Free Menopausal Transition Talk

Here is a LINK to a free one-hour talk I gave on Medigogy.com. It brings you to the ProD Seminars website where I have a 5-hour talk for purchase, which is more for acupuncturists and practitioners of Chinese Medicine. You have to scroll down the page just a bit. So, if you like to hear me talk and want to know more of what’s going on in my mind when treating menopausal transition patients, here is your chance. Enjoy!

The Hot Flash: Mayo Clinic

Here is a an excellent video about how acupuncture can help alleviate hot flashes from our own Mayo Clinic!

Effective Treatment Protocols

• Understand your patient!
• Understand the symptoms!
• Understand the severity!
• Understand the effectiveness of your treatments!
“50% – 20% – 20% – 10%” Rule
• 50%: Patients will naturally respond to acupuncture treatments with full efficacy results.
• 20%: Patients will respond slower and more gradual and will need acupuncture prescription modifications.
• 20%: Patients will need long treatment courses, herbs, and lifestyle changes.
• 10%: Patients will not respond to Chinese medicine.

“Mild – Moderate – Severe” Rule
1.) Quantity: based on severity and duration of symptoms:
• Mild Conditions: (3-6 Tx).
• Moderate Conditions: (6-12 Tx).
• Severe Conditions: (12-24+ Tx).
• Short Duration/Acute Conditions: (3-12 Tx).
• Long Duration/Chronic Conditions: (12-24+ Tx).
2.) Frequency: based on severity and duration of symptoms:
• Mild Conditions: (1 Tx/wk).
• Moderate Conditions: (1-2 Tx/wk).
• Severe Conditions: (2 Tx/wk).
• Short Duration/Acute Conditions: (2 Tx/wk).
• Long Duration/Chronic Conditions: (1 Tx/wk).
3.) Every individual person is different.
• Every individual will respond uniquely to acupuncture based on your particular lifestyle, diet, exercise, work, and sleep habits.
• Emotional, environmental and genetic factors will also play a role and are a necessary consideration.

Treatment Schedule
1.) Set up acupuncture protocol based on diagnosis.
2.) Give the patient a predetermined set amount of treatments based on severity.
3.) Continue treatments if there are changes in: Severity, Duration, or Frequency of symptoms.
4.) If there are no changes, modify acupuncture prescription and repeat.
5.) Once the patient’s symptoms are manageable and controlled (within quality of life parameters), start spacing out the treatments or start maintenance treatments.
6.) If there are no changes after set amount of treatments, add herbal prescriptions and suggest lifestyle modifications.

“Constant changing of […]

The Hot Flash: How I Treat Menopausal Transition in the Clinic

This information is interesting and valuable for both acupuncturists and for the general public.

Dr. Grosam’s free one-hour lecture on perimenopause diagnosis and treatment strategies.

 

Review of Treating Hot Flashes with Acupuncture

This recent meta-analysis based on clinical research on the effects of acupuncture in treating hot flashes is right on par with my clinical research. Safe, cost effective, and no drugs. Enjoy!

Brian

Insight into the Treatment of Headaches During Perimenopause

I have successfully treated several dozen women for symptoms, including headaches, associated with perimenopause and here is my approach, ideas and suggestions. Headaches, in some circles of medical study, are considered a common symptom of perimenopause. Take, for instance, a common rating scale: the Blatt-Kupperman Index. This scale rates the severity of symptoms of the climacteric patient and includes headache as one of its weighted categories. On the contrary and based on my clinical research, I find that headaches should not be considered a common perimenopausal symptom. The reason being, commonly the sufferer has already had a history of headaches and often times it has been a chronic problem that started much earlier than perimenopause. If it were based on percentage, then according to my research, we would also have to include so many other common symptoms that the list would be endless. I suggest strictly using the signs of headache as a necessary diagnostic tool to confirm the TCM pattern of the patient. By questioning the patient about their headaches, the time of onset, duration and location, etc. it can give us a better and more accurate diagnosis of the true disharmony. So, with this in mind, I do not specifically focus my treatment on relieving the headaches, rather my focus is on the complete pattern. This allows the treatment of all of the indications simultaneously, including the headaches.

I have found a successful and eloquent acupuncture point prescription for the treatment of the common symptoms associated with perimenopause, which can also easily treat common patterns of headaches during this time. The following: RN4 (Guan Yuan), KI3 (Tai Xi), LI4 (He Gu), LR3 (Tai Chong), DU20 (Bai Hui), PC6 (Nei Guan), HT7 (Shen Men), […]

Hot Flashes: Are Drugs Worth It?

The FDA approved a new drug called “Brisdelle” in 2013 for the treatment of hot flashes. I was excited to read all about this new therapy since treating perimenoausal symptoms is, after all, my specialty.

I was optimistic to learn all about a new breakthrough and that researchers finally figured out a way to regulate the body temperature to stop hot flashes. I wondered if researchers discovered how to regulate the hormone disruption during perimenopause, or possibly how to control the hypothalamic-pituitary-ovarian access to balance body thermoregulation.

Often times, new research in western medicine can give Chinese medicine practitioners, like myself, vital clues and new insight on ways of thinking about disease and how to improve our own treatments. I was hoping to learn from the actions of this new drug therapy and maybe I could find someway to reproduce the effects with acupuncture and Chinese herbal medicine.

What I discovered about the new pharmaceutical therapy was that it was not a new drug and it was not a new scientific breakthrough, but only the utilization and essentially rebranding of an already established drug… a depression drug.

The drug approved for the treatment of hot flashes is Paroxetine, a selective serotonin reuptake inhibitor (SSRI) that goes by the popular name Paxil. If you are not familiar with this drug, it is a drug primarily used to treat depression. http://www.fda.gov/newsevents/newsroom/pressannouncements/ucm359030.htm To say the least, I was very disappointed to find out that the new therapy of choice for treating menopausal women is to prescribe anti-depressants.

The main reason behind searching for new and innovative ways to treat hot flashes is because the standard traditional hormone replacement therapy (HRT) has potential cancer risks. But how is an anti-depressant any better? Have […]

The Hot Flash: Treating Menopause with Acupuncture and Chinese Herbs in Hopkins and Minnetonka

Herbs to Treat Perimenopause
Dr. Brian Grosam, Ph.D., TCMD, L.Ac.
In Chinese medicine, the most common treatment for perimenopause is to harmonize the energetics of the heart and kidney organs. To illustrate this disharmony, the kidney water naturally rises to cool the heart fire, while the heart fire descends to warm the kidney. This is a yin-yang relationship. As everyone grows older, the kidney energy naturally declines. In many cases, and often seen in women, the kidneys will be unable to cool the heart, thus leading to exhuberant fire. This fire causes many common symptoms such as hot flashes, night sweats, insomnia and anxiety. This doesn’t mean that all one needs to do is drink more water. It means that we need to deeply nourish the kidney water (yin), and once it is sufficient it will then naturally flow back upwards, like a spring from the ground, to quell the heart fire (yang). This can easily be done with Chinese herbal therapy. One common formula is called Zhi Bai Di Huang Wan (Six Ingredient Anemarrhena Phellodendron & Rehmannia Pill). Also, the patient should eat more root vegetables and beans, which nourish the kidneys, and eat cooling foods like green leafy vegetables or celery to cool the heart. Drinking Suan Zao Ren (Zizyphus or Sour-Date) tea or Ling Zhi (Reishi Mushroom) tea will help calm the spirit and improve sleep. However, the herbal formula Zhi Bai Di Huang Wan will often give the fastest results for the hot flashes or feverish sensations.

Common challenges faced in the clinic are not only due to a natural decline in the body, but also due to our own control over emotional and dietary habits. Emotions such as stress, irritability, anger, sadness […]

Minnetonka Doctor of Acupuncture: Clinical Research for Hot Flashes

Many of you have asked over the past several years for me to post my clinical research on the effects of acupuncture on treating perimenopausal symptoms.

This is my doctoral clinical research from 2008-2009 for everyone to read and view: Perimenopause Clinical Research This is where it all started!

This is only the tip of the iceberg, but still a decent amount of useful and interesting information for both the public, patients, and my fellow colleagues. Enjoy!

Dr. Brian Grosam
(This is a modified scientific abstract with additional notes and commentary for the general public. The complete dissertation has not been translated into English and is in the national medical archives in China.)

The Hot Flash: Treating Hot Flashes By Blocking Nerve Signals In the Neck

“The Hot Flash” is written and produced by Dr. Brian Grosam. Dr. Grosam holds a Ph.D. in Acupuncture and is a leading specialist in treating hot flashes and perimenopausal symptoms. He resides in Minnetonka, Minnesota and owns and operates Sun Acupuncture, an acupuncture, Chinese medicine, and tuina-shiatsu clinic located in Hopkins, Minnesota.
As many of you know, I have conducted extensive acupuncture and Chinese herbal research in the area of hot flashes. I try to keep current with the latest research and am always looking for new theories and effective treatment options from other practitioners and researchers. By looking within and outside my own modality, I can find new and useful ideas to learn from. Here is my latest commentary, I hope you enjoy! -Dr. Brian Grosam

I ran across some recent press I found quite interesting regarding the treatment of hot flashes. The research, conducted by Northwestern Memorial Hospital studied the effects of a nerve block injection to stop severe hot flashes. I found a few interesting connections to acupuncture in this research. Here is a link to the article:

http://medicalxpress.com/news/2013-10-neck-ease-tough-to-bear-hot.html#inlRlv

Right of the bat, we understand the researchers are using a shot, but a shot of what? It’s an anesthetic by the name of bupivacaine hydrochloride, which is commonly used as a “nerve block.” A nerve block does just what it says, it blocks the nerve signals thus disrupting the pain signals. It is commonly used as a local anesthesia for oral surgery, baby delivery, etc. But, anesthesia does carry its own risk potentials. So, I wonder right away, is the reward worth the risk? Here is a link to the side-effects:

http://www.nhs.uk/medicine-guides/pages/MedicineSideEffects.aspx?condition=Local%20anaesthesia&medicine=Bupivacaine%20hydrochloride

The injection is into the stellate nerve ganglion located deep within the neck. It has the […]