Clinic cases

Perimenopause hot flashes, night sweats, insomnia and mood swings, stopped

M.C. · Female, age 49

This case was written by Dr. Laura Cowburn, Doctor of TCM and Registered Acupuncturist in Alberta.

Women's Health Anxiety & depression Bleeding & periods Perimenopause Sleep

At a glance

Hot flashes, night sweats, insomnia and mood swings from perimenopause stopped after a course of treatment at the clinic.

Presentation

A 49-year-old patient came to the clinic with skipped periods, insomnia, hot flashes, night sweats and mood swings.

Diagnosis

TCM views menopause mainly as a natural decline in Kidney Yin and Kidney Essence (Jing), which leads to a relative excess of Yang and “Yin deficiency heat”. In TCM, “Kidney” doesn’t refer to the kidney organs; Kidney Yin acts as the body’s basic reservoir of cooling, moistening and nourishing energy, and Yin is the calming, stabilizing “brake pedal” against Yang’s active energy.

As menopause progresses, Kidney Essence and Yin decline faster than Yang. When the cooling reserve drops, Yang becomes relatively overactive, creating heat from a lack of moisture rather than from infection or inflammation. This imbalance often shows up as hot flashes, night sweats, insomnia, irritability, and a feeling of being wired yet exhausted.

In this patient, the hot flashes, night sweats, insomnia and mood swings were caused by Kidney Yin and Essence deficiency with Yin deficiency heat, brought on by age.

Treatment

  • Ear seeds — Dr. LiChun Huang’s combination for insomnia and calming the mind
  • Acupuncture — Dr. Tan’s [Jueyin, Yangming] I/IV meridian conversion, which can treat perimenopause symptoms: [LI-1 (Shangyang), LI-4 (Hegu), LR-1 (Dadun), LR-4 (Zhongfeng), PC-9 (Zhongchong), PC-6 (Neiguan), ST-45 (Lidui), ST-42 (Chongyang)]
  • Herbal medicine — formulas to tonify Kidney Yin and Essence and clear Yin deficiency heat

Result

The hot flashes and night sweats stopped after two weeks. The insomnia and mood swings improved gradually and had stopped by the seventh session.

The skipped periods weren’t treated, as they are a natural part of this stage of life.

Additional notes

One treatment every two weeks.

This reflects an individual patient experience, not clinical trial data.

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