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E&P III > Flooding and Trickling > Flashcards

Flooding and Trickling Flashcards

1
Q

Beng Lou

A

“flooding, bursting through,” trickle, drip, dribble”

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2
Q

Definition of Flooding and Trickling

A

A period that starts suddenly with a flood, often before proper time, and a period that continues with a trickle after the proper time.

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3
Q

Flooding involves heavier bleeding, quantity => Heavy Period: definition

A

heavy bleeding for loss during the proper time (about 5 days)

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4
Q

Continuous dribbling is called

A

Lou

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5
Q

Sudden flood is called

A

Beng

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6
Q

Dark blood with clots and pain is d/t

A

Blood-Heat

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7
Q

After a long time of Blood-Heat it injures which vessels?

A

Ren & Chong Mai

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8
Q

‘Continuous dripping is called ____(1) , while a sudden flood is called ____(2). Dark blood with clots and pain is due to ____(3), after a long time it injures the ____(4) and _____(5) Mai. A deficient ______(6) fails to hold Blood, Qi sinks, anger injures the ______(7) which makes Blood reckless: one must differentiate clearly, in Deficiency one must tonify, in Stasis _____(8), and in Heat clear.’
Golden Mirror of Medicine (1742)

A 
1 - Lou
2- Beng
3- Blood-Heat
4- Ren
5- Chong
6- Spleen
7- Liver
8- disolve
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9
Q

When Yin is deficient and Yang in excess, there may be flooding because

A

excess Yang heats the blood and makes it spill from the blood vessels.

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10
Q

Flooding & Trickling etiology

A
  • Emotional strain
  • Major cause of Excess type bleeding in GYN
  • Overwork and excessive sexual activity
  • Physical overwork, chronic illness
  • Childbirth
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11
Q

Major cause of XS type of bleeding in GYN issues

A

Emotional Strain

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12
Q

Stagnation of Qi leads to Fire, this is seen in

A

Emotional Strain

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13
Q

Overwork and excessive sexual activity weakens

A

LV and KD Yin (leads to empty heat)

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14
Q

Physical overwork, chronic illness weakens

A

Spleen => fails to hold blood in vessels

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15
Q

Childbirth => XS Blood loss weakens

A

LV/KD, failure to hold blood

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16
Q

Flooding & Trickling Pathology Patterns

A
  • Blood Heat
  • Stagnation, external pathogenic factor, diet
  • Blood Empty Heat
  • Qi Deficiency
  • KD Deficiency
  • Blood Stasis
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17
Q

Blood-Heat shows as

A

Profuse bleeding, bright red or dark red blood

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18
Q

Blood Empty Heat

A

Lesser bleeding or prolonged spotting after period

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19
Q

Blood-Heat looks like what? Over time it injures

A
  • Red, scarlet blood
  • Prolonged Yin def. or
  • chronic Blood Full heat injures Yin
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20
Q

Flooding at start of period or prolonged spotting after indicates

A

Qi def

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21
Q

Pale red blood or Spleen Qi fails to hold blood in vessels could indicate

A

Qi def

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22
Q

KD Qi or Yang def affect

A

Chong and Ren

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23
Q

Chong and Ren become unstable =>

A

they fail to hold Blood

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24
Q

Ren Mai influences the

A

Uterus and Kidney

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25
Q

Yin deficiency fails to hold _____, and creates

A

blood, empty heat

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26
Q

What is causing Blood Stasis?

A

XS Blood loss during period, some loss after

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27
Q

Dark blood with dark clots causes

A

painful periods

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28
Q

Stagnant Blood obstructs Uterus blood vessels =>

A

New blood cannot fill Uterus, leaks out

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29
Q

‘Flooding is due to injury of the _______Mai. These vessels originate from the Uterus and are the Sea of channels; when they are injured their _______ and fails to hold Blood in the blood vessels and channels.’
General Treatise on the Aetiology and Symptoms of Diseases (AD 610)

A

Chong and Ren

Qi becomes deficient

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30
Q

Young girls: Flooding is due

A

hereditary Kidney weakness

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31
Q

Young women: Flooding is due

A

Blood heat from Liver Fire

32
Q

Pre-menopausal: Flooding is due

A

Liver and Kidney Yin deficiency

33
Q

Based on principles of stopping bleeding

A
  • Harmonize Blood
  • Treat the Root Cause of Bleeding
  • Astringe
  • Treat Qi
34
Q

Harmonizing Blood means here

A
  • Stop bleeding
  • Eliminate stasis
  • Calm Blood
  • Nourish Blood
35
Q

Treating Qi means

A
  • Tonify and firm Qi

* Raise Qi

36
Q

Three Steps in Treatment

A
  • Shore Up the Flow
  • Settle the Source
  • Restore the Old
37
Q

Shore up the flow means

A

stop the bleeding, treat the Baio

38
Q

Settle the source means

A

Treat the underlying pattern causing the bleeding => treat the Ben

39
Q

Restore the Old

A

Treating the organs involved

40
Q

How to treat the organs involved

A

Tonifying KD
Regulating LV
Strengthen SP
Tonifying HT

41
Q

Harmonize Blood: Stop Bleeding

A

SP 8, KD 8, KD 4, LIV 5, SP 1

42
Q

Harmonize Blood: Eliminate Stasis

A

PC 6, SP 10, BL 17, SP 6, LIV 3

43
Q

Harmonize Blood: Calm Blood

A

SP 6, KD 3

44
Q

Harmonize Blood: Nourish Blood

A

ST 36, SP 6, LIV 8, CV 4, BL 20, BL 23

45
Q

Treat the Root Cause: Blood heat

A

LI 11, SP 10, KD 2 LIV 3, LIV 2, PC 3, HT 3

46
Q

Treat the Root Cause: Blood empty Heat

A

KD 2, LIV 3, KD 6, SP 6

47
Q

Treat the Root Cause: Qi def.

A

ST 36, SP 6, CV 6, BL 20, BL 21

48
Q

Treat the Root Cause: KD def.

A

KD 3, BL 23, BL 52, CV 4, KD 13

49
Q

Treat the Root Cause: Blood Stasis

A

PC 6, SP 10, BL 17, SP 6, LIV 3

50
Q

Treat the Root Cause: Cold

A

CV 4, ST 36, CV 6, BL 23, moxa

51
Q

Astringe, herbs:

A

Shan Zhu Yu, Bai Shao & Di Yu (also stops bleeding)

52
Q

Treat Qi

A

CV 6, CV 12, GV 20

53
Q

Stop Bleeding:

A

SP 8, KD 8, BL 17, SP 10 connecting: KD 4, LIV 5

54
Q

Flooding suddenly, often before the proper time, trickling of blood for long time after, bright red or dark red blood, thirst, red face, agitation, feeling of heat, dark urine, constipation
T: Red with yellow coat
P: Rapid-overflowing

A

Blood Heat

55
Q

Treatment strategy for Blood Heat

A

Clear Heat, cool Blood, Stop bleeding

56
Q

Point selection for Blood Heat

A

SP4 R, PC 6 L, LI 11, SP 10, SP 8, SP 1, KD 5, SP 6, KD 2,LIV 3, LIV 5, KD 4, LIV 1

57
Q

Profuse bleeding with sudden flood, depression , irritability, moodiness, thirst, nausea, vomiting, acid regurgitation, hypochondrial pain and distention
T: Red sides
P: Wiry

A

LV Qi stagnation into Heat

58
Q

Treatment strategy for LV Qi stagnation into Heat

A

Pacify Liver, move Qi, eliminate stagnation, clear Heat, cool Blood, stop bleeding

59
Q

Point prescription for LV Qi stagnation into Heat

A

GB 34, LIV 3, LIV 14, BL 18, TW 6, PC 6, PC 7, GV 24, GB 13, SP 8, CV 6, LI 11, SP 10, LIV 1

60
Q

Sudden flooding outside the time of period or trickling long time after, fresh red blood, watery, mental restlessness, feeling of heat in the evening, malar flush, scanty dark urine, dry stools
• T: Red, no coat
• P: Floating empty, or Fine rapid

A

Blood Empty Heat

61
Q

Treatment strategy for Blood Empty Heat

A

Clear Empty Heat, cool Blood, nourish Yin, stop bleeding

62
Q

Point prescription for Blood Empty Heat

A

LU 7 R, KD 6 L, KD 2, LIV 3, KD 5, SP 1, SP 6, SP 8, CV 4, LI 11, SP 10, LIV 1,

63
Q

Period is hesitant, starting and stopping, may start again as a flood or may trickle after, pain before the period, blood dark with clots; abdominal distention, dark complexion
• T: Bluish-purple or Reddish purple
• P: Choppy or Wiry

A

Blood Stasis

64
Q

Treatment strategy for Blood Stasis

A

TX: Invigorate Blood, eliminate stasis, stop bleeding

65
Q

Point prescription for Blood Stasis

A

SP 4 R, PC 6 L, LIV 3, TW 6, LIV 1, SP 8, ST 30, SP 12, SP 10, SP 6

66
Q

Bleeding which could be either scanty or abundant, bleeding on mid-cycle, blood sticky, yellow brownish discharge appearing before bleeding starts, no clots, feeling of heaviness, dragging sensation in lower abdomen, burning pain in lower abdomen, joint pain, oppression of chest, irritability, scant-dark urine, burning on urination, vaginal discharge
T: Sticky yellow coat
P: Slippery

A

Damp Heat in the Uterus

67
Q

Treatment strategy for Damp Heat in the Uterus

A

Clear Heat, resolve Damp, cool Blood, stop bleeding

68
Q

Point prescription for Damp Heat in the Uterus

A

GB 41 R, TW 5 L, LI 11, SP 10, SP 8, SP 1, KD 5, SP 6, SP 9, CV 3, BL 22, BL 32

69
Q

Flooding at start of period, stops and goes on trickling after, pale and watery blood, pale face, tiredness, slight dizziness, no appetite, loose stools
T: Pale, scalloped
P: Weak

A

Spleen not Holding Blood

70
Q

Treatment strategy for Spleen not Holding Blood

A

Tonify Qi, strengthen the Spleen, nourish Blood, stop bleeding

71
Q

Point prescription for Spleen not Holding Blood

A

CV 6, CV 12, ST 36, SP 6, BL 20, BL 21, GV 20, SP 8

72
Q

Prolonged bleeding with a trickle for long time after, periods late, blood pale, feeling cold, sore back , cold limbs, pale complexion, weak knees, pale urine
T: Pale and swollen
P: Deep and Weak

A

KD Yang def.

73
Q

Treatment strategy for KD Yang def.

A

Tonify, warm Kidneys, consolidate Ren & Chong Mai, stop bleeding

74
Q

Point prescription for KD Yang def.

A

CV 6, BL 23, CV 4, ST 30, KD 7, ST 36, SP 6, KD 13

Rx to Raise Qi, consolidate Chong: SP 1 moxa cones, BL 20, SP 6, GV 20, CV 6, CV 4

75
Q

Trickling after period, late cycle, fresh red, watery blood, dizziness, tinnitus, weak knees, feeling of heat in evening, night sweat, hot flushes, malar flush, mental restlessness
T: Red without coating
P: Floating empty

A

KD Yin def.

76
Q

Treatment strategy for KD Yin def.

A

Nourish Yin, strengthen Kidneys, stop bleeding

77
Q

Point prescription for KD Yin def.

A

CV 6, BL 23, CV 4, KD 3, ST 36, SP 6, KD 2, KD 13, KD 10, LU 7 (R), KD 6 (L),

E&P III (13 decks)

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