还有一个星期才来月经，人却先「变了个样」：一点小事就烦躁、想哭，动不动发脾气；乳房胀痛、头又闷又痛，肚子胀、脸和腿浮肿，下巴还冒痘，累得什么都不想做。等月经一来或结束，又慢慢变回自己。很多女性年年月月这样，被家人说「情绪化」，自己也困惑。其实这是有名字的——经前综合症（PMS）。它不是「矫情」，而是身体在经前把平时的失衡放大了；在中医看来，核心多是肝郁气滞，随体质夹杂脾虚水湿、血虚或肾虚。好消息是：它跟着月经周期走、规律可循，也调得动。
A week before your period, you become "a different person": snapping at small things, tearful, quick to anger; breasts sore, head heavy and aching, belly bloated, face and legs puffy, a breakout on the chin, and too drained to do anything. Then the period comes or ends, and you slowly turn back into yourself. Many women live this month after month, told they're "moody," and puzzled by it themselves. It has a name — premenstrual syndrome (PMS). It isn't drama; it's the body amplifying an existing imbalance before the period. In TCM, the core is usually liver-qi stagnation, with spleen-damp, blood deficiency or kidney deficiency layered on by constitution. The good news: it follows the cycle, it's predictable, and it responds to care.
Seminggu sebelum haid, anda menjadi "orang lain": marah pada perkara kecil, sebak, cepat naik angin; payudara sakit, kepala berat dan pening, perut kembung, muka dan kaki bengkak, jerawat di dagu, dan terlalu letih untuk buat apa-apa. Kemudian bila haid datang atau tamat, anda perlahan-lahan kembali menjadi diri sendiri. Ramai wanita mengalaminya setiap bulan. Ia ada nama — sindrom pra-haid (PMS). Ia bukan mengada; ia badan yang membesarkan ketidakseimbangan sedia ada sebelum haid. Dalam TCM, terasnya biasanya qi hati tersekat, dengan limpa-lembap, darah kurang atau ginjal kurang bergantung pada susuk badan.
经前综合症到底是什么？中医怎么看
What Is PMS — and How TCM Sees It
Apa Itu PMS — dan Pandangan TCM
经前综合症，指的是月经来之前一周左右（黄体期）反复出现的一整套身心症状：情绪暴躁易怒、低落爱哭、焦虑烦躁，加上乳房胀痛、头痛、腹胀、水肿、长痘、疲倦、嘴馋想吃甜的等，等月经来了或结束就自行缓解。它最典型的特征就是「跟着月经走、月月重来」。中医的解读是：经前气血下注冲任，若平时就肝气郁结、气机不畅，经前这一「充盈」就更容易堵——郁在胸胁乳络就胀痛、扰及心神就烦躁失眠、郁久化热就长痘；再看体质，脾虚运化不好就水肿腹胀、血虚不养头就头痛疲倦、肾虚则腰酸怕冷。所以中医不是只压情绪，而是把「气」理顺、把体质调稳。
PMS is a recurring cluster of physical and emotional symptoms in the week or so before a period (the luteal phase): irritability, anger, low mood, tearfulness, anxiety, plus breast tenderness, headache, bloating, water retention, breakouts, fatigue and sugar cravings — all easing once the period comes or ends. Its hallmark is that it "follows the cycle and returns each month." In TCM, before the period qi and blood pour into the Chong-Ren; if liver qi is already knotted and not flowing, that filling jams more easily — stuck in the chest and breast channels it causes distension, disturbing the mind it brings irritability and poor sleep, and turning to heat over time it triggers breakouts. Constitution layers on: a weak spleen brings bloating and puffiness, blood deficiency brings headache and fatigue, kidney deficiency brings a sore back and cold. So TCM doesn't just suppress the mood — it frees the "qi" and steadies the constitution.
PMS ialah sekumpulan gejala fizikal dan emosi berulang pada seminggu sebelum haid (fasa luteal): mudah marah, murung, sebak, cemas, serta lembut payudara, sakit kepala, kembung, bengkak air, jerawat, letih dan mengidam manis — semua reda bila haid datang atau tamat. Cirinya "ikut kitaran dan berulang setiap bulan." Dalam TCM, sebelum haid qi dan darah mengalir ke Chong-Ren; jika qi hati sudah tersekat, pengisian itu lebih mudah tersumbat — di dada dan saluran payudara ia jadi bengkak, mengganggu minda ia bawa resah, dan bertukar panas lama ia cetus jerawat. Susuk badan menambah: limpa lemah bawa kembung, darah kurang bawa sakit kepala, ginjal kurang bawa pinggang lenguh.
痛经是「月经来的时候」下腹痛，发生在行经期；PMS（经前综合症）是「月经来之前」那一周的一整套身心不适，经后就缓解——两者可以同时有，但不是一回事。而PMDD（经前焦虑障碍）是 PMS 里情绪症状特别严重的一种：经前情绪失控、极度低落焦虑、甚至影响工作与关系、有自伤念头。一般 PMS 可以中医调理观察；但若落到 PMDD 那种程度，请务必看医生或精神科，别硬扛。分清楚这三者，方向才对。
Period cramps are lower-belly pain during the period; PMS is the whole body-and-mind cluster in the week before, easing afterwards — they can coexist but aren't the same. PMDD (premenstrual dysphoric disorder) is a severe, mostly emotional form of PMS: premenstrual mood that feels out of control, intense lows and anxiety, disrupting work and relationships, sometimes with thoughts of self-harm. Ordinary PMS can be observed and treated with TCM; but if it reaches PMDD level, please see a doctor or psychiatrist — don't tough it out. Telling the three apart sets the right direction.
Senggugut ialah sakit perut bawah semasa haid; PMS ialah sekumpulan gejala minda-badan pada minggu sebelum, reda selepasnya — boleh wujud bersama tetapi bukan sama. PMDD ialah bentuk PMS yang teruk secara emosi: mood pra-haid yang terasa di luar kawalan, murung dan cemas melampau, mengganggu kerja dan hubungan, kadang dengan fikiran mencederakan diri. PMS biasa boleh dirawat dengan TCM; tetapi jika sampai tahap PMDD, sila jumpa doktor atau psikiatri.
经前综合症，中医常见这几型
The Common Patterns Behind PMS
Corak Biasa di Sebalik PMS
同样是经前难受，每个人「最突出的那一组症状」不一样，背后的型也不同——多数以「肝郁」为底，再夹别的。方向对上了，调理才有效率。
Behind the same premenstrual misery, everyone's "most prominent cluster" differs, and so does the pattern — most are liver-qi-led with something else layered on. Match the direction and care becomes efficient.
Di sebalik kesengsaraan pra-haid yang sama, "kumpulan paling ketara" setiap orang berbeza, dan coraknya juga — kebanyakannya dipimpin qi hati dengan tambahan lain. Padankan arahnya, rawatan jadi berkesan.
经前情绪暴躁易怒、低落爱哭、焦虑坐不住，胸胁胀闷、爱叹气，常连带乳房胀痛。压力大、爱操心、忍着不说的人最多。方向是疏肝理气、安神，把郁住的气打通。
Premenstrual irritability and anger, low mood and tears, restless anxiety, a tight chest and sighing, often with breast tenderness. Commonest in the stressed and those who hold things in. The direction: soothe the liver, move qi, calm the mind.
Mudah marah dan murung pra-haid, sebak, cemas gelisah, dada sesak dan mengeluh, sering dengan lembut payudara. Paling biasa pada yang tertekan. Arahnya menenangkan hati, menggerakkan qi.
以「痛」为主：乳房胀痛、经前偏头痛、小腹胀痛、腰酸，痛处走窜或固定。气机不畅、血行受阻所致。方向是理气活血、通则不痛，配合调经把周期一起理顺。
Pain-led: breast tenderness, premenstrual migraine, lower-belly distension, a sore back — pain that shifts or stays put. From stuck qi and impeded blood. The direction: move qi and blood — free flow, no pain — while regulating the cycle too.
Dipimpin sakit: lembut payudara, migрен pra-haid, perut bawah kembung, pinggang lenguh. Daripada qi tersekat dan darah terhalang. Arahnya menggerakkan qi dan darah, sambil mengatur kitaran.
经前脸肿、腿肿、手指发胀、体重短期上升，肚子胀、大便黏、嘴馋想吃甜。脾虚运化水湿不力所致。方向是健脾利湿，把多余的水湿代谢掉，胀满与浮肿就轻。
Premenstrual puffiness in the face and legs, swollen fingers, a short-term weight rise, a bloated belly, sticky stools and sugar cravings. From a weak spleen failing to move fluids. The direction: strengthen the spleen and drain damp, so the bloating and puffiness ease.
Bengkak muka dan kaki pra-haid, jari bengkak, berat naik sementara, perut kembung dan mengidam manis. Daripada limpa lemah tak dapat gerak cecair. Arahnya menguatkan limpa dan menyalirkan lembap.
以「累」为主：经前头晕头痛、疲惫无力、心悸失眠、面色差；肾虚者还腰酸怕冷。多见于经量偏少、产后或年纪稍长的人。方向是养血、补肾、调本，把气血底子补起来，经前才不那么虚。
Fatigue-led: premenstrual dizziness and headache, exhaustion, palpitations and poor sleep, a dull complexion; kidney-deficient types also feel a sore back and cold. Common with scanty periods, after childbirth, or with age. The direction: nourish blood, support the kidney, treat the root, rebuilding the qi-blood base.
Dipimpin keletihan: pening dan sakit kepala pra-haid, letih, berdebar dan tidur teruk, muka pucat; jenis ginjal lemah rasa pinggang lenguh dan sejuk. Biasa dengan haid sedikit atau selepas bersalin. Arahnya menyuburkan darah, menyokong ginjal, merawat akar.
安心中医怎么帮你调经前综合症？
How An Xin TCM Helps With PMS
Bagaimana An Xin TCM Membantu PMS
中医调 PMS 的思路是疏肝理气为核心、按型加减、分期调理：经前偏重理气、缓解当下的胀痛与情绪，经后偏重养血调本，把每个月「容易失衡」的底子调稳。方向对了，好转是经前症状的程度减轻、难受的天数缩短、每个月对生活和情绪的影响变小。因为它跟着月经周期走，多数需要跨几个周期慢慢调，不是一次就好。由女中医师主理，问诊过程会顾及你的隐私与自在。
The approach to PMS is to soothe the liver and move qi at the core, adjust to the pattern, and treat in phases: before the period, ease the current distension and mood; after it, nourish blood and treat the root, steadying the base that tips off balance each month. Get it right and improvement shows as lighter premenstrual symptoms, fewer difficult days, and less impact on your life and mood each month. Because it follows the cycle, most cases take several cycles to settle — not one visit. Care is led by our female practitioners, with your privacy and comfort in mind.
Pendekatan untuk PMS ialah menenangkan hati dan menggerakkan qi sebagai teras, laras ikut corak, dan rawat berfasa: sebelum haid, redakan bengkak dan mood semasa; selepasnya, suburkan darah dan rawat akar. Arah yang betul menunjukkan gejala pra-haid lebih ringan, hari sukar lebih sedikit, dan kesan lebih kecil setiap bulan. Kerana ia ikut kitaran, kebanyakan kes ambil beberapa kitaran — bukan satu lawatan. Diketuai pengamal wanita, menjaga privasi anda.
按证型用科学中药（浓缩颗粒）：情绪型疏肝理气（如逍遥散思路）、疼痛型理气活血、水肿型健脾利湿、虚弱型养血补肾。冲泡方便、剂量准，不必自己煎。⚠️ 别自行长期乱吃各种「调经养血」的保健品或来路不明的偏方，成分不明反而添乱。
Pattern-matched concentrated herbs (granules): soothe the liver and move qi for the mood type (along Xiaoyao San lines), move qi and blood for the pain type, strengthen the spleen and drain damp for the bloat type, nourish blood and tonify the kidney for the depleted type. Easy to make, precisely dosed. Don't self-take long-term "period-fixing" supplements or unknown remedies.
Herba tumpat ikut corak: menenangkan hati untuk jenis emosi, menggerakkan darah untuk jenis sakit, menguatkan limpa untuk jenis bengkak, menyuburkan darah untuk jenis lemah. Jangan ambil suplemen "pembaik haid" jangka panjang sendiri.
针灸常取太冲、内关、膻中、三阴交、足三里等穴，疏肝理气、宁心安神、调畅气血，帮助缓解经前的烦躁、失眠、头痛与乳胀。对情绪型（压力型）尤其合适，配合中药一内一外，比只靠一种更整体。
Acupuncture commonly uses Taichong, Neiguan, Danzhong, Sanyinjiao and Zusanli to soothe the liver, calm the mind and free qi and blood, easing premenstrual irritability, poor sleep, headache and breast fullness. It suits the mood (stress) type especially; paired with herbs — one inside, one out — it works more completely than either alone.
Akupunktur biasanya guna Taichong, Neiguan, Danzhong, Sanyinjiao dan Zusanli untuk menenangkan hati dan minda, melegakan resah, tidur teruk, sakit kepala dan bengkak payudara pra-haid. Sesuai untuk jenis emosi; digabung herba, lebih menyeluruh.
PMS 最吃「情绪与作息」。医师会按你的周期分期给建议：经前理气减压、少盐减水肿，经后养血把底子补回。日常上：规律运动帮情绪与代谢、少咖啡浓茶与太甜太油、别熬夜、给情绪找个出口。针药帮你「更容易好过」，但让每个月都稳的，是这些习惯有没有跟着变。
PMS responds a lot to mood and routine. The practitioner gives phase-based advice: before the period, ease qi and cut salt to reduce swelling; after it, nourish blood to rebuild the base. Day to day: regular exercise for mood and metabolism, easing off coffee, strong tea, sugar and greasy food, avoiding late nights, and finding an outlet for your feelings. Needles and herbs make the days easier — but what keeps each month steady is whether these habits change too.
PMS banyak bertindak balas kepada emosi dan rutin. Pengamal beri nasihat ikut fasa: sebelum haid, redakan qi dan kurangkan garam; selepasnya, suburkan darah. Harian: bersenam untuk mood, kurangkan kopi, teh pekat, gula dan berminyak, elak berjaga lewat, dan cari jalan keluar emosi. Jarum dan herba memudahkan — tetapi tabiat yang mengekalkan setiap bulan stabil.
两条安全线，请放在心上。第一，情绪严重到失控就别只当 PMS 扛：如果经前的低落、焦虑、易怒严重到影响工作、学业或人际关系，出现明显失控、持续两周以上的情绪低落、惊恐发作，甚至有自伤或轻生的念头，这可能是经前焦虑障碍（PMDD），请尽快看医生或精神科，不要硬撑——中医调理与看精神科并不冲突，可以一起进行。第二，身体信号异常要先查妇科：如果伴随突然剧烈的痛经、异常出血、经量骤变、非经期出血或摸到下腹包块，要先看妇科，排除子宫肌瘤、子宫内膜异位、内分泌等器质问题，再谈调理。该查的先查清楚，良性、周期性的经前不适，再交给中医慢慢调。
Two safety lines to keep in mind. First, don't just tough out mood that spirals out of control: if premenstrual lows, anxiety or anger become severe enough to disrupt work, study or relationships, with a real loss of control, low mood lasting over two weeks, panic attacks, or thoughts of self-harm, this may be PMDD — please see a doctor or psychiatrist promptly, don't power through; TCM care and psychiatric care don't conflict and can run together. Second, get gynaecological checks for abnormal signals: sudden severe cramps, abnormal or between-period bleeding, a sharp change in flow, or a lower-abdomen lump warrant seeing a gynaecologist first, to rule out fibroids, endometriosis or hormonal causes. Clear the serious causes first; then let TCM ease the benign, cyclical premenstrual discomfort.
Dua garis keselamatan. Pertama, jangan sekadar bertahan dengan mood yang di luar kawalan: jika murung, cemas atau marah pra-haid teruk sehingga mengganggu kerja atau hubungan, dengan kehilangan kawalan, murung lebih dua minggu, serangan panik, atau fikiran mencederakan diri, ini mungkin PMDD — sila jumpa doktor atau psikiatri segera; rawatan TCM dan psikiatri tidak bercanggah. Kedua, buat pemeriksaan ginekologi untuk isyarat luar biasa: senggugut mendadak teruk, pendarahan luar biasa, perubahan aliran mendadak, atau ketulan perut bawah — jumpa pakar ginekologi dahulu untuk singkir fibroid atau endometriosis. Singkirkan punca serius dahulu.
经前少难受一点，你可以先做的3件事
3 Things to Ease Your Premenstrual Days
3 Perkara Untuk Meredakan Hari Pra-Haid
- 记录月经周期与症状，先确认「跟着月经走」。用手机或本子记下月经日期，以及情绪、乳胀、头痛、水肿、长痘这些症状什么时候出现、什么时候缓解。连续记两三个月，你会看清它是不是规律地在经前出现——这既能帮你安心（分清是 PMS 还是别的问题），也是看诊时最有用的资料，帮医师判断你偏哪一型。 Track your cycle and symptoms — confirm it "follows the period." On a phone or in a notebook, log your period dates and when mood, breast tenderness, headache, swelling and breakouts start and ease. Over two or three months you'll see whether they appear reliably before the period — which reassures you (telling PMS apart from other issues) and is the most useful information at a consultation, helping the practitioner read your pattern. Jejaki kitaran dan gejala — sahkan ia "ikut haid." Dalam telefon atau buku nota, catat tarikh haid dan bila mood, lembut payudara, sakit kepala, bengkak dan jerawat bermula dan reda. Dalam dua tiga bulan anda akan nampak sama ada ia muncul secara tetap sebelum haid — menenangkan dan maklumat paling berguna semasa rundingan.
- 给情绪找个出口——这一型「病在肝，根在心情」。肝郁气滞是 PMS 最常见的底子，长期压着情绪、生闷气会直接让它更严重。别小看：规律运动（散步、瑜伽都好，还能帮水肿）、和人聊聊、做点让自己放松的事、别把事都憋着。经前那几天尤其对自己宽容一点，别在那时候逼自己做重大决定或硬碰硬。把情绪的「气」理顺了，身体的胀与痛也会跟着松。 Give your emotions an outlet — here, "the trouble is in the liver, the root is in the mood." Liver-qi stagnation is the commonest basis for PMS, and long-suppressed feelings make it worse. Don't underestimate it: regular movement (a walk or yoga, which also helps swelling), talking things out, doing something relaxing, and not bottling everything up. Be especially kind to yourself in the premenstrual days — don't force big decisions or confrontations then. Ease the "qi" of the emotions and the body's distension and pain tend to ease with it. Beri emosi jalan keluar — di sini "masalah di hati, akarnya pada mood." Qi hati tersekat ialah asas paling biasa PMS, dan perasaan terpendam memburukkannya. Bersenam (berjalan atau yoga, juga bantu bengkak), berbual, buat sesuatu yang menenangkan, jangan pendam. Bertimbang rasa pada diri waktu pra-haid — jangan paksa keputusan besar ketika itu.
- 经前饮食做几个小调整。经前一到两周：少喝咖啡浓茶（可能加重乳房敏感与心悸）、少太油太甜（甜食一时爽、之后情绪更起伏）、适度减盐以减少水肿胀满；三餐规律、别熬夜；想吃甜的时候用水果、坚果替代一部分。这些不会一次「根除」PMS，但能让每个月最难受的那几天过得舒服些——配合中医辨证调本，才是长久之计。 Make a few tweaks to your premenstrual diet. In the 1–2 weeks before: go easy on coffee and strong tea (which can worsen breast sensitivity and palpitations), on greasy and sugary food (sweets feel good briefly, then swing the mood more), and cut salt a little to reduce water retention and fullness; keep regular meals and don't skimp on sleep; swap some sugar cravings for fruit or nuts. These won't wipe out PMS in one go, but they make the hardest few days each month more comfortable — paired with pattern-based TCM care to treat the root, that's the lasting plan. Buat sedikit pelarasan diet pra-haid. Dalam 1–2 minggu sebelum: kurangkan kopi dan teh pekat (boleh burukkan sensitiviti payudara dan berdebar), makanan berminyak dan manis (manis sekejap sedap, kemudian mood lebih naik-turun), dan kurangkan garam untuk mengurangkan bengkak; makan teratur, jangan berjaga lewat; ganti idaman manis dengan buah atau kacang. Bersama rawatan TCM untuk merawat akar, itu rancangan yang kekal.
常见问题
Frequently Asked Questions
Soalan Lazim
经前综合症和痛经一样吗？Is PMS the same as period cramps?Adakah PMS sama dengan senggugut?+
不一样。痛经是月经来潮时的下腹痛，发生在行经期；经前综合症（PMS）是月经来之前一周左右出现的一整套身心症状——情绪暴躁易哭、乳房胀痛、头痛、腹胀水肿、长痘、疲倦等，特点是经前加重、月经一来或结束后缓解。两者可以同时存在，中医也常一起调，但它们是两回事。PMS 的核心在中医多属肝郁气滞，随体质夹脾虚水湿、血虚或肾虚。
No. Cramps are lower-belly pain during the period; PMS is a whole cluster of body-and-mind symptoms in the week or so before it — irritability, tearfulness, breast tenderness, headache, bloating, swelling, breakouts and fatigue — easing once the period comes or ends. They can coexist and TCM often treats them together, but they are different things. In TCM the core of PMS is usually liver-qi stagnation, with spleen-damp, blood deficiency or kidney deficiency layered on by constitution.
Tidak. Senggugut ialah sakit perut bawah semasa haid; PMS ialah sekumpulan gejala minda-badan pada seminggu sebelumnya — mudah marah, sebak, lembut payudara, sakit kepala, kembung, bengkak, jerawat dan letih — reda bila haid datang atau tamat. Kedua-duanya boleh wujud bersama dan TCM sering merawatnya sekali, tetapi ia berbeza. Dalam TCM teras PMS biasanya qi hati tersekat, dengan limpa-lembap, darah kurang atau ginjal kurang.
为什么一到经前情绪就特别大？Why do my emotions spike right before my period?Kenapa emosi melonjak sebelum haid?+
这不是矫情，而是身体在经前把平时的失衡放大了。月经来前的黄体期，气血下注冲任，若平时就压力大、肝气郁结，经前气机更不畅，就容易情绪暴躁、低落、爱哭、烦躁焦虑，还常连带乳房胀痛、胸闷叹气。中医把这类归为肝郁气滞，调理重在平时疏肝理气、把郁住的气机打通；情绪的气顺了，经前的起伏会跟着变小。
It isn't drama — the body is amplifying an existing imbalance before the period. In the luteal phase, qi and blood pour into the Chong-Ren; if you are already stressed with knotted liver qi, qi flows even less freely premenstrually, bringing irritability, low mood, tears and anxiety, often with breast tenderness and sighing. TCM sees this as liver-qi stagnation, and focuses on soothing the liver and moving qi day to day; ease the qi of the emotions and the premenstrual swings tend to shrink.
Ia bukan mengada — badan membesarkan ketidakseimbangan sedia ada sebelum haid. Dalam fasa luteal, qi dan darah mengalir ke Chong-Ren; jika anda sudah tertekan dengan qi hati tersekat, qi kurang lancar pra-haid, membawa mudah marah, murung, sebak dan cemas, sering dengan lembut payudara. TCM melihatnya sebagai qi hati tersekat, dan menumpu menenangkan hati serta menggerakkan qi setiap hari; bila qi emosi lancar, turun-naik pra-haid mengecil.
经前综合症中医怎么调？要调多久？How does TCM treat PMS, and how long does it take?Bagaimana TCM merawat PMS, dan berapa lama?+
中医以疏肝理气为核心，再按体质加减：水肿型健脾利湿、血虚头痛疲倦型养血、肾虚型补肾，用科学中药配合针灸，并分期调理——经前偏重理气缓解症状，经后偏重养血调本。因为 PMS 跟着月经周期走，多数需要跨几个周期慢慢调；好转的表现是经前症状程度减轻、难受的天数缩短、每个月对生活和情绪的影响变小。实际疗程由医师按你的体质与反应安排。
TCM soothes the liver and moves qi at the core, then adjusts to your constitution: strengthen the spleen and drain damp for the bloat type, nourish blood for the headache-and-fatigue type, tonify the kidney for the deficient type — using concentrated herbs with acupuncture, and treating in phases: easing qi and symptoms before the period, nourishing blood and the root after. Because PMS follows the cycle, most cases take several cycles to settle; improvement shows as lighter symptoms, fewer difficult days and less monthly impact. Your course is set by the practitioner to your pattern and response.
TCM menenangkan hati dan menggerakkan qi sebagai teras, kemudian laras ikut susuk badan: kuatkan limpa untuk jenis bengkak, suburkan darah untuk jenis sakit kepala dan letih, tonik ginjal untuk jenis lemah — guna herba tumpat dengan akupunktur, dan rawat berfasa: redakan qi dan gejala sebelum haid, suburkan darah selepasnya. Kerana PMS ikut kitaran, kebanyakan kes ambil beberapa kitaran; kemajuan ditunjukkan gejala lebih ringan dan hari sukar lebih sedikit. Tempohnya ditetapkan pengamal ikut corak anda.
经前长痘、水肿也能一起调吗？Can premenstrual breakouts and swelling be treated together too?Bolehkah jerawat dan bengkak pra-haid dirawat sekali?+
可以。经前长痘（多在下巴、下颌）和经前水肿（脸肿、腿肿、体重短期上升）都是 PMS 常见的表现，中医看来和肝郁化热、脾虚水湿有关，可以在疏肝理气的基础上，加清热或健脾利湿的方向一起处理，不必分开看。经前少吃太油太甜、适度减盐、规律作息与运动，也能帮上忙。
Yes. Premenstrual breakouts (often on the chin and jaw) and premenstrual swelling (a puffy face and legs, a short-term weight rise) are both common in PMS. TCM links them to liver-qi turning to heat and to spleen-damp, so they can be handled alongside soothing the liver — adding heat-clearing or spleen-strengthening and damp-draining directions — without treating them separately. Easing off greasy and sugary food, cutting salt a little, and keeping a regular routine with exercise all help.
Boleh. Jerawat pra-haid (selalu di dagu dan rahang) dan bengkak pra-haid (muka dan kaki, berat naik sementara) kedua-duanya biasa dalam PMS. TCM mengaitkannya dengan qi hati bertukar panas dan limpa-lembap, jadi ia boleh ditangani bersama menenangkan hati — menambah arah menyahkan panas atau menguatkan limpa dan menyalirkan lembap. Kurangkan makanan berminyak dan manis, kurangkan garam, dan kekalkan rutin dengan senaman turut membantu.
经前综合症什么情况要看医生（PMDD）？When should PMS see a doctor (PMDD)?Bila PMS perlu jumpa doktor (PMDD)?+
如果经前的情绪问题严重到影响工作、学业或人际关系，出现明显失控、持续低落、焦虑惊恐，甚至有自伤或轻生念头，这可能是经前焦虑障碍（PMDD），请尽快看医生或精神科，不要硬扛。另外，如果伴随突然剧烈的痛经、异常出血、经量骤变或非经期出血，要先看妇科，排除子宫肌瘤、子宫内膜异位等器质问题。中医调理与看西医、精神科从不冲突，该看的先看。
If premenstrual mood problems become severe enough to disrupt work, study or relationships — with a real loss of control, persistent low mood, anxiety or panic, or thoughts of self-harm — this may be premenstrual dysphoric disorder (PMDD); please see a doctor or psychiatrist promptly rather than toughing it out. Also, if there are sudden severe cramps, abnormal or between-period bleeding, or a sharp change in flow, see a gynaecologist first to rule out fibroids, endometriosis and other causes. TCM care never conflicts with medical or psychiatric care — deal with the serious things first.
Jika masalah mood pra-haid teruk sehingga mengganggu kerja, pengajian atau hubungan — dengan kehilangan kawalan, murung berterusan, cemas atau panik, atau fikiran mencederakan diri — ini mungkin gangguan disforik pra-haid (PMDD); sila jumpa doktor atau psikiatri segera. Selain itu, jika ada senggugut mendadak teruk, pendarahan luar biasa atau perubahan aliran mendadak, jumpa pakar ginekologi dahulu untuk singkir fibroid dan endometriosis. Rawatan TCM tidak bercanggah dengan rawatan perubatan atau psikiatri — uruskan yang serius dahulu.