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E&P III Periods > Leukorrhea and Itching > Flashcards

Leukorrhea and Itching Flashcards

1
Q

dai xia

A

leukorrhea

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2
Q

Leukorrhea defintion

A

Pathological ‘Excessive vaginal discharge’ is a change in amount, color, consistency or smell.

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3
Q

TCM Leukorrhea is:

  1. Produced by what organ?
  2. Stored and secreted by what organ?
  3. Transformed by what organ?
  4. Governed by what?
  5. Controlled by what?
A

Normal or physiological, is a slight discharge that increases in volume and viscosity at mid-cycle.

  1. produced by Kidney
  2. stored and secreted by Kidney
  3. transformed and distributed by Spleen
  4. governed by Ren Mai
  5. controlled by Dai Mai.
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4
Q

Western definition of leukorrhea

A

A local pathology of lower genital tract—vaginitis from Candida or Trichomonas infection, bothersome but generally harmless.
In few cases, excessive discharge is a symptom of uterine carcinoma

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5
Q

Cause (etiology)

A
  1. Irregular diet, excessive physical work,
  2. overwork
  3. Emotional strain
  4. Invasion of external Dampness
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6
Q

Profuse discharge indicates which organ pathology?

A

Kidney

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7
Q

Profuse, red discharge, dilute or sticky indicates which organ and pathology?

A

Kidney Yin def. + Damp heat

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8
Q

Describe discharge for:

  1. Cold or Deficiency
  2. Heat or Dampness
  3. Spleen Deficiency
A
  1. Dilute, watery: Cold or Deficiency
  2. Thick, sticky: Heat or Dampness
  3. White sticky: Spleen deficiency
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9
Q

Describe the color of discharge for

  1. Cold
  2. Heat
A

Color

  1. White = COLD
  2. Yellow, Red, Green = HEAT
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10
Q

Fishy smell indicates cold or heat?

A

Heat

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11
Q

What happens to Qi when the Dai is slack?

A

It sinks.Dampness infuses downward…Kidney deficiency allows Dai Mai to become slack, Dampness results from Spleen deficiency
Point Rx: GB 41 R, TW 5 L, GB 26, GB 27, GB 28

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12
Q

What are three excess patterns for Leukorrhea?

A
  1. Damp heat
  2. Toxic heat
  3. Liver Qi Stagnation
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13
Q

What are three deficiency patterns for Leukorrhea?

A
  1. Spleen
  2. Kidney Yin
  3. Kidney Yang
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14
Q

How would you treat Leukorrhea caused by Spleen Qi def.?

A

TX: Strengthen the Spleen, tonify Qi, raise Yang, resolve Dampness
CV 12, ST 36, SP 3, SP 6, SP 9, BL 22, GV 20, CV 6, CV 3, BL 32, BL 20

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15
Q

How would you treat Leukorrhea caused by Kidney Yang Deficiency?
T: Pale and wet
P: Deep, Weak

A

TX: Tonify and warm the Kidneys, consolidate the Directing vessel, stop discharge
BL 23, CV 4, KD 13, GB 26, ST 36, SP 6, KD 3, GV 20

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16
Q

How would you treat Leukorrhea caused by Kidney Yin Deficiency?

A

TX: Nourish Yin, strengthen Kidneys, clear Heat, consolidate the Essence
CV 4, KD 13, LU 7 R, KD 6 L, SP 6, KD 3, GV 20

17
Q

How would you treat Leukorrhea caused by DAMP HEAT?

A

TX: Clear Heat, resolve Dampness

GB 41 R, TW 5 L, CV3, CV2, GB 26, SP 9, SP 6, BL 33, BL 22, BL 53, BL 30

18
Q

How would you treat Leukorrhea caused by TOXIC HEAT?
T: Red with sticky yellow or brown coat with red spots
P: Slippery and Rapid

A

TOXIC HEAT
TX: Clear Heat, resolve poison, resolve Dampness, stop discharge
LI 11, SP 9, SP 6, CV 3, CV 2, SP 10, KD 2, LIV 3,

19
Q

How would you treat Leukorrhea caused by LIVER Qi STAGNATION?
T: slightly Red
P: Wiry

A

TX: Pacify Liver, move Qi, eliminate stagnation, strengthen Spleen
TW 6 GB 34, LIV 3, LIV 5, SP 6, ST 36, SP 9, BL 20, BL 18, GB 26, GB 41 R, TW 5 L,

20
Q

What is the definition of Vaginal Itching?

A

Persistent itching of the vulva and/or vagina which may be accompanied by an excessive vaginal discharge or, may also occur on its own.

21
Q

Name the four pathologies of VI?

A
  1. Dampness
  2. Heat
  3. Wind
  4. Related to Liver, Spleen and Kidneys
22
Q

Vaginal discharge often with odor, frothy green or yellow; itching, sometimes burning?

A

Trichomonas vaginalis
Protozoan that causes vulvovaginitis, usually sexually transmitted, infested reservoirs and hot tubs. Organism also infects Bartholin’s glands, the periurethrtal glands, urethra and bladder

23
Q

Red rash, vesicles or papules around the external genitalia that exude a fluid. Downward infusion of Damp Heat or def. dry Blood?

A

Genital eczema

24
Q

Most common of fungi causing vulvovaginitis?

A

Candida albicans: Antibiotics, pregnancy, stress, diabetes, immuno-cytotoxic drugs and corticosteroids, oral contraceptive.

25
Q

Cause of vaginal discharge, itching, dyspareunia and dysuria; if discharge, resembles cottage cheese?

A

Candida albicans

SP Qi def. leading to Dampness

26
Q

Tx of VI due to Candida albicans (SP Qi def. leading to Dampness)?

A

TX: Resolve Dampness, kill parasites, tonify the Spleen
SP 9, SP 6, CV 12, CV 9, ST 36, BL 20, BL 22, BL 32, BL 33, CV 4, CV 2
Ba Xie

27
Q

Tx of V.I. due to LIVER and KIDNEY YIN Deficiency?

A

TX: Nourish Liver and Kidney Yin, clear Empty Heat

CV 4, LIV 8, SP 6, KD 3, LU 7 R, KD 6 L, LIV 5, CV 3

28
Q

Intense vulvar or vaginal itching, yellow vaginal discharge, occasionally pain on intercourse, mental restlessness, irritability, insomnia, dark urine
T: Red, redder sides, yellow sticky coat on root with red spots
P: Slippery or Wiry

A

DAMP HEAT in LIVER CHANNEL

Genital Eczema

29
Q

Tx of V.I. due to DAMP HEAT in LIVER CHANNEL?

A

TX: Clear Liver, drain Damp, clear Heat, kill parasites/fungal infection, stop itching
CV 3, CV 2, LIV 5, LIV 4, SPS 9, SP 6, BL 33

30
Q

Vaginal discharge (frothy green or yellow) with odor, itching and occasionally burning. Vulvar edema and erythema. (SP Qi def. with Damp Heat)

A

Trichomonas vaginalis:

Infects: vulva, vagina, Bartholin’s glands, periurethral glands, urethra and bladder

31
Q

V.I. papules which ooze a fluid, genital area red and moist, itching.
T: yellow sticky coating
P: Slippery, Wiry on left middle position

A

DAMP HEAT in LIVER CHANNEL

(Genital Eczema) Baichongwo: On SP channel one cun above SP 10, ‘100 insects nest’

32
Q

V.I. with thickening of the skin, vaginal dryness, dry-red rash, itching?
T: Pale, thin and dry
P: Choppy

A

Blood Deficient and Dry (Genital Eczema)

TX: Nourish and moisten the Blood, stop itching, LU 7, KD 6; CV 4, ST 36, SP 6; SP 10, Baichongwo; LIV 5

E&P III Periods (6 decks)

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