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E&P III Final Exam > Acupuncture & Infertility > Flashcards

Acupuncture & Infertility Flashcards

1
Q

TCM Pattern for absence or irregularity of ovulation?

A

Kidney Xu

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2
Q

TCM pattern for blockage of Fallopian tubes

With possible Fire poison and stasis of Blood?

A

Damp Heat

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3
Q

TCM pattern for uterine myxomas?

A

Blood stasis, phlegm.

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4
Q

TCM pattern for pelvic adhesions?

A

Damp heat, Blood Stasis.

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5
Q

True or False:

The Du Mai is responsible for follicular development, ovulation and corpus luteum development.

A

True: along with the Ren and Chong Mai

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6
Q

True or False: The Du Mai is responsible for the expulsion of the ovum?

A

True

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7
Q

True or False:

Du, Ren, Chong are all Yin?

A

False

Du = Yang

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8
Q

The easiest TCM pattern to treat for infertility?

A

Blood Deficiency

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9
Q

“Cold in the Uterus” typically occurs in which phase of menstruation?

A

Luteal or Progesterone Phase
(not enough Yang to warm the uterus)
Tx: Warm the uterus (can also be Phase 3)

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10
Q

True or False:

Nourish Qi in the follicular development stage (2)?

A

False: Tonify Kidneys and Nourish blood

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11
Q

Which phase is the follicular development phase?

A

Phase 2

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12
Q

Describe what happens during Phase 3 - Ovulation?

A
  1. Decline of Estrogen
  2. LH hormone surges
  3. Yin turns to Yang (temp. increase)
  4. Ovulation (egg is released)
  5. Egg implanted in uterine wall
  6. LH triggers progesterone
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13
Q

Acupuncture TX principle for Phase 3 - Ovulation?

A

Nourish and Invigorate Blood

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14
Q

Which stage is most YANG?

A 
Luteal Phase (4)
(Qi or Yang stage. One week post ovulation yang reaches it's peak)
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15
Q

How many days does the corpus luteum last?

A

14 days

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16
Q

If spotting occurs just prior to when period is due..what is the TX principle?

A

Strengthen Qi.

Spotting due to lack of Qi. This spotting is not considered Phase 1 b/c period has not really started.

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17
Q

What is progesterone responsible for in terms of a woman’s menstrual cycle?

A
  1. Builds lining of uterus in Luteal Phase (4)
  2. Tells pituitary to stop producing FSH
  3. Levels remain high for one week and drop off if pregnancy is not achieved
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18
Q

What hormone triggers progesterone?

A

LH (triggers Corpus Luteum to secrete progesterone Phase 3)

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19
Q

In which phase does LH surge?

A

Phase 3 - Follicular Maturity and Ovulation

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20
Q

Which is the shortest phase of menstruation?

A

Phase 3 - Follicular Maturity and Ovulation

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21
Q

Which phase it the most Yin?

A

Phase 2 - Follicular Proliferation or Development Phase

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22
Q

Which Phase is the Blood Phase?

A

Phase 1 (menstruation)

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23
Q

What is acupuncture TX principle in Phase One?

A

Invigorate Blood, and regulate menstruation. Move blood if too little. Stop blood if too much.

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24
Q

Acupuncture TX principle in Phase Two - Follicular Development?

A

Tonify Kidneys (and Liver), Nourish Blood (and Yin)

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25
Q

What happens in days 1-4?

A

Menstruation

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26
Q

What Phase is the Follicular Development Phase?

A

Phase 2

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27
Q

In which phase does the pituitary begin making FSH and LH hormones to stimulate growth of new follicle?

A

Begins at Phase 1 (menstruation) and continues in Phase 2 (follicular)

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28
Q

How long does Phase 2 continue?

A

Until ovulation (around day 14)

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29
Q

What 3 Excess patterns can cause fallopian tube abnormalities?

A
  1. Blood stasis
  2. Blood Heat
  3. Dampness
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30
Q

What 2 Deficiency patterns can cause hormonal disturbances of ovulation?

A
  1. Kidney Def.

2. Blood Def.

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31
Q

What TCM organ controls the wax and wane of yin & yang?

A

Kidneys

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32
Q

What EV(s) are the basis for follicles, ovum and corpus luteum?

A

Ren and Chong

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33
Q

What Ev(s) are the basis for follicular & corpus luteum development and ovulation?

A

Du, Ren, Chong

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34
Q

What TCM pattern is a uterine myoma?

A

Blood stasis or Phlegm

(myomas do not respond well to acupuncture if large) Affects Uterus and hormones

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35
Q 
True or False:
These conditions respond to acupuncture..
1. Adhesions
2. Malformations
3. Hypoplasia
4. TB of uterus
A

False

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36
Q

Secondary infertility in western medicine is considered…?

A

Prior pregnancy

37
Q 
True or False:
These three organs are responsible for fertility?
1. Hypothalamus
2. Pituitary
3. Ovary
A

True: they all release vital hormones

38
Q 
True or False:
These three organs are responsible for ovulation?
1. Hypothalamus
2. Pituitary
3. Ovary
A

True: they all release vital hormones

39
Q

Stress can primarily affects which gland?

  1. Hypothalamus
  2. Pituitary
  3. Ovary
A
  1. Hypothalamus
40
Q

Tumors can affect the function of which gland?

  1. Hypothalamus
  2. Pituitary
  3. Ovary
A
  1. Pituitary
41
Q

Absence of FSH receptors can affect the function of which gland?

  1. Hypothalamus
  2. Pituitary
  3. Ovary
A
  1. Ovary
42
Q

True or False:

cervical mucus can be unreceptive to sperm?

A

True (considered a hormonal factor in infertility)

43
Q

True or False:

Hyperthyroidism can cause infertility?

A

True: it creates Blood heat affecting LV & HT

44
Q

True or False:

Adhesion to the endometrial can cause infertility?

A

True

45
Q

TCM definition of infertility?

A

2 years

46
Q

True or False:

During pregnancy Blood, Yin, Yang and Jing are all consumed?

A

False:

Only Blood, Yin and Jing

47
Q

Prolonged scanty periods?

A

Kidney Yang Def.

48
Q

Scanty pale delayed periods?

A

Blood Deficiency

49
Q

Periods that are early, short, heavy (2x per month) are due to which TCM pattern?

A

Blood Heat

50
Q

Periods that are early, scanty and with light blood are due to which TCM pattern?

A

Kidney Yin Deficiency

51
Q

Irregular periods with dark blood and clots?

A

Blood stasis

52
Q

Irregular periods with emotional issues?

A

Liver Qi Stagnation

53
Q

Which TCM pattern?

Absence or irregularity of ovulation?

A

Kidney Deficiency

54
Q

Which TCM pattern?

Blockage of fallopian tubes?

A

Damp Heat

55
Q

Uterine Myomas?

A

Blood stasis or Phlegm

56
Q

Pelvic Adhesions?

A

Damp Heat, stasis of blood

57
Q

Which phase involves the atrophy of the corpus luteum?

A

Menstruation. Phase One

58
Q

TX principle for Luteal Phase?

A

Tonify Kidneys, Consolidate the Ren and Chong Mai

59
Q

Which phase? Pre-menstrual phase, corpus luteum develops and secretes progesterone.

A

Luteal Phase

60
Q

Cold in Uterus: Primary or Secondary infertility?

A

Primary

61
Q

TCM pattern for Delayed cycle, scanty period, small clots, painful.

A

Cold in Uterus

62
Q

Irregular periods, delayed, mid cycle pain, discharge.

A

Dampness on Lower Jiao

63
Q

Most difficult infertility pattern to treat?

A

Dampness (polycystic ovarian disease)

64
Q

What are the four phases of menstruation?

A
  1. Menstruation
  2. Follicular Development
  3. Ovulation
  4. Luteal
65
Q

What are the four TCM phases of menstruation?

A
  1. Blood Phase
  2. Most Yin Phase - Blood and Yin Empty
  3. Yin to Yang Phase - Blood and Yin fill Ren and Chong
  4. Most Yang Phase - Yang Qi and Live Qi Rises
66
Q

What hormone correlates to each phase?

A
  1. Estrogen / LH, FSH begin
  2. Estrogen / LH, FSH
  3. LH and FSH Peak / Estrogen declines / Progesterone begins
  4. Progesterone
67
Q

What are current WHO standards for male infertility?

A
  1. Volume more than 1ml
  2. Count: more than 20 mill per ml
  3. Motility: more than 50%
  4. Morphology: more than14%
68
Q

Prolonged illness and taxation causes what TCM pattern?

A

Qi and Blood Def.

69
Q

Improper Diet causes what TCM pattern?

A

Damp Heat pouring Downward

70
Q

Phlegm Turbidity causes what TCM pattern?

A

Blood stasis obstructing semen

71
Q

Congenital Deficiency causes what TCM pattern?

A

Deficiency of Essential Qi.

72
Q

Debilitation of Life Gate Fire causes what TCM pattern?

A

Essential Qi deficiency

73
Q

What organ stores essence and governs reproduction?

A

Kidney

74
Q

Tian Gui refers to what in men?

A

Seminal fluid

menstruation in women

75
Q

What needs to be abundant in order for Tian Gui to arrive?

A

Kidney Qi

76
Q

Tian Gui enters what?

A

Ren and Chong

77
Q

Excessive sexual activity can lead to what TCM pattern?

A

Essential Qi Deficiency Cold due to Debilitation of Life Gate Fire

78
Q

Excessive consumption of alcohol, greasy food damages the SP & ST, especially in overweight and obese
can lead to what TCM pattern?

A

Phlegm Turbidity and Blood Stasis Obstructing Semen

79
Q

Prolonged illness or physical injury can lead to what TCM pattern?

A

Phlegm Turbidity and Blood Stasis Obstructing Semen

80
Q

Excessive consumption of alcohol or greasy and spicy foods damages SP and ST causing damp-heat and phlegm that pours downward affecting the quality of seminal fluid

A

Damp-Heat Pouring Downward due to Improper Diet

81
Q

Essence is derived from?

A

Blood

82
Q

Qi and Blood may become deficient due to insufficient Spleen Qi, SP & ST damage, constitutional deficiency or poor recovery from illness
- what TCM pattern?

A

Qi and Blood Deficiency due to Prolonged Illness of Taxation

83
Q

Essentially, infertility results from what?

A

Essentially: infertility results from Kidney Qi deficiency with a failure of Yin essence transformation

84
Q

The key to male infertility lies at what organ’s deficiency?

A

Kidney

85
Q

Deficiency at the Root, Excess at the Branch

Root

A

Root Tx: Kidney and Spleen

Branch Tx: Invigorate Blood, transform stasis, clear heat, disinhibit dampness, transform phlegm

86
Q

For male immune infertility ASA (anti-ssperm antibodies what two organs do yo treat?

A

Kidney and liver
(invigorate blood, free the collaterals)
BL 18, BL 23, LV 3

87
Q

TX principle for Abnormal Semen?

A

Tonify KD and essence, regulate Yin and Yang CV 4, KD 12, SP 6

88
Q

Low Sperm Count?

A

Fortify SP, tonify KD, invigorate blood, dispel dampness BL 23, CV 4, BL 20, ST 36

89
Q

Is male infertility one issue or many?

A

Many. 16

E&P III Final Exam (9 decks)

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