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Chinese Herbs by Oren at NESA > Internal Med 2 Final gynecology > Flashcards

Internal Med 2 Final gynecology Flashcards

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Chinese (Mandarin) flashcards
1
Q

What is Bao Gong?

A

Directly translated as “uterus,” it has a broad definition in TCM, encompasses all interior female reproductive organs, including ovaries and fallopian tubes. One of the “extraordinary organs” - shape of a yang organ, function of yin organ. Menstruation and labor are functions of discharge like a yang organ. Storage of blood and nourishing fetus are like a yin organ.

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2
Q

What is Tian Gui?

A

Translation is “Tenth Layer of Heaven.” For women, refers to material substances to induce body growth, sexual maturity, menstrual blood, and fertility. It originates from prenatal essence, is stored in the kidneys, and nourished by postnatal food essences.(May be partly equivalent to hormones.) It is transformed into menstrual blood.

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3
Q

Why is Chong Mai so important for Bao Gong?

A

Chong Mai is the most important EV for women’s physiology, which is rooted in blood, and Chong Mai is “Sea of Blood” and “Sea of the 12 Channels;” has deep influence on menstruation. It influences the SUPPLY and PROPER MOVEMENT of blood in the Bao Gong, controlling all aspects of menstruation. Chong is supported by ST qi and KID true yin and yang, and also connects with all yang channels in the head so that yang qi can warm blood in the Chong Mai.

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4
Q

Why is Ren Mai so important to Bao Gong?

A

Ren Mai is “Sea of Yin Channels,” closely connected to yin, essence, blood, and fluids. It supports Bao Gong and impacts female physiological processes, including puberty, conception, pregnancy, childbirth and menopause. Ren Mai connects with ST, LIV, SP, and KID channels and therefore the Bao Gong receives yin, essence, fluids, qi and blood through the Ren Mai.

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5
Q

Explain KID relationship with Bao Gong.

A

Bao Gong is connected to KID via Bao Luo (uterus channel) and through Chong, Ren, and Du Mai. Bao Gong relies on KID for QI (kidneys are root of original qi), ESSENCE (kidneys are root of prenatal essence, storing essence which is the origin of Tian Gui and important for puberty, fertility, conception, pregnancy and menopause), YANG (kidney fire is the fire of the Gate of Life, warming uterus, balancing yin, making conception possible, and influencing sexual desire), and YIN (kidney yin nourishes Bao Gong and is the source of menstrual blood, also balances yang influences).

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6
Q

Explain LIV relationship with Bao Gong.

A

Bao Gong connects to liver via liver channel connections with Chong Mai at SP6, Ren Mai at CV2, and Du Mai at GV20. BLOOD: LIV stores, regulates vol., regulates and supplies blood to Bao Gong (important in menstruation, conception, and breast feeding). QI: LIV qi moves blood, and liver is responsible for smooth flow of qi in the body, therefore also the smooth flow of blood.

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7
Q

Painful Periods due to Qi Stagnation and Blood Stasis- Indications?

A

Presence of chronic/intense emotional strain (anger, frustration, resentment, etc.) Qi stagnation s/s: distending pain before/during start of period, feeling distention in abdomen and breasts, hesitant start to period. Blood stasis s/s: intense, stabbing pain before/during start of period, dark menstrual blood with large clots, pain relieved after passing clots.

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8
Q

Painful Periods due to Qi Stagnation and Blood Stasis - Tx Principles?

A

Regulate Qi, invigorate Blood, eliminate stasis, stop pain

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9
Q

Painful Periods due to Qi Stagnation and Blood Stasis - Basic Formula?

A

Ge Xia Zhu Yu Tang (Drive Out Blood Stasis Below the Diaphragm Decoction): Chao Wu Ling Zhi, Dan Gui, Chuan Xiong, Tao Ren, Mu Dan Pi, Chi Shao, Wu Yao, Yan Hu Suo, Gan Cao, Xiang Fu, Hong Hua, Zhi Ke

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10
Q

Painful Periods due to Stagnation of Cold in the Uterus- Indications?

A

Precipitated by exposure to cold, Cold invasion, or underlying yang deficiency. Lower abdominal pain before/after period, scanty blood with dark clots, feeling cold in cetner of low abdomen, pain relieved by application of heat.

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11
Q

Painful Periods due to Stagnation of Cold in the Uterus - Tx Principles?

A

Warm the Bao Gong, expel Cold, invigorate blood, stop pain

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12
Q

Painful Periods due to Stagnation of Cold in the Uterus - Basic Formula?

A

Wen Jing Tang (Warm the Menses Decoction): Dang Gui, Chuan Xiong, Rou Gui, cu chao E Zhu, Mu Dan Pi, Ren Shen, Niu Xi, Gan Cao

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13
Q

Painful Periods due to Obstruction by Heat-Dampness- Indications?

A

Pain before the period and sometimes mid-cycle, burning sensation extending to sacrum, menstrual blood red with small clots, yellow smelly vaginal discharge.

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14
Q

Painful Periods due to Obstruction by Heat-Dampness - Tx Principles?

A

Clear Heat, eliminate Dampness, dispel stasis, stop pain

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15
Q

Painful Periods due to Obstruction by Heat-Dampness - Basic Formula?

A

Qing Re Tiao Xue Tang (Clear Heat and Regulate the Blood Decoction): Mu Dan Pi, Huang Lian, Sheng Di Huang, Dang Gui, Bai Shao, Chuan Xiong, Hong Hua, Tao Ren, E Zhu, Xiang Fu, Yan Hu Suo PLUS Hong Teng, Bai Jiang Cao, Yi Yi Ren

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16
Q

Painful Periods due to Qi and Blood Deficiency- Indications?

A

Precipitated by physical overwork or chronic illness. Chong and Ren malnourished, blood has no force to move, causing stagnation and pain. Dull pain toward end or after period, dragging sensation in lower abdomen, pain relieved by pressure and massage, scanty, pale and thin bleeding. Tired but maybe unable to sleep, poor concentration. Other blood deficient and qi deficient s/s.

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17
Q

Painful Periods due to Qi and Blood Deficiency - Tx Principles?

A

Tonify Qi, Nourish Blood, stop pain

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18
Q

Painful Periods due to Qi and Blood Deficiency - Basic Formula?

A

Huang Qi Jiang Zhong Tang (Astragalus Decoction to Construct the Middle) add: Dang Gui, Dang Shen to basic: Huang Qi 9g, Yi Tang 18-30g, Gui Zhi 9g, Shao Yao 18g, Zhi Gan Cao 6g, Sheng Jiang 9g, Da Zao 12 pieces

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19
Q

Painful Periods due to LIV & KID Deficiency- Indications?

A

Constitutional deficiency, or too many childbirths/pregnancies, or excessive sexual activity cause blood and essence depletion, Chong and Ren cannot move qi and blood. Dull pain toward end/after period, scanty, dull, pale bleeding, sore/weak lower back, pain relieved by pressure and massage, blurred vision.

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20
Q

Painful Periods due to LIV & KID Deficiency - Tx Principles?

A

Tonify LIV and KID, nourish blood and essence, stop pain

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21
Q

Painful Periods due to LIV & KID Deficiency - Basic Formula?

A

Tiao Gan Tang (Regulate the Liver Decoction): Dang Gui, Bai Shao, Shan Zhu Yu, E Jiao, Ba Ji Tian, Shan Yao, Gan Cao

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22
Q

Amenorrhea - what is the PATHOLOGY?

A
  1. LIV and KID deficiency: not enough essence in KID (origin of menstrual blood) and not enough blood stored in LIV -> malnourished Chong andRen -> cannot supply blood and essence to Bao Gong -> periods stop. 2. Qi and blood deficiency: not enough qi and blood to fill and nourish Chong and Ren -> cannot supply qi and blood to Bao Gong -> periods stop. 3. Yin deficiency -> Empty Heat -> dries blood -> failure to nourish Chong and Ren -> fail to nourish Bao Gong -> periods stop. 4. Qi stagnation and blood stasis-> obstructed qi and blood flow in Chong and Ren -> (etc) 5. Cold in blood -> enters Chong and Ren -> obstructs qi and blood flow in Chong, Ren, Bao Gong 6. Damp-Phlegm obstructs -> impairs qi and blood flow in Chong, Ren, Bao Gong
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23
Q

Amenorrhea - what are deficiency patterns?

A

Liver and Kidney Deficiency, Qi and Blood Deficiency, Depletion of Yin and Dryness of Blood

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24
Q

Amenorrhea - what are excess patterns?

A

Stagnation of Qi and Blood, Cold in the Blood with Blood Stasis, Obstruction by Phlegm-Dampness

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25
Q

Amenorrhea due to LIV and KID Deficiency - Indications?

A

Primary amenorrhea and looks under-developed, or if secondary amenorrhea, period scanty, often delayed, probably long-term gyn disorder, possibly Flooding & Trickling disorder in past; blood was pale, thin, light, no clots/pain. LBP during period. Eyes very tired, vision problems. Maybe KID yang deficient (if Cold s/s), yin def (if Empty Heat s/s) or KID Qi deficiency (not much H/C s/s). Has general LIV/KID def s/s.

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26
Q

Amenorrhea due to LIV and KID Deficiency - Tx Principles?

A

Regulate menses, tonify KID, nourish LIV, tonify blood (and tonify essence)

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27
Q

Amenorrhea due to LIV and KID Deficiency - Basic Formula?

A

Gui Shen Wan (Restore the Kidney Pill) add: Ji Xue Teng, He Shou Wu

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28
Q

Amenorrhea due to Qi and Blood Deficiency - Indications?

A

Period was extremely scanty, v light flow, short time, no clots/pain or mild pain with empty sensation. PMS mild to none, but maybe dizzy/lightheaded, blurred vision, palps, forgetful, light sleep, many dreams, pale dry skin, dry thin hair, maybe hair loss/lack of growth, poor concentration/mental energy.

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29
Q

Amenorrhea due to Qi and Blood Deficiency - Tx Principles?

A

Tonify Qi, Nourish Blood, regulate menses

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30
Q

Amenorrhea due to Qi and Blood Deficiency - Basic Formula?

A

Ren Shen Yang Ying Tang (Ginseng Decoction to Nourish the Nutritive Qi)

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31
Q

Amenorrhea due to Yin Deficiency with Dryness of Blood - Indications?

A

Period was very late, color maybe red but very scanty with thicker consistency, very short time of bleeding. PMS s/s usually indicate empty Heat, such as feeling warm/hot at night, nightsweats, hot palms/soles, red dry lips/tongue, dry/sore throat, thirsty. Compexion pale, hands/feet cold to touch, weight loss/emaciation.

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32
Q

Amenorrhea due to Yin Deficiency with Dryness of Blood - Tx Principles?

A

Nourish yin, generate water, nourish blood, regulate menses

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33
Q

Amenorrhea due to Yin Deficiency with Dryness of Blood - Basic Formula?

A

Jia Jian Yi Yin Jian (Modified Yin-Boosting Decoction) with Huang Jing, Dan Shen, Zhi Ke

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34
Q

Amenorrhea due to Stagnation of Qi and Blood - Indications?

A

Previously period difficult to start, trouble with flow, uneven. Lots of pain, very intense, before/at start of period, worse with pressure. Blood dark, maybe thick, with clots, large/small. (Small = more qi stag., large = more blood stag.) PMS many s/s: moody, sad, angry, breast tenderness, distention and pain in low abdomen. Also general s/s like tension HA, TMJ, hypochondrial pain, neck/shoulder tightness. T: darker, maybe dark/purplish spots. P: deep, wiry, choppy, usually forceful.

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35
Q

Amenorrhea due to Stagnation of Qi and Blood - Tx Principles?

A

Move Qi, invigorate blood, dispel stasis, free the menses

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36
Q

Amenorrhea due to Stagnation of Qi and Blood - basic formula?

A

Shao Fu Zhu Yu Tang (Drive Out Blood Stasis in the Lower Abdomen Decoction)

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37
Q

Amenorrhea due to Cold in Blood with Blood Stasis - Indications?

A

Previous period had brown/black color. Flow sluggish. Cold sensation in low abdomen and/or low back. Better with warmth but NOT pressure. Hands, feet, and maybe whole body cold. T: darker, twc. P: deep, tight, maybe slow.

38
Q

Amenorrhea due to Cold in Blood with Blood Stasis - Tx Principles?

A

Warm the menses, dispel cold, dispel blood stasis, and regulate the menses

39
Q

Amenorrhea due to Cold in Blood with Blood Stasis - basic formula?

A

Wen Jing Tang (Warm the Menses Decoction)

40
Q

Amenorrhea due to Obstruction by Phlegm-Dampness - Indications?

A

Previous period blood may have mucus, watery, sticky consistency. Pain with heavy sensation in low abdomen. Profuse vaginal discharge before/mid-cycle. General s/s - edema, loose stools, chronic post-nasal drip, cough w/phlegm in a.m. or after eating, esp. phlegm-generating foods. T: puffy, swollen, toothmarked, thick white greasy t.c. P: Slippery, can be softer, moderate.

41
Q

Amenorrhea due to Obstruction by Phlegm-Dampness - Tx Principles?

A

Expel Phlegm, transform Dampness, move Qi, invigorate blood, and free the menses

42
Q

Amenorrhea due to Obstruction by Phlegm-Dampness - basic formula?

A

Cang Fu Dao Tan Tang (Atractylodes and Cyperus Guide Out The Phlegm Decoction)

43
Q

Flooding & Trickling Disorder - explain general tx principles.

A
  1. STOP BLEEDING (for Flooding use stabilizing and raising method, avoid acrid-warm blood movers; for Trickling apply nourishing blood with regulating qi method, avoid over-binding) 2. TX ROOT (tonify KID, strengthen SP, clear Heat, cool blood, dispel blood stasis) 3. RESTORE HEALTH (tx organs involved after successful initial tx: strengthen SP&ST and generate Qi&Blood; tonify KID & regulate menses; regulate LIV & menses).
44
Q

Flooding & Trickling Disorder due to KID YIN Deficiency - indications?

A

Bleeding is chronic, gradual onset. Color: red. Slightly thicker consistency. Volume sometimes heavy, sometimes scanty, alternates. Accompanied by pain in low abdomen, sore/weak low back and knees during period. Legs feel weak, always want to lie down, feel much older than actual age. Heel pain very common. Night warmth/sweats, maybe dry eyes/blurred vision. Dry/sore throat at night. Hot palms/soles. Steaming bone disorder. Sleep disturbed/restless with many dreams (KD water unable to control HT fire).

45
Q

Flooding & Trickling Disorder due to KID YIN Deficiency - tx principles?

A

Nourish and supplement KID yin, nourish blood, stop bleeding, regulate menstruation

46
Q

Flooding & Trickling Disorder due to KID YIN Deficiency - basic formula?

A

Zuo Gui Wan (Restore the [left] Kidney Pill) OMIT Niu Xi, ADD Han Lian Cao, Di Yu

47
Q

Flooding & Trickling Disorder due to KID YANG Deficiency - indications?

A

Gradual onset. Color maybe brown/black or pale, watery (color depends on how much cold). Sometimes cold sensation in low abd, some pain/discomfort in low back. Cold to touch, hands/feet/whole body feels cold. KID s/s: general fatigue, frequent urination OR water retention edema. Person is quiet, slow. T: swollen, puffy, teethmarks, pale/darker. P: deep, weak, slow. KD on R is deeper, weaker, hard to find.

48
Q

Flooding & Trickling Disorder due to KID YANG Deficiency - tx principles?

A

Warm and supplement the KID yang, stop bleeding, regulate menstruation

49
Q

Flooding & Trickling Disorder due to KID YANG Deficiency - basic formula?

A

You Gui Wan (Restore the Right KID Pill) OMIT Rou Gui and Dang Gui, but ADD Huang Qi, Fu Pen Zi, Chi Shi Zhi

50
Q

Flooding & Trickling Disorder due to SP Qi Deficiency - indications?

A

Usually gradual onset, can be very heavy then spotting/light flow. Color pale, consistency thin/watery, maybe some mucus, usually no clots, usually no pain or very mild pain with empty sensation in low abdomen. SP s/s: commonly v. fatigued in 4 extremities, digestion probs, low appetite, loose stools with undigested food, food allergies. Maybe excess vaginal discharge. Pulling sensation in low abdomen or possibly prolapse. Complexion pale, puffy, flesh of legs and abdomen feels soft, loose, not solid. T: swollen, pale, teethmarks. P: moderate, weak, deep.

51
Q

Flooding & Trickling Disorder due to SP Qi Deficiency - tx principles?

A

Strengthen SP Qi, boost/raise Qi, secure the Chong Mai, and stop bleeding

52
Q

Flooding & Trickling Disorder due to SP Qi Deficiency - basic formula?

A

Gu Chong Tang (Stabilize Gushing Decoction)

53
Q

Flooding & Trickling Disorder due to Blood Heat - indications?

A

Sudden onset, blood is fresh/deep/bright red. Lots of Heat s/s: body runs warm, red face, thirsty for cold beverage, irritable, tendency to constipation, urine concentrated. T: red/red prickles, yellow t.c. P: slippery, rapid.

54
Q

Flooding & Trickling Disorder due to Blood Heat - tx principles?

A

Clear Heat, cool blood, stop bleeding

55
Q

Flooding & Trickling Disorder due to Blood Heat - basic formula?

A

Qing Re Gu Jing Tang (Clear Heat and Stabilize the Menses Decoction)

56
Q

Flooding & Trickling Disorder due to Blood Stasis - indications?

A

Flooding and trickling s/s may be recent/sudden but result from underlying chronic condition of blood stasis, often cysts, fibroids or endometriosis. Can have very heavy bleeding, then spotting/light flow. Heavy bleeding has many clots, large and small. Color: concentrated, dark. Severe pain, significant cramps with flow. Pain in fixed location, worse with pressure and at night. Reduced by passing large clots. Sometimes local stagnation (for example, just in low abdomen) and other times entire system reflects blood stasis, i.e. depression, dark undereye circles, dark enlarged spider veins, blood stasis type HA, etc. P: choppy, wiry if intense pain.

57
Q

Flooding & Trickling Disorder due to Blood Stasis - tx principles?

A

Invigorate blood, eliminate blood stasis, stop bleeding

58
Q

Flooding & Trickling Disorder due to Blood Stasis - basic formula?

A

Tao Hong Si Wu Tang (Four Substances Decoction with Safflower and Peach Pit)

59
Q

Infertility general tx strategies

A
  1. REGULATE MENSES (tx early/late/irregular/heavy/scanty periods) 2. WESTERN DX INFO (no ovulation indicates KID/essence weakness; endometriosis indicates blood stasis, etc.) 3. PHASE OF CYCLE (period: regulate menses; post-menstrual: nourish blood, tonify KID; mid-cycle: tonify KID, consolidate Ren and Chong; pre-menstrual: tonify yang, move LIV QI) 4. TX PATTERN (KID Qi/yang/yin& essence deficiency; LIV Qi Stagnation; obstruction by Phlegm-Dampness; Blood Stasis)
60
Q

Infertility due to KID Qi Deficiency - indications?

A

Older with trouble conceiving or hx miscarriage. Period is light, pale color, less volume, probably delayed, irregular timing, short time bleeding, mild pain better with pressure, lots of low back pain/soreness/weakness during period. Low abdomen has empty feeling in center. Frequent urination. Dizzy/lightheaded/vertigo. Tinnitus. Low energy, general fatigue, low libido. No significant H/C s/s.

61
Q

Infertility due to KID Qi Deficiency - tx principles?

A

Tonify KID Qi, warm uterus, nourish essence, regulate and rectify the Chong and Ren Mai

62
Q

Infertility due to KID Qi Deficiency - basic formula?

A

Yu Lin Zhu (Unicorn-Rearing Pill)

63
Q

Infertility due to KID Yang Deficiency - indications?

A

Older with trouble conceiving or hx miscarriage. Period has darker color, maybe even brown/black. Less volume, probably delayed, irregular timing, short time bleeding, mild pain better with pressure, lots of low back pain/soreness/weakness during period. Low abdomen has empty feeling in center. Dizzy/lightheaded/vertigo. Tinnitus. Low energy, general fatigue, low libido. Urination prolonged, profuse, clear. Cold in whole body but especially low abdomen and low back. Prefer warmth. Need lots of sleep but still low energy.

64
Q

Infertility due to KID Yang Deficiency - tx principles?

A

Warm KID, nourish blood, tonify qi, regulate and rectify the Chong and Ren Mai

65
Q

Infertility due to KID Yang Deficiency - basic formula?

A

Wen Shen Wan (Warm the Kidney Pill)

66
Q

Infertility due to KID Yin and Essence Deficiency - indications?

A

Older with trouble conceiving or hx miscarriage. Period is light, red color, scanty volume, probably early, short time bleeding, mild pain better with pressure, lots of low back pain/soreness/weakness during period. Low abdomen has empty feeling in center. Frequent urination. Dizzy/lightheaded/vertigo. Tinnitus. Low energy, general fatigue, low libido. Warm at night, nightsweats, hot flashes, light and dream-disturbed sleep, irritability, hot palms/soles, emaciation, dry skin/hair, heel pain at bottom of feet. Lips dry and red. Cheekbone area red.

67
Q

Infertility due to KID Yin and Essence Deficiency - tx principles?

A

Nourish KID yin, generate essence, tonify blood, regulate and rectify the Chong and Ren Mai

68
Q

Infertility due to KID Yin and Essence Deficiency - basic formula?

A

Zuo Gui Wan (Restore the Left Kidney Pill)

69
Q

Infertility due to LIV Qi Stagnation - indications?

A

No organic issues found for infertility but LOTS of life stress, and maybe additional stress due to infertility itself. Menses may be uneven, on and off. Lots of PMS: breast tenderness, moody, enlarged lumps in breasts that become painful. Blood color dark with small clots, difficulty starting period. Migraine/tension HA with PMS and at start of period. Maybe loose stools or constipation, or water retention.

70
Q

Infertility due to LIV Qi Stagnation - tx principles?

A

Soothe the LIV, move LIV Qi, harmonize the blood, regulate the menses, rebalance cycle

71
Q

Infertility due to LIV Qi Stagnation - basic formula?

A

Kai Yu Zhong Yu Tang (Depression-Opening Jade-Planting Decoction)

72
Q

Infertility due to Obstruction by Phlegm-Dampness - indications?

A

Patient likely obese. Period color varies (pale if more SP deficient, dark if more blood stasis). Can be many PMS s/s including bloating, distention, significant water retention with weight gain in hips and abdomen. Hands and feet may swell. Pt may spit up white, thick phlegm. Head feels foggy, body sluggish, easily tired. Probably gynecological disorder such as ovarian cysts. Period may be very painful due to qi and blood stasis. May have excessive vaginal discharge.

73
Q

Infertility due to Obstruction by Phlegm-Dampness - tx principles?

A

Dry Dampness, transform Phlegm, move Qi, and regulate menstruation

74
Q

Infertility due to Obstruction by Phlegm-Dampness - basic formula?

A

Qi Gong Wan (Uterus-Opening Pill)

75
Q

Infertility due to Blood Stasis - indications?

A

Usually organic issue/physical problem such as cysts, endometriosis, or local surgery. Chronic menstrual issues, probably western dx. Period painful before/during start. Can be very intense pain, stabbing, with fixed location. Blood dark, deep purple, black with large clots. Pain less once clots passed. Emotions may be moody, depressed. HA with fixed stabbing pain. T, lips purple, dark. P: choppy/wiry.

76
Q

Infertility due to Blood Stasis - tx principles?

A

Invigorate blood, expel blood stasis, and regulate menstruation

77
Q

Infertility due to Blood Stasis - basic formula?

A

Shao Fu Zhu Yu Tang (Drive Out Blood Stasis in the Lower Abdomen Decoction)

78
Q

Threatened Miscarriage due to KID Deficiency - indications?

A

Pt is slightly older, or had chronic illness. Bleeding very small amt, color slightly pale, dilute. Lots of LBP/soreness/weakness. Slight pain/cramps in low abdomen with bleeding. VERY tired. Frequent urination with pregnancy. Before pregnancy, period was scanty, lenth shorter, maybe other KID def s/s (tinnitus, dizziness, hair/nail quality low, blurred vision, maybe chronic low back soreness/weakness with no injury). KID Qi deficiency and KID Essence Weakness unless Cold s/s indicate KID yang deficiency or Empty Heat s/s indicate KID yin deficiency.

79
Q

Threatened Miscarriage due to KID Deficiency - tx principles?

A

Tonify the KID, secure the Chong and Ren Mai, stop bleeding, and calm the fetus

80
Q

Threatened Miscarriage due to KID Deficiency - basic formula?

A

Shou Tai Wan (Fetal Longevity Pill) plus: Dang Shen, Bai Zhu, Charred Ai Ye, Han Lian Cao. (Tu Si Zi, Sang Ji Sheng, Xu Duan, E Jiao)

81
Q

Threatened Miscarriage due to Qi and Blood Deficiency - indications?

A

Usually after first trimester. Small amt of blood, dilute pale red, watery, no clots/tissue. VERY FATIGUED. Very mild abdominal pain/cramps. Often palps, SOB, easily dizzy, sensitive to temp. Before pregnancy periods tended to be delayed, short time, scanty amount, very fatigued during/right after period. Pale complexion, lips. Rough dry skin and hair. Nails easily broken, slow-growing. Eyes easily tired, blurred vision, poor night vision. Difficulty concentrating, forgetful. Low voice, tired by talking. T: pale, twc, tender, soft P: thin, weak

82
Q

Threatened Miscarriage due to Qi and Blood Deficiency - tx principles?

A

Tonify Qi, nourish Blood, secure Chong and Ren, calm fetus, stop bleeding

83
Q

Threatened Miscarriage due to Qi and Blood Deficiency - basic formula?

A

Gu Xia Yi Qi Tang (Secure LowBurner Tonify Qi Decoction)

84
Q

Threatened Miscarriage due to Blood Heat - indications?

A

Vaginal bleeding after pregnancy that is fresh red, thicker. No clots/tissue. LBP/cramps. Plus many Heat s/s: temp tuns warm, easily sweat (daytime indicates excess, nighttime indicates deficiency), thirsty for cold beverage, irritable/restless, maybe insomnia. Stools dry/hard. Complexion red. T: red, yellow t.c. if excess. P: rapid, maybe slippery, thin if deficient.

85
Q

Threatened Miscarriage due to Blood Heat - tx principles?

A

Clear Heat, cool Blood, calm fetus, stop bleeding

86
Q

Threatened Miscarriage due to Blood Heat - basic formula?

A

Bao Yin Jian (Yin-Safeguarding Decoction)

87
Q

Habitual Miscarriage due to KID Qi Deficiency - indications?

A

3+ miscarriages in succession with many KID Qi Deficient s/s.

88
Q

Habitual Miscarriage due to KID Qi Deficiency - tx principles?

A

Tonify the KID, secure the Chong and Ren, calm the fetus

89
Q

Habitual Miscarriage due to KID Qi Deficiency - basic formula?

A

Bu Shen Gu Chong Tang (Kidney-Supplementing Vessel-Securing Pill)

90
Q

Habitual Miscarriage due to Qi and Blood Deficiency - indications?

A

3+ miscarriages in succession with many Qi and Blood Deficient s/s.

91
Q

Habitual Miscarriage due to Qi and Blood Deficiency - tx principles?

A

Tonify Qi, nourish Blood, calm fetus

92
Q

Habitual Miscarriage due to Qi and Blood Deficiency - basic formula?

A

Tai Shan Pain Shi San (Huge Rock from Mt. Taishin Powder) OMIT Chuan Xiong (if any possibility of pregnancy) and Dang Gui (OK only before pregnancy)

Chinese Herbs by Oren at NESA (13 decks)

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