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    gynaecology

    Premenstrual syndrome (PMS)

    Also known as: premenstrual syndrome, PMS, PMDD, premenstrual dysphoric disorder, premenstrual tension

    PMS is a cluster of physical and emotional symptoms in the week or two before a period that ease once bleeding starts. Lifestyle change, CBT and SSRIs or hormonal options are mainstream care; acupuncture has small-trial evidence. Chinese medicine mostly sees Liver Qi stagnation, with Spleen and Blood deficiency patterns.

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    Lifestyle & Diet

    • •Track symptoms for two cycles to confirm the pattern.
    • •Regular aerobic exercise.
    • •Reduce caffeine, alcohol and salt premenstrually.
    • •Keep a steady sleep routine.

    Cautions & Contraindications

    See sources
    • •Suicidal thoughts need urgent mental-health care, not pattern treatment alone.[]
    • •LI4 and SP6 are avoided if pregnancy is possible.[]

    When to reassess or seek care again

    See sources

    Use a daily symptom diary over two to three cycles. Refer if symptoms persist all month or severely affect work and relationships.

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    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Premenstrual syndrome — Healthdirect
      Healthdirect Australia · 2024
    2. Premenstrual syndrome — Jean Hailes
      Jean Hailes for Women's Health · 2023
    3. Lifeline crisis support
      Lifeline Australia · 2024
    4. Armour et al. — Acupuncture and acupressure for premenstrual syndrome (Cochrane)
      Cochrane Database of Systematic Reviews · 2018
    5. Chinese medicine practitioner safety standards
      AHPRA / Chinese Medicine Board of Australia · 2024

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.