围绝经期综合症.ppt

CLIMACTERICSYNDROME,（MENOPAUSALSYNDROME）,I、DEFINATION,Beforeoraftertheperiodofnaturalcessationofmenstruation,womenmayhavesomesymptomsassociatedwithit,suchasmenstrualdisorder,hecticfeverwithsweating,dizziness,tinnitus,insomnia,palpitationandlassitude,debilitation.irritability,depression.,Thisisclimactericsyndromeormenopausalsyndrome.InTCM,itbelongstothecategoryof“绝经前后诸症(syndromesbeforeoraftermenopause)”,IIPHYSIOLOGYOFMENSTRUATIONINTCM,Theproductionofmenstruationisrelatedtotheabundanceofkidney-qi,aslongasthearrivaloftheTiangui,andnormalfunctionoftheChongandRenChannels.,1.Kidney-qi2.Tiangui3.TheChongChannelandRenChannel,IIIETIOLOGICALFACTIORANDPATHOGENESIS,1.Deficiencyofkidney-qi.2.ExhaustionoftheTiangui.3.DisturbanceoftheChongandRenChannels,IV、PATHOGENESIS,Fundamental:1.Deficiencyofkidney.2.DisturbanceoftheChongandRenChannels.,incidental:1.stasisofliver-qi2.Stagnationofblood3.Phlegm4.Damp-heat,V、DIFFERENTIATION,1.Deficiencyofliver-yinandkidney-yinhecticfeverwithsweating,feverishsensationinthechest,palmsandsolesdizziness,sorewaistandknee,upset,tantrumAdvancedmenstruation,oratirregularintervals,diminishedflow.drymouth,oliguria,constipationredtonguewithlittlecoating,wirythreadyrapidpulse.,2、Deficiencyofkidney-yangandSpleen-yangdizziness,distentionofhead,memorydeclineDimcomplexion,sorewaist,coldandswollenlimbsMenstruationwithlightred,abruptandheavyflow.Gloomandlanguid,orlassitudeabdominaldistention,belchingandsourregurgitation,weakappetite,loosestools,frequentnocturiapuffytonguewithwhite-slidecoating,feebledeepthreadypulse,3.IncoordinationbetweentheheartandthekidneyPalpitation,emotionallability,vexationanddreaminess,insomniasorewaistandknee,dizzinessandtinnitushecticfeverwithsweating,feverishsensationofthechest,palmsandsolesBittertastes,redtonguewithlittlecoating,threadyrapidpulse.,VI、SUMMARYOFCATEGORIES,1、Deficiencyofkidney-yin:（1）Hyperactivityofliver-yang（2）Incoordinationbetweentheheartandthekidney2、Deficiencyofkidney-yang:（1）Deficiencyofspleen-yangandkidney-yang（2）Declinationoffireinthegateoflife,3、Associatedsyndromes:（1）Stasisofliver-qi（2）Retentionofphlegm（3）Bloodstagnation,VII.THERAPY,1、Therapeuticprinciple:Invigoratingkidneyisthemainprinciple:nourishingthekidneyandcalmthemindpurgingtheliver-fireandstrengtheningthespleen.(restrainingyinbysupplementingyang)(restrainingyangbynourishingyin),肝肾阴虚Deficiencyofliver-yinandkidney-yin,(1)Therapeuticprinciple：Nourishingthekidneyandliver,andsuppressingthehyperactiveliver-yang(providingwaterforthegrowthofwood),(2)Prescription:,肾俞Shenshu(U.B.23)太溪Taixi(K.3)肝俞Gansu(U.B.18)太冲Taichong(Liv.3)行间Xingjian(Liv.2),(3)Selectionofacupointsaccordingtosymptomsandsigns:A、Hecticfever（潮热）涌泉Yongquan(K.1)照海Zhaohai(K.6)列缺Lieque(Lu.7),B、Chestdistress神门Shenmen(H.7)大陵Daling(P.7),C、Dizziness(Dizzyvision)百会Baihui(Du20)D、Tinnitus听会Tinghui(G.B.2),*Acupointsfornourishingyin,太溪Taixi(K.3)照海Zhaohai(K.6)复溜Fuliu(K.7)然谷Rangu(K.2)三阴交Sanyinjiao(Sp.6)曲泉Ququan(Liv.8),*Acupointsforcalmingtheliverandsuppressinghyperactivityoftheliver-yang:太冲Taichong(Liv.3)行间Xingjian(Liv.2)侠溪Xiaxi(G.B.43)足临泣Zulinqi(G.B.41)阳辅Yangfu(G.B.38)丘墟Qiuxu(G.B.40),*心肾不交IncoordinationbetweentheheartandthekidneyA、Therapeuticprincipal:(1)Nourishingkidney-yin,coordinatingtheheartandkidney(2)Back-ShuPointsmostlyselected(3)Reinforcingandreducingmethod,B、Prescription,心俞Xinshu(U.B.15)肾俞Shenshu(U.B.23)脾俞Pishu(U.B.20)三阴交Sanyinjiao(Sp.6),*Selectionoftheacupointsaccordingtothesymptomsandsigns:Insomnia神门Shenmen(H.7)四神聪Sishencong(EX-HN1)Palpitation通里Tongli(H.5)内关Neiguan(P.6),Feverishsensationoverthepalms,solesandthechest劳宫Laogong(P.8)Disturbanceofconsciousness:人中Renzhong(Du26)大陵Daling(P.7),（2）脾肾阳虚DeficiencyofSpleen-yangandKidney-yangTherapeuticprinciple:WarmingthekidneyandactivatingyangTonifyingthekidneyandinvigoratingthespleenBack-ShuPointsmostlyselectedReinforcing,combinedwithmoxibustion,Prescription:肾俞Shenshu(U.B.23)关元Guanyuan(Ren4)脾俞Pishu(U.B.20)章门Zhangmen(Liv.3)足三里Zusanli(St.36),*Selectionoftheacupointsaccordingtothesymptomsandsigns:Loosestool天枢Tianshu(St.25)阴陵泉Yinlingquan(Sp.9)太溪Taixi(K.3),（3）Associatedsymptomsandsigns,Stasisofliver-qi:A、Therapeuticprinciple:Dispersingthestagnatedliver-qibyinvigoratingtheflowofQi(whichisbasedonnourishingyinandclearingawayheatintheheart),B、Prescription:太冲Taichong(Liv.3)行间Xingjian(Liv.2)太冲Taichong(Liv.3)合谷Hegu(L.I.4)太冲Taichong(Liv.3)期门Qimen(Liv.14),Accumulationofphlegm:,A、Therapeuticprinciple:RegulatingQiandresolvingphlegm,B、Prescription:膻中Shanzhong(Ren17)中脘Zhongwan(Ren12)气海Qihai(Ren6)足三里Zusanli(St.36)支沟Zhigou(S.J.6)丰隆Fenglong(St.40),*丰隆(St.40)iscombinedwith内关(P.6),间使(P.5),神门(H.7),太冲(Liv.3),toclearawayphlegm-fireandregulateQitotranquilizethemind.,Bloodstasis:,A、Therapeuticprinciple:Promotingbloodcirculationandremovingbloodstasis,B、Prescription:膈俞Geshu(U.B.17)血海Xuehai(Sp.10)三阴交Sanyinjiao(Sp.6),*Forthetreatmentofmassesintheabdomen,归来Guilai(St.29)气冲Qichong(St.30)水道Shuidao(St.28)气海Qihai(Ren6)中极Zhongji(Ren3)交信Jiaoxin(K.8)阴陵泉Yinlingquan(Sp.9),*Back-ShuPointsplayanimportantroleintreatingclimactericsyndrome.心俞Xinshu(U.B.15)肝俞Gansu(U.B.18)脾俞Pishu(U.B.20)肾俞Shenshu(U.B.23)膈俞Geshu(U.B.17),VIII.OTHERTHERAPY,1、AuricularacupunctureSelectionofpoints:Overy,Endocrine,Uterus,Shenmen,SympatheticNerve,Subcortex,Heart,Liver,Spleen,Kidney.,2、Percussopunctator:ParavertebralpointsTemple,IX、TREATMENTACORDINGTOTHESYMPTOMS1、Lacrimation,dryeyeswithstabbingandburningsensation睛明Jingming(U.B.1)承泣Chengqi(St.1)攒竹Zanzhu(U.B.2)丝竹空Sizhukong(S.J.23)四白Sibai(St.2),光明Guangming(G.B.37)臂臑Binao(L.I.33)养老Yanglao(S.I.6)肝俞Gansu(U.B.18)肾俞Shenshu(U.B.23),2、Chronicpharyngitis:列缺Lieque(Lu.7)照海Zhaohai(K.6),3、Sweating:合谷Hegu(L.I.4)复溜Fuliu(K.7)后溪Houxi(S.I.3)阴郗Yinxi(H.6),4、Pruritusinvulva:（1）Therapeuticprinciple:Clearingdamp-heatNourishingliverandkidneyDredgingcollateralsandstoppingitchiness,（2）Selectionofpoints:中极Zhongji(Ren3)下髎Xialiao(U.B.34)三阴交Sanyinjiao(Sp.6)血海Xuehai(Sp.10)蠡沟Ligou(Liv.5),5、Chroniceczema（1）Therapeuticalprinciple:Moisturizingdrynessbynourishingblood,（2）Prescription,足三里Zusanli(St.36)三阴交Sanyinjiao(Sp.6)大都Dadu(Sp.2)郗门Ximen(P.4)曲池Quchi(L.I.11)大椎Dazhui(Du14)陶道Taodao(Du13)肺俞Feishu(U.B.13)神门Shenmen(H.7),6、Frequentmicturition（1）Therapeutic