Menopausal syndrome is a series of symptoms caused by a decline in estrogen levels. In menopausal women, due to the decrease of ovarian function and the hyperfunction of pituitary gland, excessive secretion of gonadotropins causes the disorders of vegetative nervous system, which leads to a series of symptoms with different degrees, such as menstrual changes, flushing, palpitations, insomnia, fatigue, depression, anxiety, unstable mood, agitation, and difficulty in concentration, etc., which is called “menopausal syndrome “. What are the main manifestations of menopausal syndrome? I. Recent Symptoms: (1) Menstrual disorders: mainly prolonged menstrual cycle, intermittent amenorrhea or irregularity; reduced or sudden increase in menstrual blood volume or even hemorrhage; prolonged or shortened menstrual period, etc. (2) Vasomotor nerve dysfunction: mainly manifested as self-conscious hot flashes, which is a characteristic symptom of decreased estrogen. It is characterized by recurrent brief bouts of redness of the skin of the face and neck and chest, accompanied by baking heat, followed by sweating. It usually lasts 1-3 minutes. The symptoms may last for 1-2 years, sometimes up to 5 years or longer. (3) Sensory nerve disorders: e.g., dullness or hypersensitivity of sensation, numbness, ants sensation on the surface of the skin. (4) Autonomic disorders: manifested by palpitations, headache, dizziness, feeling of heaviness in the head, vertigo, tinnitus, insomnia, and so on. (5) Psychoneurotic symptoms: women in this period often feel that it is not easy to concentrate and have big mood swings. The symptoms include irritability, anxiety, low mood, depression, inability to control themselves, and other emotional symptoms. Memory loss is also more common. (6) Obesity: generally more than 15-20% of the normal body weight for obesity, menopause is the main period of female obesity, especially the abdomen and buttocks and other places where the fat is most likely to accumulate. (1) Genitourinary tract symptoms: mainly manifested as vaginal dryness, difficulty in sexual intercourse and recurrent vaginal infections, difficulty in urination, painful urination, urinary urgency and other recurrent urinary tract infections. (2) Osteoporosis: self-consciousness of back pain, shoulder pain, leg cramps, muscle and joint pain, etc., mainly due to osteoporosis. more than half of women over 50 years old will experience postmenopausal osteoporosis. (3) Cardiovascular lesions: atherosclerosis and coronary heart disease in postmenopausal women increase significantly compared with the premenopausal period, which may be related to low estrogen and enhanced androgen activity. (4) Alzheimer’s disease: It is the main type of senile dementia. Late menopausal women have a higher incidence of the disease than older men, which may be related to the decrease in endogenous estrogen levels after menopause. Current treatment status (1) Western medical treatment: Hormone therapy (HT) is mainly used. HT plays a positive role in improving menopausal symptoms (vasodilatation symptoms, genitourinary symptoms), improving the quality of life of menopausal women, and preventing osteoporosis. However, the long-term use of HT has potential dangers, such as increasing the risk of endometrial and breast cancer in the population; weight gain; irregular vaginal bleeding; and the formation of deep vein thrombosis, etc. This is coupled with the fact that patients have a fear of using hormones, which must be used under the guidance of a doctor and strict monitoring. This makes the compliance of menopausal syndrome patients to use hormone replacement therapy greatly reduced. (2) Traditional Chinese medicine treatment: According to the motherland medicine, the kidney is the main reproductive agent, and before and after the menopause, the kidney energy of women gradually declines, the essence and blood become increasingly insufficient, and the body’s ability to regulate yin and yang diminishes. During this transitional period, women are unable to adapt to the physiological transition at this stage due to the influence of factors such as physical fitness, disease, nutrition, labor and rest, social environment, and emotions, and then there will be deficiency of kidney yin, fire in the heart and liver, or deficiency of spleen and kidney yang, and insufficient qi and blood, which will lead to a series of symptoms of incompatibility of qi and blood in the viscera and bowels. Chinese medicine for the prevention and treatment of this disease mainly nourishes the liver and kidney, balances yin and yang, and clears the heart and tranquilizes the mind. From the root of the treatment of this disease, in addition to drug therapy, psychological guidance, family cooperation, social regulation, life regimen and other aspects of auxiliary therapies, in all aspects of the prevention and treatment measures in close synergy, in the perimenopausal prevention and treatment of “not yet sick”, so that into the late period of pre-menopausal, the degenerative changes in the various organs of the body is relatively slow to appear, thus reducing the occurrence of all the evidence. This will reduce the occurrence of various symptoms. (1) Reasonable diet: adequate amount of high-quality protein; adequate amount of vitamins; increased calcium requirement; control the intake of sugar and fat; low-salt, low-fat diet; adequate amount of water to the extent that one does not feel thirsty; restriction of tobacco, alcohol, coffee, strong tea and deep-fried food. (2) Psychological guidance: love life, make friends, pay attention to psychological balance, maintain mental health, combine work and rest, and cultivate a wide range of interests. When you are in trouble, you can communicate with your family, friends, doctors, etc. to relieve your worries and reduce pressure. Participate in activities that are good for your body and mind. Simplify your life and set feasible goals and reasonable plans for yourself. Learn to control your emotions appropriately and find self-confidence. (3) Living and exercise: ① Adequate sleep: avoid eating before going to bed, and do not use your brain too much or get excited before going to bed. Before going to bed, you can drink an appropriate amount of hot milk, which will help you sleep, and usually eat an appropriate amount of walnuts, sesame seeds, jujubes and so on. ② appropriate exercise: physical exercise, it is important to adhere to, focusing on moderation. Appropriate sports such as walking, radio exercises, swimming, tai chi, jogging, dancing, yoga and so on. ③ Pay attention to personal hygiene, especially to keep the vulva clean, choose cotton underwear, change and wash frequently, wear looser pants.