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E&P III > Amenorrhea > Flashcards

Amenorrhea Flashcards

1
Q

Bi Jing aka

A

“closed menstruation”

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2
Q

Primary Amenorrhea definition

A

No period by age 18

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3
Q

Secondary Amenorrhea definition

A

Periods have stopped for at least 3 months

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4
Q

Which is more common, primary or secondary amenorrhea?

A

Secondary

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5
Q

What is deficient in Amenorrhea?

A

Blood, SP/KD or LV/KD deficiency;

Pre or Post Natal

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6
Q

What is excess in Amenorrhea?

A
  • Q/B stasis

* Phlegm

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7
Q

Amenorrhea Etiology

A
  • 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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8
Q

Amenorrhea Pathology

A 
Deficiency:
• LV/KD def
• Q/B def
• Yin def, Blood dries up
Stuckness:
• Q/B stasis
•DAMP-PHLEGM Obstructing Uterus
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9
Q

LV/KD def means

A

KD Essence & LV BL deficiency

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10
Q

Q/B def because ?

A

• ST, SP fails to make blood

=> HT Blood, LV Blood

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11
Q

Yin def, Blood dries up - why?

A

LV/KD Yin deficiency, dries up Yin and Blood

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12
Q

Q/B stasis - d/t what?

A

Emotional stress => Liver Qi stagnation => Blood stasis

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13
Q

Damp Phlegm Obstructing Uterus reason

A

SP def, cold, raw foods, dairy greasy foods

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14
Q

AMENORRHEA VS PREGNANCY (body FU)

A

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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15
Q

AMENORRHEA VS PREGNANCY (Pulse)

A

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

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16
Q

AMENORRHEA VS PREGNANCY (GyN exam)

A

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

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17
Q

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

A

LV and KD def

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18
Q

Treatment strategy for LV and KD def

A

Tonify KD, nourish LV, regulate periods

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19
Q

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

A

Point prescription for LV/KD def

20
Q

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

A

Blood def

21
Q

Treatment strategy for Blood def.

A

Nourish Blood, tonify Qi, strengthen LV

22
Q

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

CV 6,

A

Point prescription for Blood def.

23
Q

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

A

SP and KD Yang def

24
Q

Treatment strategy for SP and KD Yang def

A

Tonify Yang, warm SP and KD, warm Uterus

25
Q

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

A

Point prescription for SP and KD Yang def.

26
Q

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

A

LV and KD Yin def

27
Q

Treatment strategy for LV and KD Yin def

A

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

28
Q

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

A

Point prescription for LV and KD Yin def

29
Q

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

A

LU Yin def, Blood def

30
Q

Treatment strategy LU Yin def, Blood def

A

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

31
Q

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

A

Point prescription for LU Yin def, Blood def

32
Q

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

A

HT and KD Yin def.

33
Q

Treatment strategy for HT and KD Yin def.

A

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

34
Q

Point selection for HT and KD Yin def.

A

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

35
Q

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

A

HT and SP Blood def.

36
Q

Treatment strategy for HT and SP Blood def.

A

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

37
Q

Point selection for HT and SP Blood def.

A

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

38
Q

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

A

Stagnation of Q/B

39
Q

Treatment strategy for Stagnation of Q/B

A

Pacify the Liver, move Qi and Blood

40
Q

Point prescription for Stagnation of Q/B

A

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

41
Q

GV 2 and KD 6 with moxibustion

A

Miraculous Moxibustion, Shen Jiu Jing Lun, 1874

42
Q

LI 4, SP 6, SP 10, ST 30

A

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

43
Q

CV 3, GL 23, LI 4, SP 6

A

Great Compendium of Acupuncture, Zhen Jiu Da Cheng, 1601

44
Q

Amenorrhea responds well to acupuncture and herbal treatments.

A

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

45
Q

XS type responds better with

A

Chinese herbs

46
Q

Amenorrhea due to congenital anomalies responds to …

A

will NOT respond to treatment

47
Q

Pattern which are difficult to treat

A

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

E&P III (13 decks)

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