Premenstrual tension syndrome produces numerous problematic physical and mental symptoms both before and after the menstrual cycle. In severe cases premenstrual tension syndrome can affect both daily life and work habits. Western medical treatment methods are less than ideal, but Chinese medicine provides exceptional results for the treatment of this disease. Chinese medicine diagnosis is based on pattern identification and is classified into three categories; liver depression and qi stagnation; liver and kidney yin vacuity; and spleen and kidney yang vacuity. However besides herbal therapy, psychological and lifestyle harmonization is equally important.