Early, Late, Irregular & Bleeding between Periods

Question 1

What defines an early period?

Answer 1

1. 9 days early, cycle is less than 28 days
2. Two successive periods
3. Bleeding may be normal, scanty or heavy

Question 2

Early periods: loose stools, epigastric distention, tiredness
T: Pale
P: Weak

Answer 2

Spleen Qi deficiency
ST 36, SP 6, CV 12, BL 20, GV 20, CV 4, CV 6
Gui Pi Tang, Ju Yuan Jian, Bu Zhong Yi Qi Tang

Question 3

Early Periods: If patient has Qi Deficiency do you treat Before and During Period or During and After Period?

Answer 3

During and after period.

Question 4

Early Periods: If the patient has Blood Heat do you treat Before and During Period or During and After Period?

Answer 4

Before and During… unless they have Empty Heat then you treat during, after and mid-cycle.

Question 5

Early period, pale-dilute menstrual blood, lower backache, feeling cold.
T: Pale and swollen
P: Deep and weak

Answer 5

KIDNEY Qi not Firm
LU 7 r, KID 6 l, KID 3, KID 7, BL 23, ST 36, Bl 20, GV 20, CV 4, KID 13, CV 6
Gui Rong Bu Chong Tang and Shou Tai Wan

Question 6

Early period: mental restlessness, red face.
T: Red with a yellow coating
P: Full and Wiry in middle level

Answer 6

Full Heat
Blood Heat
TX: Clear Heat, cool Blood, regulate period
LU 7 r, KID 6 l, CV 4, LI 11, SP 10, BL 17, SP 6, LIV 2, LIV 3, KID 2, SP 8

Question 7

Early period: irritability, bitter taste, dry throat
T: Red, with redder sides
P: Wiry and Rapid

Answer 7

FULL HEAT -
LIV Qi stagnation Fire - Blood Heat
TX: Clear and pacify Liver, move Qi, clear Heat, cool Blood, regulate period
LIV 2, LIV 3, KID 2, CV 4, LIV 14, LI 11, SP 10, SP 6, SP 8,

Question 8

Early period, scanty or heavy, malar flush, feeling of heat in the evening, dizziness, tinnitus, 5 palm heat, night sweating,
T: Red, no coating
P: Floating-empty or Fine and Rapid

Answer 8

EMPTY HEAT
Liver & Kidney Yin Deficiency
TX: Nourish Yin, clear Empty Heat, regulate the periods
LU 7 r, KD 6 l, CV 4, KD 3 LIV 8, SP 6, KD 2

Question 9

Late Periods Pathology (TCM Patterns)

Answer 9

1. Blood deficiency
2. Cold in Uterus
3. Kidney Yang Xu
4. Qi Stagnation

Question 10

Tx points for Late Periods due to Blood Deficiency

Answer 10

LU 7 r, KD 6 l, CV 4, KD 13, LIV 8, ST 36, SP6, BL 20, BL 23, BL 17

Question 11

Late periods, scanty bleeding with small, dark, stringy clots, painful periods?
T: Pale
P: Deep, weak, slow

Answer 11

Empty Cold in the Uterus
CV 4, CV 6, ST 29, SP 8, SP 6, ST 36, GV 4, BL 32, ST 25 REINFORCING
Decoction of ginger and brown sugar , daily.

Question 12

Late Period is defined as being how late?

Answer 12

Linger than 28 da-30 days consistently for at least 3 consecutive months.

Question 13

How is Tx for Full Cold Different than Empty Cold in the Uterus?

Answer 13

Full cold you use reducing method, empty cold you reinforce.

Question 14

Late periods, scanty-pale blood, sore back, nocturia, dizziness. Generally an issue with older women
T: Pale
P: Weak and Deep

Answer 14

Kidney Yang Deficiency
TX: Tonify Yang, strengthen Kidneys, warm the Uterus
BL 23, CV 4, KD 3, CV 4, LU 7 r, KD 6 l, ST 36, SP 6

Question 15

Late periods: breast distention for a long time before period begins
T: normal color, or slightly Red on sides if severe
P: Wiry

Answer 15

Qi STAGNATION
TX: Pacify the Liver, regulate Qi, eliminate stagnation, invigorate Blood, regulate period
SP 4 r, PC 6 l, LIV 3, LIV 14, KD 14, TW 6, SP 6, CV 4, CV 6, PC 7
Great Compendium of Acupuncture: GB 41, SP 6, CV 3

Question 16

The menstrual flow originates in which organ?

Answer 16

The kidneys

Question 17

What organ is the child of the kidneys?

Answer 17

The liver

Question 18

What are the two common Pathologies (TCM patterns) of irregular periods?

Answer 18

1. Liver Qi Stagnation

2. Kidney Deficiency

Question 19

Irregular periods: scanty bleeding with some clots, irritability.
T: normal color, Red sides if long term issue
P: Wiry

Answer 19

Liver Qi Stagnation:

TX: Pacify the Liver, regulate Qi, regulate the period LIV 3, TW 6, PC 6, LIV 14, CV 4, CV 6, SP 4 r, PC 6 l,

Question 20

Irregular periods: feeling cold
T: Pale and swollen
P: Weak, deep

Answer 20

Kidney Yang Deficiency
TX: Tonify and warm the Kidneys, regulate the periods, consolidate the Chong and Ren Mai / BL 23, CV 4, KID 3, LU 7 r, KID 6 l, ST 36, SP 6

Question 21

How would you treat irregular periods due to kidney yin deficiency?

Answer 21

TX: Nourish Yin, tonify Kidneys, consolidate the Chong and Ren Mai
LU 7 r, KID 6 l, CV 4, KID 3, SP 6, CV 7

Question 22

Name some ancient point prescriptions for irregular periods?

Answer 22

1. CV 6, CV 3, GB 26 (1 moxa cone), BL 23, SP 6
2. CV 6, CV 3, KID 6 for stasis of blood
3. CV 3, CV 6, BL 33
4. CV 4 for irregular period with cold
5. LI 11, TW 6, ST 36, SP 6
6. KID 8, SP 10, GB 26
7. CV 4, PC 5, KID 6, ST 25, CV 5 (7 to 100 moxa cones) for irregular periods with blood masses

Question 23

Define bleeding between periods?

Answer 23

1. Bleeding that occurs consistently at about the mid-point of the cycle
2. Bleeding may last 1-2 days, or longer (may be mistakenly diagnosed as Early Period)
3. Different from Early periods, Flooding & trickling (before & after period) and Red leukorrhea (may appear to be blood)

Question 24

What is “Heat”?

Answer 24

Bleeding that occurs at mid-cycle or at the time of ovulation; the ovulatory phase

Question 25

Which organ is always the underlying cause of bleeding between periods?

Answer 25

Kidney

Question 26

True or False: The fluctuation of Yin & Yang combined with changes in the Qi and Blood of the Ren and Chong produces heat.

Answer 26

True

Question 27

What are some TCM pathologies for bleeding between periods?

Answer 27

1. Liver & Kidney Yin deficiency w/ empty heat
2. Damp Heat
3. Stasis of Blood
4. Spleen and Kidney Yang deficiency

Question 28

Bleeding at mid-cycle that is scanty, night sweating.
T: Red without coating
P: Floating empty or Fine rapid

Answer 28

Liver & Kidney Yin Deficiency with Empty Heat
TX: Nourish Yin, tonify Liver and Kidneys, clear empty Heat, consolidate the Ren and Chong, stop bleeding
LU 7, KD 6; CV 4, KD 3, SP 6; KD 5, KD 13, LI 11, SP 10, KD 2, SP 8

Question 29

Mid-cycle bleeding , vaginal discharge.
T: Sticky yellow coating
P: Slippery

Answer 29

Damp Heat
TX: Clear the Liver, strengthen the Spleen, resolve Dampness, stop bleeding
SP 9, SP 6, ST 28, CV 9, BL 22; CV 3, GB 41, TW 5; ST 29, SP 1, BL 32, SP 8

Question 30

Tx for mid cycle bleeding d/t Blood stasis

Answer 30

TX: Move Qi, invigorate Blood, eliminate stasis, stop bleeding
SP 4, PC 6; CV 6, ST 29, SP 10, KD 14, BL 17, SP 6, SP 1, SP 8

Question 31

Mid-cycle bleeding:
Loose stools, tiredness, depression, feeling cold, frequent urination
T:  Pale, swollen
P:  Weak, deep
TX:  Strengthen the

Answer 31

SPLEEN & KIDNEY YANG DEFICIENCY
TX: Strengthen the SP & KD, tonify Yang, warm the Uterus, contain Blood
BL 20, BL 23, CV 4, CV 6, CV 12, ST 36, SP 6, SP 8