Menopause

Question 1

General description of menopause

Answer 1

Menopause is defined as the permanent cessation of menstruation due to the physical menopause around 49 years old. Some women suffer from the discomfort symptoms before or after menopause are called Jue Jing Qian Hou Zhu Zheng.
The symptoms include menstrual irregularities, hot flashes, night sweats, palpitation, vaginal dryness, emotional problems, fatigue, and sleep disturbance etc.

Question 2

differentiation for menopause

Answer 2

1. Deficiency of kidney yin, hyperactivity of liver yang
2. Deficiency of heart blood
3. Deficiency of spleen and stomach

Question 3

Deficiency of kidney yin, hyperactivity of liver yang

Answer 3

a. Manifestations: Women around 49 years old, before or after menopause, irregular menstruation, hot flashes, soreness of lower back and knee, hot sensation in the chest, palms and soles, headache and dizziness, irritability, red tongue, thin, wiry and rapid pulse.
b. Treatment principle: replenish kidney yin to nourish liver
c. Acupoint selection: KI3, LR3, SP6, DU20

Question 4

Deficiency of heart blood

Answer 4

a. Manifestations: Women around 49 years old, before or after menopause, irregular menstruation, palpitation, insomnia, sad or easy cry, forgetful
i. T: pale
ii. P: thin
b. Treatment principle: tonify heart blood, communicating heart and kidney
c. Acupoint selection: BL15, BL20, BL23, SP6

Question 5

Deficiency of spleen and stomach

Answer 5

a. Manifestations: Women around 49 years old, before or after menopause, irregular menstruation, the menses are heavy, or incessant drippings of blood from the uterus beyond the menstrual cycle, pale complexion, fatigue, poor appetite, bloating, loose stools, general edema
i. T: Pale with thin white coating
ii. P: Thready deep
b. Treatment principle: tonify the spleen and stomach
c. Acupoint selection: BL20, BL21, REN12, LR13, ST36, BL23,

Question 6

Accumulation of phlegm and stagnation of qi

Answer 6

a. Manifestations: Overweight, oppressed sensation in the chest, phlegm in the throat, bloating and fullness sensation of abdomen, nausea, greasy tongue coating, slippery pulse.
b. Treatment principle: regulating qi and resolving phlegm
c. Acupoint selection: REN17, REN12, REN6, PC6, ST40, SP6