GYN-Delayed Periods

Question 1

-Late Period
-Scanty Period with Dark Blood & Clot
*Painful Period
-Abdominal Pain relieved by HEAT & worsened by pressure (Excess)
-Feeling Cold
-Abd. Very Tight on palpation
T: Pale with Thick White Tongue coating (excess tongue)
P: Full & Tight(or slow) normal or slow

Answer 1

Cold in the Uterus

Question 2

Treatment principle for Cold in the Uterus

Answer 2

Warm the Uterus, Scatter Cold, Regulate Period, Tonify Yang

Question 3

Points for Late Period d/t Cold in the Uterus

Answer 3

RN4 & 6 - Moxa cones for 20 minutes)
ST36 
SP6, 8
ST 25
ST 29
UB 32
(RN4 & ST36 T. Qi & Warm Interior)

Question 4

Herb for Late Period d/t Cold in the Uterus

Answer 4

Wen Jing Tang (Warming the Menses Decoction)
*83 Formula
Whu Zhu Yu          Mai Men Dong
Gui Zhi                   E Jiao
Sheng Jiang           Mu Dan Pi
Dang Gui                Ban Xia
Bai Shao                 Zhi Gan Cao
Chuan Xiong
Dang Shen

Question 5

-Late Period
-Scanty, Small, Dar, STRINGY Clots
*Painful Period
-Abd. Pain relieved by both Pressure & Warmth (def.)
-Feeling Cold
-Tired
T: Pale (def. tongue) P: Deep weak slow

Answer 5

Cold in the Uterus (Deficiency Cold)

Question 6

Treatment Principle for Late Period d/t Cold in the Uterus

Answer 6

Tonify Yang, Expel Cold, Regulate Period

Question 7

Points for Deficiency Cold in the Uterus

Answer 7

Same as treating excess cold, plus *DU 4
RN4 & 6-moxa cones for 20 minutes
ST 36
SP6, 8
ST 25
ST 29
UB 32

Question 8

Herbs for Deficiency Cold in the Uterus

Answer 8

Ai Fu Nuan Gong Wan (Artemisia Cyperus Warming the Uterus Pill)
Ai Ye                      Bai Shao
Wu Zhu Yu             Huang Qi
Rou Gui                  Sheng Di Huang
Xiang Fu                 Xu Duan
Dang Gui
Chuang Xiong

Question 9

-Late Period
-Scanty Pale Blood
-Sore Back & Weakness in Lumbar Region
-Nocturia
-Dizziness
-Dull PAIN in abdomen, prefers massage
-Clear Profuse Urination
-Loose Stool
T: Pale, thin white coat P: Deep weak (deep slow)

Answer 9

KD YANG DEFICIENCY

Qi Deficiency Plus COLD= Yang Deficiency

Question 10

Treatment Principle for KD Yang Deficiency

Answer 10

Tonify KD Yang

Question 11

Points for Late Period d/t KD Yang Deficiency

Answer 11

ST 25, 36
SP6
UB 20, 23
RN 4
LU7, KD6
DU 4 (KI Yang)
KD 3

Question 12

Herbs for Late Period d/t KD Yang Deficiency

Answer 12

Jin Gui Shen Qi Tang (Kidney Qi Pill from the Golden Cabinet)
Gui Zhi
Fu Zi
SHu Di Huang
Shan Zhu Yu
Shan Yao
Ze Xie
Mu Dan Pi
Fu Ling

Question 13

2nd Herb for Late Period d/t Kidney Yang Deficiency

Answer 13

Cong Rong Tu Si Zi Wan

Question 14

What is difference between Ki Qi Not Firm & KI Yang Deficiency

Answer 14

Kid Qi not firm has NO PAIN and KI Yang Deficiency has dull pain & Loose Stool

Question 15

-Late Period
-Scanty Pale (light red) period (blood def)
-Dizziness, Blurred Vision (blood def)
-Insomnia, Palpitations
-Empty & Painful feeling in lower abdomen
-Pale sallow complexion
-Dry Mouth & Skin
T: Pale, thin Coat P: Thin (thready) weak

Answer 15

Blood Deficiency

Question 16

Treatment Principle for Late Period d/t Blood Deficiency

Answer 16

Tonify QI & Blood

Question 17

Points for Late Period d/t Blood Deficiency

Answer 17

SP 6
RN 6
ST 36
RN 4
UB 17, 18, 20, 23
LU7, KD6
DIzziness & Blurred Vision= DU 20 & LV8
Insomnia & Palpitations = HT 7

Question 18

Herbs for Late Period d/t Blood Deficiency

Answer 18

Ren Shen Yang Rong Tang (Ginseng Nourishing and Flourishing Decoction)
Ren Shen                 Rou Gui
Bai Zhu                     Wu Wei Ze
Huang Qi                  Yuan Zhi
Dang Gui                   Fu Ling
Bai Shao                    Chen Pi
Shu Di Huang            Zhi Gan Cao

**Can also use Ba Zhen Tang (4 Gentlemen, 4 Substance) “When you tonify blood you have to tonify Qi”

Question 19

-Late Period
-Scanty Period with Clots
-Depressed before Period
Period starts Hesitantly
-Irritability (qi stag can turn to heat)
-Abdomen & Breast Dist. for long time before period
T: Normal or slightly red on sides if stag. pronounced P: Wiry

Answer 19

Qi Stagnation

Question 20

Treatment Principle for Late Period d/t Qi Stagnation

Answer 20

Soothe Liver
Move Qi
Invigorate Blood
Eliminate Stagnation
Regulate Period

Question 21

Points for Late Period d/t Qi Stagnation

Answer 21

SP4, PC6 - Regulate Chong, subdue rebellious qi, invigorate blood (moves blood & Qi)
LV 3, 14, SJ6 - soothes LV, moves Qi
KD 14 - point on Chong vessel, moves qi & eliminates stagnation in the Uterus & Chong vessel
SP 6 - Move (invig.) blood
RN4, 6-move qi lower body, T. qi & Blood, elim. stag, strengthen uterus

**This is an excess condition, no LU7&KD6, use SP4 & PC6 to open Chong.

Question 22

Herbs for Late Period d/t Qi Stagnation

Answer 22

Xiao Yao San (Rambling Powder)
Chai Hu
Dang Gui
Bai Shao
Bai Zhu
Fu Ling
Bo He
Sheng Jiang
Gan Cao