Premenstrual syndrome(PMS) covers many symptoms before a menstruation. Symptoms may include emotional distress, such as depression, irritability, sadness, anxiety, or poor concentration. It may also involve physical symptoms, such as breast tenderness, a change in bowel habits, or acne. Traditional Chinese Medicine (TCM), offers a natural alternative to treat PMS rather then with over-the-counter or prescription drugs or hormones. In Chinese medicine, severe PMS is considered an indicator that an underlying imbalance is present. Treatment is focused on correcting the imbalance, or the source of the problem, not just treating the symptoms. For most women, PMS arises from a stagnation of liver energy. The liver is an organ system that is responsible for the smooth flow of substances, such as energy or blood, within the body. Imbalances can arise from a variety of factors, including poor diet, physical exertion, emotional trauma, weak Qi (energy) or stress. These imbalances ultimately cause a blockage of Qi or blood in one of the body’s organs or energy pathways. When Qi and blood become blocked, they stagnate and are unable to properly nourish the body. This stagnation frequently manifests in women in the form of PMS. Depending on your specific imbalance, you can treat PMS effectively with a combination of cupping, acupuncture and Chinese herbs.