TCM looks to:
- overwork,
- emotional and physical stress,
- poor diet,
- or constitutional weakness
that creates deficiencies of Qi, Blood, Essence or Liver Blood. The Blood "fails to arrive" (menstruation) and becomes stagnant. Emotional stress, excessive physical work or overwork, poor nutritional choices, anger, sadness, anxiety and worry in today's busy world are common culprits leading to these disorders. Many women feel that they have busy lives, but handle the stress well. Many don't realize the imbalance this causes, many are reluctant to admit it, and many don't perceive it as a disorder.
Other symptoms may include menses that stops after several months with decreasing volume of blood. Fatigue, anxiety or depression, or insomnia are also common symptoms.
Some women may experience: