Metro and menorrahgia

Question 1

Metro= 

Answer 1

Bleeding outside of when is expected

Question 2

Menorrahgia means

Answer 2

Excessive menstrual flow

Question 3

What is the average amount of blood loss during a period

Answer 3

80 mL 3/4 of this is during the day 1 and 2 anything greater is considered Menorrahgia

Question 4

There’s a slight difference between excessive period And flooding what is it?

Answer 4

Excessive refers to heavy blood loss within the average five days of Menses
flooding specifically refers to sudden onset, profuse bleeding usually without warning

Question 5

When may flooding occur?

Answer 5

Flooding may happen during or outside the regular menstrual flow

Question 6

The definition of metrorrahgia?

Answer 6

Bleeding( often flooding) outside of the expected menstrual cycle

Question 7

In TCM the diagnosis and treatment principles for both excessive menstrual flow and bleeding outside of the cycle follow the same tmt pattern of…

Answer 7

Cooling and containing blood, clearing heat, nourishing Qi and blood

Question 8

Menorrahgia more likely to be Qi xu or heat?

Answer 8

Qi xu = meno

Heat = metro

Question 9

Any bleeding that comes without trauma is typically an indication of what

Answer 9

Fire

Question 10

Emotional strain causes_________ to stagnate and this creates_______ 

Answer 10

Qi. /. Fire

Question 11

Qi stagnation fire will typically effect what organ and why?

Answer 11

The liver, since liver governs the free flow of Qi and stores blood

Question 12

Emotional Qi stagnation may also lead to

Answer 12

Blood stasis

Question 13

Blood stasis prevents the uterus from doing what?

Answer 13

Blood stasis prevents the uterus from absorbing new blood

Question 14

If blood stasis prevents the uterus from absorbing new blood, what happens to the endometrium

Answer 14

It will have to find somewhere else to go causing it to be uncontrolled and extravaste

Question 15

Fibroid= 

Answer 15

Blood stagnation, it’s the old site of stagnation trying to break away, so you’ll get clots and heavy fluid as well

Question 16

Overwork depletes the________\ and inhibits ability to control________

Answer 16

Spleen. / blood

Question 17

Child birth weakens the _______& _________

And causes both ___________ &___________

Answer 17

Kidney & Liver

Meno & metro

Question 18

Excessive bleeding will lead to what deficiencies

Answer 18

Blood and yin deficiency

Question 19

Blood and yin xu leads to further ________

Which exasperates the bleeding

Answer 19

Empty heat

Question 20

Excessive bleeding Will lead to__________ xu

Answer 20

Blood

Question 21

Name four treatment principles for meno and Metro

Answer 21

Harmonizing blood
Treat root cause
Astringe (contain blood)
Treat Qi ( we treat Qi because we wanted to go up) 

Question 22

Name three root causes of meno and metro

Answer 22

Excessive fire
Yin xu fire
Sp Qi xu


Question 23

What are the four major causes of meno and metro?

Answer 23

Blood heat( profuse bright red)

Empty blood heat
( less heavy, prolong spotting at end of period which is red in colour) 
Qi( sp yang, kd yin/yang xu) flooding at beginning or prolong spotting( pale red)
Blood stasis ( excess loss during the period, possibly loss before the period)
( dark and Clotted)

Question 24

Menorrhgia can be split into two conditions what are they

Answer 24

Deficiency or excess

Question 25

This person is bleeding. Why? What do we ask ourselves? Remember we’re speaking in terms of Meno and metro

Answer 25

We ask is it too much heat or not enough Qi is that why the person is bleeding

Question 26

A person has eczema why is that

Answer 26

It is too much dampness or not enough body fluids

Question 27

Excess meno or metro is what syndrome

Answer 27

Blood heat

Question 28

Excessive menorrahgia how does blood heat manifest

Answer 28

Trickling red flow for long time after expected end date
Bright red colour
Thirst
Red face/ feeling heat
Dark urine
Constipation
Agitation
Tongue red with with yellow coating
Pulse rapid and overflowing

Question 29

If you think it is blood heat your next question is

Answer 29

Is this blood heat coming from liver yang rising or from heart fire

Question 30

Your treatment principal for blood heat is?

Answer 30

Clear the heat
stopped the bleeding
cool the blood

Question 31

Blood empty heat is your gynaecologist term for what syndrome

Answer 31

Yin xu

Question 32

List symptoms of blood empty heat/ yin xu ( false heat in blood)

Answer 32

Sudden flooding outside of expected dates
Trickling for many days after date
Fresh red colour
Watery consistency
Mental restlessness
Evening heat
mallar flush
Scanty dark urine
Dry stool
Tongue =red no coating 
pulse =floating and empty

Question 33

What is the treatment principal for blood empty heat

Answer 33

Clear into heat, stop bleeding, Cool blood nourish yin

Question 34

What points to clear heat, stop bleeding and cool blood and nourish Yin for empty blood heat?

Answer 34

kd2+ Lv 3 - cools xue
LI 11 + Sp10 - cools xue stops bleeding
Sp8 - stops utirine bleeding 
Sp6 - cools and moves xue
Ren 4 nourishes uin

Question 35

What syndrome is painful?

blood stasis or blood heat

Answer 35

Blood stasis

Question 36

Blood stasis is characterized by what?

Answer 36

1. Hesitant start in intermitted flow to period
2. When it starts again after stopping it comes with a flood
3. Trickle flow for a long time after expected date
4. Premenstrual pain***
5. Dark color, Clotted***
6. Bloating
7. Dark complexion**
8. Tongue= purple red
9. Pulse= choppy

Question 37

What is the treatment principal for blood stasis

Answer 37

Move blood stasis, stop bleeding

Question 38

What points would you use for blood stasis and why?

Answer 38

1.Lv 3 - stimulates free flow of Qi to move xue

This car is not finished