Menstruation

Question 1

Early Menstruation

Answer 1

7-9+ days early for more than 2 consecutive months.

Flow deep red, thick heavy
(Heat in blood)

Flow pale thin, heavy
(Qi deficiency)

Question 2

Flow Deep Red, Thick, Heavy

Answer 2

Heat in Blood.
Heat = red
Thick = blood dried up by heat
Heat = move blood faster / come early

Question 3

Flow Pale, Thin Heavy

Answer 3

Qi deficiency

Qi not holding blood.
Sp Qi not holding blood, or Yang Def.

Question 4

Delayed Menstruation

Answer 4

7-9+ days late for more than 2 consecutive months.

Flow pale, thin, scant
(Blood deficiency)

Flow purple-dark, clots, scant
(Cold congealing blood)

Flow deep red, clots, scant
(Blood stasis)

Question 5

Flow pale, thin, scant

Answer 5

Blood deficiency

Question 6

Flow purple-dark, clots, scant

Answer 6

Cold congealing blood

Cold = pain. Better with heat

Question 7

Flow Deep, red, clots (scant)

Answer 7

Blood Stasis

Pain

Scant or Heavy ( if the obstruction is released)

IUD/SURGERY/PHLEGM DAMP - CAUSE STAGNATION

Question 8

Irregular Menstruation

Answer 8

7-9+ days early or late

Flow: purple-red clots, scant; mastalgia
(Liver Qi constraint/stagnation)

Flow: pale-red, thin uncertain amount
(Spleen and Kidney deficiency)

Question 9

Flow Purple-Red, clots, scant; mastalgia (breast pain)

Answer 9

Liver Qi stagnation

emotional component or irregular lifestyle
The liver channel goes to the chest - cause mastalgia
Liver stagnation makes blood stagnate. Can lead to blood stagnation (Deep red, clots, (scant or (heavy))

Question 10

Flow Pale-red, thin (watery), uncertain amount

Answer 10

Spleen and Kidney deficiency

• disorder of Chong and Ren
• Spleen XU: early and heavy
• Kidney and Blood Xu: late and scant

Question 11

Kidney and Blood Xu

Answer 11

Menstruation late and scant

Pale - red, thin (watery), uncertain amount

Question 12

Spleen Xu

Answer 12

Menstruation early and heavy

Pale - red, thin (watery), uncertain amount

Question 13

Mastalgia

Answer 13

The liver channel goes to the chest

Question 14

Dysmenorrhea

Answer 14

Painful periods

Question 15

Dysmenorrhea before menstruation

Answer 15

EXCESS

• Qi stagnation
• Blood stagnation

Question 16

Dysmenorrhea after menstruation

Answer 16

DEFICIENCY

• Qi
• Blood
• Kidney

(usually mild, hollow, achy)

Question 17

Amenorrhea

Answer 17

Menstrual Block

• Blood stasis
• Liver Qi “depression”/ “binding”/stagnation
• Deficiency
• Overwork

Question 18

Amenorrhea: Blood stasis

Answer 18

Blood not moving can’t get to the uterus

Question 19

Amenorrhea: Liver Qi Stagnation

Answer 19

Liver stores and regulates blood (the basis for menstruation). The liver regulates free coursing. If there is Liver/blood deficiency - stagnation and pain.

Question 20

Amenorrhea: Overwork

Answer 20

All Qi and Blood going to activity, none left for reproduction

Question 21

Leukorrhea (Discharge)

Profuse, thin, white discharge with no odor

Answer 21

Cold Damp

Spleen and Kidney Yang deficiency with downward flow of cold-damp.

Question 22

Leukorrhea

Profuse, thick, yellow, discharge with odor

Answer 22

Damp Heat

Downward flow of damp-heat due to long-term stasis of damp transforming into damp heat.

STI’S

Question 23

Leukorrhea

Clear, no odor, not profuse

Discharge or nocturnal emission

Answer 23

KID QI DEF

Qi holds essence. If deficient leak out.