Geng nian qi. תסמונת גיל המעבר- -Perimenopausal Syndrome
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1 Geng nian qi תסמונת גיל המעבר- -Perimenopausal Syndrome תסמונת גיל המעבר- רקע כללי גיל המעבר הוא מצב טבעי, בלתי הפיך, המהווה חלק מתהליך ההזדקנות ומערב את מערכת הרבייה של האישה. המנופאוזה, בהגדרה, היא המחזור החודשי האחרון, והיא מאובחנת אחרי 21 חודשים של אמנוראה )או בבדיקות הורמונליות(. מתרחשת בדרך כלל בין הגילאים השנים שלפני ואחרי המנופאוזה מאופיינות בשינויים הורמונליים ותסמינים קליניים, כמו: שינוי בסדירות המחזור גלי חום )הכי נפוצים( יובש ואגינלי וכאב בקיום יחסי מין הפרעות בשינה או במצב הרוח לא כל הנשים סובלות מתסמינים. לפי הרפואה הסינית, חולשת כליות היא הנמצאת בשורש הסינדרום. גם אם התופעות הן של עודף, לרוב תהיה מעורבות של חוסר. האיברים המעורבים הם הלב, הטחול והכליות. אבחנה מבדלת לפי הסימנים והסימפטומים תוכל לקבוע האם הגורם הדומיננטי הוא חוסר Yin או Yang הכליות, דיסהרמוניה בין הלב והכליות, חולשת לב וטחול, או תקיעות של הכבד. Yin Xu- Empty Heat נכון או לא נכון: ככל שיש יותר חוסר -Yin יש יותר חום לא נכון. לא חייב להיות קשר בין מידת חוסר ה- Yin למידת החום. יכול להיות הרבה חום ריק ומעט חוסר.Yin כשיש הרבה חום ריק )נפוץ( נצטרך להתייחס יותר לסילוק החום הריק )לפחות בהתחלה(. נכון או לא נכון: Menopause=Empty Heat לא תמיד! במצבי מנופאוזה ניתן לראות הרבה פעמים חום מלא, וכך צריך לטפל בו. רמז: לשון! Zuo YF- general compiler-in-chief (2002) Gynecology of Traditional Chinese Medicine, עפ" ער.אר פ,"
2 חוסר Yin של הכבד והכליות- Liver and Kidney Yin Deficiency סחרחורת וטיניטוס, לחיים סמוקות ותחושת חום, הזעה, תחושת חום בחזה ובכפות הידיים והרגליים, אינסומניה, חלומות רבים, כאב וחולשה במותניים ובברכיים, יובש וגרד בעור, יובש בפה, עצירות, שתן צהוב ומועט, או דימום וסתי מועט ואדום, הדימום רב ומטפטף לסירוגין. לשון: אדומה עם חיפוי מועט דופק: דק עיקרון טיפולי: הזנת הכבד והכליות, הזנת ה- Yin והרגעת ה- Yang. מרשם: Zuo Gui Wan Sheng Di Huang 10g, Shu Di Huang 10g, Gou Qi Zi 10g, Shan Zhu Yu 10g, Shan Yao 20g, Fu Ling 10g, Mu Dan Pi 10g, Gui Ban 10g, Long Gu 15g, Nu Zhen Zi 15g, Han Lian Cao 15g. הורדו מהמרשם המקורי: Lu Jiao Jiao, Tu Si Zi, Chuan Niu Xi לאינסומניה: Ye Jiao Teng 15g, Suan Zao Ren 12g לכאב ראש חמור: Gou Teng 15g, Tian Ma 10g, Shi Jue Ming 10g לפה יבש: Xuan Shen 10g, Mai Men Dong 10g להזעה רבה: Wu Wei Zi 6g, Fu Xiao Mai 30g לגרד בעור: Chan Tui 6g, Bai Xian Pi 10g לעצירות: Bai Zi Ren 10g, Huo Ma Ren 6g Zuo YF- general compiler-in-chief (2002) Gynecology of Traditional Chinese Medicine, עפ" ער.אר פ,"
3 מרשמים נוספים מקבוצת מזיני Yin והשוואה ביניהם: Zuo Gui Wan (Mod) Sheng Di Huang 10g, Shu Di Huang 10g Shan Zhu Yu 10g Shan Yao 20g Gou Qi Zi 10g Gui Ban 10g (Lu Jiao Jiao Tu Si Zi Chuan Niu Xi) Zhi Bai Di Huang Wan Shu Di Sheng Di Shan Zhu Yu Shan Yao Fu Ling Mu Dan Pi Ze Xie Zhi Mu Huang Bai Fu Ling 10g Mu Dan Pi 10g Long Gu 15g Nu Zhen Zi 15g Han Lian Cao 15g Yi Guan Jian Sheng Di Huang Gou Qi Zi Sha Shen Mai Dong Dang Gui Chuan Lian Zi Da Bu Yin Wan Shu Di Gui Ban Huang Bai Zhi Mu Liv+Kid Yin Xu+ Liv Qi Stg ל- Xu+Fire Yin Zuo YF- general compiler-in-chief (2002) Gynecology of Traditional Chinese Medicine, עפ" ער.אר פ,"
4 תוספת ל- DD בספר: חוסר איזון בין הכליות ללב Kid+ Ht Not Harmonized כשהמצב הרגשי יותר דומיננטי: אי שקט, חרדות, פלפיטציות, אינסומניה, שינה חסרת מנוחה, עייפות, קושי בחשיבה או בריכוז גם לפרקי זמן קצרים, שכחה. מרשם: Tian Wang Bu Xin Dan Sheng Di Huang, Dan Shen, Dang Gui, Bai Zi Ren, Yuan Zhi, Ren Shen, Fu Ling, Mai Dong, Tian Dong, Xuan Shen, Wu Wei Zi, Suan Zao Ren, Jie Geng הורד מהמרשם המקורי: Zhu Sha מודיפיקציות בסיסיות )לכל הפורמולות( Yin Chai Hu Hu Huang Lian Di Gu Pi Xuan Shen )יציאות( Qing Hao, Bie Jia.Yin במקור: מחלות חום ממושכות שגרמו לכילוי o Shi Gao, Zhi Zi, Huang Qin וכו' )עודף( Rou Gui ברוב המקרים, יחמיר את המצב. o אבל במצב מסוים, הוא היחיד שיכול לטפל... o עוד על המצב הזה ועל הצמח- בהמשך. o חולשת Yang Deficiency Yang גוון עור אפרורי, אדישות, נפיחות בפנים, בצקות בגפיים, קור בגוף ורתיעה מקור, חוסר תיאבון ונפיחות בבטן, יציאות רכות, שתן רב ותכוף, מחזור לא סדיר, ייתכנו דימום ואגינלי פתאומי רב והפרשות וגינליות לבנות ודלילות. לשון: תפוחה עם סמנ"ש, חיפוי לבן דק דופק: עמוק ודק עיקרון טיפולי: חימום הכליות ותמיכה ב- Yang, חיזוק הטחול ועזרה להנעה. Zuo YF- general compiler-in-chief (2002) Gynecology of Traditional Chinese Medicine, עפ" ער.אר פ,"
5 מרשם: You Gui Wan Lu Jiao Jiao 10g, Dang Shen 15g, Bai Zhu 10g, Bu Gu Zhi 10g, Xian Mao 10g, Yin Yang Huo 10g, Shan Yao 15g, Shan Zhu Yu 10g, Du Zhong 10g, Tu Si Zi 10g. הורדו מהמרשם המקורי: Fu Zi, Rou Gui, Shu Di Huang, Gou Qi Zi, Dang Gui לשלשול בבוקר: Mu Xiang 10g, Rou Dou Kou 10g לתכיפות שתן ובריחת שתן: Yi Zhi Ren 10g, Jin Ying Zi 10g לנפיחות באפיגסטריום: Fu Ling 12g, Sha Ren 5g לנפיחות בגפיים: Huang Qi 10g, Fu Ling Pi 10g, Fang Ji 10g למועקה בחזה: Shi Chang Pu 6g, Yu Jin 10g תקיעות של הכבד Liver Depression Syndrome דיכאון, חרדה, רגשנות, עצבנות, מועקה בחזה, נטייה להיאנח, נפיחות וכאב בהיפוכונדריום, תחושת חום והזעה, אי סדירות של המחזור, דימום וסתי רב עם דם אדום כהה. לשון: אדומה, חיפוי דק, לבן או צהוב דופק: מיתרי עיקרון טיפולי: הרגעת הכבד להקלה על התקיעות וויסות Qi להזנת.Yin מרשם: Xiao Yao San Bai Shao Yao 10g, Dang Gui 10g, Chai Hu 5g, Sheng Di Huang 10g, Fu Ling 10g, Yu Jin 10g, Shan Yao 15g, Chen Pi 6g, Gan Cao 5g. הורד מהמרשם המקורי: Bai Zhu Zhi לחום שנובע מתקיעות הכבד, עם תחושת חום, חוסר מנוחה, טעם מר בפה ויובש בגרון: Zi 6g, Mu Dan Pi 10g לחוסר תיאבון ויציאות רכות: Bai Zhu 10g, Tai Zi Shen 15g לשינה חסרת מנוחה: [Qing] Long Chi 20g, Suan Zao Ren 10g Zuo YF- general compiler-in-chief (2002) Gynecology of Traditional Chinese Medicine, עפ" ער.אר פ,"
6 חוסר בלב ובטחול Deficiency of Both Heart and Spleen תחושת חום, הזעה, פלפיטציות וקוצר נשימה, אמנזיה, אינסומניה, גוון עור צהבהב, בצקות בפנים, תשישות, נפיחות בבטן ובאפיגסטריום, חוסר תיאבון ויציאות רכות, אי סדירות של המחזור, דימום ואגינלי פתאומי רב או דימום ואגינלי דליל, מטפטף, בצבע בהיר. לשון: חיוורת עם חיפוי לבן דק דופק: חלש ודק עיקרון טיפולי: חיזוק הטחול והזנת,Qi הזנת הלב והשקטת הנפש. מרשם: Gui Pi Tang Huang Qi 10g, Dang Shen 10g, Bai Zhu 10g, Dang Gui 10g, Fu Shen 10g, Yuan Zhi 6g, Suan Zao Ren 10g, Chen Pi 10g, Mu Xiang 10g, Gan Cao 5g, Da Zao 5pcs Long Yan Rou, Sheng Jiang הורדו מהמרשם המקורי:.Dang הוחלף ב- Shen Ren Shen לדימום ואגינלי בלתי פוסק: [Duan] Long Gu 20g, [Duan] Mu Li 20g לכאב במותניים, תשישות, רתיעה מקור וגפיים קרות: Bu Gu Zhi,10g Du Zhong 10g לבצקות בפנים ובכפות הרגליים: Yi Yi Ren 20g קצת מעבר... התייחסות חברתית שונה היום מאשר בעבר כבוד- מול אנטי אייג'ינג... תקופה של שינוי מצב רגשי מצב משפחתי מצב מקצועי שעון ביולוגי Ròu Guì תפקוד ייחודי ל- Guì Ròu הוא הובלת האש למקורה קור ב- Tian,Ming men, Dan וחום למעלה Both Yin+Yang Xu Zuo YF- general compiler-in-chief (2002) Gynecology of Traditional Chinese Medicine, עפ" ער.אר פ,"
7 המטופלת תדווח על קור בזמן שאין גלי חום, במיוחד לפנות בוקר. הלשון תהיה חיוורת, והדופק חלש- בלי סימני חום! נוכל להוסיף אותו ל- Wei Liu ההסבר המלא- בכתבה על,Rou Gui שנמצאת כאן. בשורה התחתונה, כמו תמיד- לא לשכוח: כל מקרה לגופו. Zuo YF- general compiler-in-chief (2002) Gynecology of Traditional Chinese Medicine, עפ" ער.אר פ,"
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