gyno REVIEW

Question 1

regular cycle: day 1 - ovulation

Answer 1

yin, move and build blood
dominant hormones = Estrogen, FSH

Question 2

regular cycle: ovulation - day before period

Answer 2

yang, nourish blood, warm and elevate qi
dominant hormone = progesterone

Question 3

regular cycle: fertile window

Answer 3

3-5 days before ovulation when cervical mucus changes to clear and stretchy to allow sperm in
indicates health of yin
dominant hormone = lutenising hormone

Question 4

yin phase can

Answer 4

vary in length depending on how long follicle takes to mature

Question 5

yang phase should not

Answer 5

vary between 14 and 16 days, indicates progesterone xu if it does

Question 6

patterns of infertility - kidney yin xu

Answer 6

follicle development issues

Question 7

patterns of infertility - kidney yang xu

Answer 7

warming uterus issues, qi sinking, spotting

Question 8

patterns of infertility - liver and heart qi stag

Answer 8

significant PMS, emotional trauma

Question 9

patterns of infertility - jing xu

Answer 9

chronic illness, genetic issues, prolonged hormone meds

Question 10

patterns of infertility - blood stasis

Answer 10

endometriosis, mental irregularities, miscarriage history

Question 11

patterns of infertility - phlegm damp accumulation

Answer 11

PCOS, blocked fallopian tubes

Question 12

irregular cycle

Answer 12

fluctuate between early and late, each month is different
full condition - liver and kidney stag
caused by liver qi stag obstructing ren and chong
qi stasis leads to blood stasis = uterus not filling up
kidney qi (yin & yang) xu not governing rhythmic ebb and flow of hormones

Question 13

early cycle

Answer 13

repeatedly onset earlier than 27 days after last period

Question 14

early cycle - excess type

Answer 14

heart fire - early and heavy, palpitations and insomnia

liver qi stag equalling blood heat - early, dark colour and dark clots, premenstrual breast distension, irritability

liver blood heat - early, bright or dark red, anxiety, mental restlessness

Question 15

early cycle - empty type

Answer 15

kidney qi xu - pale, watery, lower back pain, feeling cold

spleen qi xu - early, watery, fatigue

liver and kidney yin xu false heat - early, scanty or heavy, yin xu symptoms

Question 16

late cycle

Answer 16

consistently longer than 30 day cycle (40-50 days)
always determined by activity in the first half of the cycle
post ovulation has no influence other than pregnancy

Question 17

late cycle - empty type

Answer 17

blood xu - late, scanty volume, pale consistency, blurred vision, dizziness, palpitations, tongue pale - open ren vessel lg7 + kd6

empty cold in uterus - late, scanty with small stringy clots, painful periods better for heat and pressure, tongue pale

kidney yang xu - late, scanty flow and pale colour, sore back, night urination, pale urination, tongue pale

Question 18

late cycle - full type

Answer 18

full cold in uterus - late, scanty flow, dark colour and clots, abdominal menstrual pain better for heat, worse for pressure, abdomen feels taut to palpate

liver qi stag - late, scanty, clotted floe, irritability, significant and prolonged PMS

Question 19

primary amenorrhea

Answer 19

periods have never stared by age 18

Question 20

secondary amenorrhea

Answer 20

period dosent return after 3 months, following absence caused by medication or childbirth

Question 21

amenorrhea

Answer 21

period stops suddenly without cause and dosent return

there can be ovulation with no menstrual cycle
if there is no ovulation there will be no menstrual cycle

Question 22

amenorrhea - empty type

Answer 22

liver and kidney xu - empty ren and chong vessel, either never started or gradually stopped after declining in volume, mental tiredness, lower back pain, depression

blood xu - stop after gradually declining over months, dizziness, tingling, poor memory, palpitations, insomnia, dry skin and eyes, alopecia, may also have spleen qi xu symptoms

spleen and kidney xu - complete absence of periods, feels cold, loose stool, poor appetite, cold feet, abdominal distension, frequent and pale urination

Question 23

amenorrhea - empty type continued

Answer 23

liver and kidney yin xu - dizziness, dry eyes, insomnia, night sweats, lower back pain

lung yin and blood xu - root of sadness, worry or grief, dry cough with bloody sputum

heart and kidney yin xu - heart and uterus need to be connected for healthy menstrual cycle, heart yang flows down to connect to kidney yin. palpations, insomnia, depression, anxiety, nightsweats, emotional history of sadness, grief or guilt

heart and spleen blood xu - palpitations, depression, anxiety, tiredness, loose stool, spleen not making blood to nourish heart

Question 24

amenorrhea - full type

Answer 24

qi and blood stag - always secondary amenorrhea, significant PMS, depression, tongue purple, pulse wiry due to liver root of syndrome

damp phlegm in lower jiao - always secondary amenorrhea, possible history of STD, prolonged cycle leading to absence, significant leukorrhea, obesity, heaviness typical in PCOS

Question 25

dysmenorrhea

Answer 25

painful periods, not necessarily irregular

pain that is accompanied with consistently late periods with clots indicates blood stasis

pain may appear before, during, (full condition) or after (xu condition

always from stagnation, even in xu patterns

Question 26

pain better for passing clots

Answer 26

blood stasis

Question 27

pain pronounced feeling of distension

Answer 27

qi stag

Question 28

burning pain

Answer 28

blood heat

Question 29

cramping pain

Answer 29

cold in uterus

Question 30

stabbing pain

Answer 30

blood stasis

Question 31

pulling pain

Answer 31

blood stasis

Question 32

bearing down pain before period

Answer 32

blood stasis

Question 33

bearing down pain after period

Answer 33

kidney xu

Question 34

dysmenorrhea - full type

Answer 34

Qi Stagnation - pain (liver & uterus affected) 1-2 days
prior to or during menses, abdo & breast distension,
hesitant start to period, significant PMS, dark flow but
no clots

Blood stasis - intense & stabbing pain prior to period,
dark & clotted flow, pain relived for passing clots

Cold stagnation - central lower abdo pain before or
after menses, better for heat, scanty red flow with
small clots

Damp heat - lower abdo pain before menses, may refer
to sacrum, occasional pain mid cycle due to follicle
growth obstructed by damp, menses red with small
clots, leukorrhea, thirst

Liver Qi Stagnation Fire - abdominal pain prior to or
during period, dark and heavy flow, irritability, anger
outbursts, thirst, dry stool

Question 35

dysmenorrhea - empty type

Answer 35

Qi & Blood Xu - dull pain towards end of menses, dragging
pain lower abdo better for pressure and massage, scanty
bleeding, tiredness, dizzy

Yang & Blood Xu - dull abdominal pain after period, scanty
pale flow with no clots, pain better for heat & pressure, dull headache, blurred vision, feeling cold, depression

Kidney & Liver Yin Xu - dull central lower abdo pain at end
or after period, pain better for massage & pressure, sore back, dizziness, scanty bleeding, exhaustion

Question 36

metrorrhagia

Answer 36

Bleeding in-between periods
May be a couple of days of light spotting, or longer
Typically happens mid cycle and accompanies ovulation
This is due to ovulation being the fluctuation between
kidney yin & yang and controlled by Ren and Chong vessels
Therefore underlying cause of metrorrhagia is always
kidney xu, accompanied with secondary causes

Question 37

metrorrhagia patterns

Answer 37

Liver & Kidney Yin Xu - Empty heat symptoms, night
sweats, peeled C, scanty bleeding midcycle, scarlet red with no clots, no pain, dizziness, backache, dark urine

Damp heat - sticky, viscous blood, variable heavy / scanty midcycle bleeding, no clots, chest oppression, achey joints, poor appetite, leukorrhea

Blood Stasis - either scanty or profuse mid cycle bleeding,
dark colour and clotted, bilateral abdominal pain (liver
channel)

Spleen & Kidney Yang Xu - red blood without clots, scanty
or profuse flow, abdominal pain, dizziness, feeling cold, loose stool, frequent urination, tiredness, depression, backache