women's health issues
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Women's Health Issues. Tiffany Chiu Cat Calhoun George Tabares Leah Shadwick. Breast Cancer. Risk Factors Heredity Lifestyle Obesity Child bearing before age 20 or after 35 Environmental Increased Estrogen Early menarche Late menopause Oral OCP before age 20 HRT for over 10 years. - PowerPoint PPT PresentationTRANSCRIPT
Tiffany ChiuCat Calhoun
George TabaresLeah Shadwick
Breast Cancer: Abnormal cells in the breast
Risk Factors Heredity Lifestyle Obesity Child bearing before age 20 or
after 35 Environmental
Increased Estrogen Early menarche Late menopause Oral OCP before age 20 HRT for over 10 years
Types In Situ Carcinoma
entirely contained in the breast
Ductual Carcinoma Makes up 43% of breast
cancers Peri/post menopausal
Lobular Carcinoma Contained in breast No mass Usually found by accident
Inflammatory Carcinoma Most aggressive form Peau d’orange: brast
resembles orange peel texture
Biomedicine
Diagnosis Mammogram Ultrasound Biopsy
Treatment Lumpectomy
Remove partial breast Mastectomy
Remove whole breast Radiation
High energy x-rays to destroy cancer cells after lumpectomy
Chemotherapy Cancer fighting drugs
Hormone Therapy Block effect of estrogen
Traditional Chinese Medicine Diagnosis
Qi Stagnation Blood Stasis Phlegm Retention Toxic Heat
Treatment- Herbs Shi Quan Da Bu Tang Jia Jian
Increases white blood cell Er Xian Tang
Tonifies KD yang, tonifies yin, nourish jing/essence, regulates chong/ren
Xiao Yao San Resolve Phlegm/lumps, dredge LV
channel, Regulate Qi, Xiang Sha Liu Jun Zi Tang Jia Jian
Tonify SP, Resolve phlegm/lumps, soften hardness
Liu Wei Di Huang Wan Harmonize Chong/Ren, Tonify KD,
Nourish LV Tao Hong Si Wu Tang Jin Yin Hua Cao
Tang Jia Jian Blood stasis, Clear heat, relieve
Toxicity, dissipate lumps
Benign Ovarian Cysts
Benign Ovarian CystsDefined as: Fluid-filled sacs or pockets within or on the surface of an ovary that are greater than 2cm in diameter.
Odds that your female patients will develop ovarian cysts?
Premenopausal women:
Postmenopausal women:
97%
14%
Primary complaints/symptoms: Lower abdominal pain, heaviness, painful or difficult sexual intercourse, and abnormal menstrual bleeding. Even after resolution, recurrence is common.
Benign Ovarian Cysts
TypesFunctional CystsOccur during the the menstrual cycle
as a result of hormone imbalance during the cycle. Possible complications: rupture, hemorrhage, twisting of the ovary due to weight and size of cyst leading to lack of blood supply and eventual tissue necrosis.
Abnormal CystsAre the result of abnormal cell growth…
Benign Ovarian Cysts
Types (cont’d)
Abnormal CystsOccur from abnormal cell growth
rather than during the course of the menstrual cycle. While functional cysts may resolve without intervention, these will not.
Cystadenoma
Endometrial/chocolate Cyst
Dermoid/teratoma Cyst
Benign Ovarian Cysts
Herbal TCM Treatment
Soften MassesFor all cysts which form abdominal masses, soften the masses. Softening herbs can be added to all representative formulas below. These herbs include, but are not limited to: Yi yi ren, hai zao, gui ban, wa leng zi, xia ku cao, kun bu, etc.
Liver Qi StagnationChai Hu Shu Gan San
or Xiao Yao San
Qi and Blood StagnationJin Ling Zi San + Shi Xiao San,
Da Qi Qi Tang
Blood StasisGe Xia Zhu Yu Tang, modified with san leng, ze lan and/or e zhu.
Qi Xu and Blood StasisBa Zhen Tang, modified with to include blood stasis and soften masses herbs
Kidney Yang Xu + damp/phlegmYu She Wen Bu Fang
Endometriosis
Symptoms Chronic Pelvic Pain Dysmenorrhea Irregular Menses Dyspareunia GI problems Bladder problems Lumbago Infertility Allergies Fatigue
Theory Sampson’s retrograde
theory Coelomic metaplasia:
peritoneal tissue “transforms”
Inflammation Iatrogenic origin Environmental toxins Lymphatics Hypo & hyper immune
function. Genetic factors Abdominal wall/pelvic
floor dysfunction
BiomedicineEndometriosis is a complicated disease that affects an estimated 6 million women and girls in the US. Defined by the presence of endometrial cells outside of the uterus.
Biomedicine
Diagnosis Hormone tests MRI Hysteroscopy Laparoscopy Reproductive Immunophenol
Panel (RIT)
Treatment Drugs: Danazol, Aromatase
Inhibitor, Birth Control Surgery: salpingo-
oopherectomy Pregnancy
Prevention Health screening (Family
history)
TCMIn TCM signs and symptoms are a combination of disease categories
within Chinese medicine Theory Surgery creates xue yu and yu
xue 7 Emotions: anger, mania,
pensiveness, grief & sadness, fear & fright
Cold Uterus
Diagnosis Qi Yu Xue Yu Yu Xue Re (Li; LV, HT, ST) Xu (SP, KI, LV Xue, HT Xue)
TCM
Treatment Acupuncture Herbal Formulas o Shao Fu Zhu Yu Tang Drive Out
Stasis in the Mansion of Blood Decoction
o Jia Wei Xiao Yao San Augmented Rambling Powder
o Tao He Cheng Qi Tang Peach Pit Decoction to Order the Qi
o Gui Shen Wan Restoring the Kidneys Decoction
o Gui Pi Tang Return the Spleen Decoction
Prevention Lifestyleo Dieto Exerciseo Stress Reductiono Meditation
AmenorrheaAmenorrhea
BiomedicineBiomedicine Primary AmenorrheaPrimary Amenorrhea absence of menstruation without absence of menstruation without
previously established cycles previously established cycles
CausesCauses Chromosomal AbnormalitiesChromosomal Abnormalities Hypothalamus ProblemsHypothalamus Problems Pituitary DiseasePituitary Disease HyperandrogenismHyperandrogenism Lack of reproductive organsLack of reproductive organs Structural vagina abnormalityStructural vagina abnormality HypothyroidismHypothyroidism
TreatmentTreatment SurgerySurgery Hormone ReplacementHormone Replacement
Secondary AmenorrheaSecondary Amenorrhea absence of menses for six months after the start of menarcheabsence of menses for six months after the start of menarche
CausesCauses PregnancyPregnancy ContraceptivesContraceptives Breast-FeedingBreast-Feeding StressStress Hormonal ImbalanceHormonal Imbalance Low body weightLow body weight Excess ExerciseExcess Exercise Thyroid diseaseThyroid disease Pituitary tumorPituitary tumor Uterine ScarringUterine Scarring Primary Ovarian InsufficiencyPrimary Ovarian Insufficiency
TreatmentTreatment Stress ReductionStress Reduction Dietary and lifestyle changesDietary and lifestyle changes Hormone ReplacementHormone Replacement
Traditional Chinese MedicineTraditional Chinese Medicine
DiagnosisDiagnosis1.1. Liver Blood DeficiencyLiver Blood Deficiency
2.2. Spleen and Kidney Yang Spleen and Kidney Yang DeficiencyDeficiency
3.3. Liver and Kidney Yin DeficiencyLiver and Kidney Yin Deficiency
4.4. Lung Yin and Blood DeficiencyLung Yin and Blood Deficiency
5.5. Heart and Kidney Yin DeficiencyHeart and Kidney Yin Deficiency
6.6. Heart and Spleen Blood Heart and Spleen Blood DeficiencyDeficiency
7.7. Stagnation of Qi and BloodStagnation of Qi and Blood
8.8. Damp Phlegm in uterusDamp Phlegm in uterus
Herbal TreatmentHerbal Treatment
1.1. Ba Zhen TangBa Zhen Tang
2.2. Fu Ke Zhu Xian DanFu Ke Zhu Xian Dan
3.3. Zuo Gui Yin plus Si Wu TangZuo Gui Yin plus Si Wu Tang
4.4. Bai He Gui Jin Tang variationBai He Gui Jin Tang variation
5.5. Tian Wang Bu Xin DanTian Wang Bu Xin Dan
6.6. Gui Pi TangGui Pi Tang
7.7. Tao Hong Si Wu TangTao Hong Si Wu Tang
8.8. Cang Fu Dao Tan Wan plusCang Fu Dao Tan Wan plus
Fo Shou San variationFo Shou San variation