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T1 Lumiere PMS
T1 PMS Lumiere, Bastyr
| Question | Answer |
|---|---|
| Sx of PMS: | Mood swings Irritability Anxiety Depression Bloating Breast tenderness Fluid retention Weight gain Acne Migraine, other H/A Sugar craving Constipation |
| PMS Types: | Types may overlap and shift. Type A: Anxiety Type C: Cravings Type H: Hyperhydration Type D: - Depression |
| According to Guy Abraham, MD who made the preceding categorizations, PMS has three generalized causal factors: | Diet Hormonal irregularity Stress |
| What Diet suggestions for PMS: | Banana, walnuts, yogurt, spinach Calcium, magnesium, ginko biloba, soy, flaxseed, moderate red wine intake Carbohydrates boost serotonin (sweet potatoes, spleen friendly foods) Avoid greasy food Decrease salt, sugar, red meat, and caffeine |
| Describe Homonal Irregularities of PMS: | Progesterone (regulates the amount and length of bleeding) High estrogen, low progesterone (aka estrogen dominance) Cortisol (stress hormone) Prostaglandin (causes uterine contractions, high sensitivity correlated w/ dysmenorrhea) High insulin levels |
| How does Stress effect PMS: | Women who report being stressed are two to four times more likely to also suffer from PMS (NIH study) Cortisol a main factor Some relief w/ relaxation or mind/body techniques and therapies |
| Describe the 4 phase model of the menstrual cycle: | Phase 1: period Phase 2: post-period Phase 3: ovulation Phase 4: post-ovulation |
| Describe how the 4 phase model relates to Yin and Yang: | Yin half of cycle, phases 1 and 2 Yang half, Phases 3 and 4 |
| Describe Phase 1 of Menstruation in TCM: | Phase 1, period The chong empties Endometrial lining is shed Best time of cycle to regulate blood and qi (in cases of blood and/or qi stagnation) |
| Describe Phase 2 of Menstruation in TCM: | Phase 2: post-period Yin and blood re-fill ren and chong Endometrial lining proliferates Follicles ripen From day 5 to ovulation best time to tonify blood and yin |
| In general, when does yin change to yang? | At ovulation |
| What do you think happens next in the cycle in terms of yin and yang? | Basal body temp drops |
| Describe Phase 3 of menstruation cycle: | Phase 3: ovulation Chong and ren are completely filled Yin transforms to yang Egg bursts from ripened follicle Egg moves towards uterus Regulate qi and blood |
| Describe Phase 4 of menstruation cycle: | Phase 4: post-ovulation Progesterone rises along with BBT, cervical fluid dries At end of phase w/o fertilization, estrogen and progesterone levels sharply drop, along w/ BBT Warm yang if implantation desired Regulate qi and blood |
| Describe PMS and PMDD* in TCM: | Yin fails to completely transform to yang Resulting yang deficiency Reduced flow of qi and stagnation of fluids |
| Primary cause of PMS and PMDD* in TCM: | Liver qi stagnation. |
| What else could cause yin to fail to completely transform to yang? | Yin Xu, Blood Xu. Blood Stagnation,(uterine Fibroids), Yang xu, (Cold), Dampness |
| Define PMDD: | * Premenstrual dysphoric disorder |
| DDSx of PMS/PMDD patterns: | Liver qi stagnation (may lead to liver fire rising) Spleen and kidney yang deficiency Heart and spleen qi and/or blood deficiency Phlegm heat harassing the heart Liver blood deficiency Liver and kidney yin deficiency |
| Sx Liver qi stagnation PMS: | Irritability, depression Headache Breast tenderness |
| Tongue and pulse of Liver qi stagnation PMS: | Tongue: normal or dusky Pulse: wiry or thready |
| Tx principles Liver qi stagnation PMS: | Move liver qi Soothe liver qi |
| Main points and methods Liver qi stagnation PMS: | UB 18, UB 19, LIV 3, SP 6, GB 34, SJ 6, PC 6, herbs, exercise 41, lifestyle changes |
| Sx Spleen and/or kidney yang deficiency PMS: | Breast swelling and tenderness Edema in extremities Fatigue Subjective feeling of coolness or coldness |
| Tongue and pulse Spleen and/or kidney yang deficiency PMS: | Tongue: swollen, puffy, toothmarked, pale Pulse: deep, weak or empty |
| Tx principles Spleen and/or kidney yang deficiency PMS: | Tonify spleen qi and yang Tonify kidney qi and yang |
| Main points and methods Spleen and/or kidney yang deficiency PMS | UB 20, UB 23, Du 4, Ren 4, SP 6 and SP 9, ST 36, KI 3, LU 7 w/ KI 6, KI 7, moxa, dietary therapy, herbs |
| Sx HT and SP qi and blood deficiency PMS: | Palpitations Dizziness Insomnia Menstrual disturbances |
| Tongue and pulse HT and SP qi and blood deficiency PMS: | Tongue: pale Pulse: thin |
| Tx principles HT and SP qi and blood deficiency PMS: | Tonify spleen qi Tonify heart qi and blood Calm shen |
| Main points and methods HT and SP qi and blood deficiency PMS: | UB 15, UB 20, HT 7, Ren 6, ST 36, SP 6, yintang, diet, herbs |
| Sx Phlegm fire harassing the heart PMS: | Mania, aggressiveness Agitation Anxiety, depression Insomnia Red face |
| Tongue and pulse Phlegm fire harassing the heart PMS: | Tongue: dark red, especially at the tip, greasy coat Pulse: slippery, may be rapid or full |
| Tx principles Phlegm fire harassing the heart PMS: | Clear heat Clear damp Transform phlegm Calm the shen |
| Main points and methods Phlegm fire harassing the heart PMS: | PC 7, ST 40, HT 8, Du 24, LI 11, SP 9, PC 6 w/ SP 4, Ren 12, UB 20, diet, herbs |
| DU 24 Location: | 0.5 cun above the midpoint of the anterior hairline |
| DU 24 Classification: | Crossing point of Du, UB and ST channels |
| DU 24 Indications: | Headache Vertigo Epilepsy Insomnia, palpitations Rhinorrhea |
| DU 24 Functions: | Dispels wind Opens the nose Calms the shen |
| Sx Liver blood deficiency PMS: | Liver qi stagnation a common co-pattern Depression Breast tenderness Fatigue Dizziness Insomnia Pale complexion, dry skin and hair Scanty menses Tongue and pulse Liver blood deficiency PMS: |
| Tx principles Liver blood deficiency PMS : | Harmonize liver Tonify blood Tonify spleen |
| Main points and methods Liver blood deficiency PMS: | ST 36, SP 6, Ren 4, Ren 6, LIV 8, UB 18, UB 20, GB 34, PC 6, diet, herbs, lifestyle |
| Sx Liver and kidney yin deficiency PMS : | Most common in perimenopausal women Breast distention Irritability Back and/or knee pain Dryness Nightsweats Five palms hot |
| Tongue and pulse Liver and kidney yin deficiency PMS: | Tongue: red, fissured, scanty or peeled coat Pulse: thin, thready, fine, rapid |
| Tx principles Liver and kidney yin deficiency PMS: | Tonify liver yin Tonify kidney yin Soothe and move liver qi |
| Main points and methods Liver and kidney yin deficiency PMS: | LIV 8, Ren 4, SP 6, LIV 3, KI 3 or KI 6, diet, sleep |
| Describe PMS Type A: | Anxiety Most common, affects ~80% of women Includes sx such as mood swings, irritability, anxiety and tension |
| Describe PMS Type C: | Cravings Affects ~60% of women In addition to cravings, includes increased appetite, headaches and fatigue |
| Describe PMS Type H: | Hyperhydration Affects ~40% of women Includes breast tenderness, bloating, fluid retention, and weight gain |
| Describe PMS Type D | - Depression Affect ~5% of women Dangerous if severe May include social withdrawal, confusion and forgetfulness, crying spells, and lack of coordination |
Created by:
bastyr41
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