Quite often, patients arrive with similar complaints in clusters. Last week was clearly International Perimenopause Week. I'm joking, but only a little. The women I worked with had complaints of frequent periods, vaginal dryness, brain fog, hot flashes and digestive upset.In Traditional Chinese Medicine (TCM), a woman's life follows the natural rhythms of seven-year cycles, with significant transitions occurring every seven years. These cycles are closely tied to the Kidney energy (Jing), which governs growth, development, fertility, and aging. Each cycle marks an essential stage in a woman's physical and emotional health, culminating in a profound shift during perimenopause.