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ICTCM Year 4 > Gynecology Test #3 > Flashcards

Gynecology Test #3 Flashcards

1
Q

Primary dysmenorrhea

A

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

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2
Q

Secondary dysmenorrhea

A

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

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3
Q

Dysmenorrhea pathogenesis

A

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)

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4
Q

Dysmenorrhea differentiation

A

Differentiation: ectopic pregnancy, pregnancy, appendicitis, twisting of the ovaries, burst ovary cyst, miscarriage

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5
Q

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,

A

QI STAGNATION AND BLOOD STASIS dysmenorrhea

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6
Q

QI STAGNATION AND BLOOD STASIS dysmenorrhea TP

A

TP: regulate qi, remove blood stasis, relieve pain

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7
Q

QI STAGNATION AND BLOOD STASIS dysmenorrhea formula

A

Formula: Ge Xia Zhu Yu Tang

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8
Q

Symptoms: cold pain in the lower abdomen before or during menstruatio, 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

A

COLD AND DAMPNESS dysmenorrhea

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9
Q

COLD AND DAMPNESS dysmenorrhea TP

A

TP: warm meridian, dispel cold and dampness, remove blood stasis and releive pain

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10
Q

COLD AND DAMPNESS dysmenorrhea formula

A

Formula: Shao Fu Zhu Yu Tang + Cang Zhu, Fu Ling

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11
Q

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

A

DEFICIENCY COLD dysmenorrhea

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12
Q

DEFICIENCY COLD dysmenorrhea TP

A

TP: warm meridian and uterus, relieve pain

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13
Q

DEFICIENCY COLD dysmenorrhea formula

A

Formula: Wen Jing Tang + Fu Zi, Ai Ye, Xiao Hui Xiang

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14
Q

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.

A

DAMP HEAT POURING DOWN dysmenorrhea

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15
Q

DAMP HEAT POURING DOWN dysmenorrhea TP

A

TP: clear heat, dispel damp, remove blood stasis, relieve pain

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16
Q

DAMP HEAT POURING DOWN dysmenorrhea Formula

A

Formula: Qing Re Tiao Xue Tang + Hong Teng, Bai Jiang Cao, Yi Yi Ren

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17
Q

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

A

QI AND BLOOD DEFICIENCY dysmenorrhea

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18
Q

QI AND BLOOD DEFICIENCY dysmenorrhea TP

A

TP: tonify qi, nourish blood, relieve pain

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19
Q

QI AND BLOOD DEFICIENCY dysmenorrhea Formula

A

Formula: Shen Yu Tang minus Sheng Di Huang + Bai Shao, Xiang Fu, Yan Hu Suo

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20
Q

Symptoms: dull pain in the lower abdomen after menstruation, small light dark blood

A

LIVER AND KIDNEY DEFICIENCY dysmenorrhea

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21
Q

LIVER AND KIDNEY DEFICIENCY dysmenorrhea TP

A

TP: Nourish liver and kidney, relieve pain

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22
Q

LIVER AND KIDNEY DEFICIENCY dysmenorrhea formula

A

Formula: Tiao Gan Tang

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23
Q

Excess dysmenorrhea pain symptoms

A

Excess: pain before or during period 1-3 days, distending or stabbing or burning or spasm pain, dislikes pressure

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24
Q

Deficiency dysmenorrhea pain symptoms

A

Deficiency: pain after period of the end of the period, dull pain that likes pressure

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25
Q

Pain in the middle of the abdomen:

A

blood stasis or cold

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26
Q

Pain in the low back:

A

SP/KD yang xu cold

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27
Q

Distending pain with gas:

A

qi stagnation

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28
Q

Sharp, spasm pain:

A

blood stasis

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29
Q

Primary amenorrhea

A

Primary amenorrhea: no period at 16 years old

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30
Q

Secondary amenorrhea

A

Secondary amenorrhea: no period for 3 cycles

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31
Q

Amenorrhea pathogenesis

A
  1. Obstruction due to qi and blood stagnation: can be from emotions, stress, or an organic problem such as hormone disruption, deficiency, or excess
  2. Obstruction of phlegm and damp: PCOS
  3. Deficiency of liver and kidney: lack of hormones
  4. Qi and blood deficiency: can be from loss of blood from labor, causes Sheehan’s syndrome
  5. Yin deficiency and blood dryness
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32
Q

How is dysmenorrhea diagnoses different from amenorrhea?

A

Amenorrhea ( also has damp heat, cold and damp, deficiency cold). Amenorrhea also has phlegm damp and yin deficiency with blood dryness.

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33
Q

Symptoms: non appearance of menstruation by the age of 16 years old, slight amount of bleeding and delayed menstruation developing slowly to amenorrhea, weakness and soreness in the low back and knees, dizziness, tinnitus, weak constitution, grey hair, hair loss, frequent or night urination, FSH is high, estrogen is low, ovaries are small, pale tongue, little coating, deep weak or thready choppy pulse

A

LIVER AND KIDNEY DEFICIENCY amenorrhea

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34
Q

LIVER AND KIDNEY DEFICIENCY amenorrhea TP

A

TP: tonify kidney, nourish liver, regulate menstruation

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35
Q

LIVER AND KIDNEY DEFICIENCY amenorrhea formula

A

Formula: Gui Shen Wan + Ji Xue Teng, He Shou Wu

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36
Q

Symptoms: delayed menstruation with a slight amount of pale and thin blood that gradually develops into amenorrhea, qi and blood deficiency symptoms, mostly secondary amenorrhea, pale complexion, pale
lips, nails, eyelids, pale tongue little coating, palpitations, shorntess of breath, insomnia, lassitude, poor appetite, hair loss, dry hair, early greying of hair, sallow complexion, deep deficient or deficient rapid pulse

A

QI AND BLOOD DEFICIENCY

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37
Q

QI AND BLOOD DEFICIENCY amenorrhea TP

A

TP: tonify qi, nourish blood, regulate menstruation

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38
Q

QI AND BLOOD DEFICIENCY amenorrhea formula

A

Formula: Ren Shen Yang Rong Tang

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39
Q

Symptoms of severe blood loss amenorrhea

A

If heavy blood loss, dry vagina, decreased libido or atrophy of reproductive organs (Sheehan syndrome) add Lu Rong, Lu Jiao Shuang, Zi He Che, Blood loss is unable to nourish the pituitary so hormone production is low

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40
Q

If patient has Sheehan’s syndrome, what formula and added herbs do you use

A

Ren Shen Yang Rong Tang + Lu Rong, Lu Jiao Shuang, Zi He Che

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41
Q

Symptoms: scanty menstruation gradually becoming amenorrhea, yin and blood deficiency symptoms, night sweating, steaming bone, malar flush, cough with blood, red tongue, little coating, thready rapid pulse

A

YIN DEFICIENCY AND DRY BLOOD amenorrhea

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42
Q

YIN DEFICIENCY AND DRY BLOOD amenorrhea TP

A

TP: nourish yin, clear heat, regulate menstruation

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43
Q

YIN DEFICIENCY AND DRY BLOOD amenorrhea formula

A

Formula: Jia Jian Yi Yin Jian + Huang Jing, Dan Shen, Zhi Ke

44
Q

Symptoms: amenorrhea for several months, qi and blood stagnation symptoms, fullness and distention in the chest and hypochondrium, distending or stabbing pain in the lower abdomen, dislike pressure, purple dark tongue with purple/black spots, deep wiry or deep choppy pulse

A

QI STAGNATION AND BLOOD STASIS amenorrhea

45
Q

QI STAGNATION AND BLOOD STASIS amenorrhea TP

A

TP: regulate qi, remove blood, regulate menstruation

46
Q

QI STAGNATION AND BLOOD STASIS amenorrhea formula

A

Formula: Xue Fu Zhu Yu Tang

47
Q

Symptoms: amenorrhea, phlegm and damp symptoms, feeling of heaviness, tongue with thick greasy coating, slippery pulse, poor digestion, phlegm sound in the throat, overweight, oppression in the chest, nausea, vomiting with phlegm, lassitude, profuse vaginal discharge, edema

A

PHLEGM AND DAMP OBSTRUCTION amenorrhea

48
Q

PHLEGM AND DAMP OBSTRUCTION amenorrhea TP

A

TP: dispel damp and phlegm, regulate qi, remove blood stasis, regulate menstruation

49
Q

PHLEGM AND DAMP OBSTRUCTION amenorrhea formula

A

Formula: Cang Fu Dao Tan Wan + Fo Shou San (Dang Gui, Chuan Xiong)

50
Q

Menopause definition

A

No period for 1 year

low estrogen

51
Q

Menopause pathogenesis

A

Pathogenesis: age/kidney essence deficiency, kidney deficiency constitution, chronic disease, overstrain

52
Q

Symptoms: dizziness, tinnitus, hot flushes on the head and face, sweating, feverish sensation in the five hearts, soreness and weakness on the lower back and knees, insomnia, irregular menstruation with heavy
or little volume, bright red blood, dry skin, dry mouth, constipation, scanty yellow urine, red tongue with little coating, thready and rapid pulse

A

KIDNEY YIN DEFICIENCY menopause

53
Q

KIDNEY YIN DEFICIENCY menopause TP

A

TP: nourish kidney yin and anchor yang (liver or heart yang hyperactive from deficiency)

54
Q

KIDNEY YIN DEFICIENCY menopause formula

A

Formula: Zuo Gui Yin + Zhi Shou Wu, Gui Ban

55
Q

Symptoms: dark complexion, lassitude, cold sensation and cold extremities, soreness and cold on the lower back and knees, poor appetite, abdominal fullness sensation, diarrhea, heavy menstruation, heavy
uterine bleeding without cycle, light color or dark, edema, frequent urination, heavy and thin leukorrhea, light red tongue with teethmarks, thin and white coating, deep and thready pulse

A

KIDNEY YANG DEFICIENCY menopause

56
Q

KIDNEY YANG DEFICIENCY menopause TP

A

TP: warm kidney yang, tonify spleen yang

57
Q

KIDNEY YANG DEFICIENCY menopause formula

A

Formula: You Gui Wan + Li Zhong Wan

58
Q

if there is both yin and yang deficiency use

A

Er Xian Tang + Er Zhi Wan

59
Q

Leukorrhea pathogenesis

A
  1. DAMP: damp, damp cold, damp heat, damp toxin (five color discharge - refer out) (damp nature is downward, turbid, sticky) can be internal damp or external damp, yeast/fungal infection, related to the
    spleen and kidney
  2. SPLEEN QI/YANG DEFICIENCY
  3. KIDNEY YANG DEFICIENCY: can be from spleen yang deficiency, profuse watery discharge, lower back pain
  4. KIDNEY YIN DEFICIENCY: low estrogen, burning sensation, dry itchy, small amount, sticky, yellow, odor
60
Q

Leukorrhea problem diagnosis

A

Volume: too heavy or too light
Color: clear, white, green, red, yellow
Quality: watery, sticky
Odor: smelly

61
Q

Symptoms: whitish or light yellow leukorrhea which is thin, pale or sallow complexion, lassitude, cold extremities, poor appetite, swollen limbs, loose stools, pale tongue with white or greasy coating, weak and
moderate pulse

A

SPLEEN DEFICIENCY leukorrhea

62
Q

SPLEEN DEFICIENCY leukorrhea TP

A

TP: tonify spleen, raise yang, dispel dampness

63
Q

SPLEEN DEFICIENCY leukorrhea formula

A

Formula: Wan Dai Tang

64
Q

Symptoms: profuse clear and thin leukorrhea which is continual discharge, severe soreness on the lower back, cold sensation in the lower abdomen, frequent and profuse clear urination worse at night,
diarrhea, pale tongue, thin white coating, deep and slow pulse, can be from chronic spleen yang deficiency

A

KIDNEY YANG DEFICIENCY leukorrhea

65
Q

KIDNEY YANG DEFICIENCY leukorrhea TP

A

TP: warm kidney yang, stabilize and stop leukorrhea

66
Q

KIDNEY YANG DEFICIENCY leukorrhea formula

A

Formula: Nei Bu Wan

67
Q

Symptoms: yellowish or reddish thick leukorrhea, burning sensation in external genitalia, yin deficiency symptoms

A

KIDNEY YIN DEFICIENCY leukorrhea

68
Q

KIDNEY YIN DEFICIENCY leukorrhea TP

A

TP: nourish kidney yin, clear heat, stop leukorrhea

69
Q

KIDNEY YIN DEFICIENCY leukorrhea formula

A

Formula: Zhi Bai Di Huang Tang + Qian Shi, Jin Ying Zi

70
Q

Symptoms: profuse yellow and thick foul smelling leukorrhea or white thick like bean curd leukorrhea, vaginal itching, damp heat symptoms

A

DAMP HEAT leukorrhea

71
Q

DAMP HEAT leukorrhea TP

A

TP: clear heat and dispel damp

72
Q

DAMP HEAT leukorrhea formula

A

Formula: Zhi Dai Fang

73
Q

Symptoms of uterine bleeding during pregnancy:

A

bleeding without lower back and abdominal pain

74
Q

Symptoms of unstable pregnancy:

A

lower back or abdominal pain with our without bleeding

75
Q

Uterine bleeding during pregnancy/unstable pregnancy pathogenesis

A

Pathogenesis: Kidney deficiency (qi, yin, yang, essence), qi and blood deficiency, blood heat, blood stasis, external injury

76
Q

Symptoms: during pregnancy, small volume bleeding with light dark color, aching on the lower back and bearing down sensation with pain in the lower abdomen, kidney deficiency symptoms, habitual miscarriage, pale tongue with white coating, deep slippery and weak in chi position pulse

A

*KIDNEY DEFICIENCY uterine bleeding during pregnancy/unstable pregnancy

77
Q

*KIDNEY DEFICIENCY uterine bleeding during pregnancy/unstable pregnancy TP

A

TP: tonify kidneys, calm the fetus, tonify qi

78
Q

*KIDNEY DEFICIENCY uterine bleeding during pregnancy/unstable pregnancy formula

A

Formula: Shou Tai Wan + Dang Shen, Bai Zhu

79
Q

Symptoms: slight bleeding during pregnancy which is light red and thin blood, pain on the lower back and abdomen, qi and blood deficiency symptoms

A

QI AND BLOOD DEFICIENCY uterine bleeding during pregnancy/unstable pregnancy

80
Q

QI AND BLOOD DEFICIENCY uterine bleeding during pregnancy/unstable pregnancy TP

A

TP: tonify qi, nourish blood, stabilize kidneys, quiet the fetus

81
Q

QI AND BLOOD DEFICIENCY uterine bleeding during pregnancy/unstable pregnancy formula

A

Formula: *Tai Yuan Yin - Dang Gui + Huang Qi, E Jiao

82
Q

Symptoms: bleeding with bright red blood during pregnancy, pain in the lower back and abdomen, irritability, anxiety, hot sensation, thirsty, dry mouth, dry throat, afternoon fever, short yellow urine, constipation
red tongue with yellow dry coating, wiry or slippery rapid pulse

A

BLOOD HEAT uterine bleeding during pregnancy/unstable pregnancy

83
Q

BLOOD HEAT uterine bleeding during pregnancy/unstable pregnancy TP

A

TP: nourish yin, clear heat, nourish blood, quiet fetus

84
Q

BLOOD HEAT uterine bleeding during pregnancy/unstable pregnancy formula

A

Formula: Bao Yin Jian

85
Q

Symptoms: external injury during pregnancy, aching on the lower back, fullness and bearing down sensation in the lower abdomen, bleeding, slippery and weak pulse

A

EXTERNAL INJURY DURING PREGNANCY/ BLOOD STASIS uterine bleeding during pregnancy/unstable pregnancy

86
Q

EXTERNAL INJURY DURING PREGNANCY/ BLOOD STASIS uterine bleeding during pregnancy/unstable pregnancy TP

A

TP: tonify qi, harmonize blood, quiet the fetus

87
Q

EXTERNAL INJURY DURING PREGNANCY/ BLOOD STASIS uterine bleeding during pregnancy/unstable pregnancy formula

A

Formula: Shen Yu Tang + Tu Si Zi, Sang Ji Sheng, Xu Duan

88
Q

Habitual miscarriage formula

A

Bu Shen Gu Chong Wan

89
Q

Symptoms: dull postpartum lower abdominal pain which is alleviated when pressed, scanty light color lochia, dizziness, tinnitus, pale complexion, dry stool, pale tongue, thin coating, deficient thready pulse

A

Blood deficiency postpartum abdominal pain

90
Q

Blood deficiency postpartum abdominal pain TP

A

TP: nourish blood, tonify qi

91
Q

Blood deficiency postpartum abdominal pain formula

A

Formula: Chang Ning Tang

92
Q

Symptoms: postpartum abdominal pain aggravated by pressing and relieved by warming, scanty lochia with dark clots, dark tongue with purple spots, deep tight pulse

A

BLOOD STASIS postpartum abdominal pain

93
Q

BLOOD STASIS postpartum abdominal pain TP

A

TP: remove blood stasis, dispel cold, relieve pain

94
Q

BLOOD STASIS postpartum abdominal pain formula

A

Formula: Sheng Hua Tang + Yi Mu Cao

95
Q

Symptoms: heavy deep red and thick lochia with foul smelling lochia and blood heat, red cheeks, dry mouth, thirsty, red tongue, deep thready and rapid pulse

A

BLOOD HEAT postpartum lochiorrhea

96
Q

BLOOD HEAT postpartum lochiorrhea TP

A

TP: nourish yin, clear heat, stop bleeding

97
Q

BLOOD HEAT postpartum lochiorrhea formula

A

Formula: Bao Yin Jian + E Jiao, Han Lian Cao, Wu Zei Gu

98
Q

Symptoms: heavy or continuous small volume lochia which is light red and thin, no clots, no smell, bearing down sensation in lower abdomen, lassitude, pale complexion, dizziness, pale tongue, moderate
weak pulse

A

QI DEFICIENCY postpartum lochiorrhea

99
Q

QI DEFICIENCY postpartum lochiorrhea TP

A

TP: tonify qi, stabilize blood

100
Q

QI DEFICIENCY postpartum lochiorrhea formula

A

Formula: Bu Zhong Yi Qi Tang + Lu Jiao Jiao, Ai Ye Tan

101
Q

Symptoms: scanty dark lochia with clots, dark purple color, scanty amount, abdominal pain that dislikes pressure, dark purple tongue with spots, wiry and choppy pulse, or deep and forceful pulse

A

BLOOD STASIS postpartum lochiorrhea

102
Q

BLOOD STASIS postpartum lochiorrhea TP

A

TP: remove blood stasis

103
Q

BLOOD STASIS postpartum lochiorrhea formula

A

Formula: Sheng Hua Tang + Yi Mu Cao, Chao Pu Huang

104
Q

Spleen and stomach deficiency morning sickness formula

A

Xiang Sha Liu Jun ZI Tang

105
Q

LV/ST disharmony morning sickness formula

A

Su Ye Huang Lian Tang

ICTCM Year 4 (12 decks)

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