Menopause
Diagnosis
+/- 49 years young, menses
stop. Around this time symptoms & signs start to appear. Cycle becomes
irregular, dizziness, blurred vision, tinnitus, hot flashes, red complexion
coming & going in waves, very emotional (anger, irritated, sadness, anxiety,
etc.), edema, low back & knee weakness / pain, digestive problems, cold limbs, &
urinary disorders. These do not come all at once, some women only get a few &
some women encounter many. This may last for weeks to years in some cases. In
Canada the average age when women make the wise woman transition statistically
is 52.
TCM diagnosis can be divided
into 3;
- menstrual cycle gets very irregular, bleed
a lot, may be serious hemorrhage. Then may experience very occasional
menses until they cease completely. May lose hair from blood
↓.
- ↓ Yang
symptoms → Yang
rises due to Yin ↓ (relative
Yang ↑).
WM says this is due to blood vessels contraction. Sudden heat
→ break
sweat (hot flashes), dizziness, palpitations & rapid pulse.
- emotional imbalances
→ easy
to anger, sadness etc.. Manic behavior, depressed, abnormal, violence, &
insomnia are all common. A blood test may show high FSH meaning ovary
function has ceased.
Etiology
- KI Yin
↓ -
pregnancy, menses, breastfeeding & abortions consume Essence & Tian Gui
(hormones), Chong & Ren cant be nourished. This creates hyper Yang rising.
- KI Yang
↓ -
use of a lot of KI Qi for pregnancy, menses, breastfeeding & abortion
consume the Ming Men Fire
→ KI
Yang is ↓ &
you see cold signs.
Pathogenesis
Differentiation & Treatment
1. KI Yin
↓
- occasional menses
→ scanty
→ cease
completely. Vaginal dryness & itchiness (ph is not regulated properly
anymore).
Plus Yin
↓ sym.
dizzy, tinnitus, insomnia, night sweats, afternoon heat feelings, back/knee
pain/weakness, hot flashes w/ sweating, whole body itchiness. T- red w/
scanty coat P- thin rapid
P/T nourish KI Yin
Rx Zou Gui Wan (essence) or
Liu Wei Di Huang Wan + Huang Bai, Zhi Mu= Zhi Bai Di Huang Wan+ E Jiao, Gui
Ban, Bie Jia, He Shou Wu, Nu Zhen Zi
- Rx BL 23 & KI 3, SP 6, Ren 3, HT 7, Si
Shen Cong
2. KI Yang
↓
- HEAVY periods, irregular uterine
bleeding, then gradually finish menses completely, T- pale P- deep thin
- Plus Yang
- ↓ sym.
cold, soft stools,
↑ frequency
of urine, incontinence, low back/knee weakness/pain, Edema of lower
limbs &/or face.
- P/T warm KI Yang strengthen SP
- Rx You Gui Wan + Li Zhong Wan
Rx BL 23, Ren 4, Du 4, with moxa, BL 15,
SP 6
-
- poor digestion- BL 20, ST 36
- insomnia- HT 7
3. Combined KI Yin and Yang
Presentation
- P/T nourish KI Yin & Yang
- Rx Er Xian Tang (this may be taken long
term)
Emergency Hemorrhage
- Rx Shen Fu Tang
+ stop bleeding herbs (Xian He Cao, Ai Ye Cao, Bai Ji, Han Lian Cao)
→
- MOXA Du 20
Alternative Treatment Methods
- auricular- endocrine, aubcortex,
internal repro. organs, *KI, HT, Shenmen, sympathetic, LR
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