围绝经期综合症-课件

CLIMACTERICSYNDROME

（MENOPAUSALSYNDROME）CLIMACTERICSYNDROME

（MENOPAUS1I、DEFINATIONBeforeoraftertheperiodofnaturalcessationofmenstruation,womenmayhavesomesymptomsassociatedwithit,suchasmenstrualdisorder,hecticfeverwithsweating,dizziness,tinnitus,insomnia,palpitationandlassitude,debilitation.irritability,depression.I、DEFINATIONBeforeorafter2

Thisisclimactericsyndromeormenopausalsyndrome.InTCM,itbelongstothecategoryof“绝经前后诸症(syndromesbeforeoraftermenopause)”

Thisisclimactericsyndrome3IIPHYSIOLOGYOFMENSTRUATIONINTCMTheproductionofmenstruationisrelatedtotheabundanceofkidney-qi,aslongasthearrivaloftheTiangui,andnormalfunctionoftheChongandRenChannels.IIPHYSIOLOGYOFMENSTRUATIO4

1.Kidney-qi2.Tiangui3.TheChongChannelandRenChannel

1.Kidney-qi5IIIETIOLOGICALFACTIORANDPATHOGENESIS1.Deficiencyofkidney-qi.2.ExhaustionoftheTiangui.3.DisturbanceoftheChongandRenChannelsIIIETIOLOGICALFACTIORANDPA6IV、PATHOGENESISFundamental:1.Deficiencyofkidney.2.DisturbanceoftheChongandRenChannels.IV、PATHOGENESISFundamental:7

incidental:1.stasisofliver-qi2.Stagnationofblood3.Phlegm4.Damp-heat

incidental:8V、DIFFERENTIATION1.Deficiencyofliver-yinandkidney-yin

hecticfeverwithsweating,feverishsensationinthechest,palmsandsolesdizziness,sorewaistandknee,upset,tantrumAdvancedmenstruation,oratirregularintervals,diminishedflow.drymouth,oliguria,constipationredtonguewithlittlecoating,wirythreadyrapidpulse.V、DIFFERENTIATION1.Deficien9

2、Deficiencyofkidney-yangandSpleen-yangdizziness,

distentionofhead,memorydeclineDimcomplexion,sorewaist,coldandswollenlimbsMenstruationwithlightred,abruptandheavyflow.Gloomandlanguid,orlassitudeabdominaldistention,belchingandsourregurgitation,weakappetite,loosestools,frequentnocturiapuffytonguewithwhite-slidecoating,feebledeepthreadypulse

2、Deficiencyofkidney-yanga103.IncoordinationbetweentheheartandthekidneyPalpitation,emotionallability,vexationanddreaminess,insomniasorewaistandknee,dizzinessandtinnitushecticfeverwithsweating,feverishsensationofthechest,palmsandsolesBittertastes,redtonguewithlittlecoating,threadyrapidpulse.

3.Incoordinationbetweenthe11VI、SUMMARYOFCATEGORIES1、Deficiencyofkidney-yin:（1）Hyperactivityofliver-yang（2）Incoordinationbetweentheheartandthekidney2、Deficiencyofkidney-yang:（1）Deficiencyofspleen-yangandkidney-yang（2）DeclinationoffireinthegateoflifeVI、SUMMARYOFCATEGORIES1、Def12

3、Associatedsyndromes:（1）Stasisofliver-qi（2）Retentionofphlegm（3）Bloodstagnation

3、Associatedsyndromes:13VII.THERAPY1、Therapeuticprinciple:Invigoratingkidneyisthemainprinciple:nourishingthekidneyandcalmthemindpurgingtheliver-fireandstrengtheningthespleen.(restrainingyinbysupplementingyang)(restrainingyangbynourishingyin)VII.THERAPY1、Therapeuticprin14肝肾阴虚

Deficiencyofliver-yinandkidney-yin(1)Therapeuticprinciple：Nourishingthekidneyandliver,andsuppressingthehyperactiveliver-yang(providingwaterforthegrowthofwood)肝肾阴虚

Deficiencyofliver-yina15(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)(2)Prescription:肾俞Shenshu(U.16

(3)Selectionofacupointsaccordingtosymptomsandsigns:A、Hecticfever（潮热）涌泉Yongquan(K.1)照海Zhaohai(K.6)列缺Lieque(Lu.7)

(3)Selectionofacupointsa17

B、Chestdistress神门Shenmen(H.7)大陵Daling(P.7)

B、Chestdistress18

C、Dizziness(Dizzyvision)百会Baihui(Du20)D、Tinnitus听会Tinghui(G.B.2)

C、Dizziness(Dizzyvision)19*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)*Acupointsfornourishingyin太20

*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)

*Acupointsforcalmingthel21

*心肾不交IncoordinationbetweentheheartandthekidneyA、Therapeuticprincipal:(1)Nourishingkidney-yin,coordinatingtheheartandkidney(2)Back-ShuPointsmostlyselected(3)Reinforcingandreducingmethod

*心肾不交22B、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)B、Prescription心俞Xinshu(U.B.23

*Selectionoftheacupointsaccordingtothesymptomsandsigns:<1>Insomnia神门Shenmen(H.7)四神聪Sishencong(EX-HN1)<2>Palpitation通里Tongli(H.5)内关Neiguan(P.6)

*Selectionoftheacupointsa24

<3>Feverishsensationoverthepalms,solesandthechest劳宫Laogong(P.8)<4>Disturbanceofconsciousness:人中Renzhong(Du26)大陵Daling(P.7)

<3>Feverishsensationovert25

（2）脾肾阳虚DeficiencyofSpleen-yangandKidney-yang

<1>Therapeuticprinciple:WarmingthekidneyandactivatingyangTonifyingthekidneyandinvigoratingthespleenBack-ShuPointsmostlyselectedReinforcing,combinedwithmoxibustion

（2）脾肾阳虚26

<2>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)

<2>Prescription:27

*Selectionoftheacupointsaccordingtothesymptomsandsigns:Loosestool天枢Tianshu(St.25)阴陵泉Yinlingquan(Sp.9)太溪Taixi(K.3)

*Selectionoftheacupointsa28（3）Associatedsymptomsandsigns<1>Stasisofliver-qi:A、Therapeuticprinciple:Dispersingthestagnatedliver-qibyinvigoratingtheflowofQi(whichisbasedonnourishingyinandclearingawayheatintheheart)（3）Associatedsymptomsandsig29

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)

B、Prescription:30<2>Accumulationofphlegm:A、Therapeuticprinciple:RegulatingQiandresolvingphlegm<2>Accumulationofphlegm:A、Th31

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)

B、Prescription:32

*丰隆(St.40)iscombinedwith内关(P.6),间使(P.5),神门(H.7),太冲(Liv.3),toclearawayphlegm-fireandregulateQitotranquilizethemind.

*丰隆(St.40)iscombinedwith33<3>Bloodstasis:A、Therapeuticprinciple:Promotingbloodcirculationandremovingbloodstasis<3>Bloodstasis:A、Therapeutic34

B、Prescription:膈俞Geshu(U.B.17)血海Xuehai(Sp.10)三阴交Sanyinjiao(Sp.6)

B、Prescription:35*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)*Forthetreatmentofmassesi36

*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)

*Back-ShuPointsplayanimpo37VIII.OTHERTHERAPY1、AuricularacupunctureSelectionofpoints:Overy,Endocrine,Uterus,Shenmen,SympatheticNerve,Subcortex,Heart,Liver,Spleen,Kidney.VIII.OTHERTHERAPY1、Auricular38

2、Percussopunctator

:ParavertebralpointsTemple

2、Percussopunctator:39

IX、TREATMENTACORDINGTOTHESYMPTOMS1、Lacrimation,dryeyeswithstabbingandburningsensation<1>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)

IX、TREATMENTACORDINGTOTHE40

<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>光明Guangming(G.B.37)41

2、Chronicpharyngitis:列缺Lieque(Lu.7)照海Zhaohai(K.6)

2、Chronicpharyngitis:42

3、Sweating:合谷Hegu(L.I.4)复溜Fuliu(K.7)后溪Houxi(S.I.3)阴郗Yinxi(H.6)

3、Sweating:43

4、Pruritusinvulva:（1）Therapeuticprinciple:Clearingdamp-heatNourishingliverandkidneyDredgingcollateralsandstoppingitchiness

4、Pruritusinvulva:44

（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)

（2）Selectionofpoints:45

5、Chroniceczema（1）Therapeuticalprinciple:Moisturizingdrynessbynourishingblood

5、Chroniceczema46（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)（2）Prescription

足三里Zusanli(S47

6、Frequentmicturition（1）Therapeuticalprinciple:Tonifyingkidney

6、Frequentmictur