Gynecological Dz and other dz's Flashcards
S/S: profuse thin and light/pale red menses in short cycle, lassitude, palp, SOB, subjective empty/heavy sensation in the lower abdomen.
T: pale tongue with thin coating
P: weak
Gyne: Irreg Menses: a) Antedated(short) cycle: ii) Qi deficiency: pts:
Ren 6, Ren 12
Sp 6, S 36
S/S: Shortened cycle, (bright) red and thick blood flow in large quantities, restless, fullness in chest, brown urine
T: red tongue with yellow coating
P: rapid and forceful
Gyne: Irreg. menses: a) Antedated (early) menses:i) Heat in the blood: pts: LI 11, Ren 3, Sp l0, K 5 (xi-cleft) specific: Liv trans to fire: Liv 2 Yin xu w/ int heat: K 2
S/S: Scanty and light red menses in delayed cycle, empty, painful feeling in the low abd, emaciation, sallow complex., lusterless skin, dizziness, blurred vision, palp and insomnia
T: pink tongue with little coating
P: weak and thready
Gyne: Irreg. Menses: b) Postdated menstruation: i) Blood deficiency:
pts: Ren 4 (yin), Ren 6, Sp 6
Suppl pts:
Dizziness, blurred vision: Du 20
Palp and insomnia: H 7
S/S: Scant and dark color menses in delayed cycle, colic pain in the low abd, slt allev by warmth, cold limbs
T: thin and white tongue
P: deep and slow
Gyne: Irreg. menses: Post-dated (late)menses: ii) Cold in the blood: pts
Ren 4, Ren 6, Sp 6
specific:
Dizziness and blurred vision: Du 20
Palp. and insomnia: H 7
S/S: Scanty and dark red menses in delayed cycle, distend. pain in the low abd, ment. depression, stuffy chest allev. by belch, dist hypoch and breast
T: TWC
P: string-taut
Gyne: Irreg. Menses: Post-dated (late)menses: iii) Qi stagnation: pts:
S 25, K 13/K 14, Sp 8 (xi-cleft), Liv 3
specific:
fullness of the chest: P 6
Distent hypoch and breast: Liv 14 (local)
S/S: Alteration of mense cycle and quant. of blood flow, thick, sticky, and purple color menses difficult to flow, dist hypoch. and breast, dist pain in the low abd, ment. depression, freq sighing
T: TWC
P: string-taut
Gyne: Irreg Menses: c) Irreg. mense cycles:i) Qi stagnation in the liver:
pts: Ren 6, K 14, P 5, Liv 5 (subq to avoid saph n.)
Specific:
Dist hypoch and breast: Ren 17, Liv14
Mental depression: H 7, Liv 3
S/S: Scanty, light red blood flow in alt cycles, dizziness and tinnitus, weak/aching of the low back/knees, freq night urin, loose stools
T: pale tongue with thin coating
P: deep and weak
Gyne: Irreg Menses: b) Irreg mense cycle: ii) Kidney deficiency, pts:
Ren 4, B 23, K 8 (essence pt)
Suppl pts: Sore/weak low back, knees: Yaoyan (Extra), K 10
Dizziness and tinnitus: Du 20, K 3
S/S: Pain low abd, usu start before mens.,retarded, scanty, *dark purp menses w/clots, *dist pain in the low abd, *allev. by passing out clots, dist in hypoch and *breast. Pain/cold feeling in the low abd refer to the waist/back, allev by warm.,scant dk red menses with clots.
T: purplish tongue with purple spots on its edge; sticky and white
P: deep and string-taut
Dysmenorrhea: a) Excess syndrome: pts:
Ren 3, B 32, LI 4, Sp 10, Sp 8, Liv 3
Dist pain in low abd: K 14, S 28
Pain w/cold feeling in the abd: S 29, S 27
S/S: Dull pain appear by end or after menses, allev by warm and pressure, pink, scanty, thin menses, accomp. by avers to cold, cold extrem, pale complex., palp and dizzi
T: sticky and white tongue
P: thready, weak
Dysmenorrhea: b) Deficiency syndrome: pts:
Ren 4, B 20, B 23, S 36, Sp 6
Pain w/cold feeling in the abd: S 29, S 27
S/S: Absence of menses for months, low abd dist pain aggr by pressure, hard mass in low abd, dist and fullness in the chest/hypoch,
T: dark purple tongue coating with purplish spots on its borders
P: deep string-taut
Amenorrhea: a) Blood stagnation: pts:
Ren 3, S 29, Sp l0, Liv 3, LI 4, Sp 6
Suppl. pts:
Pain in low abd with hard mass aggr by pressure: K 14
S/S: Delayed mens cycle, grad decrease menses and amen,sallow complex.,prolonged cases=lassitude, vertigo
dizziness, poor appet, loose stools
T: dry skin, pale tongue with white coating
P: slow weak
Amenorrhea: b) Blood depletion: pts:
Ren 4,
B 18, B 20, B 23,
S 36, Sp 6
S/S: dizziness and tinnitus, sore, weak low back, knees, dry mouth, throat, hot sens. in the palms, soles and epig, aft fever, night sweating.
T: pale tongue with little coating
P: string-taut and thready
Amenorrhea: Bld xu/essence xu: pts:
Ren 4,
B 18, B 20, B 23,
S 36, Sp 6
S/S: sudden onset of profuse or prolonged contin vaginal bleeding in deep red colour, fidgets, insomnia, dizziness
T: red tongue with yellow
P: rapid
Uterine Bleeding: a) Excessive heat: pts:
Ren 3, Sp l0, Sp l, Liv 8
Suppl pts:
Affection of external heat: LI 11, Excessive heart fire: H 8
Excessive liver fire: Liv 3
S/S: Sudden profuse bleeding or continuous scant bleeding marked by light red, thin blood, lassitude, shortness of breath, apathy, anorexia
T: pale tongue
P: thready weak
Uterine Bleeding: b) Qi deficiency: pts:
Du 20, Ren 4, S 36, Sp 6, Sp l, SJ 4 (yuan source)
Supplementary points:
*Sp qi xu manifested by anorexia, loose stools: *B 20, B 21
S/S: Profuse thick, white or light yellow vaginal d/c w/o smell, pale or sallow complex., lassitude, poor appet,loose stools, edema low limbs
T: pale tongue with white sticky coating
P: slow weak
Morbid Leukorrhea: a) Deficiency in the spleen: pts:
GB 26, Ren 6, B 30,
Sp 9, S 36
S/S: Profuse, continu d/c of thin and transparent whites, severe sore low back, cold sens. in the low abd, freq and exc.urine, loose stools
T: pale tongue with thin coating
P: deep
Morbid Leukorrhea: b) Deficiency in the kidney: pts:
B 23, Ren 4,
K 7, K 12,
GB 26
S/S: Sticky, viscous and stinky yellow leuko. in lg quant.,itchy vulva, dry stool, scant yellow urine, soft, rapid pulse, sticky yellow coating, or leukorrhea in reddish yellow colour, bitter taste in the mouth, dry throat, irrit w a feverish sens, palp, insomnia
T: yellow coating
P: string-taut, rapid
Morbid Leukorrhea: c) Damp heat: pts:
Ren 3, B 32, Sp 6, Liv 3
Supplementary points:
Itchy vulva: Liv 5, Red leuko: Sp 10, Exc heat: L1 11
S/S: N/V of liquid or undigest food immed after meals, fullness and distending feeling in the chest, lassitude and sleepiness
T: pale tongue with white coating
P: slippery and weak pulse during the first trimester of pregnancy.
Morning Sickness: a) Deficiency in the spleen and stomach: pts:
*Ren 12, Ren 13, *P 6,
S 36, *Sp 4,
yintang
S/S: Vomit of bitter or sour liquid, epig fullness and hypoch. pain, freq belch and sighing, mental depression, dizziness and eye distention
T: yellowish tongue coat
P: string-taut slippery pulse in the early stage of gestation.
Morning Sickness: b) Disharmony between the liver and stomach: pts:
Ren 17, Ren 12,
P 6,
S 36, Liv 3
S/S: Dull paroxysmal labor pains w/mild weighing, dist. sensation, or profuse hemor in light colour, pale complex, lassitude, palp, SOB
T: pale tongue
P: weak
Prolonged Labour: a) Deficiency of qi and blood: pts
S 36, Sp 6,
B 67
S/S: Sharp pains in waist and abd, scant hemor in dk red color, prolonged delivery, dk bluish complex., depress mood, full in the chest/epig., frequent nausea
T: dark tongue
P: deep forceful
Prolonged Labor: b) Qi stagnation and blood stasis: pts
LI 4,
Sp 6, B 67
What point is moxa’d for fetal malposition?
B 67
S/S: Insuff milk aft. delivery or no milk, or decreas milk during lactat, no dist breast pain, pale complex., dry skin, palp, lassit, poor appet, loose stools
T: pale tongue with little coating
P: weak and thready
Insuffic Lactation: a) Deficiency of qi and blood: pts
S 18, Ren 17, SI 1
specific: B 20, S 36, Sp 6
S/S: Absence of milk after delivery, dist breast pain, ment.depression, chest distress and hypoch. pain, epig. dist, loss of appet.
T: pink tongue
P: string-taut
Insuffic. Lactation: b) Liver qi stagnation: pts
S 18, Ren 17, SI 1
specific: Liv 14, P 6, Liv 3
Those who do not want to nurse the infant after delivery can stop milk secretion by acupuncture. how?
Appendix: lactifuge delactation
GB 41, GB 37
Ten-minute moxa applied to each point after acu. Tx given once every day, three to five treatments in the following day.
S/S: Drop of the uterus into vagina or out of vulva sev. inches, sinking sens. in low abd, lassit, palp, SOB, freq. urine, leukor
T: pale tongue with thin coating
P: weak
Prolapse of uterus: Qi Xu: pts
*Du 20,
Ren 6, Ren 12,
*S 36, S 29 (local, lifting)
S/S: Prolapse of uterus, sore, weak low back, legs, bearing sens. in the low abd, dryness in the vagina, freq urine, dizziness, tinnitus
T: pink tongue
P: deep weak
Prolapse of Uterus: b) Kidney deficiency: pts
Ren 4, *Zigong (Extra),
Liv 8, K 6
