Perimenopausal syndrome, also known as menopausal syndrome, is a period of transition from childbearing to old age in women, generally defined in modern medicine as 45-55 years of age, with the average age of perimenopausal syndrome being 49.5 years. In modern Chinese medicine, this disease is named as “pre and post-menopause syndrome” or “pre and post-menopause syndrome”, and its etiology and pathogenesis are as described in Suwen Shanggu Tianzhen Lun, “The seventh seventh seventh Ren pulse is deficient, the Tai Chong pulse is weak, the heavenly sebum is exhausted, and the earthly channel is blocked, so the form is bad and childlessness.” Therefore, the “seventh year of life” is consistent with the average age of 49.5 years for menopausal syndrome reported by modern medicine. Perimenopausal syndrome is a common and frequent disease with an incidence of about 90%. Patients often have irregular menstruation, hot flashes, sweating, sleep or mood disorders as their first symptoms, and the condition lasts for months or even up to 10 years. With the new modern medical model “bio-psycho-social”, we can see that perimenopausal syndrome not only affects women’s physical and mental health, but also affects the quality of life, family happiness and social harmony. According to Western medicine, women’s ovarian function begins to decline during perimenopause, leading to a decrease in estrogen secretion, followed by a series of symptoms of neuroendocrine disorders, such as menstrual disorders, hot flashes, sweating, agitation and irritability, anxiety, depression, memory loss, palpitations, chest tightness, insomnia, constipation, and postmenopausal osteoporosis. The Jin Yuan physician? Liu Wansu’s theory that “women are less yin when they are young and have not yet performed; when they have performed, they are from the sympathetic yin theory; when they have finished, they are from the taiyin meridian” has not only become the theoretical basis for the treatment of the kidneys for young girls, the liver for the childbearing age and the spleen for the old age, but also become the guiding idea for the treatment of all diseases before and after menopause. During a woman’s life, she goes through pregnancy, childbirth and breastfeeding and enters the perimenopausal period, which spans nearly 10 years. In the early stage, there may be only mild hot flashes and emotional agitation; in the middle stage, menstrual disorders, hot flashes, sweating, agitation and irritability, anxiety and sleep disorders are the main symptoms; in the late stage, postmenopausal osteoporosis and urinary tract infections appear. Therefore, “treating the liver first” should be the best strategy for perimenopausal health care, such as Danjuana Easy Yao San, Chai Hu Gui Zhi Dragon Bone Oyster Tang, Blood Mansions and Blood Stasis Soup, etc., which are based on the addition and subtraction of the prescriptions or Chinese patent medicine preparations to dredge the liver and regulate qi, can be used as the early prevention and treatment of perimenopausal syndrome. The formula of choice for the prevention and treatment of perimenopausal syndrome. In the later stage or after menopause, nourishing Yin, draining the Liver and invigorating the Spleen and Blood is the strategy for both the symptoms and the root. For the consolidation treatment of perimenopausal women or “treating the untreated disease”, according to the different focus of menstrual disorders, hot flashes, sweating, sleep disorders, anxiety and depression, under the guidance of herbalists, we can use Liu Wei Di Huang Wan, Qiao Ju Di Huang Wan, Zhi Bai Di Huang Wan, Tian Wang Tonic Heart Dan, Gui Shen Wan, Blood Mansions and Stasis Capsules, (Dan Gardenia) Prosperity Pill, etc. In fact, in the perimenopausal women, can also take the following food and medicine can be used as daily health care: 1, Chinese wolfberry chrysanthemum tea: can add mulberry, red dates, bubble or boil water for drinking can be applied to dizziness, irritability, dull face, menstrual flow, etc.. 2, lotus seeds, lily of the valley, acacia flowers, sour date porridge: 1-2 flavors of porridge, the ratio of medicine to rice 1:1, suitable for pre and post-menopause with palpitations and sleeplessness, anxiety and forgetfulness, temperamental, limb weakness, rough skin. 3.Ganmai drink (from Zhang Zhongjing “Ganmai jujube soup”): 30 grams of wheat, 10 red dates, 10 grams of licorice, water decoction or porridge, taken once a day in the morning and once in the evening, for those with hot flashes and sweating, irritability and palpitations, depression and irritability, and lack of facial color before and after menopause. 4, hawthorn and lotus leaf tea: hawthorn, lotus leaf and other parts of the appropriate amount, add water decoction tea drink, has the effect of lowering blood pressure and lipid regulation, for menopause hypertension, hyperlipidemia and simple obesity. 5, “black and white ears” of black fungus (“food aspirin”), white fungus (“plant bird’s nest”) is also this period of women’s blood vitalization and skin care products. Chinese medicine, with its holistic concept and evidence-based treatment, has certain advantages in the overall management of perimenopausal women, who are generally “multi-sick”, but the physical and chemical basis of Western medicine, such as diminished ovarian function, decreased estrogen levels and secondary metabolic disorders, should not be ignored and has an important guiding role. Therefore, for the health care of perimenopausal women in their “seventh year”, we can rely on the advantages of general hospitals and implement the multidisciplinary integrated management of specialties in a collaborative manner, so that Chinese and Western medicine can complement each other.