Exam #3- other questions Flashcards
Definition of Bao Gong:
directly translated as “uterus,” but has a broad definition in TCM, encompassing structures beyond the uterus, including ovaries, fallopian tubes. it is the female reproductive organs
-Extra organ = shape of a yang organ (hollow) – menstruation and labor are expressions of discharge function but functions as a yin organ (storage) – stores blood and nourishes fetus
Definition of Tian Gui:
“Tenth Layer of Heaven,” for women it refers to the material substances to induce body growth, sexual maturity, menstrual blood, and fertility. It originates from the pre-natal essences, stored in the KDs, nourished by the post-heave essences.
Ren Mai and Bao Gong:
“sea of yin channels” closely connected to the yin, essence, blood and fluids. supports the Bao Gong and impacts female’s physiological processed, including puberty, conception, pregnancy, childbirth, and menopause. Bao Gong receives yin, essence, fluids, qi and blood from the LV, KD, SP and ST through connections of Ren Mai
Chong Mai and Bao Gong:
most important extraordinary vessel for women’s physiology. women’s physiology is rooted in the blood, Chong= “SEA OF BLOOD,” “SEA OF 12 CHANNELS”
-has deep influence on menstruation, the supply and proper movement if blood in the Uterus, controlling all aspects of menstruation and reproduction
KDs and Bao Gong
- Uterus related to KD via Bao Luo (Uterus channel). Uterus relies on support from qi, yang qi, yin, essence of KD
- KD are root of original qi. Bao Gong’s reproductive function dominated by KD qi. KD influence on reproductive system thru Chong, Ren, Du Mai, thus they deeply influence Bao Gong.
- KD are root of pre-natal essence. KD store essence which is origin for formation of Tian Gui (basic material menstrual blood). KD essence important for puberty, fertility, conception, pregnancy, menopause.
- KD yang, fire of Gate of Life, warms Bao Gong and balances yin influences. KD fire makes conception possible and influences sexual desire.
- KD yin nourishes Bao Gong and as the source of menstrual blood. It balances yang influences.
LV and Bao Gong
- Bao Gong connects LR thru LR channel connecting with Chong Mai at SP6, Ren Mai at CV2, Du Mai at GV20.
- LR stores blood, regulates blood volume in body including regulating and supplying blood to Bao Gong. LR blood has a prime significance in menstruation, conception, breast feeding.
- LR qi flow affects women’s physiology due to qi-blood relationship. LR qi has important function of moving blood via qi.
Amenorrhea- LV and KD Xu
- Hereditary weakness of KD essence, overwork, too many childbirths, chronic illness
- KD essence origin of menstrual blood, LV stores the blood, this xu leads to undernourishment of Uterus, Chong, and Ren, causing sea of blood to be empty and menstrual periods to stop.
Amenorrhea- Qi and Blood Xu
- improper diet, constitutional SP xu, loss of blood, chronic diseases, overwork, repeated miscarriages, breast-feeding for too long, excessive worry/pensiveness
- deficient qi and blood fail to fill and nourish the Uterus, Chong, and Ren Mai. Sea of blood become empty, menstrual period stops.
Amenorrhea- Yin xu and dried-up blood
- constitutional yin xu, loss of blood, long, chronic diseases, overwork
- yin xu w/ dried-up blood will fail to nourish Chong and Ren Mai, and lead to the sea of blood being empty.
Amenorrhea- Qi stagnation and blood stasis
- emotional stress, anger, irritation, frustration, resentment, worry, or anxiety. Long term qi stag -> blood stasis.
- qi and xue stag may obstruct the qi and blood flow in Ren and Chong.
Amenorrhea- Cold in the blood w/ blood stasis
- exposures to cold, or excessive indulgence in cold food during menstruation or after childbirth.
- Cold enters Chong and Ren obstructs Qi and xue flow in Uterus, Chong, and Ren.
Amenorrhea- Damp-phlegm obstructing the Uterus
- excessive consumption of cold, raw, and dairy, or greasy food, SP xu, excessive constitutional damp-phlegm, over weight.
- Damp-phlegm obstructs Uterus, Chong, Ren, and impairs qi and xue flow.
Flooding & Trickling: General Tx Principles
- Stop bleeding to arrest blood loss:
- Tx Flooding: stabilize & raise; avoid acrid-warm herbs to move blood
- Tx Trickling: nourish blood & regulate qi; avoid over binding herbs (leads to stasis) - Treat the root
- Restore the health
Infertility: Tx Strategies
- Regulate menses to treat early, late, irregular, heavy, or scanty periods
- W. medical dx may give us clues to set up tx plans.
- Tx can be based on four phases of menstrual cycle
- Tx based on patterns
Infertility: 4 phases of menstrual cycle
Period phase: regulate menses
Post-menstrual phase: nourish blood, tonify KD
Mid-cycle phase: tonify KD, consolidate Chong-Ren Mai
Pre-menstrual phase: tonify yang, move LR qi
