Menopause Symptoms - Kidney-Yang Deficiency Pattern

TCM differentiation and treatment for menopause symptoms

Menopause Symptoms · Kidney-Yang Deficiency Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 7 min

Body Area: Whole Body


Pattern Overview

Kidney-Yang Deficiency is a common pattern in menopause symptoms,

characterized by **estrogen decline, cold intolerance, fatigue, low

libido, urinary incontinence, and cold extremities**. The core

pathogenesis is Kidney-Yang deficiency failing to warm the body,

leading to reduced energy metabolism, bone loss, and cold sensitivity.


Key Symptoms and Differentiation Points

Differentiation Dimension Manifestations
Primary Symptoms

incontinence |

Associated Symptoms

urination, pale complexion |

Tongue and Pulse

coating, deep and weak pulse |

Pathogenesis Kidney-Yang deficiency failing to warm the body
Etiology

chronic illness |


Acupuncture Point Prescription

Point Location Function
Shenshu (BL23) Lower back, 1.5 cun lateral to L2

point of Kidney meridian; warms Kidney-Yang |

Mingmen (GV4)

processes | Warms Kidney-Yang and strengthens the body |

Guanyuan (RN4) 3 cun below the umbilicus

supplements Yuan Qi |

Qihai (RN6) 1.5 cun below the umbilicus

the lower abdomen |

Shenque (RN8) Center of the umbilicus

supplements Yang |

Clinical Recommendation: Filament needle, reinforcing method; heavy

moxibustion is strongly recommended to warm Kidney-Yang.


Herbal Formula

Base Formula: You Gui Wan (右归丸)

Composition:

Rehmannia (Shu Di), Dioscorea (Shan Yao), Cornus (Shan Zhu Yu), Goji

Berry (Gou Qi), Eucommia (Du Zhong), Cuscuta (Tu Si Zi), Aconite (Fu

Zi), Cinnamon (Rou Gui), Deer Antler Glue (Lu Jiao Jiao)

Action: Warms Kidney-Yang, tonifies Kidney-Qi, and strengthens the

body.

Modifications

Associated Symptoms Additions/Subtractions
Severe cold intolerance Add Ba Ji Tian, Yin Yang Huo to warm Yang
Urinary incontinence

Kidneys |

Back pain Add Du Zhong, Xu Duan to strengthen the lower back
Fatigue Add Huang Qi to enhance Qi supplementation

Western Mechanism Reference

Estrogen decline causing abnormal bone metabolism, reduced energy

metabolism, hypothyroidism tendency, and reduced basal metabolic rate.

Kidney-Yang Deficiency corresponds to menopause with cold sensitivity

and metabolic symptoms, where reduced estrogen levels and decreased

metabolic rate contribute to cold intolerance and fatigue.


References

1. Gynecology of TCM - Menopausal Syndrome with Kidney-Yang Deficiency.

2. Zang-Fu Pattern Differentiation: Kidney-Yang Deficiency → Ignition

Layer Warming Yang.

3. WHO. (2023). Women's health. World Health Organization.


Explore More

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research papers and clinical case studies on TCM gynecology.


Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly

Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.