Menopause is a time of natural change. In Chinese medicine, it is primarily related to changes in heaven-shen, earth-jing, and earth-chong. This class will highlight the heavenly and earthly views, with practical treatments, strategies, and points. From the heavenly perspective, jing transforms to shen, which can be seen as a transformation of wisdom and inspiration. Pathology, including anxiety, depression, frustration, and insomnia, can accompany this transformation. From an earthly perspective, changes in jing and chong can include symptoms such as dryness, hot flashes, night sweats, and slowed metabolism. The role of the extra meridian Yin Wei Mai will be highlighted in examining the pathology and physiology of menopause as well. In cases of antiestrogen treatment, which is given in cases of positive hormonal cancers, additional symptoms can include joint pain and stronger hot flashes. There have been several outstanding research studies concluding that acupuncture and herbs are very helpful in mitigating these symptoms.