Menopausal syndrome
Menopausal syndrome
[Overview]
Menopause refers to the female gonads from the middle-aged to elderly degenerative changes, resulting in the hypothalamic-pituitary-gonadal axis restrictive relationship between the balance disorder, which led to a series of systemic pathological changes.
Good anger often easy to cry, reheat and sweating, five upset hot, dizziness, tinnitus, forgetfulness, heart palpitations, insomnia, menstrual disorders, joint pain as the main clinical features.Mostly in the age of onset between the ages of 45 to 55, but also in advance, pushed back or prolongation. Menopause is a stage of disease, the general prognosis is good. Chinese ownership of the menopausal syndrome “lily disease”, “dirty impatient,” “Melancholia”, “palpitations,” “Insomnia,” “Vertigo,” “headache,” “bleeding”, “menstruation” and other areas .
[Etiology and pathology]
The cause of menopause is due to women over the “July” (“Nei Jing” within the meaning of menopause), kidney qi gradually decline, becoming virtual essence, menstruation (periods) will be extinguished, and then organs and meridians dystrophy, bloodimbalance of yin and yang imbalance, leading to heart disease, liver disease based upon evidence.
Pathological changes in the “July”, nephron loss, dirty gas disorders.
U Xiongru liver timid dam pain, fear and easy good cry. Heart and spleen, two blood loss, there was no God, the owner, suddenly, you are forgetful. Woman with Yinxue oriented, kidney blood loss, loss of charge of Chong and Ren meridians dystrophy is menstrual disorders, waist and knees. Stasis due to virtual and dam U joint pain. Kidney yin deficiency, water is not Han wood, hyperactivity, headache, tinnitus is dizziness. Anger on the inflammation dam u irritability. Forced hot inside, then reheat and sweating. Kidneys can not be on the economy Firelight Firelight Kang alone, the Japanese heart does not sleep. Kidney disease for a long time can be seen both yin and yang deficiency.
[Diagnostic points
l. Women aged 45 to 50 years (can advance or delay), or due to surgical removal of both ovaries, or artificial menopause caused by radiation therapy.
(2) emotional changes, good anger is easy to cry, burst reheat sweating, insomnia, dizziness, tinnitus, forgetfulness, palpitations chest, waist, leg pain, menstrual disorders, except within other gynecological diseases.
3 elevated serum gonadotropin levels, lower estrogen levels, vaginal smears low hormone levels.
[Type] dialectical
1 Liver scared symptoms: depression, Yuku happy sigh, palpitations timid, restless, chest, breast tenderness, menstrual disorders. Red tongue, thin, wiry pulse.
Syndrome analysis: women with liver as a congenital, the annual session of 7177, dirty air disorders, liver qi stagnation, loss of air show, see depression, Yuku happy sigh;
Heart courage true, then the heart palpitations timid, restless; liver stagnation, Chong and Ren disorders, the Xiongxie breast tenderness, menstrual disorders; red tongue, thin, wiry pulse, are scared of the liver waiting.
2 Wang impotence liver symptoms: dizziness, headache, tinnitus, five upset hot, reheat and sweating, irritability, heart palpitations, insomnia, menstrual disorders, Yaotuisuanruan. Red tongue, thin yellow, pulse a few strings.
Syndromes: kidney yin deficiency, water is not Han wood, hyperactivity, dizziness, headache, tinnitus is; hyperactivity, anger within the force, the five upset hot, reheat and sweating; impatience anger easily measured on the Sheng anger; renal water loss in the next, not on economic Firelight, heart alone Yang Kang, the heart palpitations and insomnia; the waist of the internal organs as the kidney, renal bone, kidney is weak waist; yin loss, hepatic dystrophy, red menstrual disorders, disorders of any dam u; deficiency heat, Tianjin loss within the dry, the scanty dark urine, dry stools; red tongue, thin yellow, pulse a few strings, both liver and kidney Wang of waiting.
3 Heart and deficiency symptoms: palpitations, insomnia, trance forgetfulness, apathy, fatigue, poor appetite eat less, or see the blood dripping. Pale tongue, white, thin veins.
Syndromes: endowment frail, the climacteric period, more blood loss, heart and spleen; lack of effort, mind dystrophy, atheism owner, then the heart palpitations, insomnia, stupor, forgetfulness, lack of facial expression; temper false, Jian Waninsane, malaise, fatigue, poor appetite eat less; spleen lost in the astringent, the blood dripping; pale tongue white, pulse, both heart and spleen, blood loss of all candidates.
4 kidney yin deficiency symptoms: dizziness flower head, tinnitus, forgetfulness, weak waist or disease, cold evil heat, menstrual closed only, loss of libido. Pink tongue, thin, thin weak pulse.
Syndromes: kidney sex fluid loss, no charge to marrow brain, orifices empty, then the flower head dizziness, tinnitus, forgetfulness; menstruation has never measured menstrual closed only; kidney network stasis, the waist and knees or pain;Yin falling, hurt yang, yin and yang Chau cold evil heat, loss of libido; pink tongue, thin, pulse weak, both kidney yin and yang of waiting.
[Type] treatment
1 Liver scared Therapeutic: liver qi stagnation, calm the nerves Dingzhi.
Recipe: CHSGS sedative Dingzhi nine co-addition and subtraction.
Bupleurum case 9 g 9 g 9 g Cyperus peony 12 grams Chuanxiong 9 g 9 g Fu Shen Zhigancao Polygala 5 g 15 g 6 g iris dragon teeth 30 grams (Xian Jian) subtraction with the disease: good shock easy to fear who also added 30 grams of wheat Huai, magnet 30 grams (fry) to God rather Dingzhi; irregular menstruation, plus Angelica 9 grams, Motherwort 15 grams, dodder seed 15 grams, with nourishing Tiaochong.
2 Wang Therapeutic impotence liver: kidney yin, calming liver yang.
Recipe: Zhibai Dihuang together TGD subtraction.
Anemarrhena 9 grams Treats 9 grams habitat 15 grams dogwood 9 Kedan Pi 9 Keze diarrhea Gastrodia 9 g 12 g 15 g Uncaria (later) abalone 30 grams (Xian Jian) mother of pearl 30 Sanger parasite sec 12 Kedu 12 g subtraction with the disease: menstrual disorders, delayed not more than the amount of the net, plus aspartame 15 g, 9 g gelatin (molten red) to Kidney bleeding; period variable, plus Angelica 9 grams, dodder seed 15 grams, to kidney to regulate menstruation; kidneys do not pay, virtual trouble sleeping were pushed to Gastrodia, Uncaria, Abalone shell, plus Coptis 5 grams of cinnamon 2 grams (versus service), to transport the kidneys; plus Huai 30 grams of wheat, Semen 12 grams, keel 30 grams (fry), oysters, 30 grams (Xian Jian), Yang Xin Ning to God.
3 Heart and deficiency rule is: Qi and blood, uneasiness of mind.
Recipe: Decoction spleen.
Astragalus Codonopsis 15 grams 20 grams 12 grams Atractylodes Zhigancao 6 grams Angelica 9 grams of longan meat, 9 g Fu Shen 12 g 12 g Semen Polygala 6 g 6 g wood addition and subtraction with the disease: the menstrual dripping, plus Agrimony 15 grams, 15 grams calcined cuttlefish bone to stop bleeding after solid; heart palpitate, pulse statement on behalf of persons, change Zhigancao 9 grams, plus Guizhi 9 grams, habitat 12 grams, 12 grams of Radix, to warm the heart yang, nourish Heart Yin.
4 kidney yin and yang rule is: Warming Tim essence, regulating yin and yang.
Recipe: Immortals Tonga flavor.
Curculigo 9 g Epimedium 9 Keba halberd days 9 g Anemarrhena 9 g Treats 9 grams Angelica 9 grams dodder Rehmannia 15 grams 15 grams 15 grams of yam dogwood 9 grams medlar 15 grams 12 Sanger parasitic disease with addition and subtraction: God fatigue strength, plus 15 grams of astragalus, Codonopsis 12 grams to Spleen Qi; aversion to cold, add cinnamon 2 grams (versus service), antler 9 grams (molten red) to warm yang; limb edema, plus Poria 15 grams, Polyporus 15 grams, 15 grams Atractylodes, Guizhi 9 grams, the yang and Water; waist and knee pain, plus psoralen 15 grams, 15 grams of Achyranthes to Bushenzhuanggu meridians.
[Chinese medicine]
1 Zhibai yellow nine 6 grams each time, 3 times a day.
2 YouguiWan 6 grams each time, 3 times a day.
[Simple] side
1 lily 30 grams, Rehmanniae 15 grams, Shuijianbi, 2 times a day. For the performance of emotional instability of the disease, good anger those who cry easily.
2. Huai 50 grams of wheat, Zhigancao 9 grams, jujube 9 grams, Shuijianbi, 2 times a day. Those who do not sleep for heart palpitations.
3. Ginseng powder 30 grams, Placenta powder 30 grams, and mix thoroughly loaded capsules, each 2 grams, 3 times a day.Those for kidney yin and yang.
[Other therapies]
Acupuncture: Acupuncture Shenshu, liver Yu, Guan Yuan, Zusanli, Sanyinjiao, a sea of blood, etc., reinforcing-reducing, needle 20 minutes.
Water treatment:
(1) The medlar 9 grams, chrysanthemum 6 grams, 12 grams of Radix, boiled repeatedly brewed cup of tea, for Yin Huo-wang.
(2) 20 grams of astragalus, habitat 10 grams of silky 500 grams, jujube 15, ginger 3 grams, astragalus, habitat Jiantang to slag, and chicken, dates, ginger, etc. into the boiler in the steam consumption to Sulan for yin and yang are.
[Note]
1 patient’s emotional and more unstable, more sensitivity, depression, pay attention to psychological counseling.
(2) better nutrition, increased calcium and vitamin-rich foods to prevent osteoporosis, high cholesterol embolism.
3 active exercise to enhance physical fitness, prevent premature aging.