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Gynecology > Gyn-Amenorrhea > Flashcards

Gyn-Amenorrhea Flashcards

1
Q

Etiology of Amenorrhea

A
  1. Endocrinal and neuropyscliotrical factors
  2. Menstruation that doesn’t come until 18 (primary amenorrhea) or suppression of menst. for over 3 months (secondary amenorrhea).
  3. Can eventually slow down, delay & than stop or suddenly stop
  4. Patient is not pregnant, menopause or breast feeding
  5. Some women are born with no ovary or no uterus (organ problem)
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2
Q
  1. No Period
  2. Pale Face, pale lips
  3. Dizzy, Blurred Vision, numbness/tingling
  4. Palpitations, poor memory, insomnia
  5. SOB, Fatigue
  6. Loose Stool
    T: Pale P: Weak or thready/choppy
A

Amenorrhea d/t Qi & BLOOD DEFICIENCY

-Gradual Stop

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3
Q

TP for Amenorrhea d/t Qi & Blood Deficiency

A

Tonify Qi & Blood

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4
Q

Points for Amenorrhea d/t Qi & Blood Deficiency

A

UB17, 18, 20, 23, LV8, RN4, 6, 17, KD3, ST36, SP6

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5
Q

Causes of Amenorrhea d/t Qi & Blood Deficiency

A

Deprived Ren & Chong

  1. Chronic Diseases
  2. Improper intake of food
  3. Excessive sex
  4. Grand multipara
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6
Q

Formula for Amenorrhea d/t Qi & Blood Deficiency

A 
Ba Zhen Tang (Eight Precious Decoction)
Chuan Xiong
Dang Gui
Chao Bai Shao
Shu di Huang
Ren Shen
Bai Zhu
Fu Ling 
Zhi Gan Cao
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7
Q
  1. Period slows down & eventually stops coming
  2. Dizzy, Sore & Weak back & lumbar region
  3. Dry Mouth & Throat
  4. 5 Center Heat
  5. Red Cheek Bones
  6. Dizzy, blurred vision, numbness/tingling
    T: Red/no coat P: Empty, Thready (yin) and rapid, wiry (LV Yin, LV Blood)
A

Amenorrhea d/t LV & KD (Yin) Deficiency

(Blood & Essence)

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8
Q

TP for Amenorrhea d/t LV & KD Yin Deficiency

A

Nourish LV & KD yin, nourish Blood

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9
Q

Points for Amenorrhea d/t LV & KD Yin Deficiency

A

LU7, KD6,

KD 3, 13, SP6, RN4, UB 17, 18, 23, ST36, LV8

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10
Q

Formula for Amenorrhea d/t LV & KD Yin Deficiency

A 
Si Wu Tang
(Four Substance Decoction)
Chuan Xiong
Dang Gui
Bai Shao
Shu Di Huang
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11
Q

Etiology for Amenorrhea - Excess Type

A

May Stop Suddenly - More Secondary Amenorrhea

  1. Emotional Disturbance
  2. LV qi Stagnation
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12
Q
  1. No Period for Months
  2. Depression
  3. Anger, Irritability & Moodiness
  4. Painful & Distending Sensation on Chest & Hypoc. region
  5. Lower abd. feels tight and pain Increased with pressure
  6. Might feel hard mass in lower abd. (qi mass, blood mass)
    T: Purplish Sides P: Deep, wiry, choppy
A

Amenorrhea d/t Qi & Blood Stagnation

Excess Type

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13
Q

TP for Amenorrhea d/t Qi & Blood Stagnation

A

Regulate Qi & Activate Blood

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14
Q

Points for Amenorrhea d/t Qi & Blood Stagnation

A 
PC6 (Left Side-distending pain)SP4(Right side)
SP6, 10, LV3, GB34, KD6, LU7, 
LI4-bring qi & blood downward
RN4-Regulate Ren & Chong
ST30 - move qi & blood in lower jiao
KD14 - pain & mass in lower abd.
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15
Q

Formula for Amenorrhea d/t Qi & Blood Stagnation

A

Tao Hong Si Wu Tang (Four Substance Decoction with Safflower and Peach Pit)

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16
Q
  1. No Period for Months
  2. Prolonged Cycle gradually developing to Amenorrhea
  3. Obesity
  4. White Vaginal Discharge
  5. Feel oppression in Chest
    T: Thick Sticky White/Yellow Coat
    P: Slippery
A

Amenorrhea d/t Damp & Phlegm Stagnation

17
Q

TP for Amenorrhea d/t Damp & Phlegm Stagnation

A

Resolve Damp & Phlegm

18
Q

Points for Amenorrhea d/t Damp & Phlegm Stagnation

A

SP6, 9, RN 4, 6, 9, 12, ST 28, 36, 40,
UB 20, ST 36

Two main points to stop uterine bleeding = SP8, KD8
Points that act on Chong = SP10, UB17

Gynecology (18 decks)

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