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T1 Lumiere Menopause

Therapeutics 1, Menopause, Lumiere, Bastyr

QuestionAnswer
What are Common sx of Menopause: Irregular menses Hot flashes Irritability Depression Hypertension Chest pain Atrophic vaginitis Frequent UTIs Osteopenia Osteoporosis Cold hands and feet Forgetfulness Poor concentration
Describe the View put forth in 1966 by Robert Wilson, MD in his book Feminine Forever: Main thesis that menopause is an estrogen deficiency disease Hormone replacement therapy (HRT) the cure
What are the benefits of HRT? Relief from hot flashes, insomnia, mood swings, and other sx commonly associated w/ menopause Reduction in osteopenia and osteoporosis Limited protection against heart disease and stroke
Describe the Side effects of HRT: Breast cancer Nausea Breast tenderness PMS-type sx Depression Liver disorders Enlargement of uterine fibroids Fluid retention Blood sugar destabilization Headaches
TCM DDX of Menopause: Kidney yin deficiency w/ liver yang excess Heart and kidney disconnect Kidney yang deficiency Kidney yin and yang deficiency Liver qi stagnation Spleen and heart qi and blood deficiency Phlegm and qi stagnation
Sx: of Kidney Yin Xu Menopause: Hot flashes, night sweats Vaginal dryness Dizziness Irritability Blurry vision Pain and/or weakness in low back, knees Shortened and irregular menses
Tongue and pulse of Kidney Yin Xu Menopause: Tongue: red, small, fissured, w/ a scanty or peeled coat Pulse: fine, thin, thready or wiry, rapid
Tx principles of Kidney Yin XU Menopause: Tonify kidney yin Reduce liver yang
Main points and methods for Kidney Yin xu Menopause: UB 23, KI 3, SP 6, Ren 3, Ren 4, HT 6, LIV 3, KI 6, diet, herbs, lifestyle
Sx Heart and kidney disconnect menopause: Palpitations Anxiety, insomnia, dream disturbed sleep Five palms hot
Tongue and pulse Heart and kidney disconnect menopause: Tongue: red w/scanty coat Pulse: thin, rapid
Tx principles Heart and kidney disconnect menopause: Tonify blood Tonify yin Harmonize heart and kidney
Main points and methods Heart and kidney disconnect menopause: UB 15, UB 20, UB 23, SP 6, LU 7, KI 6, Ren 14, PC 7, HT 6, HT 8, KI 16
Sx Kidney yang deficiency Menopause: Cold hands and feet Fatigue Pale complexion Poor appetite Loose, watery stool w/ undigested food Edema Obesity Chest and/or abdominal distention Belching, nausea Mental fog
Tongue and pulse Kidney yang deficiency Menopause: Tongue: pale, flabby w/a white coat Pulse: deep, weak, empty
Tx principles Kidney yang deficiency Menopause: Tonify kidney yang Regulate heart and kidney qi
Main points and methods Kidney yang deficiency Menopause: UB 15, UB 23, Du 4, SP 6, Ren 4, Ren 6, moxa
Sx Kidney yin and yang deficiency menopause: Hot flashes w/ cold hands and feet Subjective feeling of cold Pain and/or weakness in low back, knees Frequent pale urination Dryness Dizziness Low libido
Tongue and pulse Kidney yin and yang deficiency menopause: Tongue: red or pale Pulse: weak, thready, deep
Tx principles Kidney yin and yang deficiency menopause: Tonify kidney yin and yang
Main points and methods Kidney yin and yang deficiency menopause: UB 23, KI 3, Ren 4, Ren 6, Du 4, SP 6, moxa
Sx Liver qi stagnation menopause: Irritability, anger Anxiety, depression Subcostal distention and pain Insomnia, dream disturbed sleep Hot flashes
Tongue and pulse Liver qi stagnation menopause: Tongue: red, thin, yellow coat Pulse: thready and wiry
Tx principles Liver qi stagnation menopause: Move and soothe liver qi Tonify kidney and liver yin
Main points and methods Liver qi stagnation menopause: LIV 3 (w/ LI 4), KI 3, LIV 14, GB 34 (w/ SJ 5), KI 1, KI 6, SP 6, UB 18, UB 23
Sx Spleen and heart qi and blood deficiency menopause: Insomnia Poor memory Palpitations Shortness of breath Spontaneous sweating Fatigue Poor appetite Abdominal distention, bloating
Tongue and pulse Spleen and heart qi and blood deficiency menopause: Tongue: pale, w/ a thin, white coat Pulse: weak, thin
Tx principles Spleen and heart, qi and blood deficiency menopause: Tonify spleen and heart qi Tonify heart blood
Main points and methods Spleen and heart qi and blood deficiency menopause: UB 15, UB 20, UB 23, SP 6, HT 5, HT 6, HT 7, Sishencong
Sx Phlegm and qi stagnation menopause: Largely digestive such as distention, belching, nausea, poor appetite Hot flashes, night sweats and other common menopausal sx are secondary.
Tongue and pulse Phlegm and qi stagnation menopause: Tongue: white, greasy coat Pulse: slippery
Tx principles Phlegm and qi stagnation menopause: Transform phlegm Drain damp Clear heat Tonify spleen qi
Main points and methods Phlegm and qi stagnation menopause: Ren 4, Ren 6, Ren 10, Ren 12, SJ 6, ST 40, SP 9, ST 28
Herbal formulas for menopause: Jia Wei Xiao Yao Wan: liver qi stagnation and yin deficiency Liu Wei Di Huang Wan: kidney yin deficiency Er Xian Wan: kidney yin and yang deficiency
Created by: bastyr41