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10 questions Flashcards

1
Q

10 questions (one hot day)

A
  1. hot/cold
  2. sweat
  3. thirst
  4. urination
  5. bowels/digestion
  6. ribs/abdomen
  7. head/face ENT
  8. pain
  9. sleep
  10. gyn/sexual function
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2
Q

EXTERIOR

HOT/COLD

A

acute

rapid onset

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3
Q

INTERIOR

HOT/COLD

A

chronic

gradual onset

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4
Q

HOT

HOT/COLD

A

fever/chills

  • fever predominant: WIND HEAT
  • fever only: INTERIOR HEAT (can be EXCESS/VACUOUS)
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5
Q

INTERIOR HEAT EXCESS

HOT/COLD

A

INTERIOR HEAT - EXCESS:

  • big thirst (gulps)
  • forceful (P)
  • thick/darkred (T) with yellow coat
  • 4 BIGS
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6
Q

INTERIOR HEAT VACUITY

HOT/COLD

A

INTERIOR HEAT - VACUOUS:

  • big thirst (sips)
  • forceless (P)
  • thin/red (T) with no coat
  • NIGHTSWEATS
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7
Q

COLD

HOT/COLD

A

FEVER/CHILLS

  • chills predominant: WIND COLD
  • chills only: INTERIOR COLD (can be EXCESS/VACUOUS)
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8
Q

INTERIOR COLD EXCESS

HOT/COLD

A

INTERIOR COLD - EXCESS:

  • intense pain (worse with pressure)
  • forceful/slow (P: tight/wiry/deep/confined)
  • bluish/pale (T)
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9
Q

INTERIOR COLD VACUITY

HOT/COLD

A

INTERIOR COLD - VACUOUS:

  • cock’s crow diarrhea (yang vacuity)
  • undigested diarrhea/lethargy (SP T&T fail)
  • profuse sweating without exertion
  • forceless (P)
  • bluish/pale (T) wet/thick/swollen
  • bright white complexion
  • T&T FAILURE
  • most often overweight (obesity = yang vacuity)
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10
Q

THIRST progression

THIRST/APPETITE/TASTES

A

yin vac > heat > fire

* yin is always vacuous

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11
Q

BIG THIRST

THIRST/APPETITE/TASTES

A

drink in gulps

  • excess, interior heat
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12
Q

LITTLE THIRST

THIRST/APPETITE/TASTES

A

drink in sips

  • yin vacuity + vacuity heat
  • starting to dry, but not hot yet
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13
Q

THIRST, NO DESIRE

THIRST/APPETITE/TASTES

A

drink in sips (because it’s hot; no desire)

  • due to damp-heat (excess yin)
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14
Q

THIRST, WARM FLUIDS

THIRST/APPETITE/TASTES

A

cold (interior cold)
can be excess/vacuous

  • usually due to exterior cold invasion
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15
Q

SWEAT

A

ask about abnormal varieties:

  • sweating without exertion
  • sweating when it’s not hot outside
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16
Q

EXCESS SWEATING

SWEAT

A

excess heat
big sweat
running hot
excess yang

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17
Q

VACUOUS SWEATING - YIN

SWEAT

A

YIN VAC

  • night/tidal sweating
  • 5-centered heat
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18
Q

VACUOUS SWEATING - YANG

SWEAT

A

YANG VAC

- spontaneous/profuse sweating without exertion; worse during day

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19
Q

VACUOUS SWEATING - QI

SWEAT

A

ZHONG QI VAC

  • sweaty palms/feet (SP T&T fail)
  • damp to wet depending on SP’s vacuity

WEI QI VAC

  • leaking qi, moist
  • pores not closed
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20
Q

MIXED SWEATING

SWEAT

A

(EXCESS/VACUITY)

  • damp accumulation
  • superficially moist
  • usually excess pathology; rises from vacuity pathology
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21
Q

LACK OF SWEATING

SWEAT

A

abnormal variety
something’s blocking surface
excess cold = no sweat (block)
unsurfaced dampness

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22
Q

NORMAL BOWELS

BOWELS

A

1 to 3x daily

  • well-formed (not loose/hard; - no undigested food)
  • no blood/pus
  • not much odor
  • easily evacuated (no straining; sense of completion)
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23
Q

CONSTIPATION

BOWELS

A

less than 1x daily

  • dry bowels (due to EXCESS/VACUOUS HEAT)
  • common in yin deficient, elderly patients
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24
Q

TYPES OF CONSTIPATION

BOWELS

A
  • cold LI (excess heat; rare)
  • binding LI (damp-heat; not enough fiber)
  • LV qi stagnation (little pellets)
  • SP qi vacuity (pencil shape)
  • qi vacuity (cc is not constipation; 7-8 days; lack of energy to move bowel, although reasonable diet; just diminished peristalsis function)
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25
Q

VACUITY

BOWELS

A

exhaustion after evacuation

- downward pressure qi doesn’t hold up)

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26
Q

EXCESS

BOWELS

A

feeling better after evacuation

- damp-heat remnants; fudgy, pungent aroma

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27
Q

YANG VACUITY

BOWELS

A

pain (due to vacuity cold)

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28
Q

DIARRHEA

BOWELS

A

more than 3x daily

- loose, unformed

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29
Q

DIARRHEA - YANG VACUITY

BOWELS

A

“cock’s crow” because early morning

  • wake up at dawn with urgent need to go
  • undigested food
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30
Q

DIARRHEA - QI VACUITY

BOWELS

A

SP QI VACUITY

  • loose, not well-formed stools
  • 1 to 3x daily
  • gasy/bloaty (T&T)
  • excessive volume
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31
Q

DIARRHEA - DAMP-HEAT

BOWELS

A

LI DAMP-HEAT

  • explosive, urgent need to go
  • foul odor (due to excess heat)
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32
Q

ALTERNATING CONSTIPATION + DIARRHEA

BOWELS

A

MIXED

  • LV qi stagnation (LV/wood overacting on SP/earth)
  • LV qi weak: constipation
  • SP qi weak: diarrhea
  • diarrhea x constipation
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33
Q

FOOD POISONING

BOWELS

A

TOXIN

  • rapid onset
  • pain/cramping
  • explosive
  • foul odor
  • ACUTE
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34
Q

URINE

URINE

A

light yellow (straw/hay color)

  • 7 to 10x daily
  • no night urination
  • odorless
  • no blood
  • no pain
  • no urgency
  • no cloudiness
  • exceptions: vitamins, asparagus, morning (darker)
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35
Q

POLYURIA

URINE

A

excess urination

  • KD qi vac: leaking
  • KD essence vac: leaking
  • too many kids cause uterine prolapse
  • laughing and coughing cause leakage
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36
Q

FREQUENT URINATION: KD YANG VACUITY

URINE

A

KD yang vacuity

  • clear
  • copious
  • frequent
  • large volumes
  • BACK PAIN
  • failure of T&T
  • yang fails the holding function; also may be due to damp
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37
Q

FREQUENT URINATION: KD YIN VACUITY

URINE

A

KD yin vacuity

  • darker
  • cold
  • frequent but SCANTY
  • night time
  • BACK PAIN
  • also could be SP yang vacuity (immediate need to urinate after drinking)
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38
Q

FREQUENT URINATION: HEAT

URINE

A

typical heat patterns

  • excess
  • frequent (heat is irritating)
  • strong odor
  • dark colors
  • usually scanty
  • possible bleeding from heat
  • may be burning (UTI)
  • may be heat in L.JIAO
  • may be HT heat (HT clears through SI, connects through UB)
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39
Q

URINARY INCONTINENCE

URINE

A

loss of control over urinary functions
- more serious, problematic condition

  • KD essence and yang debility
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40
Q

ANURIA EXCESS

URINE

A

blockage of urine from

  • damp
  • damp-cold > damp-heat
  • lin syndrome: stones
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41
Q

ANURIA VACUITY

URINE

A

KD yang vacuity

  • pitting edema
  • absence of urination
42
Q

BEDWETTING CHILDREN

URINE

A

delayed UB qi
developmental issues; not pathological

  • when older and still unable to control, QI VACUITY
43
Q

QUESTIONS

THIRST/APPETITE/TASTES

A

quantity - how much
frequency - how often
processing - how well

44
Q

EXCESS ST HEAT

THIRST/APPETITE/TASTES

A

SUDDEN BIG HUNGER (spontaneous/ravenous)
- eat frequently

  • bad breath
  • mouth sores
  • reflux/GERD, belching
  • gas (if present, odor)
  • constipation (heat drying)
  • diarrhea (heat causing things to move quickly without processing)
  • ST channel facial acne
  • big red face, bright red cheeks
  • (T): red body, thick yellow coat (especially center)
  • (P): rapid, maybe surging
  • usually underweight due to fast metabolism
45
Q

DEFICIENT ST HEAT

THIRST/APPETITE/TASTES

A

CONSTANT HUNGER (grazers; hungry all the time, but nibble; can’t take large amounts)

  • sweet tooth
  • small/quite burping
  • small sips with thirst
  • (T): red body, no coat; peeled center
  • (P): rapid, forceless, thin
46
Q

LACK OF APPETITE

THIRST/APPETITE/TASTES

A

DAMP ACCUMULATION (excess over vacuity)

  • start with underlying SP xu, then internal damp with no T&T
  • NO DESIRE/APPETITE
  • can’t process well and feel full
  • eat normal amount or less, but still gain weight
  • ROTUND BODIES
  • crave sweets (carbs, alcohol, candy)
  • (T): pale, swollen (fluid accumulation), wet, greasy
  • associated with SP deficiency
47
Q

SP QI VACUITY W/O DAMP

THIRST/APPETITE/TASTES

A

NOT SO MUCH HUNGER

  • bloating
  • gas (no odor)
  • compromised T&T (not processing)
  • need nap after eating; energy goes into digestion
  • (T): thin, pale, white coat (on sides)
48
Q

TASTES

THIRST/APPETITE/TASTES

A 
LV - sour/bitter
SP - sweet/bland
LU - spicy/acrid
KD - salty
HT - bitter
49
Q

HEENT

A

headache
dizziness
hearing
vision

50
Q

EXCESS HEADACHE: BLOOD STASIS

HEENT

A

STABBING; ICE PICK

  • can point to exact spot
  • often from injury, head trauma
  • debilitating headache
  • ASK ABOUT HEAD TRAUMA
51
Q

EXCESS HEADACHE: DAMP

HEENT

A

TIGHT; VICE AROUND HEAD
- internal damp gets aggravated with external damp

  • often associated with food (cold or damp food; good diet will eliminate)
  • ask about weather patterns
52
Q

EXCESS HEADACHE: LV FIRE

HEENT

A

THROBBING/POUNDING

  • pure excess headache
  • clear heat signs (dry, red eyes; flushing)
  • angry all the time; quick to anger
  • bitter taste in mouth
  • PAIN OFTEN TEMPORAL (GB/LV)
  • PAIN SOMETIMES BEHIND EYES
  • emotional outburst
53
Q

EXCESS HEADACHE: LV YANG RISING

HEENT

A

THROBBING/POUNDING

  • excess over vacuity (yin/blood)
  • less heat signs
  • less angry, but easily frustrated
  • emotional element
  • dry eyes
54
Q

VACUITY HEADACHE

HEENT

A

dull/achy
better with rest, better with pressure
aggravated with exertion

55
Q

VACUITY HEADACHE: QI

HEENT

A

WHOLE HEAD
- worse earlier in the day (more yang than yin)

  • loose stools
  • SOB
  • other qi vacuity symptoms
56
Q

VACUITY HEADACHE: BLOOD

HEENT

A

TOP OF HEAD
- worse later in the evening and afternoon (yin time)

  • dizzy
  • poor memory
  • worse during menses
57
Q

VACUITY HEADACHE: KD ESSENCE

HEENT

A

IN THE BRAIN

  • dull and achy brain
  • worse during sex; can occur after sex (using up essence)

EEYORE S/SX

  • pale
  • spiritless
  • premature aging signs
  • craving salt
  • lack of energy
  • need to preserve energy (sleep, fix diet, exercise)
58
Q

DIZZINESS: EXCESS

HEENT

A

LV fire
LV yang rising
phlegm: often associated w/ nausea

59
Q

DIZZINESS: VACUITY

HEENT

A

KD essence/yin/yang
- lack of nourishment to the brain

BLOOD VACUITY
- orthostatic

60
Q

EAR RINGING: KD VACUITY

HEENT

A

dull, droning

incessant/constant

61
Q

EAR RINGING: LV EXCESS

HEENT

A

high pitched
quick onset; episodic

  • often emotional component
62
Q

HEARING LOSS: SLOW

HEENT

A

KD

gradual hearing loss due to aging

63
Q

HEARING LOSS: RAPID

HEENT

A

RAPID ONSET
SJ enters ears
congestion/blockage

64
Q

VISION: LV BLOOD VACUITY

HEENT

A

BLURRY
flowery/floaters
night blindness

65
Q

VISION: KD VACUITY

HEENT

A

DIMINISHED EYESIGHT

  • YIN VAC: dry version macular degeneration
  • YANG VAC: wet version macular degeneration
66
Q

LOSS OF SMELL: EXCESS

HEENT

A

FAILURE OF NOURISHMENT DUE TO BLOCKAGE

  • phlegm
  • damp accumulation
  • sinusitis is due to damp-heat
67
Q

LOSS OF SMELL: VACUITY

HEENT

A

FAILURE OF NOURISHMENT DUE TO INSUFFICIENCY

LUNG QI VACUITY

  • weak pulse (right cun)
  • regular/recurrent cold (always sick)
  • possible SOB/asthma/bronchitis
68
Q

GOOD SLEEP

SLEEP

A
  • need 8 to 9 hours
  • not waking up through the - – night (urination, nightsweat, restlessness)
  • 10pm to 6am is most optimal
  • no dreaming
  • waking refreshed
69
Q

INSOMNIA

SLEEP

A

getting 8 hours sleep doesn’t mean good sleep

  • all types will have FATIGUE due to sleep deprivation
70
Q

EXCESS INSOMNIA: LV FIRE

SLEEP

A

VIVID NIGHTMARES, DISTURBED DREAMS

  • red eyes; angry
  • waking up during night mostly because of dreams
  • (T): red sides, or red all over depending on heat quality
  • (P): rapid, surging
71
Q

EXCESS INSOMNIA: HT FIRE

SLEEP

A

VIVID DREAMS OF FLYING

  • mentally restless/agitated
  • palpitations; red face
  • waking up during night; can go back to sleep but not well-rested
  • bitter taste in mouth
  • (T): red tip, tongue sores
  • (P): rapid
72
Q

EXCESS INSOMNIA: PHLEGM HEAT

SLEEP

A

NIGHTMARISH DREAMS

  • tossing and turning
  • fair amount of nausea
  • low appetite
  • chest oppression; heaviness; tightness
  • (T): swollen, red, greasy, yellow coat
  • (P): rapid, slippery

*

73
Q

VACUITY INSOMNIA: HT/SP VACUITY

SLEEP

A

DIFFICULTY FALLING ASLEEP

  • anxiety
  • worriers
74
Q

VACUITY INSOMNIA: KD-HT DISHARMONY

SLEEP

A

TROUBLE STAYING ASLEEP; TOSS AND TURN
- wake up for 20-30min then go back to sleep

  • KD YIN VACUITY: nightsweats
  • HT HEAT
75
Q

VACUITY INSOMNIA: LV YIN + BLOOD VACUITY

SLEEP

A

WAKE UP FREQUENTLY

  • sleepwalk, sleeptalk
  • big dreamers
  • HUN cannot settle, so it wanders
76
Q

VACUITY INSOMNIA: GB VACUITY

SLEEP

A

wake up at 3am and stay up for hours

  • light sleepers
  • easily startled; timid personalities
77
Q

ACUTE SOMNOLENCE

SLEEP

A

EXTERIOR PATTERN; WEI QI

- fighting pathogens, leading to exhaustion

78
Q

CHRONIC SOMNOLENCE: YANG VACUITY

SLEEP

A

CHRONIC YANG VACUITY

  • overweight
  • may sweat with no exertion
  • fall asleep pretty much anywhere
  • not enough yang to stay awake
  • some element of damp accumulation
79
Q

CHRONIC SOMNOLENCE: DAMP

SLEEP

A

DAMP (with underlying QI VAC)

  • difficulty staying awake and alert
  • lethargy; beyond fatigue
  • T&T problem
80
Q

BODY/TRUNK QUESTIONS

A 
onset
isolated event or episodic
aggravating factors
alleviating factors
how it responds to pressure
timing of onset: rapid/gradual
location: fixed/migratory
81
Q

EXCESS PAIN

BODY/TRUNK

A

RAPID ONSET
WORSE WITH PRESSURE
stabbing pain
wake up at night

82
Q

VACUITY PAIN

BODY/TRUNK

A

GRADUAL ONSET
BETTER WITH PRESSURE, WORSE WITH EXHAUSTION
dull, achy pain; need to use heating pads
- may be KD vacuity

83
Q

BI SYNDROME PAIN

BODY/TRUNK

A

EXCESS OVER VACUITY (QI/BLOOD/WEI); always BI is present with underlying vacuity

  • heat (joint will be hot)
  • cold
  • damp (any precipitation; snow/humidity)
  • with or without WIND
  • if combined with WIND, pain is migratory
  • climactic response
84
Q

PAIN LOCATION

BODY/TRUNK

A 
ribside: LV/GB
LB/back: KD/UB
frontside (umbilicus to pubic symphysis): UB/SI
chest/thoracic: LU/HT
middle: SP/ST
shoulder: SI
85
Q

GYN/SEXFX

A

NEED TO KNOW THE ONSET OF

  • menstrual cycle
  • fertility
  • cessation of menses
86
Q

MENSES

GYN/SEXFX

A

HISTORICALLY 2 x 7

- but now earlier (10, 11) due to environmental factors

87
Q

NORMAL MENSES

GYN/SEXFX

A
  1. 5-7 days
  2. no flooding/spotting
  3. healthy red color
  4. normal viscosity (not 5. tacky/watery)
  5. no significant pain
  6. cycle 25-31 days
  7. 2x7
  8. 6x7 (peri-menopause)
  9. 7x7 (menopause)
88
Q

EARLY MENSES, <25 DAYS

GYN/SEXFX

A

SHORTENED CYCLE

HEAT

  • reckless blood
  • excess/vacuity
  • darker red, tacky

SP QI VACUITY

  • failure to hold blood in vessels
  • pale, watery (poor quality of blood)
89
Q

DELAYED MENSES, >33 DAYS

GYN/SEXFX

A

LENGTHENED CYCLE

COLD

  • dark, red
  • clotting due to lack of flow
  • excess: much more pain, worse with pressure, better with heat
  • vacuity: dull pain, better with pressure, well with heat

BLOOD STASIS

  • purple color
  • clotting due to lack of flow; size of clot tells magnitude of stasis
  • stabbing pain

BLOOD VACUITY

  • rusty quality
  • discharge-like; scanty

QI VACUITY

  • pale; copious
  • insufficient energy to move, then CAN’T HOLD
90
Q

IRREGULAR MENSES

GYN/SEXFX

A

LIVER ISSUE

LV QI STAGNATION

  • emotional stress
  • dull pain

LV QI STAG W/ BLOOD STASIS

  • even darker w/ deficient clotting
  • more pain; stabbing
  • over time, overactive LV affects SP qi

SP QI VACUITY
- semi-monthly bleeding

91
Q

IRREGULAR MENSES PATTERNS

GYN/SEXFX

A

spotting: blood vacuity
irregular/delayed: stagnation
- need to open dai mai
any blood vacuity: chong

92
Q

AMENORRHEA

GYN/SEXFX

A

PRIMARY
- taxation, lifestyle, athletes, fatigue

SECONDARY
- menarche @ 14, then no menses until 17 or 18 (nonpathological)

93
Q

AMENORRHEA: VACUITY

GYN/SEXFX

A

yin, blood, jing

94
Q

AMENORRHEA: STAGNATION

GYN/SEXFX

A

generally emotional component; can be combined with

  • qi, blood
  • cold, heat
  • phlegm excess

qi vac > stag (cold/heat) > phlegm accumulation

95
Q

BEFORE DYSMENORRHEA

GYN/SEXFX

A

QI/BLOOD STAGNATION
pain goes away when there is movement/period

  • LV patient
  • classic PMS s/sx (breast tenderness, ribside pain, emotional, headache/migraine)
96
Q

DURING DYSMENORRHEA

GYN/SEXFX

A

HOT/COLD PATHOLOGY
(often combined with stagnation)
- cold: debilitating pain
- hot: uterine heat

97
Q

AFTER DYSMENORRHEA

GYN/SEXFX

A

QI/BLOOD VACUITY

  • dull, achy pain
  • fatigue after period finished
98
Q

LEUKORRHEA: COLD-DAMP

GYN/SEXFX

A 
profuse discharge (clear/white)
fishy odor
99
Q

LEUKORRHEA: DAMP-HEAT

GYN/SEXFX

A

thick/creamy/sticky discharge (white/yellow)

strong foul odor

100
Q

LEUKORRHEA: SP QI VACUITY

GYN/SEXFX

A

thick/creamy/sticky (white)

NO odor

101
Q

PERI-MENOPAUSE

GYN/SEXFX

A

DYSREGULATION OF REN AND CHONG
KD yin vacuity
- irregularity in menstrual flow (flooding, missed, multiple, less predictable per month)
- yin vacuity symptoms (hot flash, nightsweats
- yang is not anchored so emotional s/sx

102
Q

MENOPAUSE

GYN/SEXFX

A

SYSTEM IS REBALANCED; 12 CONSECUTIVE MONTHS OF NO PERIOD
consists of AGING S/SX
- dryness (vagina, eyes, skin)
- knee/back pain

  • supported well with herbs

fcm 3 (1 decks)

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