Menses Flashcards
pain or discomfort at any pt during cycle
dysmennorhea
Tmt for qi and blood stag dysmenorrhea
Treatment principle: move blood & qi, eliminate stasis & stop pain
pt to move qi and bld and stop pain
Lv3
Stabbing pain pulling pain Pain better after passing clots Bearing down before the start of period These are signs of
Blood stasis
cramping pain is a sign of
cold in uterus
distension pain is due to
qi stagnation
burning pain is a sign of
blood heat
bearing down after the period is a sign of
kidney xu
pain better for eating
exterior cold or stagnation
pain aggravated by heat
inflammation/heat in blood
lwr back pain may indicate
bladder meridian is full
lwr back pain at the end of period
kidney xu
pain before period
full stagnation
pain during period=
qi stagnation
pain at the end of period=
deficiency
uterus specific pts for moving qi
st 29, st 30, kid 14
tongue and pulse with cold stagnation
blue nd blue-purple stag and deep/choppy/wiry pulse
tat principle for treating cold stagnation
warm the uterus, expel cold, move blood
2 moxa pts for cold stagnation
R4 with Moxa warms the uterus
R6 with moxa moves qi & expels cold from lower
abdomen
pts to move bld and stop pain due to cold stagnation
STM29 moves blood
SP8, SP6 moves blood & stops pain
pt to tonify qi and scatter cold
stm 36
Hypogastric pain before the period and sometimes mid cycle
damp heat
emotional strain may result in
lqs
pain during ovulation
qi stagnating
pain during ovulation with significant discharge
qi stag and damp acumulating
ovulation requires a lot of what
Qi
Hypogastric pain before the period and sometimes mid cycle Burning sensation extending through abdomen to sacrum General feeling of heat
Menstrual flow red with small clots
Significant Vaginal discharge, yellow colour Scanty dark urine
damp heat
T red, C sticky & yellow
P slippery
damp heat
causes of damp heat
infection, prolonged poor diet and lifestyle, medication
pts to resolve damp in lwr jiao and move bld
sp6 and sp9
pain at this pt during qi and bld xu dysmenorrhea
liv 13. at end of 11th rib, front mu of spleen (spleen makes qi and bld)
scanty period and pain at the end of period, tiredness especially after menses
qi and bld xu
treatment for qi and bld xu dysmenorhhea
T onify Qi, S trengthen Spleen, N ourish Blood
pts for treating qi and bld xu dysmenorrhea
STM36 & SP6 tonify qi, strengthen spleen, nourish blood, gb 39 (nourish marrow) sp 8, bld 20, bld 17
qi and bld xu dysmenorrhea may lead to
kidney and liver yin xu
dizziness at end of period and tinnitus
kidney and live yin xu
T red, C peeled
P floating & empty
possibly 5 palm sweats
kidney and liver yin xu
tmt for kidney and liver yin xu
nourish yin, tonify kidneys, nourish liver
a type of dysmenorrhea Characterized by extremely painful periods within radiating into rectum or perineum
endometriosis
disorder in which tissue similar to the tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus
endometriosis
First half of cycle governed by yin
Follicular phase
two spots (organs) bld will truly stagnate
heart and uterus
color of diharge with damp heat leukorrhea
yellow
possible causes of leukorrhea
1) spleen xu, 2) kidney xu, 3) damp heat
spleen xu leukorrhea aetiology
overwork, chronic illness, improper diet all restrict spleen function of transporting and transforming.
clinical manifestations of spleen xu leukorrhea
poor appetite, loose stool, lower limb oedema, pale and dull complexion, cold extremities, fatigue and lethargy.
tongue pulse in spleen xu leukorrhea
T pale
C white and sticky
P slow, especially middle right position
tmt for spleen xu leukorhea (4)
tonify spleen, warm mid jiao, remove damp and regulate ren and dai
aetiology of kid xu leukorrhea
chronic illness, excessive childbirth (classed as 5 or more children), dysfunction of Ren or Dai
clinical manifestations of kidney xu leukorrhea
profuse and continuous discharge, mucus thin and opaque or transparent, severe lumbar soreness, frequent and excessive urine, loose stool, severe fatigue, cold sensation in lower abdomen
tmt principle for kidney xu leukorrhea
tonify kid yan stablize andcontain ren and dai, resolve leukorrhea
back shu pt to tonify kidney useful for leukorrhea
bl 23
aetiology of damp heat leukorrhea
spleen qi xu accompanied with prolonged liver qi stagnation
clinical manifestations of dh leukorrhea
HEAT) sticky, viscous leukorrhea, discharge yellow in colour, possible a foul odour to it, vaginal itching, dry stool, scanty & yellow urine,
sticky yellow
or
(LQS) Red-yellow colour, bitter taste, dry throat, irritability, feverish sensation, palpitation, insomnia
C yellow
P rapid, wiry
thick sticky yellow
damp heat
tmt for damp heat leukorrhea
clear heat, resolve damp, harmonies Ren and Dai
stores essence and influences reproduction
Kidneys
influences the quality and movement of blood
: Liver:
makes blood
Spleen
governs bld
Heart:
govern qi
Lungs:
connected to the uterus via the ChongMai
Stomach:
3 aetiology of pms
emotion, diet, overwork/sexual activity
mastitis during phlegm fire pms may happen on this location where yang converges
Du 14
tmt for lqs pms
oothe the liver, resolve stagnation, calm the mind, settle the ethereal soul
tmt for phlegm fire harassing mind
clear heat, resolve phlegm, calm the mind, settle ethereal soul