Gynecology Final Flashcards
Condition after pregnancy
Condition after pregnancy: qi, blood, and body fluid deficiency with blood stasis
Why is fever common after delivery?
Fever is very common after delivery because there is a yin/blood/body fluid deficiency, the body is weak and deficient. Common to have a bacterial infection or common cold
Symptoms: postpartum high fever and chills, lower abdominal pain that is averse to pressing, heavy or light dark purple lochia with smell, irritability and thirst, scanty and yellow urine, dry stool, red tongue with
yellow coating, rapid and forceful pulse
PATHOGENIC TOXIN INFECTION postpartum fever
PATHOGENIC TOXIN INFECTION postpartum fever TP
TP: clear heat, remove toxin, cool blood, remove blood stasis
PATHOGENIC TOXIN INFECTION postpartum fever formula
Formula: Jie Du Huo Xue Tang + Yin Hua, Yi Mu Cao
Formula: Jie Du Huo Xue Tang + Yin Hua, Yi Mu Cao
Lian Qiao, Ge Gen, Chai Hu, Gan Cao: clear heat, detoxify
Sheng DI Huang, Chi Shao, Dang Gui: cool blood, harmonize blood
Hong Hua, Tao Ren: remove blood stasis
Zhi Ke: regulate qi
Symptoms: chills and fever after delivery, lochia retention or scanty lochia, purple dark with clots, lower abdominal pain that does not like to be touched, thirst without desire to drink, dark purple tongue with
spots, wiry and choppy pulse
BLOOD STASIS postpartum fever
BLOOD STASIS postpartum fever TP
TP: remove blood stasis
BLOOD STASIS postpartum fever formula
Formula: Sheng Hua Tang + Dan Shen, Dan Pi, Yi Mu Cao
Formula: Sheng Hua Tang + Dan Shen, Dan Pi, Yi Mu Cao
Dang Gui Chuan Xiong Tao Ren Pao Jiang Zhi Gan Cao
Symptoms: fever and aversion to cold without sweating, headache and bodyache, cough and running nose, thin white coating, floating pulse
EXTERNAL FACTORS INFECTION postpartum fever
EXTERNAL FACTORS INFECTION postpartum fever TP
TP: nourish blood and dispel wind
EXTERNAL FACTORS INFECTION postpartum fever formula
Formula: Jing Fang Si Wu Tang + Su Ye
Formula: Jing Fang Si Wu Tang + Su Ye
Jing Jie, Fang Feng: dispel wind and relieve exterior
Si Wu Tang: nourish and harmonize blood
Symptoms: excessive bleeding after delivery, slight fever, blood deficiency symptoms
BLOOD DEFICIENCY postpartum fever
BLOOD DEFICIENCY postpartum fever TP
TP: tonify qi and blood
BLOOD DEFICIENCY postpartum fever formula
Formula: Ba Zhen Tang - Chuan Xiong + Huang Qi
Formula: Ba Zhen Tang - Chuan Xiong + Huang Qi
Ren Shen Bai Zhu Fu Ling Zhi Gan Cao Dang Gui Bai Shao Shu Di Huang Chuan Xiong
Symptoms: general achiness on the muscles, joints, limb numbness, pale complexion, pale tongue, pale nails, pale lips
BLOOD DEFICIENCY postpartum body ache
BLOOD DEFICIENCY postpartum body ache TP
TP: nourish blood, tonify qi, warm meridians and unblock collaterals
BLOOD DEFICIENCY postpartum body ache formula
Formula: Huang Qi Gui Zhi Wu Wu Tang + Qin Jiao, Dang Gui, Ji Xue Tang
Formula: Huang Qi Gui Zhi Wu Wu Tang + Qin Jiao, Dang Gui, Ji Xue Tang
Huang Qi: tonify qi
Bai Shao: nourish blood
Gui Zhi: warm the meridians and unblock the collaterals
Sheng Jiang, Da Zao: harmonize ying and wei
Symptoms: pain in the limbs and joints, difficulty in flexing and extending joints or wandering pain, severe stabbing pain, or swelling, numb and heavy limbs that prefer warmth, pale tongue with white coating,
thready and moderate pulse
WIND AND COLD postpartum body ache
WIND AND COLD postpartum body ache TP
TP: nourish blood, dispel wind, expel cold and damp
WIND AND COLD postpartum body ache formula
Formula: Du Huo Ji Sheng Tang
Formula: Du Huo Ji Sheng Tang
Si Wu Tang: nourish blood
Ren Shen, Fu Ling, Gan Cao: tonify spleen qi
Du Huo, Sang Ji Sheng, Qin Jiao, Fang Feng: dispel wind, cold, and damp
Niu Xi, Du Zhong: tonify liver and kidneys, strengthen tendons and bones
Xi Xin, Rou Gui: dispel wind and cold, warm the meridians and relieve pain
Symptoms: pain on the lower back and weakness of the knees and limbs, heel pain, light red tongue with thin coating, deep and thready pulse
KIDNEY DEFICIENCY postpartum body ache
KIDNEY DEFICIENCY postpartum body ache TP
TP: tonify the kidneys, strengthen the lower back and bones
KIDNEY DEFICIENCY postpartum body ache formula
Formula: Yang Rong Zhuang Shen Tang + Shu Di Huang
Formula: Yang Rong Zhuang Shen Tang + Shu Di Huang
Dang Gui, Chuan Xiong: nourish blood and remove blood stasis
Sheng Jiang, Rou Gui: warm the meridians and dispel cold
Fang Feng, Du Huo: dispel wind, cold, and damp
Du Zhong, Xu Duan, Sang Ji Sheng: tonify the kidneys and strengthen the tendons and bones
Symptoms: soft masses that move when palpated, distention and fullness sensation in the lower abdomen, thin moist tongue coating, deep and wiry pulse
QI STAGNATION abdominal mass
QI STAGNATION abdominal mass TP
TP: regulate qi, remove blood stasis, dispel mass
QI STAGNATION abdominal mass formula
Formula: Xiang Leng Wan
Formula: Xiang Leng Wan
Mu Xiang, Ding XIang, Xiao Hui Xiang, Zhi Ke, Qing Pi: regulate qi
Chuan Lian Zi: regulate qi, clear heat, relieve pain
San leng, E Zhu: remove blood stasis and dispel mass
Symptoms: hard and fixed masses in lower abdomen, pain aggravated when pressed, dark complexion, dry scaly skin, amenorrhea/delayed/scanty period, dysmenorrhea, dry mouth and not wanting to swallow, distended blue sublingual veins, purple tongue with purple spots
BLOOD STASIS abdominal mass
BLOOD STASIS abdominal mass TP
TP: remove blood stasis and disperse masses
BLOOD STASIS abdominal mass formula
Formula: **Gui Zhi Fu Ling Wan
Formula: Gui Zhi Fu Ling Wan
Gui Zhi: warm meridians, regulate qi, unblock yang
Mu Dan Pi, Tao Ren, Chi Shao: remove blood stasis
Fu Ling: tonify spleen and dispel damp
Symptoms: soft, round masses in the lower abdomen with pain sometimes, white and sticky leukorrhea, scanty urine, white greasy tongue coating, chest oppression, dark purple tongue, thready soggy or deep and
slippery pulse, feeling of cold, could be cysts on the ovary or chocolate cysts, overweight, pale tongue
PHLEGM AND DAMP abdominal mass
PHLEGM AND DAMP abdominal mass TP
TP: regulate qi, dispel phlegm, remove blood stasis, disperse mass
PHLEGM AND DAMP abdominal mass formula
Formula: Kai Yu Er Chen Tang
Formula: Kai Yu Er Chen Tang
Er Chen Tang, Cang Zhu, Sheng Jiang: dispel phlegm
Qing Pi, Xiang Fu, Mu Xiang, Bing Lang, Chuan Xiong: regulate qi
E Zhu: remove blood stasis and disperse masses
Primary dysmenorrhea
Primary dysmenorrhea: lower abdomenal/lower back pain before or during the menstural cycle, primary dysmenorrhea begins since the very first menstrual cycle, also called functional dysmenorrhea
Secondary dysmenorrhea
Secondary dysmenorrhea: lower abdomenal/lower back pain before or during the menstural cycle, secondary dysmenorrhea means the pain starts later in life, usually due to inflammation, endometriosis
Dysmenorrhea pathogenesis
Pathogenesis: Excess (obstruction causing pain - blood stasis, cold, damp heat/inflammation, cold damp, qi stagnation) Deficiency (failure to nourish - qi and blood defiicency, liver and kidney deficiency, deficiency cold)
Dysmenorrhea differentiation
Differentiation: ectopic pregnancy, pregnancy, appendicitis, twisting of the ovaries, burst ovary cyst, miscarriage
Symptoms: Distending pain in the lower abdomen at one or two days before mensturation or during menstruation, dislike pressing, or with distention in the chest, hypochondriac region and breast, or small volume purple dark blood with clots, abdominal pain better after clots discharge and pain relieved after period, purple dark tongue with spots, wiry or wiry and slippery pulse,
QI STAGNATION AND BLOOD STASIS dysmenorrhea
QI STAGNATION AND BLOOD STASIS dysmenorrhea TP
TP: regulate qi, remove blood stasis, relieve pain
QI STAGNATION AND BLOOD STASIS dysmenorrhea formula
Formula: Ge Xia Zhu Yu Tang
Symptoms: cold pain in the lower abdomen before or during menstruation, prefer warming and dislike pressing, small volume of purple dark blood with clots, aversion to cold and body ache, white greasy coating, deep and tight pulse
COLD AND DAMPNESS dysmenorrhea
COLD AND DAMPNESS dysmenorrhea TP
TP: warm meridian, dispel cold and dampness, remove blood stasis and relieve pain
COLD AND DAMPNESS dysmenorrhea formula
Formula: Shao Fu Zhu Yu Tang + Cang Zhu, Fu Ling
Symptoms: cold pain in the lower abdomen during or after menstruation, prefer warmth and pressing, small light or dark blood, weakness in the lower back and legs, profuse urination, deep pulse, white and moist coating
DEFICIENCY COLD dysmenorrhea
DEFICIENCY COLD dysmenorrhea TP
TP: warm meridian and uterus, relieve pain
DEFICIENCY COLD dysmenorrhea formula
Formula: Wen Jing Tang + Fu Zi, Ai Ye, Xiao Hui Xiang
Symptoms: lower abdominal pain with burning sensation before menstruation which dislikes pressure, or with distending pain on the lower back, or freuqent pain on the side of the abdomen but worse during menstruation, thick dark red blood with clots, low fever, yellow thick vaginal discharge, short yellow urine, red tongue with yellow greasy coating, wiry and rapid or floating soft and rapid pulse.
DAMP HEAT POURING DOWN dysmenorrhea
DAMP HEAT POURING DOWN dysmenorrhea TP
TP: clear heat, dispel damp, remove blood stasis, relieve pain
DAMP HEAT POURING DOWN dysmenorrhea Formula
Formula: Qing Re Tiao Xue Tang + Hong Teng, Bai Jiang Cao, Yi Yi Ren
Symptoms: dull pain in the lower abdomen after or during menstruation, bearing down sensation in the lower abdomen, prefer pressing, small volume, light and thin blood
QI AND BLOOD DEFICIENCY dysmenorrhea
QI AND BLOOD DEFICIENCY dysmenorrhea TP
TP: tonify qi, nourish blood, relieve pain
QI AND BLOOD DEFICIENCY dysmenorrhea Formula
Formula: Shen Yu Tang minus Sheng Di Huang + Bai Shao, Xiang Fu, Yan Hu Suo
Symptoms: dull pain in the lower abdomen after menstruation, small light dark blood
LIVER AND KIDNEY DEFICIENCY dysmenorrhea
LIVER AND KIDNEY DEFICIENCY dysmenorrhea TP
TP: Nourish liver and kidney, relieve pain
LIVER AND KIDNEY DEFICIENCY dysmenorrhea formula
Formula: Tiao Gan Tang
Excess dysmenorrhea pain symptoms
Excess: pain before or during period 1-3 days, distending or stabbing or burning or spasm pain, dislikes pressure
Deficiency dysmenorrhea pain symptoms
Deficiency: pain after period of the end of the period, dull pain that likes pressure
Pain in the middle of the abdomen:
blood stasis or cold
Pain in the low back:
SP/KD yang xu cold
Distending pain with gas:
qi stagnation
Sharp, spasm pain:
blood stasis