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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
Advanced menstruation blood heat - liver fire blood quality
purple/red with clots
26
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
Yin deficiency
27
Advanced menstruation yin deficiency TP
Nourish yin, clear deficiency heat, regulate menstruation
28
Advanced menstruation yin deficiency formula
Liang Di Tang
29
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
30
Delayed menstruation definition
More than 7 days late
31
Amenorrhea definition
Period delayed more than 3 months
32
Causes of delayed menstruation
1. Qi stagnation 2. Blood stasis 3. Excess cold 4. Damp phlegm 1. Blood deficiency 2. Yin deficiency 3. Deficiency cold
33
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
Blood cold
34
Delayed cycle blood cold TP
TP: warm meridians, disperseing cold and regulating menstruation
35
Delayed cycle blood cold formula
Wen Jing Tang
36
Wen Jing Tang
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
37
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
Deficiency cold
38
Delayed cycle deficiency cold TP
TP: tonify yang, expel cold, regulate menstruation
39
Delayed cycle deficiency cold formula
Ai Fu Nuan Gong Wan
40
Ai Fu Nuan Gong Wan
``` 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 ```
41
Delayed cycle blood cold blood quality
Scanty dark blood with clots
42
Delayed cycle deficiency cold blood quality
Small volume thin light red blood without clots
43
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
Blood/kidney deficiency
44
Delayed cycle blood/kidney deficiency TP
TP: nourish blood, regulate menstruation
45
Delayed cycle blood/kidney deficiency formula
Da Bu Yuan Jian
46
Da Bu Yuan Jian
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
47
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)
Qi stagnation
48
Delayed cycle blood/kidney deficiency type of blood
small volume light red blood without clots
49
Delayed cycle qi stagnation TP
TP: soothe qi, regulate menstruation
50
Delayed cycle qi stagnation formula
Wu Yao Tang
51
Wu Yao Tang
Wu Yao, Xiang Fu, Mu Xiang: regulate qi Dang Gui: nourish blood Gan Cao: harmonize other herbs
52
Delayed cycle qi stagnation blood quality
Small volume dark red blood with clots
53
Irregular menstruation definition
Either earlier than 7 days or delayed more than 7 days for at least 3 cycles
54
Irregular menstruation pathogenesis
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
55
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.
Liver qi stagnation
56
Irregular menstruation liver qi stagnation TP
TP: soothe the liver, regulate menstruation
57
Irregular menstruation liver qi stagnation formula
Xiao Yao San
58
Xiao Yao San
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
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
Kidney deficiency
60
Irregular menstruation liver qi stagnation blood quality
Heavy or light menses (or normal), purple red blood with clots
61
Irregular menstruation kidney deficiency TP
TP: tonify the kidneys, regulate menstruation
62
Irregular menstruation kidney deficiency formula
Gu Yin Jian
63
Gu Yin Jian
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
Irregular menstruation kidney deficiency blood quality
Small volume, light dark and thin blood
65
Profuse menstruation definition
Definition: more than 100ml is a heavy period/profuse menstruation (more than 10 pads), more than 2 cycles (at least 3 cycles)
66
Profuse menstruation causes
Causes: pathogenic factor in the uterus, IUD, improper diet, fibroid, abdominal msas, ovarian polyp
67
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
Qi deficiency
68
Profuse menstruation qi deficiency TP
TP: tonify qi, control blood
69
Profuse menstruation qi deficiency formula
Ju Yuan Jian
70
Ju Yuan Jian
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
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
Blood heat
72
Profuse menstruation blood heat TP
TP: cool blood, clear heat and stop bleeding
73
Profuse menstruation blood heat formula
Bao Yin Jian + Di Yu, Huai Hua
74
Bao Yin Jian
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
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
Blood stasis
76
Profuse menstruation blood stasis TP
TP: remove blood stasis and stop bleeding
77
Profuse menstruation blood stasis formula
Shi Xiao San + Xue Yu Tan, Qian Cao, Yi Mu Cao
78
Shi Xiao San
Pu Huang, Wu Ling Zhi: remove blood stasis and stop bleeding
79
Scanty menstruation definition
Less than 20ml or less than 2 days, more than 2 cycles (at least 3 cycles)
80
Scanty menstruation causes
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
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)
Blood deficiency (of LV or HT)
82
Blood deficiency scanty menstruation treatment principle
nourish the blood and regulate menstruation
83
Scanty menstruation blood deficiency formula
Zi Xue Tang
84
Zi Xue Tang
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
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
Kidney deficiency
86
Kidney deficiency scanty menstruation treatment principle
tonify the kidneys, nourish blood, regulate menstruation
87
Kidney deficiency scanty menstruation formula
*Gui Shen Wan
88
*Gui Shen Wan
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
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
Blood stasis
90
Scanty menstruation blood stasis treatment principle
remove blood stasis and regulate menstruation
91
Scanty menstruation blood stasis formula
Tao Hong Si Wu Tang
92
Tao Hong Si Wu Tang
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
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
Phlegm and Damp
94
Phlegm and damp scanty menstruation treatment principle
TP: resolve phlegm, dry damp, regulate menstruation
95
Phlegm and damp scanty menstruation formula
*Cang Fu Dao Tan Wan
96
*Cang Fu Dao Tan Wan
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
Bleeding between cycles definition
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
Bleeding between cycles pathogenesis
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
Bleeding between cycles diagnoses
1. Kidney yin deficiency 2. Damp heat 3. Blood stasis
100
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
Kidney yin deficiency
101
Kidney yin deficiency bleeding between cycles treatment principle
TP: nourish yin and stop bleeding
102
Kidney yin deficiency bleeding between cycles pathogenesis
Pathogenesis: the deficiency heat pushes the blood out of the vessels causing bleeding (because the yang is dominant during ovulation time)
103
Kidney yin deficiency bleeding between cycles formula
Liang Di Tang + Er Zhi Wan
104
Liang Di Tang + Er Zhi Wan
``` 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
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
Damp heat
106
Damp heat bleeding between cycles treatment principle
TP: clear heat and dispel damp, cool blood, stop bleeding
107
Damp heat bleeding between cycles pathogenesis
Pathogenesis: inflammation, the heat pushes the blood out of the vessels
108
Damp heat bleeding between cycles formula
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
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
Blood stasis
110
Blood stasis bleeding between cycles treatment principle
TP: remove blood stasis and stop bleeding
111
Blood stasis bleeding between cycles formula
Zhu Yu Zhi Xue Tang
112
Zhu Yu Zhi Xue Tang
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
PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU treatment principle
TP: treat manifestation in an acute case and treat the root in a chronic case
114
PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU definition
Definition: heavy bleeding or prolonged small volume bleeding without a cycle, may stop and start, may cause blood deficiency
115
PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU treatment methods
Treatment methods: stop the blood flow, find the root, restore normality
116
PROFUSE BLEEDING AND SPOTTING/UTERINE BLEEDING/BENG LOU causes of bleeding
Causes of bleeding: spleen qi deficiency, blood heat (excess or deficiency), blood stasis
117
Profuse bleeding and spotting symptoms: sudden heavy bleeding or prolonged light bleeding without cycle, which is bright red and thick
Blood heat due to yin deficiency of the zang organs (LU, LV, KD)
118
Deficiency blood heat profuse bleeding and spotting treatment principle
TP: nourish yin, clear heat, stop bleeding, regulate menstruation
119
Deficiency blood heat profuse bleeding and spotting formula
Bao Yin Jian + Sha Shen, Mai Men Dong, Wu Wei Zi, E Jiao
120
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
Blood heat (excess type)
121
Blood heat excess type profuse bleeding and spotting treatment principle
TP: clear heat, cool blood, stop bleeding, regulate menstruation
122
Blood heat excess type profuse bleeding and spotting
Qing Re Gu Jing Tang + Sha Shen
123
Qing Re Gu Jing Tang + Sha Shen
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
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
Kidney yang deficiency
125
Kidney yang deficiency profuse bleeding and spotting treatment principle
TP: warm kidney, stabilize chong vessel, stop bleeding, regulate menstruation
126
Kidney yang deficiency profuse bleeding and spotting formula
Yuo Gui Wan + Rou Gui, Dang Gui, Huang Qi, Fu Peng Zi, Chi Shi Zhi
127
Yuo Gui Wan + Rou Gui, Dang Gui, Huang Qi, Fu Peng Zi, Chi Shi Zhi
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
Profuse bleeding and spotting symptoms: prolonged small volume or heavy bright red thick bleeding without cycle
Kidney yin deficiency
129
Kidney yin deficiency profuse bleeding and spotting treatment prinicple
TP: nourish kidney yin, stop bleding, and regulate menstruation
130
Kidney yin deficiency profuse bleeding and spotting formula
Zuo Gui Wan - Niu Xi + Er Zhi Wan
131
Zuo Gui Wan - Niu Xi + Er Zhi Wan
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
Profuse bleeding and spotting symptoms: heavy bleeding then prolonged light bleeding without cycle, light red and thin blood
Spleen qi deficiency
133
Spleen qi deficiency profuse bleeding and spotting treatment principle
TP: tonify spleen qi, control blood, nourish blood regulate menstruation
134
Spleen qi deficiency profuse bleeding and spotting formula
Gu Ben Zhi Beng Tang - Dang Gui + Shang Ma, Shan Yao, Da Zao, Wu Ze Gu
135
Gu Ben Zhi Beng Tang - Dang Gui + Shang Ma, Shan Yao, Da Zao, Wu Ze Gu
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
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
Blood stasis
137
Blood stasis profuse bleeding and spotting treatment principle
TP: invigorate blood, remove blood stasis, stop bleeding and regulate menstruation
138
Blood stasis profuse bleeding and spotting formula
Si Wu Tang and Shi Xiao San + San Qi Fen, Qian Cao Tan, Wu Ze Gu
139
Qing Gan Zhi Lin Tang - E Jiao (too sticky) | + Xiao Ji, Fu LIng
+ 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

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