The Menstrual Phase > Welcoming the Water Element

Welcome back to my series of explaining how the menstrual cycle is viewed through the lens of Traditional Chinese Medicine (TCM). In my previous posts, we explored how the ancient Chinese physicians developed an elegant comparison for the menstrual cycle by finding similarities in seasonal changes. Each season represented a different phase, but also illustrated unique characteristics that could be likened to the qualities of the Five Elements. The Five Elements is a seminal theory in TCM, whereby these distinct elements, Wood, Fire, Earth, Metal and Water, are not only the building blocks of all life, but can teach us how to observe the natural world and ourselves. 

Each element rules over a particular season. And each season has been assigned to a different phase in the menstrual cycle:

Wood > Spring > Follicular Phase

Fire > Summer > Ovulation

Earth >  Late Summer > Luteal Phase, Post-Ovulation 

Metal > Autumn >  Luteal Phase, Premenstruation

Water > Winter >  Menses 

Introducing the Water Element, Winter & Menses in TCM

The concept of rest and renewal is at the core of menstruation; this season and element emphasizes the end of the menstrual cycle as a whole. When bleeding occurs, this is the culmination of all the body's efforts to reproduce. It underscores the need for self-care, warmth, and emotional balance during this phase. Winter and the Water Element illustrates the deep connection betweens the Kidneys, our Essence or Jing and our overall reproductive vitality. In winter, it is wise to embrace the quiet finality of the seasonal cycle - all things must come to an end. But in order to prepare for the rebirth that spring promises, we must go inward, we must rest and recover. 

Qi & Blood > The Dynamic Duo 

Menstruation can be a reflection of one's overall health. Depending on how the menstrual phase plays out can be an indicator of an imbalance between Qi and Blood. Any symptoms surrounding menses, including the menstrual blood itself provides a window into the inner workings of reproductive health. 

The quality of Qi and Blood will reveal itself during menstruation. If there is not enough Qi or Energy the Blood won’t have the power to be propelled and circulated. But if there isn’t enough Blood, the Qi will be unable to nourish the body. This dynamic duo relies on one another to keep our bodies healthy; if there are disruptions in the flow of Qi and Blood, it can lead to various menstrual disorders.

Organ Systems 

When we’re dealing with the menstrual cycle, all of the organs play their part in our reproductive health. However, there are few key players that we must highlight, specifically the Kidney, Liver and Spleen. The Kidneys are considered essential for reproduction because of a substance known as Jing or Essence. Jing represents your deepest reserves of energy. It is the primordial soup of whence you came generated by your parents at the time of your conception. Jing is finite, meaning, once it's depleted, so are you. Many many cultures in the East practice various techniques to conserve their Jing and improve ones longevity. 

The Liver has two very important roles in gynecological health. It is associated with the smooth flow of Qi - if Qi is circulating unencumbered our periods show up on time and with little to no discomfort. When it is blocked, this can lead to conditions such as menstrual pain or cycle irregularities. It also stores the menstrual blood. When the Liver is healthy so will the quality of the  menstrual blood. When the Liver is out of whack, this can directly impact the timing and consistency of the blood itself, contributing to long or short cycles, clots, pain, heavy periods or very scant ones.

The Spleen fulfills the role of two unique organs in western medicine - the spleen and the pancreas. In TCM, the Spleen has two distinct roles as well. When the Spleen is healthy it takes the nutrients from the foods we eat and transforms it into Blood. It then takes that nutrient-rich Blood and transports it throughout the body. If for whatever reason the Spleen is unable to transform and transport, this dysfunction can affect Blood production. This can lead to issues like spotting, scanty menses, or no menses at all. 

A Quick Overview > Menstruation From a Western Medical Perspective 

Before we go deeper, let’s take a brief moment to review the menstrual cycle from a traditional Western medical view. 

Menstruation, commonly known as a period, is a natural process that happens in the body of individuals possessing ovaries and a uterus. It's a monthly cycle where the lining of the uterus or womb sheds through the vaginal opening as blood. This process usually occurs once a month and lasts for approximately 3-7 days although the exact timing and duration can vary from person to person.Symptoms such as cramps, bloating, mood swings, and fatigue, can accompany a period, though not everyone experiences these symptoms. 

During menstruation, the body releases a hormone called estrogen that causes the uterine lining to thicken in preparation for a possible pregnancy. If pregnancy doesn't happen, the body sheds this lining along that is composed of blood, tissue, and fluids - this is called a period.

Ending the Cycle > Embracing Winter 

Now that we’ve examined some of the TCM concepts and brushed up on our Western physiology when it comes to menstruating, let’s dive deeper into the Water element. 

Winter, Water and menstruation is considered to be the most Yin of all the seasons, elements and phases. This is when our energy goes deep within. Winter is the quietest, coldest and darkest season; our instincts encourage us to seek out heat, shelter and rest. Menstruation is when our energy is at its lowest, when blood escapes the body and we are at our most vulnerable. 

The Water element reflects our deepest nature, and through this shedding we are reminded that although human, we are not separate from the natural world. To bleed, to release, to survive - this is a powerful physiological experience. Linked to the Kidneys and Urinary Bladder, these are our deepest organs anatomically speaking.

Understanding the complexity of how this physiologically manifests is tricky. But what might be more useful is to illustrate the emotional landscape that Water possesses. The water element is often associated with deep-seated fears, wisdom, introspection, and the ability to adapt to change. 

Fear > Is the emotion most associated with the Kidneys and the Water Element. But it is that deep-seated fear activated by a threat to one's survival. Think sympathetic nervous system activation, aka Fright, or a trauma response. If we are constantly having this fear response triggered, in TCM we believe it can weaken the kidneys over time. 

Wisdom &  Willpower >  Also known as Zhi, this is the true Spirit of the Water element. When in balance, we are able to make sound decisions with confidence. When we are able to access our authentic selves anything we do or say will come from a genuine place of inner knowing. 

Introspection & Reflection > Just like the reflective nature of water, this element asks us to see ourselves as we truly are. When we are able to gaze into the mirror and behold our truth, we are experiencing self-awareness and the ability to access a space of deep contemplation.

Adaptability > Water is the most pliable element, known for its ability to flow, adapt and shape-shift to various circumstances. Being able to adapt and possessing the capacity to navigate life's changes with flexibility is a hallmark characteristic. 

Resilience > Water is also the most underestimated element. Water can wear down mountains over time creating future sanding beaches. Water is also the primordial soup from whence all life on this planet came; we will never truly know the various iterations of species it has birthed. Water is patient, it is determined and water will outlive us all. 

Symbolizing, depth, mystery, and the connection to our primordial state, the Water element provides us insight. Menstruation is the perfect opportunity to bring balance to this element,  these organs and pay attention to our emotional state. 

What to Avoid While Menstruating

When we are menstruating the two things we want to avoid are 

• Exposure Cold

• Overdoing It

Exposure Cold > Essentially staying warm is the rule of thumb. Avoid cold showers, cold foods and drinks and cold weather. Even eating raw foods during menstruation is believed to hinder digestion and Blood circulation. You want to dress appropriately for the weather, wear warm clothes, including cozy socks. If you tend to run cold, please heed this advice by bundling up. 

Overdoing It > This means avoiding strenuous workouts and activities. Please do not go for a run or do an intensive HIIT class during this time. Same goes for your social life, instead of going out dancing, watch a movie instead. Opt for resting, yin yoga and gentle walks 

When the Water element and Kidneys are out of balance we can see the following patterns arise: 

Excess > Over time, elevated stress levels can have a negative impact on our Kidney Qi,  potentially resulting in symptoms like anxiety, insomnia, or an overactive fight-or-flight response. 

Deficiency > When the Kidney Qi becomes taxed due to excess conditions, it may lead to fatigue, weakness, reproductive issues, and susceptibility to bone-related problems.

Fluid Imbalances > Disorders related to fluid metabolism, such as excessive urination or edema, may indicate an imbalance in the Water element.

What To Do While Menstruating

When you are menstruating, here are some things you should keep in mind:

• Staying Warm 

• Staying Hydrated

• Building Blood

• Rest & Gentleness 

Warmth & Comfort > Keeping the body warm is crucial during menstruation. Using warm blankets, taking warm baths, and using heating pads on the lower abdomen can help ease discomfort and promote the smooth flow of Qi and Blood. Consuming warm and nourishing foods is emphasized to support the body's internal warmth and promote digestion. This includes soups, stews, cooked grains, and vegetables.

Hydration > Drinking warm fluids, such as herbal teas or warm water with lemon, is encouraged to stay hydrated and support the body's natural processes. Warm herbal teas, such as ginger tea or cinnamon tea, are often recommended during menstruation. These teas are believed to have warming properties that can help soothe the digestive system and alleviate discomfort.

Building Blood > Menstruation involves the loss of blood, and incorporating iron-rich foods into the diet can help replenish iron stores. Examples include lean meats, legumes, dark leafy greens, and dried fruits. Foods that nourish and support Blood, such as beets, dark berries, and liver, can be included in moderate amounts to replenish the Blood lost during menstruation.

Rest & Gentleness > Menstruation is considered a time for the body to rest and renew. Adequate rest and relaxation are essential to conserve energy and support the body's natural processes. While intense physical activity is generally discouraged, gentle exercises like walking, tai chi, or yoga are often recommended. These activities promote Qi circulation without putting excessive strain on the body. TCM also recognizes the impact of emotions on our health. Engaging in activities that promote emotional balance, such as meditation, deep breathing exercises, or gentle mindfulness practices, can be beneficial.

Conclusion 

The TCM perspective on winter and the Water element during menses emphasizes the cyclical nature of the menstrual cycle, the importance of rest and renewal, and the connection between the Kidneys, Essence, and reproductive vitality.

Each season is associated with specific energetic qualities and menstruation corresponds with Winter and the Water element. The Water element is related to the Kidneys, which are considered crucial in TCM for reproduction, growth, and overall vitality. Understanding the role of the Water element during menses involves considering the seasonal and elemental influences on the body's balance. 

Underscoring, the need for self-care, warmth, and emotional balance during this phase of the menstrual cycle are also seen as valuable for maintaining one's health. The TCM view of menstruation is therefore holistic; paying attention to the rhythms of our minds and bodies puts emphasis on interconnectedness

Keep in mind that these recommendations are based on TCM principles, and individual variations do exist. As with any TCM concept, individual variations and patterns should be considered, and consultation with a qualified TCM practitioner is recommended for personalized guidance. By seeking out the expertise of a licensed and registered practitioner, acupuncture and herbal medicine can be incorporated to rebalance Qi and Blood, regulate the menstrual cycle, and address specific symptoms.

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