Popping @Mandy Gratzer 's Question in here and will probably pop it in the Peri Thread also .

The primary symptom is fluid retention in feet, ankles, hands.

Periods are spread out, missing every 2nd or 3rd so just a few periods per year, and fluid retention is relieved for a period. I have been able to shift the fluid with acu but it keeps returning.

T: wide pale puffy swollen

P: deep slow

I've been using kid & sp yang tonic points but would love to hear your thoughts on how you'd approach it.

This is actually a pretty common experience in my Peri ladies and I know myself when I'm in a phase of missing periods the fluid on my belly can feel like it's stacking up.

I'm curious if she is often also constipated or digestion is sluggish and then when she has a period water metabolism goes back to normal? Because I would add points and foods possibly to support digestion/ large intestine water metabolism function if that's the case.

I also think that this can also be a symptom that will be ongoing but eventually the body will work it out. It's just about helping the body work out the new normal which will eventually stick so I dont know that it's a bad sign that it comes back as it does go away with your current treatment ... Now that isn't very helpful for the woman who feels like she's a blow fish puffing up for half the year .... but with ongoing maintenance sessions it will eventually go.

You could also use the China Med Menopause 2 formulae which is for draining dampness from Kid Qi and Spleen Qi Xu it is however also working to move Liver Qi Stag (where it's present with out heat) if she's more kidney yang xu that might not be appropriate.

There is also the use of dry skin brushing and infrared saunas depending again on how yang xu she is. I know this isnt strictly TCM but I've found it very helpful to get the lymph moving ... which is linked obvs with hormone clearance as well.

What else do we think brains trust?