Hormonal balance is one of the most frequently discussed yet least fully understood aspects of women’s health in modern medicine. While conventional biomedical models define hormones as biochemical messengers produced by endocrine glands, Traditional Chinese Medicine (TCM) approaches this concept through a functional and systemic lens. Rather than isolating hormones as individual entities, TCM interprets hormonal balance as the dynamic interplay of Qi, Blood, Yin, Yang, and the coordinated activity of the organ systems, particularly the Liver, Spleen, Kidney, and Heart. Within this framework, what is commonly described as “hormonal imbalance” is understood as a disruption in the body’s internal regulatory networks, especially those governing cyclical rhythms, emotional equilibrium, metabolic transformation, and reproductive function.