Premenstrual Syndrome (PMS) is one of the most common complaints for many females. Most females will experience this in their lifetime once or more times. However, about 5% of them will need to seek help due to very intense symptoms. According to modern medicine, the cause is still unclear. Therefore, the treatment is basically for complaints – in other words only to relieve the symptoms. Traditional Chinese medicine and Acupuncture (TCMA) uses natural phenomena and principles to describe our body in both physical and pathological ways along with the treatments. The treatment for diseases in TCMA is according to pattern differentiation. The pattern differentiations for PMS in TCMA are: cold/yang deficiency, liver stagnation, poor circulation/blood stasis, etc. The concepts of “cold/yang deficiency,” “liver stagnation,” and “blood stasis,” are very different from what people understand nowadays. For example, “cold/yang deficiency” here means the PMS sufferer does not like the cold (i.e. cold environment, intakes, food/drinks that naturally make the body cold, or our reaction to them is cold), for this reason you can see some of these patients have an onset of PMS or make their PMS worse if they are in a cold environment, or when they eat something cold. The “liver stagnation” type means PMS sufferers will have an emergence of symptoms if they are too stressed, or the stress will make their PMS worse. If the “liver stagnation” or “cold/yang deficiency” are not treated, eventually they will turn into “blood stasis.” The “blood stasis” type means poor circulation or blockage in the vascular system. This type is basically the utmost development of the previous two types or it can occur on its own without the previous two. The symptoms of “blood stasis” will be a very painful and darker period with many clots. Sometimes, the pain can feel like needles or knives cutting into you, some people even faint and end up in the emergency room. Any factors that affect the “liver stagnation” or “cold/yang deficiency” type can affect this type in the same way too. A patient can suffer from one or two types or even a combination of all of them. In addition, there may be some other types such as: Qi deficiency or kidney deficiency etc. These types mean the patient was either born like that or it could be something else. The acupuncture treatment we need to do for “cold/yang deficiency,” is to eliminate the coldness or tonify yang. Meanwhile, patients need to avoid cold environments or cold food/drinks, and instead take warm drinks/food, etc. The treatment for this type is usually acupuncture with TDP/moxibustion or tonification methods. For “liver stagnation,” we have to regulate and soothe the liver Qi, and eliminate the stagnation. For “blood stasis,” we need to regulate the blood and eliminate the blood stasis, and promote circulation. If it is two or more types combined you will need to mix the treatments described above accordingly. In terms of Chinese medical herbs treatment, it is very similar to acupuncture, but using herbs instead. There are different herbal formulas for each type. Most of the time, the formulas need to be alternated to fit the patients pattern better, and in this way, the patients will get the most benefit from the the herbal treatment. Overall, TCMA is the simplest, best and easiest method to treat PMS. The combination of Chinese herbs and acupuncture will give patients maximum benefit and quick results. Additionally, with a diet and lifestyle change, etc. the results will be better. We have helped many PMS patients from the age of 15. We know we helped because we have many new PMS patients referred by their friends who were cured in our office before.