Menopause syndrome case history

Author

Jean Song

Patient

Female, age 55

Symptoms

Ten months since her last period, feeling disorientation, vexation, agitation and irascibility. Overwhelmed with melancholy and unease in the chest. Suffering from hot flushes, insomnia and often alarmed by nightmares; difficult defecation.

Diagnosis

Weak and slightly iregular pulse; white tongue fur, slimy at the root and red in colour.

Pattern Identification

Insufficient function of the liver and kidney; Non-interaction of the heart and kidney.

Principles of Treatment

Calm the heart and relief the depression; Loosen the chest and stabilize the mind.

Prescription 1

Shi Chang Pu (Acori Rhizoma) 4.5g
Long Chi (Mastodi Dentis Fossilia) 12g
Ci Shi ( Magnetitum) 30g
Dan Shen (Salviae Miltiorrhizae Radix) 9g
Yuen Fu Ling (Poria) 12g
Zhi Mu (Anemarrhenae Rhizoma) 9g
Huang Bai (Phellodendri) 9g
Chai Hu (Bupleuri Radix) 4.5g
Bai Shao (Paeoniae Radix Alba) 9g
Huai Xiao Mai (Tritici Semen Leve) 30g
Qing Pi (Citri Exocarpium Immaturum) 4.5g
Chen Pi (Citri Exocarpium) 4.5g
Quan Gua Lou (Trichosanthis Fructus) 12g
Bai Jin Wan (Alum and Curcuma Pill) 4.5g (swallow)

Taken as daily decoction for 7 days. Symptoms subsided immediately after taking the medication, but symptoms returned later. 17 days after the first prescription, pulse still weak and slightly irregular, white tongue
fur, thicker at the root and slightly red in colour.

Prescription 2

Shi Chang Pu ( Acori Rhizoma) 4.5g
Long Chi (Mastodi Dentis Fossilia ) 4.5g
Huai Xiao Mai ( Tritici Semen Leve) 30g
Ci Shi ( Magnetitum) 30g
Zhu Yuan Zhi ( Polygalea Radix) 4.5g
Wu Wei Zi ( Schisandrea Fructus) 2g
Dan Shen ( Salviae Miltiorrhizae Radix) 9g
Chai Hu ( Bupleuri Radix) 4.5g
Qing Pi (Citri Exocarpium Immaturum) 4.5g
Chen Pi ( Citri Exocarpium ) 4.5g
Quan Gua Lou ( Trichosanthis Fructus) 12g
Zhi Mu ( Anemarrhnae Rhizoma ) 9g
Huang Bai ( Phellodendri ) 9g
Bai Jin Wan ( Alum and Curcuma Pill ) 4.5g (swallow)

Taken as daily decoction for 7 days. 9 days after the second prescription, feeling much better, good in spirit and uninhibited stool.
Pulse still weak, with white thin tongue fur, slightly red in colour, much phlegm and
sliminess in the mouth.

Prescription 3

Stir-fried Dang Gui ( Plantaginis Herba) 9g
Dan Shen ( Salviae Miltiorrhizae Radix) 9g
Guang Yu Jin ( Curcumae Tuber Australe) 9g
Zhi Dan Nan Xing ( Arisaematis Rhizomacum FelleBovis)4.5g
Jiang Ban Xia ( Pinelliae Tuber cum Zingibere Praeparatum) 4.5g
Bai Jie Zi ( Brassicae Albae Semem) 2.5g
Chao Zhi Ke ( Aurantii Fructus) 4.5g
Chen Pi ( Citri Exocarpium) 4.5g
Shi Chang Pu ( Acori Rhizoma) 4.5 g
Long Chi ( Mastodi Dentis Fossilia) 12g
Jiang Zhu Ru ( bambusae Caulis in Taeniam) 4.5g
Huai Xiao Mai ( Tritici Semen Leve) 30g

Taken as daily decoction for 7 days

Together with Zhu Sha An Shen Wan (Cinnabar Spirit-calming pill) 60g (7 days)
Bai Jin Wan (Alum and Curcuma Pill ) 20g (7days)

Three months later the patient was in good health and had no recurring symptoms.