Gynaecology 2 Flashcards

1
Q

Will the same principal treatment apply if treating progesterone deficiency or Metrorrahage

A

Yes however if treating PMS liver chi stagnation or blood xu and pregnancy not a risk the treatment plan from ovulation onwards will be to move Chi and xue until the period onset

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2
Q

But someone has PMS and determined it’s from an excess condition either liver Qi stagnation or blood stagnation our treatment principal from ovulation is to what.

A

Lifting Yang, but mostly it’s to move Qi and blood because remember Yang is Qi and Qi is movement

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3
Q

When is the yin phase of the menstrual cycle

A

Yin phase is from day one until ovulation

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4
Q

What is the yin phase driven by

A

Estrogen

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5
Q

What is the name of the yin phase

A

The follicular phase

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6
Q

Why do they call it the follicular phase

A

Because it’s when the follicules mature

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7
Q

What else is the follicular phase referred as

A

Proliferative phase in reference to the Endometrium lining growing from almost nothing to abundance

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8
Q

Tired before her period Do you move yang or lift it up

A

Lift yang up plus moxa 

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9
Q

If you want to change the free flow of blood in the period When do you do that

A

In the first week of the cycle

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10
Q

If a woman tell you she got period cramps because your period is due tomorrow when would you treat it

A

The first week of the cycle

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11
Q

If a woman tells you she got her period cramps because your period is due tomorrow and you treated at the beginning of the cycle why is that

A

Because this is when the endometrium sheds and begins to regenerate and this is when you have the biggest impact on blood

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12
Q

On day one to three you focus on moving blood what points would you use

A

Is the chong vessel it’s the sea of blood use the ren vessel drives blood downwards
 spleen 6, 10 ( LV3 LI4 dissolves qi stag)
Stm28 regulates menstruation and remove stagnation
Stm30 regulates Qi and regulates Chong Mai

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13
Q

When does rebuilding of the endometrium usually start

A

Within 2 to 3 days of onset of menstruation

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14
Q

So even when the period is going on What to meridians will drive regeneration

A

The Chong and the Ren

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15
Q

What happens to the endometrium

A

Most of it gets remodelled with only a small percentage of it actually shedding

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16
Q

How thick should the endometrium be by day five and six

A

1 to 2 mm thick and remodelling is complete

17
Q

A day five and six we switch treatment focussed from ______ to _________ flow

A

Move stagnation to invigorate blood flow

18
Q

How do we do that invigorate blood flow and move stagnation? And why

A

We do that by tonifying yin because this phase has the greatest impact and the most menstrual cycle irregularities