Our menstrual periods represent a very physical expression of female reproductive health – love ‘em or loathe ‘em, they’re here to stay.


Traditional Chinese Medicine (TCM) has a fascinating and eloquent way of describing and explaining our menstrual cycle, and offers some great advice on living in accordance with our cycle (including not ignoring it… who isn’t guilty of that one?).

Most of us are aware that our cycles are under the influence of a few different hormones, which fluctuate throughout the cycle. In TCM, we equate this to the flow of Yin and Yang energies in the body throughout the menstrual month.

A Crash Course in Yin and Yang

The best way to look at Yin, Yang and their interplay is to look at the cycle of a 24-hour day. In the morning, the dark and cool (Yin) begins to give way to the rising sun (Yang) and starts to warm up. Up until midday, the Yang (warming, drying, moving) energies are still building, and after this point the Yang begins to wane as the Yin (the cooling, darker, damper, nourishing energies) begin to take over. From sun-down to midnight is the most Yin part of the day, with sun-up to midday being the most Yang part of the day. Yin and Yang are always in transition and transformation, and therefore cannot exist without one another.

Now, let’s have a look at how the cycle works from a Traditional Chinese perspective.

Phase 1: Menstruation

You guessed it, the first phase is when you’re actually bleeding. This phase could be only 3 days, or up to 10 days. This is the most Yin part of your cycle. In this phase, your uterus is getting rid of your uterine lining, and your pituitary begins producing LH and FSH to stimulate the growth of new follicles.

TCM tips for Phase 1:

  • Warm up – placing a heat pack or hot water bottle on your lower abdomen can help reduce cramping and keep blood circulating.
  • Slow down as much as possible, and only partake in gentle exercise (like gentle walks and stretching).
  • Spend time with your loved ones, or alone if that feels right for you.
  • Eat comforting foods (nope, not chocolate! Sorry!) like warm, slow-cooked stews, whole grains (if tolerated) and root vegetables.

Phase 2: The Follicular Phase (end of menstruation to pre-ovulation)

In this phase, one of the many follicles produced in phase 1 becomes dominant and starts to grow, producing more oestrogen. As a result, the uterine lining thickens and grows – this phase is also a Yin phase.

TCM Tips for Phase 2:

  • Many women feel energetic and extroverted in this phase, so now is a great time for vigorous exercise, new projects, meeting new people and having a bit more sex.
  • Creative juices are flowing well, so get stuck into those projects you’ve been putting off!
  • Great foods to incorporate in this phase include leafy greens, fish, eggs, meats and shellfish. These are all great for building Yin and ensuring you grow a thick uterine lining.

Phase 3: Ovulation

Ovulation is said to occur on day 14, but this is a myth. In reality there are many factors influencing this, including cycle length and the health of the individual. In general, it occurs 11-16 days prior to the first day of bleeding. During this phase, a surge of the LH hormone triggers the release of the egg from the dominant follicle. This phase marks the peak of the Yin phase, where Yang energy begins to really start rising.

TCM tips for Phase 3:

  • Keep working on your creative projects.
  • Verbalise your thoughts and feelings (don’t bottle them up, as this can lead to PMS later on).
  • Now is a great time to eat lighter foods such as fish, chicken, quinoa, and warm salads.

Phase 4: Luteal (post-ovulation to pre-menstrual)

The shell of the follicle that released the egg, now called the corpus luteum, begins to break down and secrete progesterone. This is the most Yang part of your cycle, which is reflected in your temperature consistently rising. If pregnancy occurs, the body requires a LOT of energy to get the embryo growing, which is reflected in this very energetic and active part of the cycle.

In the few days before the period begins however, many women begin to feel more withdrawn and introverted.

TCM tips for Phase 4:

  • Now is the time to really listen to your intuition – many women are more in touch with their bodies and emotions at this time. Spells of feeling irritable or upset may be signs to slow down.
  • Decrease vigorous exercise, and incorporate lots of stretching.
  • Journal your thoughts and feelings.
  • Look after yourself – get that massage you’ve been meaning to book for months!
  • Start up again with those warm, yang-supporting foods like cooked vegetables, stewed meats and brown rice.

For more diet tips, acupuncture and herbal advice, and information on tracking your cycle accurately, get in touch with Dr Grace.

Grace Jones

Grace Jones

Dr Grace Jones (TCM) is a passionate and qualified acupuncturist and Chinese Medicine Doctor practicing in Richmond, Melbourne (and will soon be re-locating her practice to the Sunshine Coast, QLD). Grace has a special interest in helping women & families with fertility, pregnancy, reproductive health and hormonal balance. She firmly believes that the best way to pursue your health and fertility goals is to optimise your health, at both physical and emotional levels.
Email: gra[email protected]
Grace Jones