What should be treated in a case with hot flushes and anxiety after a hysterectomy?

In a case of hot flushes and anxiety following a hysterectomy, the focus is on addressing hormonal imbalance and the resulting symptoms. The Penetrating vessel, also known as the Chong Mai, plays a critical role in regulating the menstrual cycle, nourishing the blood, and affecting various physiological and emotional states. After the loss of the uterus and associated hormonal changes due to a hysterectomy, the balance between Yin and Yang can be disrupted, often leading to symptoms such as hot flushes and anxiety.

The Penetrating vessel is closely tied to the promotion of blood flow and the circulation of Qi throughout the reproductive system, making it essential in managing symptoms arising from changes in hormonal levels. By treating this vessel, practitioners can enhance the overall regulation of the body's fluids and emotional well-being, supporting Shi, which translates to the natural state of health.

While the Directing vessel, Yin Linking vessel, and Girdle vessel have their roles in the meridian system, they are not as directly involved in managing the specific symptoms arising from the hormonal changes experienced after a hysterectomy as the Penetrating vessel is. Thus, focusing on the Penetrating vessel allows for better alleviation of the distressing symptoms linked to both physical and emotional health