Women's Health Issues

1. Women's Health Issues Tiffany Chiu Cat Calhoun George Tabares Leah Shadwick

2. Breast Cancer

3. 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 Breast Cancer: Abnormal cells in the breast

4. 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 Biomedicine

5. 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 Traditional Chinese Medicine

6. Benign Ovarian Cysts

7. Benign Ovarian Cysts Defined as: Fluid-filled sacs or pockets within or on the surface of an ovary that are greater than 2cm in diameter. Primary complaints/symptoms: Lower abdominal pain, heaviness, painful or difficult sexual intercourse, and abnormal menstrual bleeding. Even after resolution, recurrence is common. Odds that your female patients will develop ovarian cysts? Premenopausal women: 97% Postmenopausal women: 14%

8. Types Functional Cysts Occur 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 Cysts Are the result of abnormal cell growth… Benign Ovarian Cysts

9. Types (cont’d) Cystadenoma Dermoid/teratoma Cyst Endometrial/chocolate Cyst Abnormal Cysts Occur from abnormal cell growth rather than during the course of the menstrual cycle. While functional cysts may resolve without intervention, these will not. Benign Ovarian Cysts

10. Herbal TCM Treatment Soften Masses For 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 Stagnation Qi Xu and Blood Stasis Chai Hu Shu Gan San or Xiao Yao San Ba Zhen Tang, modified with to include blood stasis and soften masses herbs Qi and Blood Stagnation Kidney Yang Xu + damp/phlegm Jin Ling Zi San + Shi Xiao San, Da Qi Qi Tang Yu She Wen Bu Fang Blood Stasis Ge Xia Zhu Yu Tang, modified with san leng, ze lan and/or e zhu. Benign Ovarian Cysts

11. Endometriosis

12. 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 Endometriosis Biomedicine Endometriosis 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.

13. 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) Biomedicine

14. 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) TCMIn TCM signs and symptoms are a combination of disease categories within Chinese medicine

15. Treatment Acupuncture Herbal Formulas Shao Fu Zhu Yu Tang Drive Out Stasis in the Mansion of Blood Decoction Jia Wei Xiao Yao San Augmented Rambling Powder Tao He Cheng Qi Tang Peach Pit Decoction to Order the Qi Gui Shen Wan Restoring the Kidneys Decoction Gui Pi Tang Return the Spleen Decoction Prevention Lifestyle Diet Exercise Stress Reduction Meditation TCM

16. Amenorrhea

17. Primary Amenorrhea absence of menstruation without previously established cycles Causes Chromosomal Abnormalities Hypothalamus Problems Pituitary Disease Hyperandrogenism Lack of reproductive organs Structural vagina abnormality Hypothyroidism Treatment Surgery Hormone Replacement Secondary Amenorrhea absence of menses for six months after the start of menarche Causes Pregnancy Contraceptives Breast-Feeding Stress Hormonal Imbalance Low body weight Excess Exercise Thyroid disease Pituitary tumor Uterine Scarring Primary Ovarian Insufficiency Treatment Stress Reduction Dietary and lifestyle changes Hormone Replacement Biomedicine

18. Diagnosis Liver Blood Deficiency Spleen and Kidney Yang Deficiency Liver and Kidney Yin Deficiency Lung Yin and Blood Deficiency Heart and Kidney Yin Deficiency Heart and Spleen Blood Deficiency Stagnation of Qi and Blood Damp Phlegm in uterus Herbal Treatment Ba Zhen Tang Fu Ke Zhu Xian Dan Zuo Gui Yin plus Si Wu Tang Bai He Gui Jin Tang variation Tian Wang Bu Xin Dan Gui Pi Tang Tao Hong Si Wu Tang Cang Fu Dao Tan Wan plus Fo Shou San variation Traditional Chinese Medicine