinese Medicine (vol 1) Springer London.

2.    Bensky D and Barolet R. Chinese Herbal Medicine Formulas & Strategies. 1990. Eastland Press.

3.    Shepherd-Banigan, M. et al. Complement Ther Med, 2017;34156-64



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