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E&P III > DYSmenorrhea > Flashcards

DYSmenorrhea Flashcards

1
Q

When does pain occur?

A

before, during, after

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2
Q

Where is the pain?

A

lower abdomen, sacral region, sometimes extended to legs

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3
Q

Vessels, Organ involved with painful periods

A

Liver, Chong Mai, Ren Mai

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4
Q

What is essential for normal, pain-free periods?

A

Proper movement of LV Qi and LV Blood

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5
Q

Most important pathological condition?

A

Stagnation

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6
Q

4 Phases of menstrual cycle

A
  • pre-menstrual
  • menstrual
  • post-menstrual
  • mid-cycle
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7
Q

Pre-menstrual

A

Yang Qi rises => LV Qi mobilizes=> moves LV BL

Luteal Phase

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8
Q

Menstrual

A

LV Qi flows free => Blood is moving

Fall in both Estrogen & Progesterone

Necrosis of layers of endometrium

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9
Q

Post-menstrual

A

BL and Yin are empty => Chong and Ren depleted

Folicular Phase

Estrogen level rise d/t FSH

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10
Q

Mid-cycle

A

Blood and Yin fill up in Chong and Ren

OVULATORY Phase

Ovum released => corpus luteum develops from LH

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11
Q

What causes painful periods?

A
  • Emotional Strain
  • Cold and Damp
  • Overwork
  • Chronic Illness
  • XS sex
  • Childbirth
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12
Q

Important factor leading to LV Qi stag

A

Emotional Strain

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13
Q

Most vulnerable post menses, exposure in puberty

A

Cold & Damp

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14
Q

Qi & Blood def, Chong, Ren malnourished

A

Overwork or Chronic Illness

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15
Q

Painful periods pathology: (8)

A
  • Stagnation of Qi
  • Blood Stasis
  • Stagnation of cold (empty or full)
  • Damp-Heat (with blood
  • Stagnant LV Qi into Fire
  • Qi and Blood def.
  • Yang and Blood def.
  • KD and LV Yin def.
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16
Q

What needs to be investigated for the diagnosis of painful periods?

A 
Time of onset
Pressure
Heat-Cold
Character of Pain
Location of Pain
Cycle
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17
Q

Pain before and during period indicates

A

Full type

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18
Q

Pain after the period

A

Empty type

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19
Q

Pain worse with pressure

A

XS

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20
Q

Pain better with pressure

A

DEF

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21
Q

If aggravated by HEAT means

A

Blood HEAT

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22
Q

Character of Pain

A

Q/B stasis? HEAT? Def?

23
Q

Location of Pain both side, lower ABD means

A

LV

24
Q

Location of Pain center of lower ABD

A

KD

25
Q

Location of Pain @ sacrum

A

KD

26
Q

If cycle is late, dark blood, clots

A

Blood Stasis

27
Q

period w/small dark clots

A

Cold

28
Q

period short, heavy, bright red

A

Blood Heat

29
Q

Lower abdm. pain during or before; breast and abdm. distention; hesitant start; dark blood, no clots; PMS tension, irritability
T: normal, slightly red on sides; pale if blood deficient
P: Choppy or wiry

A

Stagnation of Qi

30
Q

Treatment Principle for Qi Stagnation

A

Move Q/B, eliminate stagnation, alleviate pain

31
Q

Point selection for Qi Stagnation

A

LIV 3, CV 6, GB 34, SP 8, ST 29, SP 10, SP 6,

SP 4/PC 6, SP 14

32
Q

Intense stabbing pain before or during; dark blood, large clots; mental restlessness; pain relieved by passing clots
T: Purple
P: Wiry

A

Blood Stasis

33
Q

Treatment Principle for Blood Stasis

A

Invigorate Blood, eliminate stasis, stop pain

34
Q

Point selection for Blood Stasis

A

LIV 3, CV 6, GB 34, SP 8, SP 10, SP 6,

SP 4/PC 6, BL 17, KD 14, ST 25

35
Q

Lower abdm. pain before of after; pain central, relieved by heat; scanty, bright red blood, small dark clots; feeling cold; sore back
T: pale-bluish or bluish-purple
P: deep and choppy, or deep and wiry

A

Stagnation of Cold

36
Q

Treatment Principle for Stagnation of Cold

A

Warm the Uterus, expel Cold, invigorate Blood

37
Q

Point selection for Stagnation of Cold

A

LU 7/KD 6, CV 4, CV 6, ST 29, SP 8, SP 6, ST 36, ST 28

38
Q

Hypogastric pain before, sometimes mid-cycle, burning sensation extending to sacrum, feeling of heat; red blood, small clots; vaginal discharge; scanty, dark urine; thirst; mental restlessness
T: red, sticky yellow coat
P: slippery

A

Damp Heat

39
Q

Treatment Principle for Damp Heat

A

Clear heat, resolve Damp, eliminate stasis

40
Q

Point selection for Damp Heat

A

SP 9, SP 6, LU 7/KD 6, CV 3, ST 28, BL 32, BL 22, CV 9, LI 11, SP 10, KD 2, LIV 3

41
Q

Abdm. Pain before or during; dark blood; heavy period; irritability, outbursts of anger; thirst; feeling heat; dry stools.
T: red with yellow coat, redder on sides
P: rapid, wiry

A

Stagnant Liver Qi changing into HEAT

42
Q

Treatment Principle for Stagn LV Qi => Heat

A

Clear heat, pacify Liver, eliminate stagnation, stop pain

43
Q

Point selection for Stagn LV Qi => Heat

A

LIV 3, LIV 2, LIV 14, CV 6, CV 4, KD 14, SP 10,

LI 11, TW 6, GB 34

44
Q

Dull hypogastric pain at end or after; dragging sensation in lower abdm.; pressure, massage better; scanty bleeding; pale complexion; tired; slight dizzy; loose stools
T: pale
P: choppy

A

Qi and Blood def.

45
Q

Treatment Principle for Qi/Blood def.

A

Tonify Qi, strengthen Spleen, nourish Blood

46
Q

Point selection for Qi/Blood def.

A

CV 4, CV 6, ST 36, SP 6, SP 8, BL 20, SP 10, BL 54, BL 32

47
Q

Dull abdm. pain; scanty, pale blood; pressure, heat better; dull h/a; blurred vision; feeling cold; depression; dizzy
T: pale and swollen
P: fine and deep

A

Yang and Blood def.

48
Q

Treatment Principle for Yang and Blood def.

A

Warm the Yang, nourish Blood, strengthen the center, stop pain

49
Q

Point selection for Yang and Blood def.

A

BL 20, CV 12, ST 36, SP 6, CV 4, LIV 8,

LU 7/KD 6, BL 54, BL 32

50
Q

Dull hypogastric pain end or after; sore back; dizzy; scanty bleeding; pressure and massage better; tinnitus; blurred vision; exhaustion;
T: red without coat
P: floating, empty

A

Kidney and Liver Yin def.

51
Q

Treatment Principle for Kidney and Liver Yin def.

A

Nourish Yin, benefit Kidneys, nourish Liver

52
Q

Point selection for Kidney and Liver Yin def.

A

BL 23, BL 18, CV 4, SP 6, KD 3, ST 36, LU7/KD 6, BL 54, BL 32

53
Q

Ancient Acupuncture RX for Painful Periods

A
  • CV4 - cold in Penetration Vessel
  • ST25, ST27
  • ST28 - distention, fullness, pain in lower ABD, back pain, palpable masses, cold
  • PC5
  • KD6, ST44, LI4, SP6
  • KD6, ST44, LI4, GB35

E&P III (13 decks)

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