Emotional stress Excessive physical work or exercise Must be addressed if treatments are to be successful Hereditary weakness Dietary/nourishment issues must be addressed

Amenorrhea Flashcards by Nina Warburton

Bi Jing aka

“closed menstruation”

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Primary Amenorrhea definition

No period by age 18

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Secondary Amenorrhea definition

Periods have stopped for at least 3 months

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Which is more common, primary or secondary amenorrhea?

Secondary

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What is deficient in Amenorrhea?

Blood, SP/KD or LV/KD deficiency;

Pre or Post Natal

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What is excess in Amenorrhea?

Q/B stasis

* Phlegm

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Amenorrhea Etiology

Emotional stress
Excessive physical work or exercise
Must be addressed if treatments are to be successful
Hereditary weakness
Dietary/nourishment issues must be addressed

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Amenorrhea Pathology

Deficiency:
• LV/KD def
• Q/B def
• Yin def, Blood dries up
Stuckness:
• Q/B stasis
•DAMP-PHLEGM Obstructing Uterus

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LV/KD def means

KD Essence & LV BL deficiency

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Q/B def because ?

• ST, SP fails to make blood

=> HT Blood, LV Blood

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Yin def, Blood dries up - why?

LV/KD Yin deficiency, dries up Yin and Blood

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Q/B stasis - d/t what?

Emotional stress => Liver Qi stagnation => Blood stasis

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Damp Phlegm Obstructing Uterus reason

SP def, cold, raw foods, dairy greasy foods

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AMENORRHEA VS PREGNANCY (body FU)

A: Periods stop after being regular, can be sudden, no abdominal pain.
P: Regular periods stop suddenly, nausea, food likes or dislikes, desire to lie down.

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AMENORRHEA VS PREGNANCY (Pulse)

A: deep, choppy, fine
P: slightly slippery, strong in rear

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AMENORRHEA VS PREGNANCY (GyN exam)

A: No signs
P: Uterus feels soft, round, large; breast enlarged

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Menses not started by 18, or stopped after becoming scanty, tiredness, lower backache, knee ache, dizziness, depression, mentally tired, lack of will-power, feeling cold
T: Pale
P: Deep, weak

LV and KD def

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Treatment strategy for LV and KD def

Tonify KD, nourish LV, regulate periods

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BL 18, BL 23, BL 52, CV 4, LU 7 r, KID 6 l, LIV 8, SP 6, ST 36, KID 3, KID 13, CV 17, CV 6, Xuefu

Point prescription for LV/KD def

Menses stop after several months of decreasing periods, dizziness, blurred vision, numbness and tingling, poor memory, insomnia, palpitations, slight anxiety, depression, dull-pale complexion, dry skin, dry hair, falling hair, dry eyes, tiredness
T: Pale-thin or swollen if Damp present
P: Choppy or Fine

Blood def

Treatment strategy for Blood def.

Nourish Blood, tonify Qi, strengthen LV

LIV 8, ST 36, SP 6, KID 3, CV 4, BL 17, BL 18,

CV 6,

Point prescription for Blood def.

No periods, tiredness, loose stools, feeling of cold, cold feet, poor appetite, lower backache, weak limbs, abdominal distention, dizziness, frequent, pale urination,
T: Pale, swollen
P: Weak, slow, deep

SP and KD Yang def

Treatment strategy for SP and KD Yang def

Tonify Yang, warm SP and KD, warm Uterus

CV 12, ST 36, SP 6, BL 20, BL 21, KID 3, CV 4, BL 23, BL 52, XUEFU, ZIGONG, CV 17, CV 6,

Point prescription for SP and KD Yang def.

Dizziness, dry eyes, tiredness, blurred vision, insomnia, lower backache, night sweating, tinnitus, T: Red without coating, cracks P: Floating, empty; Fine rapid

LV and KD Yin def

Treatment strategy for LV and KD Yin def

Nourish Liver and Kidney Yin, tonify the Uterus, nourish the Essence

LIV 8, ST 36, SP 6, CV 4, KID 3, BL 52, LU 7 R, KID 6 L, KID 13

Point prescription for LV and KD Yin def

No periods, dry cough or with scanty, blood- speckled expectoration, breathlessness, bright red lips, five palm heat, malar flush, depression, sighing, sadness T: Red or normal without coating in front P: Floating-empty

LU Yin def, Blood def

Treatment strategy LU Yin def, Blood def

Nourish Lung Yin, nourish Liver Blood, moisten Lungs, calm the Mind, settle the Po

LU 9, CV 17, CV 6, BL 42, ST 36, SP 6, LIV 8, LU 7 R, KID 6 L, CV 4

Point prescription for LU Yin def, Blood def

No periods, palpitations, insomnia, malar flush, depression, anxiety, dizziness, tinnitus, backache, night sweats, dry mouth and throat at night, sadness, grief and guilt T: Red without coat, dry, cracked P: Floating-empty, Rapid

HT and KD Yin def.

Treatment strategy for HT and KD Yin def.

Nourish heart and Kidney Yin, clear Empty heat, calm the Mind

Point selection for HT and KD Yin def.

HT 7, PC 7, BL 44, CV 15, CV 14, CV 4, KD 3, SP 6, LU 7 (R), KD 6 (L)

Palpitations, depression, anxiety, insomnia, pale-dull complexion, no periods, tiredness, loose stools, poor appetite, abdominal distension. T: Pale P: Weak or choppy

HT and SP Blood def.

Treatment strategy for HT and SP Blood def.

Tonify Spleen-Qi, nourish Blood, strengthen the Heart.

Point selection for HT and SP Blood def.

CV 12, ST 36, SP 6, BL 20, LIV 8, CV 4, HT 7, CV 14, BL 15

Secondary amenorrhea, irritability, moodiness, abdominal distention and pain, depression, dark complexion T: Purple, or purple sides P: Wiry

Stagnation of Q/B

Treatment strategy for Stagnation of Q/B

Pacify the Liver, move Qi and Blood

Point prescription for Stagnation of Q/B

SP 4 R, PC 6 L, CV 6, ST 30, LIV 3, SP 6, KD 14, KD 6

GV 2 and KD 6 with moxibustion

Miraculous Moxibustion, Shen Jiu Jing Lun, 1874

LI 4, SP 6, SP 10, ST 30

Collection of Acupuncture & Moxibustion, Zhen Jiu Ji Cheng, 1874

CV 3, GL 23, LI 4, SP 6

Great Compendium of Acupuncture, Zhen Jiu Da Cheng, 1601

Amenorrhea responds well to acupuncture and herbal treatments.

A minimum of 3 months, more likely 6 to 12 months.

XS type responds better with

Chinese herbs

Amenorrhea due to congenital anomalies responds to ...

will NOT respond to treatment

Pattern which are difficult to treat

Damp Heat in Lower Burner (excess) most difficult to treat. LV & KD Yin deficiency also difficult.