Irregular mensuration

Question 1

general description of irregular mensuration

Answer 1

: Any abnormal change in the menstrual cycle is called ‘irregular menstruation’.
• Preceded menstruation (Yue Jing Xian Qi) which manifested more than 7 days earlier or even twice a month, continue more than 2 menstrual cycle
• Delayed menstruation (Yue Jing Hou Qi) which manifested more than 7 days later or even 40-50 days delay, continue more than 2 menstrual cycle .
• Irregular menstrual cycle (Yue Jing Xian Hou Wu Ding Qi) which manifested more than 7 days later or earlier, continue more than 3 menstrual cycle.

Question 2

differentiation for irregular mensturation

Answer 2

1. early/ preceded mensturation
2. delayed menturation
3. irregular mensturation

Question 3

early/ preceded mensturation manifestation

Answer 3

7 days earlier in shorter menstrual cycle, or even twice a month; generally due to some sort of heat.

Question 4

early/ preceded mensturation excess heat syndrome

Answer 4

Flow will be heavy with bright red blood that is thick. Will also be thirsty and warm, may have yellow urine and constipation

1. T: red tongue, yellow coat
2. P: rapid and forceful

Question 5

early/ preceded mensturation: deficiency heat syndrome

Answer 5

Light flow, red blood that is thick, may have night sweats and five center heat

1. T: Red tongue, no coat
2. P: rapid and thin

Question 6

early/ preceded mensturation: stagnated heat

Answer 6

– Sometimes heavy, sometimes lighter or spotting, dark red blood with clots. May also have irritability and distended pain

1. T: dusky red. Thin, yellow coat
2. P: wiry and rapid

Question 7

early/ preceded mensturation: Qi deficiency

Answer 7

Amount of blood will vary, light in color and thin, fatigue, pale complexion

1. T: pale
2. P: thin and weak

Question 8

early/ preceded mensturation: treatment principle

Answer 8

Regulate menstruation by clearing away heat

Question 9

early/ preceded mensturation:

Answer 9

REN4, SP10

i. Excess heat + LR3, LI11
ii. Deficiency heat + SP6, KI2
iii. Stagnated heat + LR2, SP8
iv. Qi deficiency + ST36, BL20

Question 10

Delayed mensturation manifestation

Answer 10

7 days late or cycles that are 40-50 days

Question 11

Delayed mensturation: excessice syndrome

Answer 11

– menstrual flow is light/scanty, blood is dark red and thick with clots. May also have menstrual pain

1. T: thin, white coat
2. P: deep and tight

Question 12

Delayed mensturation: deficiency syndrome

Answer 12

Usually from yangqi xu with yang not able to warm the body. Menstrual flow is scanty, color is lighter and blood is thin.

1. T: pale, thin white coat
2. P: thin, weak, slow

Question 13

Delayed mensturation: blood deficiency syndrome

Answer 13

pink/light and thin blood, pale complexion,

1. T: pale
2. P: thin, weak

Question 14

Delayed mensturation: qi stagnation

Answer 14

– dark red or brown blood with variable amounts of flow, clotting likely present.

1. T: dusky, thin white coat
2. P: wiry

Question 15

Delayed mensturation: treatment principle

Answer 15

Warm the meridians to regulate blood

Question 16

Delayed mensturation: Acu points

Answer 16

REN6, KI13 (Qixue), SP6

i. Excessive cold + ST25, ST29
ii. Deficiency cold + DU4, KI3
iii. Blood deficiency + ST36, BL17, BL20
iv. Qi stagnation + LR5

Question 17

Irregular menstural cycles: manifestation

Answer 17

Early or late menstrual cycle

Question 18

Irregular menstural cycles liver qi stagnation

Answer 18

i. Liver qi stagnation – emotional upset, breast tenderness, dark red menstrual blood with clots, irregular flow with spotting to heavy.
1. T: dusky, thin white coat,
2. P: wiry

Question 19

Irregular menstural cycles : Kidney deficiency

Answer 19

Period irregular since start of menses, scanty bleeding with thin light blood.

1. T: pale, thin white coat
2. P: thin and weak

Question 20

Irregular Menstrual Cycles treatment principle

Answer 20

Regulate and reinforce the LR and KI

Question 21

Irregular Menstrual Cycles acupoint selection

Answer 21

REN4, SP6

i. Liver qi stagnation + LR3, BL18, LR14
ii. Kidney deficiency + KI3, KI5