Hot flashes, night sweats, 5 palm heat, headaches, blurred vision, dizziness, tinnitus, loss of memory, weakness and soreness in the lower back and knees. Constipation, thirst, dry mouth. Vaginal dryness. Insomnia, dream disturbed sleep. Red tongue body with little or no coating. Periods infrequent or absent.
Dx?
Menopause- Liver Blood (Yin) and Kidney Yin Xu
Types of Menopause (TCM)
Liver Yang Rising Liver Blood & Yin, Kidney Yin Xu Kidney Yin and Yang Xu Kidney Yang Xu Heart and Kidney Not Harmonized Blood Xu with Heart Yin Xu Spleen and Heart Xu Accumulation of Phlegm and Stagnation of Qi
Insomnia, dream disturbed sleep, loss of memory. Palpitations, tachycardia. Restlessness, 5 palm heat, evening fever and night sweats. Tongue red or pale, with little or no coating.
Dx?
Heart Yin and Blood Xu
Dizziness and vertigo, tinnitus and red eyes. Menopausal migraines, bitter taste in the mouth, irritability. Hot flashes and sweating. Profuse menstrual flow, lingering menstrual flow with spotting. Red tongue body and wiry, rapid pulse.
Dx?
Liver Yang Rising type of Menopausal Sx
Pale lustreless facial complexion. Aversion to cold, cold extremities and lower back. Fatigue, listlessness, soreness of lower back. Clear, long urination or scanty urination with edema. Tongue is pale, and pulse is deep, fine and weak.
Dx?
Kidney yang Xu type of Menopausal Sx
Mental and emotional Sx of Menopause. Depression, fear, anxiety. Stuffy chest and chest oppression, palpitations, insomnia, plum pit Qi. Nausea and vomiting, obesity. Tongue has a turbid greasy coating. Pulse is wiry and slippery.
Dx?
Menopause-
Accumulation of Phlegm and Stagnation of Qi
Cessation or slowing of menstruation. Palpitations, shortness of breath. Anxiety and emotional instability. Loss of memory. Insomnia and excessive dreaming. Tongue is pale and flabby with teeth marks. Pulse is fine weak and deficient.
Dx?
Menopause -
Heart and Spleen Xu
COls lower limbs, cold lower back, low back weakness and pain, feeling like “sitting in a tub of cold water”. Tidal fever flusing face neck and ears. Dry eyes and throat, headaches and vertigo. 5 palm heat. Abnormal uterine bleeding, polyuria, nocturia. Frigidity, lack of libido, fatigue. Tongue is pale, possibly a wet coating. Pulse is deep, weak, and fine.
Dx?
Menopause - Kidney Yin and Yang Xu
Cessation or slowing of menses accompanied by: Insomnia, frequent dreaming, nervousness, restlessness, anxiety, palpitations. Vaginal discharge, uterine bleeding, incontinence, red tongue body with scanty coating. Pule is fast, floating and flooding.
Dx?
Menopause -
Heart and Kidney not harmonized.
Points to move Qi and Soothe the Liver?
Ren 17
P 6 + SJ 6
Points to move Qi in the upper Jiao?
Lu 7
Points to Nourish Yin and move Qi in Upper Jiao
Ren 6, Ren 10, St 40, Sp 9, Sp 6
Phlegm Points
Ren 10
St 40
Sp 9
Tonify Spleen pts?
Sp 6, St 36
Tonify Heart pts?
H 7
Calm Shen Points?
Yintang
Open Chest point?
Ren 17
Raise and increase Qi pt?
Ren 6
SOB points?
Lu 9, UB 13
Back Tx for Heart and Spleen Xu?
Ub 14, 15, 20, 21
Bloating with lack of appetite pts?
Ren 10, 12, 13
Kidney Yin and Yang Xu pts?
Ub 23, 52, Du 4 (M)
Sp 6, Ren 7, H7
K 3, Open Ren (Lu 7, K 6), Ren 4 (M if Yang Xu)
Heart and Kidney Not Harmonized
Tx?
Open Ren (Lu 7/K 6) H6, K 3 - balances H and K K 13, Ren 4 - nourish K Sp 6 - K Yin Ren 15, Du 24 - Nourish H, Calm mind H6, K 7 - stop night sweats H8, P7 - clear H heat and calm shen
Basic points for Menopause?
Yintang - mind K 6 - strongly supplements K yin H 7 - quiets the shen Sp 6 - nourish yin St 36 - Supplement Qi and blood Auricular - shenmen, K, Sp, Liv
Night Sweats pts?
H 6, K 7
Headache Pts
Taiyang, GB 20, GB 40
Palpitations pts?
Ren 17
Back Pain pts
Ub 23, 24, yaoyan
Profuse sweating pts?
LI 4, K 7
Dizziness pts?
GB 20 and Du 20
Insomnia Pts?
Anmian, H 7, P 6
Irritability Pts?
LI 2, Lv 3, Lv 2
Constipation Points?
Sj 6, St 25, UB 25