TCM Acupuncture and Massage

Chapter 58 Endocrine and Metabolic Diseases (5)
([-]) Clinical manifestations

The clinical manifestations of women's climacteric syndrome often involve multiple systems of the body. The common adverse mental states of menopause include the following:

(1) Anxiety psychological reaction: This is the most common emotional reaction.Due to the appearance of menopausal syndrome, some patients have a lot of worries, often a little stimulation from the outside world will cause great mood swings and tension, and it is difficult to concentrate.

(2) Pessimistic psychological reaction: Some patients have pessimistic thoughts about some menopausal symptoms that have happened to them, and they are depressed and easily agitated and troubled.Some people are suspicious of illness and cancer, worrying that they are old and their life seems to be coming to an end, and their good days are over, and they feel a particularly obvious sense of loss.These people often like to recall unpleasant events in the past period of time (gray memories), often with tears in their faces and messy thinking.

(3) Changes in personality and behavior: Some patients have more obvious symptoms of menopause. These symptoms affect and change their personality and cause emotional instability, which manifests as suspicious, nagging, selfishness, and impatience. Unreasonable, unreasonable upset, sometimes over-excited, sometimes sad and hopeless, often lonely and depressed, often extreme in viewing and dealing with problems, causing tension in interpersonal relationships.

(4) Other bad mental states: interests become limited, commute to get off work every day in a two-point-one-line way of life, lose interest in some social activities, and do not want to establish new interests.Some people are always unable to get up the energy to give full play to their abilities, lose the flexibility of the past, feel that their memory is declining, they are powerless, and their work motivation is low.

([-]) Diagnosis

1. Women aged 45 to 55, in addition to menstrual disorders, sweating is a typical symptom, or accompanied by irritability, palpitations, insomnia, chest tightness and headache, emotional abnormalities, memory loss, waist and leg pain, etc.

2. Endocrine testing: decreased estradiol (E2), increased follicle-stimulating hormone (FSH), and luteinizing hormone (LH).

3. Mental and neurological diseases, hyperthyroidism, and cardiovascular diseases should be excluded.

([-]) Treatment

The treatment of menopausal syndrome mainly includes daily life treatment and drug treatment.On weekdays, the former is mainly used, and drug treatment is given when the symptoms cannot be controlled.

1. Daily life treatment "Maybe wrinkles must be written on our foreheads, but don't let them be written on our hearts, and the spirit should never age." With the extension of human life span, at least one-third of the The journey of life is not about "over half a hundred years old, half covered with earth", remove the word "old" from the concept, and let yourself live "younger".

(1) Master the knowledge of menopausal health care and learn to take care of yourself scientifically.Fully realize that menopause is not a sign of aging, but a signal to start scientific health care.If you want to have a happy old age, you must pay attention to the health care of menopause!
(2) Learn modern new theories, correctly understand and master the knowledge of hormone replacement therapy.Fully realize that hormone replacement therapy is not to intervene in the natural process of aging, but to effectively prevent various diseases caused by aging! .

(3) Actively participate in beneficial social activities, maintain psychological balance and youthful vitality, and insist on achieving a "center" - good health, and "two basic points" - family harmony and smooth work.

(4) Develop good eating habits, choose fish, cattle, chicken, milk, soy products and other animal and plant proteins, reduce animal fat intake, eat more vegetables, fruits and high-fiber foods, and try to drink before going to bed every night A glass of milk or yogurt.

(5) Strengthen physical exercise, not less than 4 hours a week and not less than 30 minutes a day.

(6) Timely and persistently accept hormone replacement therapy under the guidance of a doctor, and insist on an annual physical examination.

2. Medication
(1) General treatment: Menopausal women who have general symptoms only need to explain, comfort, and eliminate concerns, and at the same time actively arrange work and life.If there are obvious symptoms, such as headache, insomnia and other mental symptoms, sedatives, such as diazepam, oryzanol, etc. can be given; antihypertensive drugs can be given if the blood pressure increases, which can relieve symptoms.

(2) Hormone therapy: The vast majority of menopausal women do not need hormone therapy, and it is only used for those who fail the above treatments, usually for 3 to 6 months. ① Estrogen: It can supplement the insufficient secretion of the ovaries. Large doses can feed back and inhibit the secretion of pituitary gonadotropins, but it may stimulate the growth of the endometrium and cause uterine bleeding.For those who use large doses for a long time, attention should be paid to the occurrence of endometrial cancer.For menopausal women with climacteric syndrome, the dose of estrogen should be small to control menopausal symptoms without causing uterine bleeding. Generally, diethylstilbestrol is used at 0.125-0.25 mg/day for 20 consecutive days with 10-day intervals treat.For cases where the ovaries and uterus have been removed and the symptoms are severe, diethylstilbestrol 0.5-1 mg/day can be used in a cycle of 20 days, and then gradually reduced. ②Androgen: Androgen can inhibit the secretion of pituitary gonadotropin, and has the effect of protein synthesis. After taking it, it will feel comfortable, euphoric and calm, and has a certain effect on eliminating symptoms.Methyltestosterone 5 mg is commonly used, 1 or 2 times a day, sublingually, or intramuscular injection of long-acting testosterone phenylacetate 10 to 25 mg, once a week, several times in a row, and then use after a few weeks.The monthly total should not exceed 300mg.

([-]) Prevention and recuperation
1. The practice of mental health care has proved that through a positive attitude and one's own efforts, one can go through menopause smoothly, and can make one's "mental age" much smaller than the biological age, thereby delaying aging and achieving the purpose of prolonging life.

Each patient has different characteristics in the occurrence of the above-mentioned adverse psychological states, ranging from mild to severe, and the symptoms are more obvious in people with affluent lives and higher social status. Therefore, it is necessary to "prescribe the right medicine" when correcting such psychological disorders. It varies from person to person.For details, please refer to the following aspects:

(1) Scientifically arrange and treat all daily activities correctly.All kinds of measures to delay mental aging must be implemented persistently, such as exercising, which can not only enhance physical fitness, but also maintain physical and mental health, and chronic diseases will also improve.You must have the will and perseverance to maintain a regular life, and do not change easily the good habits that have been gradually developed in decades of life, from diet, hobbies, living environment, and dealing with people, because it changes your life. Habit is a great mental burden, which is not good for physical and mental health.It is necessary to maintain good habits in life, but also to get rid of bad habits as soon as possible.Be determined to correct some habits that are not suitable for the elderly, such as eating indiscreetly, eating too much animal fat, too little vegetables and fruits, smoking and drinking, not paying attention to cleanliness, and not getting along with neighbors in harmony.All activities must be based on the specific situation of each person, according to their ability, and establish a regular life.

(2) Labor is the source of maintaining mental health.Labor includes physical labor and mental labor. The aging of the brain, like the aging of other organs in the body, depends on the state of health.Persistence in labor can prevent "disuse atrophy" of muscles, tissues, and joints; similarly, lack of mental work can also cause "disuse atrophy": thinking becomes dull, memory declines, and spirits are listless.The human brain has great plasticity. When people reach menopause, as long as they have a strong desire for knowledge and keep learning and thinking to exercise their brain power, they can not only improve the operation of cerebral blood flow, delay the atrophy of brain cells, but also understand various aspects of society. This kind of change, learning the latest knowledge, so that I can keep up with the pace of the times, eliminate the feeling of falling behind, and open my mind more.

(3) It is one of the important factors of mental health to make the spirit sustenance.Put your energy on your career and hobbies, and consciously enrich your life, such as cultivating the young and middle-aged generation, including career successors and family offspring; writing books, planting flowers, playing chess, hand-knitting, etc.; After retirement, you can also participate in some social activities, actively participate in life, and make yourself live in the overall friendship.

(4) Pay attention to the cultivation of character.Impatience, anxiety, depression, and anger are common during menopause, and it's important to try to prevent them.Once it appears, you must treat it correctly and work hard to improve, because these negative emotions are extremely harmful to your physical and mental health.Cultivate a cheerful and optimistic personality, face the troubled times of life with a smile, and lay the foundation for a happy and peaceful old age.

All of the above are effective measures to delay mental aging.The psychological changes of menopause are slow. If there is no mental preparation in advance, the harm is no less than physical decline. However, these psychological changes can be overcome, and their arrival can even be delayed or avoided.Aging is an inevitable path in life, which exists objectively, and everyone has to go through menopause.If there is an adverse emotional reaction during menopause, first of all, we must face the reality correctly and objectively, without panic and self-pity, and then seek solutions to the problem.For women with minor changes, psychological balance can be achieved through self-restraint, self-correction, self-comfort, and self-regulation.If the situation is serious, seek a doctor for psychological consultation as soon as possible, and psychological treatment if necessary.

2. Diet recuperation Diet recuperation will play a very good role in regulating the physiological changes of menopause. Scientifically arranging diet is also very important for delaying aging and preventing diseases.

[-]. Point massage

([-]) Acupuncture therapy

1. Take acupuncture points
Fengchi, Fengfu, Dazhui, Ganshu, Shenshu, Mingmen, Zhishi, Yaoyangguan, Zhongwan, Guanyuan, Qihai, Neiguan, Shenmen, Hegu, Xuehai, Zusanli, Sanyinjiao, Tai rush.

2. Positioning
Fengchi—Neck, under the occipital bone, level with Fengfu, the depression between the sternocleidomastoid muscle and the upper end of the trapezius muscle.Fengfu—Neck, 1 cun straight above the center of the posterior hairline, directly below the external occipital eminence, in the depression between the trapezius muscles on both sides.

Dazhui—Neck, on the posterior midline, in the depression under the spinous process of the 7th cervical vertebra.

Ganshu—back, below the spinous process of the 9th thoracic vertebra, 1.5 cun laterally.

Shenshu—waist, below the spinous process of the second lumbar vertebra, 2 cun laterally.

Mingmen—waist, on the posterior midline, in the depression under the spinous process of the second lumbar vertebra.

Zhishi—waist, below the spinous process of the second lumbar vertebra, 2 cun laterally.

Yaoyangguan—waist, on the posterior midline, in the depression under the spinous process of the 4th lumbar vertebra.

Zhongwan—Abdomen, on the front midline, 4 cun above the middle of the navel.

Guanyuan—lower abdomen, on the front midline, 3 cun below the middle of the navel.

Sea of ​​Qi—lower abdomen, on the front midline, 1.5 cun below the middle of the navel.

Neiguan—on the palm side of the forearm, on the connecting line between Quze and Daling, 2 cun above the transverse crease of the wrist, between the palmar longus tendon and the flexor carpi radialis tendon.

Shenmen—on the palm side of the forearm, on the transverse wrist crease, on the radial border of the flexor carpi ulnaris tendon.

Hegu—the back of the hand, between the 1st and 2nd metacarpal bones, at the midpoint of the radial side of the 2nd metacarpal bone.

Sea of ​​Blood—knee bent, on the inner thigh, 2 cun above the medial end of the bottom of the patella, at the bulge of the medial head of the quadriceps.

Zusanli - anterolateral side of the calf, 3 cun below the calf's nose, one finger (middle finger) away from the front edge of the tibia.

Sanyinjiao - inside the calf, 3 cun above the tip of the medial malleolus, in the depression behind the medial surface of the tibia.

Taichong—on the dorsal side of the foot, in the depression behind the first metatarsal space.

([-]) Self-massage
1. Push the head with two palms and four fingers on the ventral side, push from the front hairline through Baihui point, to the back hairline, then pass through Dazhui point, and press more forcefully on Baihui point and Dazhui point.Then push the Gallbladder Meridian of Foot Shaoyang on both sides of the head, from the front hairline to the back hairline, emphatically push the Fengchi point in it.Finally, wipe the forehead with four fingers, from Yintang to temple.Push each part for 5 minutes.

2. Push the back and reverse the hand, use four fingers to push the bladder meridian of the foot sun on both sides of the spine from top to bottom, first push 1.5 inches away from the spine, and then push 3 inches away from the spine.Then press the Shenshu and Mingmen points.Push each meridian for 5 minutes, and press each point 18 times.

3. Rubbing the abdomen Put the right hand on the abdomen, cover the left hand with the right hand, rub the entire abdomen with the palm for about 5 minutes.

4. Acupuncture Press the above-mentioned acupoints for 1 minute per acupoint, with local soreness as the degree.

(End of this chapter)