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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

24
Q

Location of Pain center of lower ABD

25
Location of Pain @ sacrum
KD
26
If cycle is late, dark blood, clots
Blood Stasis
27
period w/small dark clots
Cold
28
period short, heavy, bright red
Blood Heat
29
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
Stagnation of Qi
30
Treatment Principle for Qi Stagnation
Move Q/B, eliminate stagnation, alleviate pain
31
Point selection for Qi Stagnation
LIV 3, CV 6, GB 34, SP 8, ST 29, SP 10, SP 6, | SP 4/PC 6, SP 14
32
Intense stabbing pain before or during; dark blood, large clots; mental restlessness; pain relieved by passing clots T: Purple P: Wiry
Blood Stasis
33
Treatment Principle for Blood Stasis
Invigorate Blood, eliminate stasis, stop pain
34
Point selection for Blood Stasis
LIV 3, CV 6, GB 34, SP 8, SP 10, SP 6, | SP 4/PC 6, BL 17, KD 14, ST 25
35
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
Stagnation of Cold
36
Treatment Principle for Stagnation of Cold
Warm the Uterus, expel Cold, invigorate Blood
37
Point selection for Stagnation of Cold
LU 7/KD 6, CV 4, CV 6, ST 29, SP 8, SP 6, ST 36, ST 28
38
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
Damp Heat
39
Treatment Principle for Damp Heat
Clear heat, resolve Damp, eliminate stasis
40
Point selection for Damp Heat
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
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
Stagnant Liver Qi changing into HEAT
42
Treatment Principle for Stagn LV Qi => Heat
Clear heat, pacify Liver, eliminate stagnation, stop pain
43
Point selection for Stagn LV Qi => Heat
LIV 3, LIV 2, LIV 14, CV 6, CV 4, KD 14, SP 10, | LI 11, TW 6, GB 34
44
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
Qi and Blood def.
45
Treatment Principle for Qi/Blood def.
Tonify Qi, strengthen Spleen, nourish Blood
46
Point selection for Qi/Blood def.
CV 4, CV 6, ST 36, SP 6, SP 8, BL 20, SP 10, BL 54, BL 32
47
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
Yang and Blood def.
48
Treatment Principle for Yang and Blood def.
Warm the Yang, nourish Blood, strengthen the center, stop pain
49
Point selection for Yang and Blood def.
BL 20, CV 12, ST 36, SP 6, CV 4, LIV 8, | LU 7/KD 6, BL 54, BL 32
50
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
Kidney and Liver Yin def.
51
Treatment Principle for Kidney and Liver Yin def.
Nourish Yin, benefit Kidneys, nourish Liver
52
Point selection for Kidney and Liver Yin def.
BL 23, BL 18, CV 4, SP 6, KD 3, ST 36, LU7/KD 6, BL 54, BL 32
53
Ancient Acupuncture RX for Painful Periods
* 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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