Hot flushes

Hot flushes, also known as flushing, are common in menopause or pre-menopause. They are often accompanied by sweating and heart palpitations. In most cases, they start on the face or chest and spread to the whole body. Some people can see obvious facial flushing when they attack. Each seizure can last for 20-30 minutes, and the number of seizures is variable. It can occur several times a week, several times a day, or even every hour. Weather and ambient temperature can aggravate the onset of hot flashes. Traditional Chinese medicine generally believes that pathogenesis is caused by yin deficiency, damp heat, and excessive gastrointestinal heat.

Cause

There are three causes of hot flashes: due to insufficient kidney yin in the year of seven or seven, declining natural decay, yin deficiency in the body, worrying and insomnia, aggravating the dark consumption of the camp, the yin cannot maintain the yang, the deficiency of the yang is overwhelming, and it becomes "yin deficiency, hot flashes and night sweats" "; Because of the usual improper diet, the spleen yang is deficient, and the yang qi is blocked by damp pathogens. It can be seen that there is a fever in the afternoon, and the hair is "damp and warm hot flashes"; due to unclean diet, the heat damages the Yangming, and the lower colon is in the intestines. It can also have a fever every afternoon, which is called Yangming's "Sunset Hot Flush".

Hot flashes and sweating are characteristic symptoms of menopause. Modern medicine believes that it is caused by abnormal vasomotor function caused by estrogen fluctuations in the body. Some patients may be accompanied by actual body temperature changes.

Clinical manifestations

Different syndrome types are accompanied by different systemic symptoms and tongue pulses. Yin deficiency type may be accompanied by menstrual disorders, excessive or less volume, red color, dizziness and tinnitus, five upset and hot, sore waist and knees, red tongue, less coating, and thin pulse; damp-heat type may be accompanied by excessive menstrual flow, irregular cycles, and belt Heavy intake, dullness, loose stools, white and greasy tongue coating, pulse count; Excessive gastrointestinal heat may be accompanied by thirst, upset, abdominal distension, constipation, thick yellow coating, and pulse count.

Hot flashes are a common symptom of menopause and premenopause and can appear several years before menopause. The dryness and heat usually feel at the same time as sweating and palpitations and lasts for 20-30 minutes. The feeling of dryness and heat mostly starts in the face or chest, and may also start in other parts such as the back of the neck, and quickly spread throughout the body. Some patients consciously accompany the symptoms of syncope.

Some patients have obvious flushing on their faces. Hot flashes can occur several times a day, several times a week, or once every few minutes.

There are also menopausal women who have never experienced hot flashes. Most women have mild hot flashes during menopause, and severe patients have dozens of episodes a day. Natural temperature changes and environmental temperature changes can exacerbate the symptoms of hot flashes.

A severe craze is usually accompanied by insomnia, which can affect mood and cause mental health problems. Some women only experience hot flashes and night sweats at night, but not during the day.

Treatment based on syndrome differentiation

1. Chinese medicine treatment

(1) Yin deficiency type Nourishes the kidney and nourishes the yin, communicates the heart and kidney. Recipe: Zhibai Dihuang Pills and Ganmai Dazao Decoction or Zhibai Dihuang Pills and Tianwang Buxin Pill.

(2) Damp-heat type: Invigorate the spleen and promote dampness to reduce fever. Recipe: Shenling Baizhu San plus flavor.

(3) Real heat type, clearing heat and removing heat from organs. Recipe: Modified Xiaoxiaochengqi Decoction.

2. Diet

Patients with hot flashes and sweating are advised to eat cool, yin-nourishing fruits such as watermelon, pear, orange, orange, banana, apple, persimmon, loofah, lily, tomato, fresh lotus root, white fungus, lotus seed, soft-shelled turtle, etc. Do not eat spicy, stimulating, hot products.

3. Acupuncture

Point selection: Hegu, Yinlingquan, Jianshi, Sanyinjiao, Guanyuan, according to the type of syndrome.

Reference:

Zhang Qilong, Hou Yijun, Qi Qinghua, et al. Variation of Kuroshio heat transport in the East China Sea and anomalies of meridional winds. "CNKI; WanFang", 2008

Chen Yaqiong, Lu Xiaofeng, Huang Yanhong, etc. Changes in plasma levels of serotonin precursors and metabolites in postmenopausal women with hot flashes. "Chinese Journal of Obstetrics and Gynecology", 2002

Sun Hong, Xue Dong, Gao Fei, Ouyang Tao, etc. Clinical study on the Chinese medicine Shugan Liangxue Decoction to improve hot flashes in breast cancer patients. "CNKI; WanFang", 2009

Luo Xiaomei, Xie Shouzhen, Chen Yaqiong. Pathogenesis of perimenopausal hot flashes. "CNKI", 2008

Zhang Qiaoli, Li Fen, Yu Ying. Current status and progress of research on hot flashes in menopausal women. "CNKI", 2009

潮热 潮熱

潮热又名潮红，常见于更年期或者更年前期，常伴出汗及心悸而出现的燥热症状，多数情况下，由面部或者胸部开始，蔓延至全身，有人发作时可见到面部明显潮红。每次发作可持续20～30分钟，发作次数不定，可一周出现几次，也可一天出现几次，甚至每个小时都出现。天气和环境温度可加重潮热的发作。中医一般认为病机为阴虚、湿热、胃肠实热而引起。