TCM Perspective On
Premature Ovarian Failure
From the TCM point of view, a normal woman’s reproductive capacity should endure into her mid-to-late forties. At this time (age 49 or 7x7), there will be a natural cessation of the menses, and an end to the woman’s ability to procreate with the natural onset of menopause. Because the function of the female cycles of growth and development every seven years is under the control and governance of the Kidney Energy according to TCM, any dysfunction or deterioration of these seven-year-cycles – such as that in POF – must be related to a decline in the function of the Kidney Energy.
The Kidney Energy according to TCM theory involves yin, yang and essence. If any of these substances of the Kidneys are deficient, it may result in cessation of the menses, or problems with repro-duction. Although the Ancient Chinese had no knowledge of modern medical science and theory at the time of the Yellow Emperor, they were astute observers of nature and the seasons of life. We now know that much of what the ancients were describing in the pas-sage above from the Huang Di Nei Jing Su Wen was what is today attributed to the function of the hypothalamus-pituitary-ovarian axis.3 It is the interplay between the Chong, Ren, and Du Chan-nels, as well as their circulation of the vital substances of the Kidneys (yin, yang and essence/jing), which controls the normal functioning female reproduc-tive cycle.