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ICTCM Year 4 > Gynecology Test #2 > Flashcards

Gynecology Test #2 Flashcards

1
Q

Causes of advanced menstruation?

A
  1. Qi deficiency
  2. Blood heat due to excessive yang
  3. Blood heat due to liver fire
  4. Deficiency heat
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2
Q

Most common causes of bleeding?

A

Qi deficiency and blood stasis

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3
Q

Causes of amenorrhea?

A

Cold, qi stagnation, blood stasis, phelgm damp, blood deficiency

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4
Q

On a young patient, focus mainly on which organ in gynecology?

A

KD

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5
Q

On a middle aged patient, focus mainly on which organ in gynecology?

A

LV

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6
Q

On a menopausal patient, focus mainly on which organs in gynecology?

A

SP, KD

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7
Q

Definition of advanced menstruation?

A

Between 7-14 days early for more than 2 cycles (at least 3 cycles)

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8
Q

Advanced menstruation symptoms: cycle is more than 7 days early continuously for more than 2 cycles (3 cycles minimum), light red and thin blood without clots, heavy volume, fatigue, spontaneous sweating, pale face, dizziness (clear qi cannot rise to the head), poor appetite, loose stools, bearing down sensation in the lower abdomen, pale, swollen, with teethmarks, thin white coating tongue, thready, weak pulse

A

Qi deficiency

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9
Q

Qi deficiency advanced menstruation TP

A

Tonify qi, boost spleen to hold blood

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10
Q

Qi deficiency advanced menstruation formula

A

Bu Zhong Yi Qi Tang

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11
Q

Bu Zhong Yi Qi Tang ingredients

A 
Huang Qi
Ren Shen
Bai Zhu
Zhi Gan Cao
Da Zao
Dang Gui
Chen Pi
Sheng Ma
Chai Hu
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12
Q

Which four herbs raise spleen qi?

A

Sheng Ma, Chai Hu, Ge Gen, Huang Qi

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13
Q

Qi deficiency quality of blood

A

Light red and thin blood without clots, heavy volume

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14
Q

Advanced menstruation symptoms: advanced menstruation that occurs more than 2 months in a row, more than 7 days early, bright red, thick blood with clots, heavy volume, red face, thirsty, irritability, short yellow urine, constipation, red tongue, yellow coating, rapid pulse

A

Blood heat - excess yang

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15
Q

Advanced menstruation blood heat - excess yang TP

A

Clear heat, cool blood, regulate menstruation

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16
Q

Advanced menstruation blood heat - excess yang pathogenesis

A

Collecting heat from external, goes inside. Heat pathogen, spicy food and alcohol etc., excess external yang penetrates interior

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17
Q

Advanced menstruation blood heat - excess yang formula

A

Qing Jing San

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18
Q

Qing Jing San

A

Mu Dan Pi: clear heat, infection, liver fire
Qing Hao: clear heat
Huang Bai: clear lower jiao heat
Sheng Di Huang: clear heat, cool blood, stop bleeding, nourish yin
Di Gu Pi: clear excess and deficiency heat, cool blood, nourish yin, stop bleeding
Bai Shao: soothe the liver, nourish yin, nourish blood, stop bleeding
Fu Ling: promote urination, dispel damp, tonify spleen (removes heat through urination) - remove if there is too much bleeding because urine is a body fluid,
blood and body fluid have the same source

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19
Q

Blood quality for advanced menstruation blood heat - excess yang

A

Bright red, thick blood with clots, heavy volume

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20
Q

Advanced menstruation symptoms: can be heavy amount of blood or small amount of blood, because the liver regulates the qi, sometimes it’s more on the heat side, sometimes more on the stagnant side, color is purple/red with clots (heat can boil the blood causing blood stasis), hypochondriac pain, headache, red face and eyes, distending pain on the lower side of the lower abdomen, oppression in the chest, distending pain in the breast, irritability, short temper, red tongue with thin yellow coating, wiry, rapid pulse

A

Blood heat - liver fire

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21
Q

Advanced menstruation blood heat - liver fire TP

A

Clear liver fire, soothe liver qi, regulate menstruation

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22
Q

Advanced menstruation blood heat - liver fire pathogenesis

A

Emotions

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23
Q

Advanced menstruation blood heat - liver fire formula

A

Dan Zhi Xiao Yao San

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24
Q

Dan Zhi Xiao Yao San

A

Remove Wei Jiang because it’s too warm
Mu Dan Pi, Zhi Zi: clear liver fire, cool blood, stop bleeding
Chai Hu: soothe liver qi
Bai Zhu, Fu Ling: strengthen spleen
Dang Gui, Bai Shao: nourish blood to soften liver
Bo He, Gan Cao: Bo He regulates the liver, Gan Cao harmonizes

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25
Q

Advanced menstruation blood heat - liver fire blood quality

A

purple/red with clots

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26
Q

Advanced menstruation symptoms: small volume or heavy, thick blood, red color, red cheeks, afternoon fever, five center heat, red tongue, little coating, thready and rapid pulse, common to have spotting for a few, days before period and then period comes, similar to hyperthyroid

A

Yin deficiency

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27
Q

Advanced menstruation yin deficiency TP

A

Nourish yin, clear deficiency heat, regulate menstruation

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28
Q

Advanced menstruation yin deficiency formula

A

Liang Di Tang

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29
Q

Liang Di Tang

A

Sheng Di Huang: nourish yin, clear heat and cool blood
Di Gu Pi: clear deficiency heat
Xuan Shen, Mai Men Dong: nourish yin
E Jiao, Bai Shao: nourish yin and blood

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30
Q

Delayed menstruation definition

A

More than 7 days late

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31
Q

Amenorrhea definition

A

Period delayed more than 3 months

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32
Q

Causes of delayed menstruation

A
  1. Qi stagnation
  2. Blood stasis
  3. Excess cold
  4. Damp phlegm
  5. Blood deficiency
  6. Yin deficiency
  7. Deficiency cold
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33
Q

Delayed cycle symptoms: the menses are delayed by more than 7 days for more than two cycles continuously, which is scanty dark blood with clots, cold pain in lower abdomen which is relieved when warmed, cold sensation and cold limbs, white coating, deep tight pulse

A

Blood cold

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34
Q

Delayed cycle blood cold TP

A

TP: warm meridians, disperseing cold and regulating menstruation

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35
Q

Delayed cycle blood cold formula

A

Wen Jing Tang

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36
Q

Wen Jing Tang

A

Rou Gui: warm meridian and dispel cold
Dang Gui, Chuan Xiong: regulate blood and menstruation, remove blood stasis, warm and acrid herbs
Ren Shen: tonify qi
E Zhu, Dan Pi, Niu Xi: remove blood stasis (E Zhu is good at abdominal mass and blood stasis) (Niu Xi is strong for removing blood stasis and guiding blood downward)
Bai Shao, Gan Cao: relax spasm and relieve pain

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37
Q

Delayed cycle symptoms: Symptoms: the menses are delayed by more than 7 days for days for more than two cycles continuously, small volume thin light red blood without clots, cold or dull pain in the lower abdomen preferring, warmth and pressing, weak and sore on the lowerback, profuse clear urine, loose stool, pale tongue with white coating, deep slow or thready and weak pulse

A

Deficiency cold

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38
Q

Delayed cycle deficiency cold TP

A

TP: tonify yang, expel cold, regulate menstruation

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39
Q

Delayed cycle deficiency cold formula

A

Ai Fu Nuan Gong Wan

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40
Q

Ai Fu Nuan Gong Wan

A 
Si Wu Tang: nourish blood
Huang Qi, Rou Gui: tonify qi and yang
Ai Ye, Wu Zhu Yu: warm meridians and uterus
Xiang Fu: regulate qi
Xu Duan: tonify liver and kidney
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41
Q

Delayed cycle blood cold blood quality

A

Scanty dark blood with clots

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42
Q

Delayed cycle deficiency cold blood quality

A

Small volume thin light red blood without clots

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43
Q

Delayed cycle symptoms: delayed menstruation with small volume light red blood without clots, dull pain in the lower abdomen, dizziness, pale or sallow complexion, palpitations, insomnia, pale tongue, thready and weak pulse

A

Blood/kidney deficiency

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44
Q

Delayed cycle blood/kidney deficiency TP

A

TP: nourish blood, regulate menstruation

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45
Q

Delayed cycle blood/kidney deficiency formula

A

Da Bu Yuan Jian

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46
Q

Da Bu Yuan Jian

A

Ren Shen, Shan Yao, Gan Cao: tonify qi
Shu Di Huang, Dang Gui, Gou Qi, Shan Yu Rou/Shan Zhu Yu: tonify liver and kidney, nourish essence and blood
Du Zhong: tonify kidney
This formula takes care of both blood deficiency and KD deficiency

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47
Q

Delayed cycle symptoms: delayed menstruation (or irregular cycle), small volume dark red blood with clots, distending pain in the breast, hypochondrium and side abdomen, wiry pulse, emotional (angry, depressed)

A

Qi stagnation

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48
Q

Delayed cycle blood/kidney deficiency type of blood

A

small volume light red blood without clots

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49
Q

Delayed cycle qi stagnation TP

A

TP: soothe qi, regulate menstruation

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50
Q

Delayed cycle qi stagnation formula

A

Wu Yao Tang

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51
Q

Wu Yao Tang

A

Wu Yao, Xiang Fu, Mu Xiang: regulate qi
Dang Gui: nourish blood
Gan Cao: harmonize other herbs

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52
Q

Delayed cycle qi stagnation blood quality

A

Small volume dark red blood with clots

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53
Q

Irregular menstruation definition

A

Either earlier than 7 days or delayed more than 7 days for at least 3 cycles

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54
Q

Irregular menstruation pathogenesis

A

The cycle is regulated by the Liver and Kidney, either the Liver is stagnated/has fire, or the Kidney is deficient, can be a mix of both

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55
Q

Irregular menstruation symptoms: Irregular menstruation cycle that is advanced or delayed by more than 7 days, lasting for three or more cycles, heavy or light menses (or normal), purple red blood with clots, unsmooth menstrual flow, liver qi stagnation signs. Either advanced or delayed because the qi stagnation will cause a delay, but if the qi stagnation creates fire/heat, then it will be advanced/early.

A

Liver qi stagnation

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56
Q

Irregular menstruation liver qi stagnation TP

A

TP: soothe the liver, regulate menstruation

57
Q

Irregular menstruation liver qi stagnation formula

A

Xiao Yao San

58
Q

Xiao Yao San

A

Chai Hu, Bo He: soothe the liver
Dang Gui, Bai Shao: nourish the liver
Bai Zhu, Fu Ling, Gan Cao: strengthen the spleen and harmonize the middle jiao
*Wei Jiang: warm the stomach and harmonize the middle jiao (cooked sheng jiang to protect the stomach from the liver)
With liver fire symptoms (more often advanced than delayed): Dan Zhi Xiao Yao San

59
Q

Irregular menstruation symptoms: Irregular menstruation with small volume, light dark and thin blood, aching lower back and sacrum, dizziness, tinnitus, pale tongue with thin coating, thready and weak pulse

A

Kidney deficiency

60
Q

Irregular menstruation liver qi stagnation blood quality

A

Heavy or light menses (or normal), purple red blood with clots

61
Q

Irregular menstruation kidney deficiency TP

A

TP: tonify the kidneys, regulate menstruation

62
Q

Irregular menstruation kidney deficiency formula

A

Gu Yin Jian

63
Q

Gu Yin Jian

A

Shu Di Huang, Shan Zhu Yu, Tu Si Zi: tonify kidney and nourish essence (very safe herbs - can even use still while pregnant)
Ren Shen, Shan Yao, Gan Cao: tonify spleen qi
Wu Wei Zi, Yuan Zhi: harmonize heart and kidney

64
Q

Irregular menstruation kidney deficiency blood quality

A

Small volume, light dark and thin blood

65
Q

Profuse menstruation definition

A

Definition: more than 100ml is a heavy period/profuse menstruation (more than 10 pads), more than 2 cycles (at least 3 cycles)

66
Q

Profuse menstruation causes

A

Causes: pathogenic factor in the uterus, IUD, improper diet, fibroid, abdominal msas, ovarian polyp

67
Q

Profuse menstruation symptoms: Profuse menstruation, light red and thin blood + qi deficiency symptoms, no clots, dizziness, fatigue, shortness of breath, pale lusterless face, pulling down sensation in lower abdomen, palpitations

A

Qi deficiency

68
Q

Profuse menstruation qi deficiency TP

A

TP: tonify qi, control blood

69
Q

Profuse menstruation qi deficiency formula

A

Ju Yuan Jian

70
Q

Ju Yuan Jian

A

Ren Shen, Huang Qi, Bai Zhu, Gan Cao: tonify spleen qi
Sheng Ma: raise yang and lift prolapsed organs
Similar to Bu Zhong Yi Qi Tang

71
Q

Profuse menstruation symptoms: Profuse menstruation, bright or deep red/purple red thick blood or with small clots and excess heat, red face and eyes, headache, constipation, irritability, dark urine, insomnia, slippery rapid or wiry rapid pulse, red tongue with yellow coating, thirsty

A

Blood heat

72
Q

Profuse menstruation blood heat TP

A

TP: cool blood, clear heat and stop bleeding

73
Q

Profuse menstruation blood heat formula

A

Bao Yin Jian + Di Yu, Huai Hua

74
Q

Bao Yin Jian

A

Shu Di Huang, Bai Shao: nourish blood and astringe yin
Sheng Di Huang: clear heat, cool blood, nourish yin
Huang Qin, Huang Bai: clear heat and fire
Xu Duan, Shan Yao: tonify kidneys
Gan Cao: harmonize herbs

75
Q

Profuse menstruation symptoms: Profuse menstruation, or with prolonged bleeding, purple/brown/black dark blood with clots and blood stasis symptoms, distended and purple sublignual veins, purple tongue body

A

Blood stasis

76
Q

Profuse menstruation blood stasis TP

A

TP: remove blood stasis and stop bleeding

77
Q

Profuse menstruation blood stasis formula

A

Shi Xiao San + Xue Yu Tan, Qian Cao, Yi Mu Cao

78
Q

Shi Xiao San

A

Pu Huang, Wu Ling Zhi: remove blood stasis and stop bleeding

79
Q

Scanty menstruation definition

A

Less than 20ml or less than 2 days, more than 2 cycles (at least 3 cycles)

80
Q

Scanty menstruation causes

A

2 reasons, either stagnation or deficiency. Similar to amenorrhea or delayed cycle
Stagnation: qi, blood, phlegm and damp, cold
Deficiency: blood, kidney essence deficiency, kidney yin deficiency

81
Q

Scanty menstruation symptoms: scanty menstruation or just a few drops of blood, light color without blood clots, blood deficiency symptoms (paleness, numbness in knees, blurred vision, hair loss, sallow complexion)

A

Blood deficiency (of LV or HT)

82
Q

Blood deficiency scanty menstruation treatment principle

A

nourish the blood and regulate menstruation

83
Q

Scanty menstruation blood deficiency formula

A

Zi Xue Tang

84
Q

Zi Xue Tang

A

Ren Shen, Huang Qi, Shan Yao, Fu Ling: tonify spleen qi to generate blood
Dang Gui, Chuan Xiong, Bai Shao, Shu Di Huang: (Si Wu Tang) nourish blood

85
Q

Scanty menstruation symptoms: scanty menses with thin light red or dark red blood, kidney deficiency symptoms, small uterus, pain in heel, dizziness, tinnitus, deep weak or deep slow pulse, lassitude

A

Kidney deficiency

86
Q

Kidney deficiency scanty menstruation treatment principle

A

tonify the kidneys, nourish blood, regulate menstruation

87
Q

Kidney deficiency scanty menstruation formula

A

*Gui Shen Wan

88
Q

*Gui Shen Wan

A

Shu Di Huang, Shan Zhu Yu, Gou Qi Zi: nourish kidney essence
Tu Si Zi, Du Zhong: tonify kidney yang and qi
Shan Yao, Fu Ling: tonify spleen
Dang Gui: nourish blood

89
Q

Scanty menstruation symptoms: scanty menses with dark purple blood and clots, blood stasis symptoms, pain relieved after clot comes out, dark purple tongue with spots on the side, choppy pulse

A

Blood stasis

90
Q

Scanty menstruation blood stasis treatment principle

A

remove blood stasis and regulate menstruation

91
Q

Scanty menstruation blood stasis formula

A

Tao Hong Si Wu Tang

92
Q

Tao Hong Si Wu Tang

A

Tao Ren, Hong Hua, Chuan Xiong: remove blood stasis
Dang Gui: nourish blood and remove blood stasis
Bai Shao, Shu Di Huang: nourish blood and relieve pain

93
Q

Scanty menstruation symptoms: scanty menses with light red and sticky blood, phlegm and damp symptoms, can have clots, could be light brown color, overweight, luekorrhea, soft abdominal mass, thick greasy tongue coating, slippery pulse

A

Phlegm and Damp

94
Q

Phlegm and damp scanty menstruation treatment principle

A

TP: resolve phlegm, dry damp, regulate menstruation

95
Q

Phlegm and damp scanty menstruation formula

A

*Cang Fu Dao Tan Wan

96
Q

*Cang Fu Dao Tan Wan

A

Chen Pi, Ban Xia, Fu Ling, Gan Cao: dispel phlegm and dry damp
Cang Zhu: dry the damp and strengthen the spleen
Xiang Fu, Zhi Ke: regulate qi
Dan Nan Xing: dry the damp and dispel phlegm
Shen Qu, Sheng Jiang: harmonize the stomach

97
Q

Bleeding between cycles definition

A

Definition: 3-5 days of bleeding, light or heavy, more than 2 cycles (at least 3 cycles). The volume is less than the period. Can also have clear vaginal discharge (sign of ovulation), or other signs of ovulation.

98
Q

Bleeding between cycles pathogenesis

A

Pathogenesis: drop in estrogen and progesterone causes the inner lining to shed. This type of bleeding is caused by hormone changes. Ovulation is when yin changes to yang (when yang qi is strongest).

99
Q

Bleeding between cycles diagnoses

A
  1. Kidney yin deficiency
  2. Damp heat
  3. Blood stasis
100
Q

Bleeding between cycles symptoms: small volume bleeding in between menstruation, which is red without clots, lower back weak and soreness, insomnia, dry stool, yellow urine, red tongue, thready wiry and rapid pulse

A

Kidney yin deficiency

101
Q

Kidney yin deficiency bleeding between cycles treatment principle

A

TP: nourish yin and stop bleeding

102
Q

Kidney yin deficiency bleeding between cycles pathogenesis

A

Pathogenesis: the deficiency heat pushes the blood out of the vessels causing bleeding (because the yang is dominant during ovulation time)

103
Q

Kidney yin deficiency bleeding between cycles formula

A

Liang Di Tang + Er Zhi Wan

104
Q

Liang Di Tang + Er Zhi Wan

A 
Liang Di Tang:
Sheng Di Huang: nourish yin, clear heat and cool blood
Di Gu Pi: clear deficiency heat
Xuan Shen, Mai Men Dong: nourish yin
E Jiao, Bai Shao: nourish yin and blood

Er Zhi Wan:
Mo Han Lian
Nu Zhen Zi

105
Q

Bleeding between cycles symptoms: small or little heavy bleeding in between menstruation, which is red sticky blood without clots or red sticky leukorrhea, lassitude, heavy sensation in the whole body, oppression irritability, poor appetite, short yellow urine, leukorrhea with odor, profuse, yellow or white sticky, red tongue with yellow/white greasy coating (thick at the root), thready wiry pulse (or soggy/slippery), may be distending and burning pain, vagina could be itchy

A

Damp heat

106
Q

Damp heat bleeding between cycles treatment principle

A

TP: clear heat and dispel damp, cool blood, stop bleeding

107
Q

Damp heat bleeding between cycles pathogenesis

A

Pathogenesis: inflammation, the heat pushes the blood out of the vessels

108
Q

Damp heat bleeding between cycles formula

A

Qing Gan Zhi Lin Tang - E Jiao (too sticky)
+ Xiao Ji, Fu LIng

Dang Gui, Bai Shao, Sheng Di Huang, Hei Dou: tonify kidneys, nourish blood, soften liver
Mu Dan Pi: clear liver fire
Xiang Fu: regulate liver qi
Huang Bai: clear heat and dry damp

109
Q

Bleeding between cycles symptoms: light or little heavy bleeding in between menstruation, which is purple dark or with clots, stabbing pain, irritability, oppression in the chest, tongue with purple spots

A

Blood stasis

110
Q

Blood stasis bleeding between cycles treatment principle

A

TP: remove blood stasis and stop bleeding

111
Q

Blood stasis bleeding between cycles formula

A

Zhu Yu Zhi Xue Tang

112
Q

Zhu Yu Zhi Xue Tang

A

Dang Gui Wei, Sheng Di Huang, Chi Shao: nourish blood and remove blood stasis
Tao Ren, Da Huang, Mu Dan Pi: remove blood stasis
Zhi Ke: regulate liver qi
Gui Ban: nourish blood and stop bleeding

113
Q

PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU treatment principle

A

TP: treat manifestation in an acute case and treat the root in a chronic case

114
Q

PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU definition

A

Definition: heavy bleeding or prolonged small volume bleeding without a cycle, may stop and start, may cause blood deficiency

115
Q

PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU treatment methods

A

Treatment methods: stop the blood flow, find the root, restore normality

116
Q

PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU causes of bleeding

A

Causes of bleeding: spleen qi deficiency, blood heat (excess or deficiency), blood stasis

117
Q

Profuse bleeding and spotting symptoms: sudden heavy bleeding or prolonged light bleeding without cycle, which is bright red and thick

A

Blood heat due to yin deficiency of the zang organs (LU, LV, KD)

118
Q

Deficiency blood heat profuse bleeding and spotting treatment principle

A

TP: nourish yin, clear heat, stop bleeding, regulate menstruation

119
Q

Deficiency blood heat profuse bleeding and spotting formula

A

Bao Yin Jian + Sha Shen, Mai Men Dong, Wu Wei Zi, E Jiao

120
Q

Profuse bleeding and spotting symptoms: sudden heavy bleeding or prolonged bleeding without cycle, deep red color and thick blood, fever, feeling of heat, yellow urine, constipation, yellow (greasy) coating, flooding rapid pulse

A

Blood heat (excess type)

121
Q

Blood heat excess type profuse bleeding and spotting treatment principle

A

TP: clear heat, cool blood, stop bleeding, regulate menstruation

122
Q

Blood heat excess type profuse bleeding and spotting

A

Qing Re Gu Jing Tang + Sha Shen

123
Q

Qing Re Gu Jing Tang + Sha Shen

A

Qing Re Gu Jing Tang + Sha Shen

Huang Qin, Zhi Zi, Di Yu, Ou Jie: clear heat and stop bleeding
E Jiao: nourish blood and stop bleeding
Gui Ban, Mu Li: nourish yin and astringe blood
Sheng Di Huang, Di Gu Pi: nourish yin, clear heat, stop bleeding
Zong Lu Tan: astringe to stop bleeding

124
Q

Profuse bleeding and spotting symptoms: heavy bleeding or prolonged light bleeding without cycle, light red and thing blood, whole body coldness, cold uterus, cold feet/low back, lassitude, no spirit, pale or dark complexion deep thready or faint thready pulse, pale tongue with white coating

A

Kidney yang deficiency

125
Q

Kidney yang deficiency profuse bleeding and spotting treatment principle

A

TP: warm kidney, stabilize chong vessel, stop bleeding, regulate menstruation

126
Q

Kidney yang deficiency profuse bleeding and spotting formula

A

Yuo Gui Wan + Rou Gui, Dang Gui, Huang Qi, Fu Peng Zi, Chi Shi Zhi

127
Q

Yuo Gui Wan + Rou Gui, Dang Gui, Huang Qi, Fu Peng Zi, Chi Shi Zhi

A

Yuo Gui Wan + Rou Gui, Dang Gui, Huang Qi, Fu Peng Zi, Chi Shi Zhi

Fu Zi, Rou Gui, Shan Zhu Yu, Gou Qi Zi: nourish kidney essence and blood
Shu Di Huang, Shan Yao, Shan Zhu Yu, Gou Qi Zi: nourish kidney essence and blood
Lu Jiao Jiao: warm kidney yang and nourish essence and blood
Dang Gui: nourish blood

128
Q

Profuse bleeding and spotting symptoms: prolonged small volume or heavy bright red thick bleeding without cycle

A

Kidney yin deficiency

129
Q

Kidney yin deficiency profuse bleeding and spotting treatment prinicple

A

TP: nourish kidney yin, stop bleding, and regulate menstruation

130
Q

Kidney yin deficiency profuse bleeding and spotting formula

A

Zuo Gui Wan - Niu Xi + Er Zhi Wan

131
Q

Zuo Gui Wan - Niu Xi + Er Zhi Wan

A

Zuo Gui Wan - Niu Xi + Er Zhi Wan

Shu Di Huang, Shan Yao, Shan Zhu Yu, Gou Qi Zi, Gui Ban Jiao: nourish kidney yin and blood
Tu Si Zi, Lu Jiao Jiao: tonify kidney yang and essence

Niu Xi: remove because it guides blood downward

132
Q

Profuse bleeding and spotting symptoms: heavy bleeding then prolonged light bleeding without cycle, light red and thin blood

A

Spleen qi deficiency

133
Q

Spleen qi deficiency profuse bleeding and spotting treatment principle

A

TP: tonify spleen qi, control blood, nourish blood regulate menstruation

134
Q

Spleen qi deficiency profuse bleeding and spotting formula

A

Gu Ben Zhi Beng Tang - Dang Gui + Shang Ma, Shan Yao, Da Zao, Wu Ze Gu

135
Q

Gu Ben Zhi Beng Tang - Dang Gui + Shang Ma, Shan Yao, Da Zao, Wu Ze Gu

A

Gu Ben Zhi Beng Tang - Dang Gui + Shang Ma, Shan Yao, Da Zao, Wu Ze Gu

Ren Shen, Bai Zhu, Huang Qi: tonify qi to control blood
Shu Di Huang: nourish blood and kidney essence
Hei Jiang/Pao Jiang: warm middle jiao and stop bleding

Subtract Dang Gui: nourish blood

136
Q

Profuse bleeding and spotting symptoms: bleeding without cycle, which is repeated bleeding and stopping, prolonged small volume bleeding, or sudden heavy bleeding then prolonged light bleeding after amenorrhea, purple dark blood with clots

A

Blood stasis

137
Q

Blood stasis profuse bleeding and spotting treatment principle

A

TP: invigorate blood, remove blood stasis, stop bleeding and regulate menstruation

138
Q

Blood stasis profuse bleeding and spotting formula

A

Si Wu Tang and Shi Xiao San + San Qi Fen, Qian Cao Tan, Wu Ze Gu

139
Q

Qing Gan Zhi Lin Tang - E Jiao (too sticky)

+ Xiao Ji, Fu LIng

A

+ Xiao Ji, Fu LIng

Dang Gui, Bai Shao, Sheng Di Huang, Hei Dou: tonify kidneys, nourish blood, soften liver
Mu Dan Pi: clear liver fire
Xiang Fu: regulate liver qi
Huang Bai: clear heat and dry damp

ICTCM Year 4 (12 decks)

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