Menopausal syndromes are mostly based on kidney deficiency， which could be expalined that kidney governing essence storage and controlling innateness， so when the kidney water was deficient and the liver fail to nourish， then led to liver depression and transform into fire； deficiency of the kidney， loss of warmth of the spleen， and inability to transport and transform the water and dampness will easily lead to phlegm and fire； the decline of the kidney

yin

and loss of water and fire will easily cause the exuberance of heart fire. Therefore， clinical symptoms of hot flashes， insomnia， and palpitations are common due to phlegm， depressions， and fire. Based on this， at the beginning of the treatment， we should treat the symptoms firstly by resolving phlegm， relieving depression and clearing fire， and commonly use

Huanglian Wendan Decoction

（黄连温胆汤），

Yigan Powder

（抑肝散），

Chaihu plus Longgu Muli Decoction

（柴胡加龙骨牡蛎汤）， and

Qingxin Zishen Decoction

（清心滋肾饮）， etc. After improving the symptoms of hot flashes and sweating， irritability， dreaming and frightening， then we should give the prescriptions to tonify kidney

yang

and nourish kidney

yin

， in order to eliminate the pathogens and reinforce healthy

qi

， and to treat both the manifestations and the root cause， so that the symptoms of the patients can be better alleviated.