Tiffany Chiu
Cat Calhoun
George Tabares
Leah Shadwick
Breast Cancer: Abnormal cells in the breast
 Risk Factors
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Heredity
Lifestyle
Obesity
Child bearing before age 20 or
after 35
 Environmental
 Increased Estrogen
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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
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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 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%
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
Types (cont’d)
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.
Cystadenoma
Dermoid/teratoma Cyst
Benign Ovarian Cysts
Endometrial/chocolate
Cyst
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
Chai Hu Shu Gan San
Stagnation
or Xiao Yao San
Qi and Blood Stagnation
Jin Ling Zi San + Shi Xiao San,
Da Qi Qi Tang
Qi Xu and Blood Stasis
Ba Zhen Tang, modified with to include
blood stasis and soften masses herbs
Kidney Yang Xu +
damp/phlegm
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
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.
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
Biomedicine
Diagnosis
 Hormone tests
 MRI
 Hysteroscopy
 Laparoscopy
 Reproductive Immunophenol
Panel (RIT)
Treatment
 Drugs: Danazol, Aromatase
Inhibitor, Birth Control
 Surgery: salpingooopherectomy
 Pregnancy
Prevention
 Health screening (Family
history)
TCM
In 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
 Lifestyle
o Diet
o Exercise
o Stress Reduction
o Meditation
Amenorrhea
Primary Amenorrhea
Biomedicine
absence of menstruation without previously
established cycles
Causes
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Chromosomal Abnormalities
Hypothalamus Problems
Pituitary Disease
Hyperandrogenism
Lack of reproductive organs
Structural vagina abnormality
Hypothyroidism
Secondary Amenorrhea
absence of menses for six months after
the start of menarche
Causes
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Treatment
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Surgery
Hormone Replacement
Pregnancy
Contraceptives
Breast-Feeding
Stress
Hormonal Imbalance
Low body weight
Excess Exercise
Thyroid disease
Pituitary tumor
Uterine Scarring
Primary Ovarian Insufficiency
Treatment
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Stress Reduction
Dietary and lifestyle changes
Hormone Replacement
Traditional Chinese Medicine
Diagnosis
1.
2.
3.
4.
5.
6.
7.
8.
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
1.
Ba Zhen Tang
2.
Fu Ke Zhu Xian Dan
3.
Zuo Gui Yin plus Si Wu Tang
4.
Bai He Gui Jin Tang variation
5.
Tian Wang Bu Xin Dan
6.
Gui Pi Tang
7.
Tao Hong Si Wu Tang
8.
Cang Fu Dao Tan Wan plus
Fo Shou San variation