Menopause Flashcards
Dizziness, tinnitus, malar flush, night sweats, hot flashes, 5 palm heat, sore back, dry mouth, dry hair, skin; itching, constipation
T: Red, no coating
P: Floating-empty, Fine-rapid, or Deep-weak in rear, overflowing in front positions
KIDNEY YIN DEFICIENCY
TX: Nourish Kidney-Yin, subdue Yang, calm the Mind, clear Heart-empty Heat
LU 7 r, KD 6 l, KD 3, KD 10, CV 4, SP 6, HT 6 + KD 7, LI 4
Hot flashes, but cold hands and feet, night sweats in the early morning, pale face, depression, chilliness, backache, edema of ankles
T: Pale
P: Fine, Deep
KIDNEY YANG DEFICIENCY
TX: Tonify and warm the Kidneys, tonify Yang, warm the Centre, strengthen the Spleen
BL 23, BL 52, KD 3, LU 7 r, KD 6 l, CV 4, CV 15, KD 7
Hot flashes but cold hands and feet, night sweating, frequent pale urination, flushed at neck when speaking, slightly agitated, chilliness, dry throat, dizziness, tinnitus, backache
T: Pale or red, depending on predominate def.
P: Floating-empty, Fine-rapid if Yin
Weak, deep if Yang
KIDNEY YIN and YANG DEFICIENCY
TX: Tonify KID, nourish Yin, tonify Yang, calm Mind
KD 3, LU 7, KD 6, CV 7, HT 6, CV 4, BL 23, BL 52, SP 6
Irritability, dizziness, tinnitus, blurred vision, dry eyes, dry skin hot flashes, ache in joints, night sweating, sore back, headaches.
T: Red, no coating
P: Floating-empty, Wiry on left middle position
KIDNEY and LIVER YIN Def., LIV Yang Rising
TX: Nourish Kidney and Liver Yin, subdue Liver Yang, calm Mind, settle the Ethereal Soul.
KD 3, LV 8, CV 4, LU 7, KD 6, LV 3, GV 24, GB 13, GB 20, PC 7
Hot flashes, palpitations, insomnia, night sweats, blurred vision, dizziness, tinnitus, anxiety, mental restlessness, backache, malar flush, feeling of heat in the evening, dry mouth and throat, poor memory, dry stools
T: Red body, no coat with a redder tip
P: Rapid-fine, or Floating-empty, or Weak-deep in rear positions, Overflowing in front positions
KIDNEY and HEART NOT HARMONIZED
TX: Nourish Kidney Yin, calm the Mind, clear Empty heat
LU 7 r, KD 6 l, KD 3, CV 4, SP 6, KD 13, HT 6+KD 7, HT 8, PC 7, CV 15, GV 24
Obesity, a feeling of oppression of the chest, sputum in the chest, feeling of epigastric fullness, breast distention, irritability, depression. This pattern appears in premature menopause in young women; possible obstruction of lower Jiao
T: slight Red sides, sticky coating
P: Wiry
ACCUMULATION OF PHLEGM, Qi STAGNATION
TX: Resolve Phlegm, pacify Liver, eliminate stagnation, free Connecting channels
CV 17, PC 6, LU 7, CV 6, CV 10, TW 6, ST 40, SP 6, SP 9, ST 28 CV 4
Hot flashes, mental restlessness, menopause preceded by a period when menses are very irregular stopping for a long time then starting again, dark-clotted blood, insomnia, hypertension, abdominal pain
T: Purple
P: Wiry or choppy
BLOOD STASIS
TX: Invigorate Blood, eliminate stasis, calm the Mind, clear orifices, move Qi, eliminate stagnation
SP 4 r, PC 6 l, KD 14, SP 10, BL 17,CV4, CV 6, LV 3, PC 7
Ovary main source of estradiol, a form of estrogen produced during reproductive years
Post menopause, ovaries produce less estrogen; estrone becomes the main circulating form of estrogen derived from adipose tissue
Conversion of androstenedione (produced in adrenal glands) to estrone
Thin women convert (1.5%), obese women (7%)
MENOPAUSE western perspective
Deceased Estrogen: main endocrine change
’Climacteric’…not a disease, but the normal physiological transition in a woman’s life from a reproductive to a non-reproductive age: 48 to 55, the median age is 51
6-12 months necessary to establish a diagnosis
Western medicine DX: no period for twelve months
If bleeding after 12 months of no period=Refer to Dr.
Ovarian follicles, depletion over a lifetime:
6,000,000 in the fetus
600,000 at birth
300,000 at menarche
10,000 at menopause
MENOPAUSE
Brain: hot flashes, depression, anxiety, insomnia, poor memory and concentration Heart: coronary heart disease Blood vessels: arteriosclerosis Bone: osteoporosis Skin: thinning, slow healing, itching Vagina: vaginal dryness and atrophy
MENOPAUSE western perspective
Irregular menstrual cycle; scanty or heavy
Associated symptoms
85% of women suffer, 45% do so for up to 10 years
Increase in temperature, pulse rate and blood flow in hand, lasting 2.7 minutes
Mechanism to dissipate heat through vasodilation and perspiration
Fluctuation of FSH (follicle stimulating hormone) rises to abnormal levels to provoke ovulation
HRT deceives pituitary that normal ovulation occurs so that FSH production stops
MENOPAUSE western perspective
HOT FLASHES: most common symptom
Decline of Kidney Essence
Yin, Yang or Yin & Yang deficiency of Kidneys
Often complicated by Phlegm, Damp, Qi and Blood stasis
Emotional Stress
Worry, anxiety, fear weaken the Kidneys=Yin def.
Kidney Yin deficiency fails to nourish Heart Yin
Heart Yin deficiency leads to Heart Empty Heat
Overwork, many childbirths closely spaced
Long hours, little rest, poor diet, worry=Yin def.
MENOPAUSE ætiology
Severity of symptoms depends upon Kidneys
Diet and lifestyle
Herbs more effective in nourishing Essence
Slow gradual process
Complicated by pre-existing Yin deficiency
Color and coat of tongue prognostic
Slow gentle tonification of the Kidneys and Kidney Essence to help transition
MENOPAUSE treatment
Kidney Yin deficiency Kidney Yang deficiency Kidney Yin and Yang deficiency Kidney and Liver Yin deficiency=LIV Yang rising Kidneys and Heart not harmonized Accumulation of Phlegm, stagnation of Qi Stasis of Blood
MENOPAUSE patterns
