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Writer's pictureDr. Shannon Robinson

A Holistic Approach to Menopause: Blending Western Medicine and Traditional Chinese Medicine (TCM)

Updated: Oct 11


menopausal woman

Since 2009, October has been recognized as World Menopause Awareness Month, with October 18th marking World Menopause Awareness Day. In honor of this, there's no better time to explore how both Western and Traditional Chinese Medicine approach menopause and to discuss holistic strategies for managing its symptoms.


Menopause is a natural and significant phase of a woman's life that brings with it a range of emotional, physical, and psychological changes. Understanding these shifts and approaching menopause holistically can help ease the transition. In Western medicine and Traditional Chinese Medicine (TCM), this period of a woman's life cycle presents significant changes. In this blog, we'll explore menopause from both perspectives and discuss how combining the two can offer a holistic way to manage symptoms and promote well-being.


Understanding Menopause: A Lifecycle Shift

In Western medicine, menopause is a part of the aging process where ovarian activity gradually declines, eventually leading to the cessation of menstruation. The average age of menopause is 51.5 years, but symptoms may start earlier during the perimenopause phase, which can last 4-8 years. This phase of a woman's life, encompassing perimenopause and menopause, is called the climacteric period. Symptoms include hot flashes, night sweats, mood swings, and sleep disturbances, and often signify the body adjusting to changing hormone levels, particularly estrogen, progesterone, and testosterone.


From the lens of TCM, menopause is also part of a natural aging process. It reflects the decline of the Kidney system, which governs reproductive health, vitality, and hormonal balance. According to the classical Chinese text Huang Di Nei Jing, female health evolves in seven-year cycles. By the age of 49, the Kidney's energy (or essence) is depleted, marking the natural end of menstruation. The holistic approach in TCM doesn't focus on menopause as a problem but rather as a stage that can be managed with balance.


Menopause Symptoms: Western vs. TCM Perspectives

In both medical systems, menopause presents with overlapping symptoms. These include:

  • Vasomotor symptoms: Hot flashes and night sweats.

  • Mood disturbances: Anxiety, irritability, and depression.

  • Cognitive changes: Memory problems, brain fog.

  • Physical symptoms: Joint pains, vaginal dryness, weight gain.

However, TCM views these symptoms as a result of imbalances in Yin and Yang or the depletion of essential substances in the body, like Kidney Essence. Where Western medicine might focus on hormone replacement therapy (HRT) or supplements, TCM emphasizes restoring balance through lifestyle, diet, acupuncture, and herbal medicine.


A Holistic Approach: Combining TCM and Western Medicine

Prevention and Lifestyle Choices

Both Western and Chinese medicine agree that lifestyle significantly influences how women experience menopause. In TCM, prevention is key. Women who maintain a balanced diet, manage stress, and live an active life are less likely to experience severe menopausal symptoms.

  • Diet: A low-sugar, fiber-rich diet focusing on fresh vegetables, lean proteins, and whole grains is recommended. Foods like broccoli, cauliflower, and legumes support hormone balance. TCM suggests avoiding excessive dairy, sugar, and greasy foods, which can create phlegm and exacerbate hot flashes.

  • Exercise: Both systems recommend regular physical activity, including weight-bearing exercises, to maintain muscle mass and support bone health.


  1. Managing Emotional Stress

    TCM emphasizes emotional well-being and how unprocessed emotions can deplete Kidney Essence, worsening menopause symptoms. Practices like meditation, yoga, biofeedback, and counseling are excellent tools to manage mood swings and anxiety. Western medicine supports similar practices for stress reduction, further reinforcing the connection between emotional health and menopausal symptoms.


  2. Acupuncture and Moxibustion

    Acupuncture, a staple in TCM, has been shown to reduce hot flashes and improve sleep quality in menopausal women. Moxibustion, the burning of Mugwort over acupuncture points, helps enhance immunity and improve circulation, offering relief from symptoms like night sweats and joint pain. This is a safe and non-invasive alternative for women looking to avoid or complement hormone therapy.


  3. Herbal Medicine and Supplements

    TCM offers a wide variety of herbal formulas to support women during menopause. Some of the most commonly used herbs include:

    1. Black Cohosh: Helps reduce hot flashes and mood swings.

    2. Dong Quai: Supports blood circulation and alleviates hot flashes.

    3. Chaste Berry: Balances hormones and helps with mood swings.

    4. Supplements from Western medicine, such as vitamin E, vitamin D, and flaxseeds, can support bone health and provide relief from vaginal dryness and hot flashes. Combining these with TCM herbs can create a balanced approach to symptom management.


  4. Bio-Identical Hormone Replacement Therapy (BHRT)

    Western medicine offers BHRT, where hormones are designed to mimic those naturally produced by the body. BHRT, particularly when personalized, can relieve symptoms like vaginal dryness, mood swings, and sleep issues. Combining this with TCM's supportive therapies, such as acupuncture or dietary changes, may offer relief while addressing the body holistically.


Integrating Two Worlds

Menopause can be a challenging yet empowering transition. By integrating the wisdom of TCM and the advancements of Western medicine, women can approach menopause holistically, managing symptoms and finding relief while supporting long-term health. The key to this approach is recognizing menopause as a natural life stage, not an illness, and it can be navigated gracefully with the right tools.


If you're approaching menopause or are already in the midst of it, remember that a balanced, holistic approach is the key to thriving during this stage of life. Consider combining lifestyle adjustments, alternative therapies, and conventional treatments to achieve harmony in body and mind.


I hope this has inspired you to explore the incredible benefits of acupuncture and herbal medicine for your health journey.


If you have any questions, please schedule a complementary 15-minute consultation. If you are ready to take the next step, schedule an Initial Intake and acupuncture Treatment.




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