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E&P III Periods > Long, Heavy, Flooding & Trickling Periods > Flashcards

Long, Heavy, Flooding & Trickling Periods Flashcards

1
Q

Defines Long Period?

A
  1. Prolonged bleeding 7-10 days
  2. Regular cycle
  3. Amount of blood not excessive
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2
Q

Etiology (Cause) of Long Periods - give two:

A
  1. Emotional Stress

2. Overwork

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3
Q

Two TCM Patterns (Pathology) for Long Periods?

A
  1. Liver Qi and Liver Blood Stagnation

2. Kidney Yin deficiency with Empty Heat

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4
Q

Long period.
T: Purple
P: Wiry

A

QI STAGNATION and BLOOD STASIS
TX: Regulate Liver Qi, invigorate Blood, eliminate stagnation, regulate the periods
SP 4 R, PC 6 L, SP 10, BL 17, SP 8, SP 6, CV 6, KD 14, ST 29,LIV 3

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5
Q

Defines heavy period?

A
  1. Five days at least
  2. Heavier than normal
  3. 30-80ml of blood loss
  4. Starts with gush
  5. Urgent tamponneed and frequent changes
  6. Different than flooding and trickling
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6
Q

How is flooding and trickling different than heavy bleeding?

A

F and T: heavy bleeding that starts before and may continue after regular time, trickling follows; cycle irregular

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7
Q

Etiology (cause) of heavy periods?

A
  1. Excess physical work
  2. Emotional Stress
  3. Surgery
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8
Q

Pathology (TCM Patterns) for Heavy Periods?

A
  1. Qi deficiency
  2. Blood-heat
  3. Blood stasis
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9
Q

Heavy Bleeding:
T: Pale
P: Weak

A

Qi DEFICIENCY
TX: Tonify and raise Qi, contain Blood, consolidate the Chong Mai
GV 20, CV 12, CV 6, ST 36, SP 6, BL 20, BL 23

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10
Q

Heavy Bleeding:
T: Red, redder sides
P: Rapid and overflowing

A

BLOOD HEAT
TX: Clear Heat, cool Blood, stop bleeding
SP 4 R, PC 6 L, LI 11, SP 10, KD 2, LIV 3, SP 6, BL 17, SP 8

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11
Q

Heavy Bleeding:
T: Purple
P: Wiry

A

BLOOD STASIS
TX: Invigorate Blood, eliminate stasis, stop bleeding, regulate the periods
SP 4 R, PC 6 L, SP 10, BL 17, SP 8, SP 6, CV 6 KD 14, ST 29, LIV 3

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12
Q

Difference between Heavy Period and Flooding and Trickling?

A

Heavy period occurs during regular time. Flooding and Trickling occurs before and or after.

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13
Q

“LOU” means what?

A

Continuous dripping.

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14
Q

“BENG” means what?

A

Sudden flood.

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15
Q

When Yin is Deficient and Yang Throbs what happens?

A

Flooding occurs. When Yin is deficient and Yang is in Excess, flooding occurs because excess yang heats blood and makes it spill from the vessels.

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16
Q

Etiology (causes) of Flooding and Trickling?

A
  1. Emotional Strain (Stag. Qi leads to Fire)
  2. Overwork/Xcess sex (empty heat)
  3. Physical work / Illness (weak spleen)
  4. Childbirth (XS blood loss weakens Lv/KD)
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17
Q

Flooding and Trickling: Typically what happens to Blood & Qi? Hot v Cold? Excess v Deficient?

A
  1. Blood Heat
    (Flood: bright or dk red)
  2. Blood Empty Heat
    (Trickle: Yin Def/Chronic Full Heat injures Yin)
  3. Qi Deficiency
    (Flood or Trickle: Sp Qi fails to hold blood)
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18
Q

What organs are generally affected in Flooding and Trickling?

A

Kidney, Spleen, Liver and sometimes Heart.

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19
Q

Why do they suffer from Flooding and Trickling generally speaking?

  1. Young Girls
  2. Young Women
  3. Pre-Menopausal Women
A
  1. Young girls: hereditary Kidney weakness
  2. Young women: Blood heat from Liver Fire
  3. Pre-menopausal: Liver and Kidney Yin deficiency
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20
Q

Baio Ben means what?

A

Manifestation Root

21
Q

What are the three steps in treating Flooding and trickling?

A
  1. Shore Up the Flow
    Stop the bleeding- Treat the Biao
  2. Settle the Source
    Treat the underlying pattern causing the bleeding -Treat the Ben
  3. Restore the Old
    Treating the organs involved
    Tonifying KD, regulating LIV, strengthen SP, tonifying Heart
22
Q

Harmonizing Blood. What points would you use to Stop Bleeding?

A

Stop Bleeding: SP 8, KD 8, KD 4, LIV 5, SP1

23
Q

Harmonizing Blood. What points would you use to Eliminate Stasis?

A

Eliminate Stasis: PC 6, SP 10, BL 17, SP 6, LIV 3

24
Q

Harmonizing Blood. What points would you use to Calm Blood?

A

Calm Blood: SP 6, KD 3

25
Q

Harmonizing Blood. What points would you use to Nourish Blood?

A

Nourish Blood: ST 36, SP 6, LIV 8, CV 4, BL 20, BL 23

26
Q

Root Cause: What points would you use to Blood Heat?

A

Blood heat: LI 11, SP 10, KD 2 LIV 3, LIV 2, PC 3, HT 3

27
Q

Root Cause: What points would you use to Blood Empty Heat?

A

Blood empty heat: KD 2+LIV 3, KD 6, SP 6

28
Q

Root Cause: What points would you use to treat Qi. Deficiency?

A

Qi Def.: ST 36, SP 6, CV 6, BL 20, BL 21

29
Q

Root Cause: What points would you use to treat Kidney Deficiency?

A

Kidney Def.: KD 3, BL 23, BL 52, CV 4, KD 13

30
Q

Root Cause: What points would you use to treat Blood Stasis?

A

Blood Stasis: PC 6, SP 10, BL 17, SP 6, LIV 3

31
Q

Root Cause: What points would you use to treat Cold?

A

Cold: CV 4, ST 36, CV 6, BL 23, moxa

32
Q

Root Cause: What points would you use to treat Qi?

A

Treat Qi: CV 6, CV 12, GV 20

33
Q

Root Cause: What points would you use to Stop Bleeding?

A

Stop Bleeding: SP 8, KD 8, BL 17, SP 10; connecting: KD 4, LIV 5

34
Q

Flooding and Trickling: loose stools
T: Pale, scalloped
P: Weak

A

SPLEEN NOT HOLDING BLOOD
TX: Tonify Qi, strengthen the Spleen, nourish Blood, stop bleeding
CV 6, CV 12, ST 36, SP 6, BL 20, BL 21, GV 20, SP 8

35
Q

Flooding and Trickling: vaginal discharge
T: Sticky yellow coat
P: Slippery

A

DAMP HEAT IN UTERUS
TX: Clear Heat, resolve Damp, cool Blood, stop bleeding
GB 41 R, TW 5 L, LI 11, SP 10, SP 8, SP 1, KD 5, SP 6, SP 9, CV 3, BL 22, BL 32

36
Q

Flooding and Trickling: blood dark with clots; abdominal distention, dark complexion
T: Bluish-purple or Reddish purple
P: Choppy or Wiry

A

BLOOD STASIS
TX: Invigorate Blood, eliminate stasis, stop bleeding
SP 4 R, PC 6 L, LIV 3, TW 6, LIV 1, SP 8, ST 30, SP 12, SP 10, SP 6

37
Q

Flooding and Trickling: pale urine
T: Pale and swollen
P: Deep and Weak

A

KIDNEY YANG DEFICIENCY
TX: Tonify, warm Kidneys, consolidate Ren & Chong mai, stop bleeding
CV 6, BL 23, CV 4, ST 30, KD 7, ST 36, SP 6, KD 13 Rx to Raise Qi, consolidate Chong: SP 1 moxa cones, BL 20, SP 6, GV 20, CV 6, CV 4

38
Q

Flooding and Trickling:

Color of Blood in Blood Heat?

A

Bright Red - Flooding

39
Q

Flooding OR Trickling:

Blood Empty Heat?

A

Trickle: Empty Heat = Yin Def

However: Chronic Full Heat also injures Yin

40
Q

Flooding OR Trickling:

Qi Deficiency?

A

Flood or Trickle: Spleen Qi fails to hold blood

41
Q

Function of KD5?

A

KD5: Benefits menstruation, XiCleft, 1 cun inferior to KD3

42
Q

What pattern does Emotional Strain create?

A

Stagnation of Qi that can lead to Fire

43
Q

What pattern does overwork/Xcess sex create?

A

Empty Heat

44
Q

What pattern does Physical work / Illness

A

Spleen Qi Deficiency

45
Q

What pattern does Childbirth create?

A

XS blood loss which weakens LV/KD

46
Q

TCM Patterns for Flooding and Trickling?

A
  • Kidney Qi or Yang Def.
  • Blood Stasis
  • LIVER QI STAGNATION into HEAT
  • DAMP HEAT IN UTERUS
  • SPLEEN NOT HOLDING BLOOD
47
Q

Dr. Tang Zong Hai steps for treating Flooding and Trickling?

A
  1. HARMONIZE BLOOD
  2. Treat the Root Cause of bleeding
  3. Astringe
  4. Treat Qi
48
Q

Prolonged periods vs Heavy Period

A

Prolonged Period

1) last 7-10days
2) during regular cycle
3) amt . of blood is not excessive

E&P III Periods (6 decks)

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