Polycystic Ovary Syndrome (PCOS) is a complex hormonal condition that affects many women of reproductive age. While its symptoms—irregular periods, weight fluctuations, acne, hair growth, and difficulty conceiving—are often viewed through a biomedical lens, Chinese Medicine offers a unique perspective on PCOS and its management.
PCOS is not a one-size-fits-all condition, and in Chinese Medicine, it is understood as a pattern of disharmony rather than a single disease. The underlying imbalances can vary from person to person, which is why treatment is always individualized.
PCOS in Traditional Chinese Medicine (TCM) in TCM
PCOS often corresponds to patterns of:
- Liver Qi Stagnation – Stress, emotional strain, and a lack of free flow of energy can contribute to hormonal imbalances and irregular periods.
- Spleen Qi Deficiency and Damp Accumulation – Linked to digestive health and metabolism, this pattern can manifest as weight gain, bloating, and fluid retention.
- Kidney Deficiency – Seen as the root of reproductive health, an imbalance here can lead to difficulties with ovulation and fertility.
- Blood Stagnation – Often associated with painful periods, clotting, or cyst formation
These patterns help practitioners determine the best course of treatment, whether through acupuncture, Chinese herbal medicine, dietary adjustments, or lifestyle recommendations.

Acupuncture and PCOS
Research suggests that acupuncture may support women with PCOS by promoting blood circulation to the ovaries, regulating menstrual cycles, and addressing symptoms such as stress and inflammation. From a TCM standpoint, acupuncture helps to move Qi, resolve stagnation, and support overall balance.
Many women with PCOS also experience insulin resistance, which plays a role in weight fluctuations and energy levels. Acupuncture may assist in balancing metabolic function while supporting digestion, which is key to managing symptoms like bloating and cravings.
Chinese Medicine and Gut Health for PCOS
Gut health plays a significant role in PCOS, particularly when it comes to inflammation, blood sugar regulation, and hormonal balance. In TCM, the Spleen and Stomach are responsible for digestion and nutrient absorption. If these organs are weakened by excessive stress, poor diet, or lifestyle factors, dampness and phlegm accumulation can occur, contributing to symptoms such as bloating, fatigue, and difficulty losing weight.
Simple strategies to support digestion include:
- Eating warm, cooked foods to support Spleen Qi
- Avoiding excessive cold and raw foods, which can burden digestion
- Reducing damp-forming foods such as dairy, sugar, and processed foods
- Including bitter and warming herbs and spices like ginger, cinnamon, and turmeric to aid digestion.

Lifestyle and Self-Care Approaches for PCOS
PCOS management goes beyond acupuncture and herbs—it involves self-care, movement, and mindful nutrition. Key considerations include:
- Managing stress – Liver Qi stagnation is often linked to stress. Practices like gentle yoga, deep breathing, and time in nature can help soothe the nervous system.
- Moving regularly – Exercise helps regulate insulin levels and supports the free flow of Qi and blood. Find movement you enjoy, whether it’s walking, yoga, or dancing.
- Prioritizing sleep – Restorative sleep supports hormonal health and energy levels.
- Regulating blood sugar – Balanced meals with protein, fiber, and healthy fats help to stabilize blood sugar and reduce cravings.
Final Thoughts
PCOS is a condition that requires an individualized approach. Chinese Medicine views the body as an interconnected system, and treatment focuses on restoring balance rather than just suppressing symptoms. If you’re exploring acupuncture or lifestyle changes to support your health, always consult a qualified practitioner to ensure an approach tailored to your needs.