Ovarian+Cyst


 * IBIS:**

**Definition:**
A cyst on an ovary. When associated with with other disorders of the hypothalamic-pituitary-ovarian axis, and many cysts are present, it is termed Polycystic Ovary Syndrome (aka Stein-Leventhal Syndrome).

**Etiology:**
Ovarian cysts may be due to endometriosis, follicular or corpus luteum cysts, malignancy, or dermoid cysts.

In Polycystic Ovary Syndrome, follicular cysts develop as a result of pituitary overproduction of LH to try to initiate ovulation.

**Botanicals**
• Apis mellifera (toxic): ovarian congestion and inflammation; genital puffiness, itching and a sense of fullness, right-sided ovary pain (Felter, p. 193; Sherman) • Citrullus colocynthis (toxic): ovarian cyst with pain (Mitchell, p. 56) • Dioscorea villosa: spasmolytic, ovarian pain (Heron) • Mitchella repens: improves pelvic circulation and relieves congestion and irritation of pelvic organs (Heron)

==**Chinese Formulae** == • Cinnamon and Hoelen F. (Gui Zhi Fu Ling Wan); Fu Ke Zhong Zi Wan (patent): Xue Yu (Blood Stasis): immobile masses in the lower abdomen with pain and tenderness, choppy pulse (Cinnamon and Hoelen: Hsu, 1980, p. 423; Yeung, p. 113; Bensky and Barolet, p. 322; Fu Ke Zhong Zi Wan: Zhu, p. 253) • Blue Citrus (patent) (Dharmananda, 1990, p. 38) • Chih-ko and Curcuma (patent): all types of tumors (Dharmananda, 1990, p. 41) • Cinnamon and Rehmannia (patent) (Dharmananda, 1992, p. 81)

==**Acupuncture** == after assessing the person and palpating, consider these patterns: Xue Yu (Blood Stasis); Liver Xu (Deficiency); dysfunction of the Dai Mai (Girdle Vessel)

» therapeutic note: see also "menorrhagia", "hirsutism", "infertility", etc.

» illustrative combinations: • GB-41 and TW-5: open the Dai Mai (Girdle Vessel) for which unilateral problems of the ovaries, in general, and ovarian cysts, in particular, are a symptom of dysfunction • Sp-4 and PC-6: open the Chong Mai (Penetrating Vessel) for which reproductive problems are a symptom of dysfunction • UB-62 and SI-3: open the Yang Qiao Mai (Yang Motility Vessel) which transports Yang and for which gynecological problems are a Xu (Deficiency) symptom • Kd-6 and Lu-7: open the Yin Qiao Mai (Yin Motility Vessel) which transports Yin and for which gynecological problems are a Shi (Excess) symptom • (1) needle LI-4; (2) needle Sp-9, Sp-6, Lv-1 and Sp-10; (3) three cones of direct moxa, sesame seed size, to Lv-1, and seven cones of direct moxa, one-half rice grain size, to tu yin; (4) needle St-25 and St-29; (5) indirect moxa to St-29 and painful area - for inflammation of the ovaries (So, 1987, p. 214) • Kd-13, UB-67, Kd-7, GB-37, Sp-6, Kd-2, GV-4 and Lv-3: influence the ovaries (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258) • CV-15, CV-16, CV-19, Kd-13, Sp-6, Kd-11, UB-47/52, GB-37, GB-5, UB-60 and CV-10: influence the pituitary (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258) • CV-3 and Sp-6: regulate the Qi function of the Lower Warmer and the function of the genital organs - Sp-6 sends Qi up; CV-3 sends it deep (Finkelstein, p. 84)

==**Homeopathy** == • Apis mellifica: stinging pains after intercourse < right side; sharp, cutting stinging pain; < during menstruation • Bovista: soreness between labia and thighs; every few days some blood between menses; after midnight painful urging towards genitals, with heaviness in small of back > next morning by a bloody discharge • Cantharis: tenderness and burning in ovarian region; dysuria, cutting, burning in passing only a drop of urine • Folliculinum: history of birth control pills and/or estrogen replacement therapy, esp. bad reaction, i.e., estrogen poisoning; tendency to put others' needs before her own, and then become resentful later; woman has lost touch with her own inner rhythms and her reference has become external rather than internal; often best used in a single dose, or repeated every two weeks, possibly at new and full moons • Iodium: bearing-down pain, induration and enlargement; pressing, dull, wedge-like pain from right ovary to uterus; right ovary very sensitive during or after menses • Kali bichromicum: pain, swelling, tenderness of left ovary; decreased sexual desire • Oophorinum: nervousness; skin problems • Prunus spinosa: tickling, itching in region of ovaries not > by scratching • Thuja occidentalis: cutting squeezing, shooting pains in region of left ovary

==**Subtle Support** == • notes: A#, D#, E, F, G

• chords: C minor, D# minor (Gimbel, p. 116)

==**Mind/Body** == • Patient may be assuming that their parents wanted a boy instead of a girl, in cases of polycystic ovaries. (Rossi and Cheek, p. 296) • Ovaries represent points of creation; creativity. (Hay, 1984, p. 178) • Female problems represent a rejection of the feminine principle; denial of the self; rejecting femininity. (Hay, 1984, p. 165) • Cysts represent nursing a hurt from a partner; a blow to the feminine ego. (Hay, 1984, p. 164)

• Kidney ~ Shen stores Jing (Essence) and governs birth, growth, reproduction, development, and aging; houses the Zhi (Will); expresses ambition and focus; provides the nourishing and stabilizing qualities of Yin and Water that balance the Yang and the Fiery qualities; produces the Marrow which generates the spinal cord, "fills up" the brain, and possibly manifests through the immune system; carries the constitutional endowment from the parents; manifests through the reproductive function, particularly the internal aspects of the reproductive organs, and governs the process of passing on life to offspring; and displays the effects of sexual dissipation, overwork, aging, chronic degenerative processes, and extreme stress. » Healthy expressions are gentleness, groundedness, and endurance. » Kidney Xu (Deficiency) signs include indecisiveness; confused speech; dreams of trees submerged under water; cold feet and legs; abundant sweating (Seem, p. 28); fearfulness; apathy; chronic fatigue; discouragement; scatteredness; lack of will; negativity; impatience; difficult inhalation; low sex drive; lumbago; sciatica; and musculoskeletal irritation and inflammation, especially when worse from touch. » Intense or prolonged fear depletes the Kidney. Overwork, parenting, simple aging, and a sedentary or excessively indulgent lifestyle all contribute significantly to Kidney Xu (Deficiency).
 * Chinese psychophysiology:**

• Liver ~ Gan is the home of the Hun (Ethereal Soul); it relates to decisiveness, control, and the principle of emergence; stores and cleanses the Xue (Blood); maintains smooth flow of Qi and Xue (Blood); controls the muscles, ligaments, and tendons, especially the contractility of the muscles and moistening of the sinews; has an intimate relationship with the genitals and Lower Warmer; and reflects emotional harmony and movement. » Healthy expressions are kindness, spontaneity, and ease of movement. » Liver Xu (Deficiency) signs include frigidity; pain in thighs, pelvic region, and throat; ready tendency to "the blahs" (Seem, p. 28); timidity; depression; irritability; vertigo; pruritus; dry eyes, skin, and/or tendons; asthma; aching at the waist; hernia; and difficulty raising head up and down. Liver Xue Xu (Blood Deficiency) predisposes to Xue Yu (Blood Stasis). » Tumors and other masses are considered a form of Xue Yu (Blood Stasis) and thus ultimately are derived from Qi Stagnation. Liver Qi Stagnation reflects and accentuates emotional constraint as the Liver's function of facilitating smooth flow in the body is constricted. Stagnation is associated with frustration, irritability, tension, and feeling stuck. With time this pattern tends to produce a gloomy emotional state of constant resentment, repressed anger or depression, along with tightness in the chest, frequent sighing, abdominal tension or distension, and/or a feeling of a lump in the throat with difficulty in swallowing. (Maciocia, p. 216) Xue Yu (Blood Stasis) often begins with Qi Stagnation.weets or salty foods.