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T1 Lumiere Menopause
Therapeutics 1, Menopause, Lumiere, Bastyr
| Question | Answer |
|---|---|
| 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
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