Menses

Question 1

What are the 2 patterns for turbid blood?

Answer 1

1) blood heat

2) cold

Question 2

What are the 2 patterns for watery blood?

Answer 2

1) yin xu

2) blood xu

Question 3

What are the 2 patterns for congealed blood w/clots

Answer 3

1) blood stasis

2) cold

Question 4

What is the pattern for fresh red blood?

Answer 4

yin xu w/empty heat

Question 5

What are the 2 patterns for purple or blackish blood?

Answer 5

1) blood stasis

2) cold

Question 6

What are the 2 patterns for heavy blood loss?

Answer 6

1) heat in the blood

2) qi xu

Question 7

What are the 2 patterns for xs sexual desire?

Answer 7

1) LV or HT fire

2) KD Yin xu

Question 8

What are the 3 patterns for lack of libido?

Answer 8

1) KD and HT xu
2) KD yang xu
3) minister fire

Question 9

what are the 2 conditions for h/a after orgasm?

Answer 9

1) rebellious qi of the penetrating vessel

2) HT fire

Question 10

What is the lower abd pain for LV qi stagnation?

Answer 10

Distending/stronger during menses

Question 11

What are the T and P for LV qi stagnation in the menses?

Answer 11

T= dull red
P= string like (and rough)

Question 12

What are the 3 patterns for irregular periods?

Answer 12

a) LV qi stag
b) LV blood xu
c) SP xu

Question 13

What pattern has prolonged bleeding?

Answer 13

SP qi xu

Question 14

Miscarriage in the 1st trimester is what pattern?

Answer 14

KD xu

Question 15

What pattern has a late hesitant period start?

Answer 15

Blood stasis

Question 16

Pt unable to conceive for 15 yrs. Sx = sharp stabbing pain in the abd on both sides of the groin which occurs mid cycle. Regular periods w/scanty flow for 3 days, not painful, w/normal menses blood. T = purple w/teethmarks. P = weak and a little wiry on rear positions

a) yin wei mai (linking), lower burner blood stasis
b) yin qiao mai (heel) lower burner blood stasis

Answer 16

b) yin qiao mai (heel) lower burner blood stasis

YiQM tx gyn d/o d/t xs patters in the lower burner - abd masses, lumps, cysts, fibroids. Used w/full conditions related to stagnant qi and blood. Wiry pulse in both rear positions indicate use of the YiQM

Question 17

Pt stopped having periods. Sx = hot flashes, sweating, insomnia. She is anxious and agitated, looks depressed. Face is flushed and she has back pain, feels cold, tinnitus,, feelign of abd masses, chest oppression and skin spots. P = weak on both rear positions, choppy, slippery in middle positions. T= thick and sticky coat. Period stopping is d/t all of the following except:

a) KD yang xu
b) dampness
c) phlegm
d) qi stasis

Answer 17

a) KD yang xu

Periods stopped from the phlegm, dampness and qi stasis

Question 18

When a period stops d/t KD yang xu, does it stop suddenly or gradually?

Answer 18

gradually

Question 19

Pt has edema around her ankles for 5 years, worse during her period. She had regular periods that lasted 2-3 days w/scanty bleeding. She has LBP, tiredness, SoB, chilliness, night sweat and dizziness. P = deep and weak in the rear positions. T= pale, swollen, somewhat peeled at the root. Primary pattern?

a) KD yang vacuity
b) KD qi vacuity w/KD yin vacuity

Answer 19

a) KD yang vacuity

Question 20

Pt has painful periods. Pain is during the period. Menses = dark w/a few clots. Starts w/hesitation w/o much distention. Abd pain improved w/warmth. Also has thrush w/vaginal itching and a white sticky discharge. Loose stools, generally tired w/lbp, poor memory, feels cold. P = weak on LV and KD and slow. T = pale. Dx includes all except:

a) accumulation of cold in lower burner
b) blood stasis
c) SP xu w/lower burner dampness
d) LV and KD xu

Answer 20

a) accumulation of cold in lower burner

Question 21

Pt has pms for 8 yrs. PMS started after having her first child. During PMS she was irritable, irrational and cried a lot. She had breast and abd distention. PMS sx = constipation, insomnia, xs dreaming, h/a, palpitations. T = slightly pale, thin and slightly red on the sides. P = overall fine and sltly wiry on L middle position and weak on the L front position. What is the root of her pms?

a) HT blood xu
b) LV blood xu
c) LV qi stasis
d) LV qi stasis and blood xu

Answer 21

b) LV blood xu