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