Insomnia, Defecation, Urine, Menses Flashcards
1
Q
INSOMNIA
- Restless sleep, easily frightened and getting palpitations, mental restlessness, dizziness, chest oppression, bitter mouth, nausea, wiry pulse
- History of overeating, epigastric and abdominal distention, belching, thick and greasy tongue coating, slippery pulse
- Dream disturbed sleep, palpitations, tongue ulcer, dark and hot burning urine
- Dream disturbed sleep, irritability, anger, red eyes, tinnitus, wiry and rapid pulse
A
- Phlegm heat in the GB
- Food stagnation/retention
- Heart Fire
- Liver Fire
2
Q
DEFECATION
What does a normal stool look like?
A
- each day, one time per day, in morning
- thick, long, and well formed
- comes very easily (no straining or waiting) and completely (feel abdomen is empty afterwards)
- not dry or sticky (wipe one time is enough)
3
Q
DEFECATION
- Dry
- Sticky
- Foul Smell
A
- Insufficient fluids/poor circulation of fluids (blood, yin, Jin-ye)
- Dampness
- Heat
4
Q
DEFECATION
Constipation (4)
A
- Large Intestine yin deficiency [more DRY, hard; “not enough water to float the boat”]
- Qi, Blood, and/or body fluid deficiency [undigested, loose, when you DO go]
- Heat accumulating in intestines [burning, can be smelly]
- Cold obstructing intestinal Qi [obstructs circulation, Excess Cold – slow, tight pulse] *Bai Zhu
5
Q
DEFECATION
Diarrhea (5)
A
- Spleen Qi or Yang deficiency [can’t ascend, can’t transform – undigested food]
- Kidney Yang deficiency - Five Gong Diarrhea [watery, loose, in the morning]
- Food Stagnation [little burning, foul, sticky]
- Invasion of external pathogen - Damp Cold/Damp Heat [*add LI damp heat – urgent, explosive, burning, mucus, pus]
- Emotional disturbance - Liver attacking Spleen
6
Q
URINATION
What does normal look like?
A
- Pale, yellow, clear: pale in winter, darker in summer [not sweating in winter, not losing fluids]
- Moderate frequency: more in winter, less in summer
- Not much odor
7
Q
URINATION - quantity
What does copious indicate? (1)
What does scant indicate? (2)
A
COPIOUS
1. Kidney yang deficiency [+ excess cold] – [cold doesn’t DAMAGE the fluids, might not be “well transformed”] – [any kid xu can cause freq urination]
SCANT - [heat]
- Deficiency of body fluids/yin [yang xu]
- Retention of body fluids - not moving/metabolizing for various reasons
8
Q
URINATION - frequency
Too frequent (2)
A
- Heat or damp heat in the lower Jiao/UB
- Heart Fire [SI, Bladder]
- Damp Heat in UB – [irritating UT]- [DAMP - frothy, cloudy; HEAT - dark, hot, painful, scant, concentrated]
- Kidney Qi/Yang Deficiency
- Kid Qi controls the two lower orifices [any Kid xu can cause freq urination]
9
Q
MENSTRUATION
Early - 7-9+ days early for more than 2 consecutive months
- Flow: deep, red, thick, heavy
- Flow: pale, thin, heavy
A
- Heat in Blood [deep red/thick - cooked and concentrated; heavy - heat makes blood move wrecklessly]
- Qi deficiency –[Yang xu] [heavy - Qi not holding the blood – generally Spleen Qi Xu]
* Heat makes menstruation come early – moving blood
10
Q
MENSTRUATION
Delayed menstruation - 7-9+ days late for more than 2 consecutive months
- Flow: pale, thin scant
- Flow: purple, dark, clots, scant
- Flow: deep red, clots, scant
A
- Blood deficiency [don’t have much OF it]
- (Cold) congealing Blood [Blood xu makes the menstruation come late]
- Blood stasis [can also be purple]
11
Q
MENSTRUATION
Irregular Menstruation - 7-9+ days early or late
- Flow: purple-red, clots, scant: mastalgia (breast pain)
- Flow: pale-red, thin, uncertain amount
A
- Liver Qi constraint/stagnation [cramping, PMS, moodiness]
- Spleen and Kidney Xu
- disorder of Chong and Ren
- Spleen xu: early, heavy
- Kidney and Blood xu: late, scant [kid ESSENCE: reproductive function]
12
Q
INSOMNIA
- Easily waking in the middle of the night, palpitations, poor memory, poor appetite, fatigue, digestive weakness, loose stools, pale tongue, weak pulse
- Difficulty falling asleep, mental restlessness, dream disturbed sleep, tidal fever, night sweats, sore and weak lumbar region and knees
A
- Deficiency of Spleen Qi and Heart Blood
- Heart and Kidney Yin Deficiency
- Kidney water not nourishing/controlling Heart fire
13
Q
MENSTRUATION
Painful (Dysmenorrhea)
- Before Menstruation
- After Menstruation
A
- Excess
- Qi Stagnation
- Blood Stagnation - Deficiency
- Qi
- Blood
- Kidney
14
Q
Menstruation
Amenorrhea or “Menstrual Block” (3)
A
- Blood Stasis
- Liver Qi “depression” and “binding”
- Deficiency – Deficiency Taxation (Kid & Blood xu?) XU LAO - [“you did too much activity, made yourself deficient]
15
Q
MENSTRUATION
Leukorrhea - Abnormal Discharge (usually dampness)
- Profuse, thin, white discharge with no odor
- Profuse, thick yellow discharge with odor
A
- Cold Damp
- Spleen and Kid yang deficiency with downward flow of cold damp - Damp Heat
- downward flow of damp-heat due to long term stasis of dap transforming into damp-heat
16
Q
Hands and Feet
- Hot hands and/or feet
- Cold hands and/or feet
- Cold body, hands, and feet
- Hot body, cold hands and feet
A
- Yang Excess, Yin Xu [HEAT]
- Yang Xu, Yin Excess [COLD] [Yin “blocks” Yang Qi]
- Cold Reversal – Collapse of Yang [very weak, sweating– XU]
- Heat Reversal – Heat stagnant in interior obstructing circulation to extremities -Liver Qi constraint, Wiry; people get nervous and get cold hands, warm body]
17
Q
ABDOMEN
- Press and pain is made better
- Press and pain is made worse
- Hard, immobile masses with fixed pain
- Formless “masses” which come and go, pain not fixed
A
- Deficiency
- Excess
- Blood Stasis
- Qi stasis
