围绝经期综合症ppt课件

1、CLIMACTERIC SYNDROME（MENOPAUSAL SYNDROME）I 、 DEFINATION Before or after the period of natural cessation of menstruation, women may have some symptoms associated with it, such as menstrual disorder, hectic fever with sweating, dizziness, tinnitus, insomnia, palpitation and lassitude, debilitation. ir

2、ritability, depression. This is climacteric syndrome or menopausal syndrome. In TCM, it belongs to the category of “绝经前后诸症( syndromes before or after menopause )”II PHYSIOLOGY OF MENSTRUATION IN TCM The production of menstruation is related to the abundance of kidney-qi, as long as the arrival of th

3、e Tiangui , and normal function of the Chong and Ren Channels. 1.Kidney-qi 2.Tiangui 3.The Chong Channel and Ren ChannelIII ETIOLOGICAL FACTIOR AND PATHOGENESIS 1.Deficiency of kidney-qi. 2.Exhaustion of the Tiangui. 3.Disturbance of the Chong and Ren ChannelsIV、 PATHOGENESIS Fundamental: 1.Deficien

4、cy of kidney. 2.Disturbance of the Chong and Ren Channels.incidental:1. stasis of liver-qi2. Stagnation of blood3.Phlegm4.Damp-heatV、 DIFFERENTIATION 1. Deficiency of liver-yin and kidney-yin hectic fever with sweating, feverish sensation in the chest, palms and soles dizziness, sore waist and knee,

5、 upset, tantrum Advanced menstruation, or at irregular intervals, diminished flow. dry mouth, oliguria , constipation red tongue with little coating, wiry thready rapid pulse.2、Deficiency of kidney-yang and Spleen-yang dizziness, distention of head, memory declineDim complexion, sore waist, cold and

6、 swollen limbs Menstruation with light red, abrupt and heavy flow.Gloom and languid, or lassitudeabdominal distention, belching and sour regurgitation, weak appetite, loose stools, frequent nocturiapuffy tongue with white-slide coating, feeble deep thready pulse 3. Incoordination between the heart a

7、nd the kidneyPalpitation, emotional lability, vexation and dreaminess, insomnia sore waist and knee, dizziness and tinnitushectic fever with sweating, feverish sensation of the chest, palms and solesBitter tastes, red tongue with little coating, thready rapid pulse.VI 、SUMMARY OF CATEGORIES1、Deficie

8、ncy of kidney-yin:（1Hyperactivity of liver-yang（2Incoordination between the heart and the kidney2、Deficiency of kidney-yang:（1Deficiency of spleen-yang and kidney-yang（2Declination of fire in the gate of life3、Associated syndromes:（1Stasis of liver-qi（2Retention of phlegm（3Blood stagnationVII. THERA

9、PY1、Therapeutic principle:Invigorating kidney is the main principle:nourishing the kidney and calm the mindpurging the liver-fire and strengthening the spleen. ( restraining yin by supplementing yang) (restraining yang by nourishing yin )肝肾阴虚Deficiency of liver-yin and kidney-yin (1)Therapeutic prin

10、ciple：Nourishing the kidney and liver, and suppressing the hyperactive liver-yang (providing water for the growth of wood)(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) Selection of acupoints according to symptoms and signs:A、Hectic fe

11、ver潮热）潮热）涌泉涌泉Yongquan (K. 1)照海照海Zhaohai (K. 6)列缺列缺Lieque (Lu. 7)B、Chest distress神门 Shenmen (H.7)大陵Daling (P. 7)C、Dizziness (Dizzy vision)百会 Baihui (Du 20)D、Tinnitus听会 Tinghui (G.B. 2)*Acupoints for nourishing yin 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

12、泉 Ququan (Liv.8) * Acupoints for calming the liver and suppressing hyperactivity of the liver-yang: 太冲太冲Taichong (Liv. 3) 行间行间Xingjian (Liv. 2) 侠溪侠溪 Xiaxi (G.B.43) 足临泣足临泣 Zulinqi (G.B. 41) 阳辅阳辅 Yangfu (G.B. 38) 丘墟丘墟 Qiuxu (G.B. 40) * 心肾不交Incoordination between the heart and the kidney A、Therapeutic

13、principal:(1)Nourishing kidney-yin, coordinating the heart and kidney(2)Back-Shu Points mostly selected(3)Reinforcing and reducing methodB、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) *Selection of the acupoints according to the symptoms and signs:

14、Insomnia 神门 Shenmen (H. 7) 四神聪 Sishencong (EX-HN 1) Palpitation 通里 Tongli (H.5) 内关 Neiguan (P. 6) Feverish sensation over the palms, soles and the chest 劳宫 Laogong (P.8) Disturbance of consciousness: 人中 Renzhong(Du 26) 大陵 Daling (P. 7) （2脾肾阳虚脾肾阳虚 Deficiency of Spleen-yang and Kidney-yang Therapeutic

15、 principle: Warming the kidney and activating yang Tonifying the kidney and invigorating the spleen Back-Shu Points mostly selected Reinforcing , combined with moxibustion Prescription: 肾俞 Shenshu (U.B. 23) 关元 Guanyuan (Ren 4) 脾俞 Pishu (U.B. 20) 章门Zhangmen (Liv.3) 足三里 Zusanli (St.36) *Selection of t

16、he acupoints according to the symptoms and signs: Loose stool 天枢天枢 Tianshu ( St. 25) 阴陵泉阴陵泉 Yinlingquan (Sp.9) 太溪太溪 Taixi (K. 3)（3Associated symptoms and signs Stasis of liver-qi: A、Therapeutic principle: Dispersing the stagnated liver-qi by invigorating the flow of Qi ( which is based on nourishing

17、 yin and clearing away heat in the heart)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)Accumulation of phlegm:A、Therapeutic principle: Regulating Qi and resolving phlegmB、Prescription:膻中膻中 Shanzhong (Ren 17)中脘中脘 Zhongwan (

18、Ren 12)气海气海 Qihai (Ren 6)足三里足三里 Zusanli (St. 36)支沟支沟 Zhigou (S.J. 6)丰隆丰隆 Fenglong (St. 40) *丰隆(St. 40) is combined with 内关( P. 6),间使(P. 5), 神门(H. 7), 太冲(Liv. 3), to clear away phlegm-fire and regulate Qi to tranquilize the mind. Blood stasis:A、Therapeutic principle:Promoting blood circulation and re

19、moving blood stasisB、Prescription:膈俞 Geshu (U.B. 17)血海 Xuehai (Sp.10)三阴交 Sanyinjiao (Sp. 6)*For the treatment of masses in the abdomen 归来 Guilai (St. 29) 气冲 Qichong (St. 30) 水道 Shuidao (St. 28) 气海 Qihai (Ren 6) 中极 Zhongji (Ren 3) 交信 Jiaoxin (K. 8) 阴陵泉 Yinlingquan (Sp. 9) *Back-Shu Points play an imp

20、ortant role in treating climacteric syndrome. 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. OTHER THERAPY1、Auricular acupuncture Selection of points: Overy, Endocrine, Uterus, Shenmen, Sympathetic Nerve, Subcortex, Heart, Liver, Spleen, Kidney.

21、2、Percussopunctator :Para vertebral pointsTempleIX、TREATMENT ACORDING TO THE SYMPTOMS1、Lacrimation, dry eyes with stabbing and burning sensation 睛明睛明 Jingming (U.B. 1)承泣承泣 Chengqi (St. 1)攒竹攒竹 Zanzhu (U.B. 2)丝竹空丝竹空 Sizhukong (S.J. 23)四白四白 Sibai (St. 2) 光明 Guangming (G.B. 37) 臂臑 Binao (L.I. 33) 养老 Yan

22、glao (S.I. 6) 肝俞Gansu (U.B. 18) 肾俞 Shenshu (U.B. 23)2、Chronic pharyngitis: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、Pruritus in vulva:（1Therapeutic principle:Clearing damp-heatNourishing liver and kidneyDredging collaterals and stop

23、ping itchiness（2Selection of points:中极 Zhongji (Ren 3)下髎 Xialiao (U.B. 34)三阴交 Sanyinjiao (Sp. 6)血海 Xuehai (Sp.10)蠡沟 Ligou (Liv. 5)5、Chronic eczema（1Therapeutical principle:Moisturizing dryness by nourishing blood（2Prescription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 (Du 14)陶道 Taodao (Du 13)肺俞 Feishu (U.B. 13)神门 Shenmen (H.7)6、Frequent micturition（1Therap