Morning Sickness

Question 1

A time of Change

—Cessation of menses affects Chong and Ren Mai
*Excess of Yin, plethora of Yang
*Blood transformed into milk; Lower to Upper Jiao
—Blood into Essence
*Secretion of large amounts of estrogen,
progesterone and chorionic gonadotropin by the
placenta
*Pregnant women appear healthy, radiant

Answer 1

What is Pregnancy?

Question 2

A Tx Strategy that consolidates the Original Qi to prevent miscarriage by Tonifying the mother’s Kidney Yang

Answer 2

What is ‘Calming the fetus’?

Question 3

–LI 4, SP 6, BL 60, BL 67, GB 21, ST 25
*Giovanni refrains from using LU 7 & KID 6
–Points below the umbilicus not used in pregnancy
–Points above the umbilicus used only in the first
trimester

Answer 3

Contraindicated Points

Question 4

Blood is the source of menstruation;

Answer 4

In non-pregnant women

Question 5

Blood gathers to nourish the fetus and is also transformed into breast milk.’

Answer 5

In pregnancy

Question 6

• Blood or Yin deficiency
• -Pre-existing condition
• Qi Stagnation
• -Proper ascending and descending of Qi in mid-Jiao

*Spleen Qi deficiency and Phlegm

Answer 6

DISEASES OF PREGNANCY

Question 7

*Earliest sign of pregnancy
–Not in all women
–Mild nausea to severe, frequent vomiting
–Intensity related to pre-existing digestive system
*Relative imbalance of Blood and Qi in the Chong Mai;
strain on Blood, Essence and Kidney energy that is
nourishing the fetus.
*Qi of Chong Mai rebels upward
Related to Stomach at ST 30; rebel ST Qi upward
Heart Qi not descending; rebelling upward

Answer 7

MORNING SICKNESS

Question 8

essentially a disharmony between the Blood and Essence of the Penetrating Vessel (which are diverted to nourish the fetus) and its Qi which rebels upwards as a result of this diversion. Chong Mai connects the Uterus and the Stomach at ST 30, interfering with Stomach Qi’s ability to descend causing nausea and vomiting.

Answer 8

The pathology of morning sickness

Question 9

Vomiting soon after eating

Answer 9

Heat and Fullness

Question 10

Vomiting of dilute fluids:

Answer 10

Cold and Deficiency

Question 11

Vomiting with retching & belching

Answer 11

LIV Qi stag.

Question 12

Only slight nausea

Answer 12

ST Qi deficiency

Question 13

Vomiting of sour fluids

Answer 13

Liver Qi stagnation

Question 14

Vomiting of bitter fluids

Answer 14

ST & LIV Heat

Question 15

pacify the Penetrating Vessel, subdue rebellious Qi, harmonize the Stomach and stop vomiting.’
OTHER:

Answer 15

MAIN TREATMENT PRINCIPLE: in morning sickness

Question 16

• Pacify the Liver and eliminate stagnation
• Tonifying the Stomach and Spleen
• Clearing Stomach heat
• Resolving Phlegm

Answer 16

OTHER treatments for morning sickness

Question 17

TEST QUESTION

THESE POINTS, ABOVE THE UMBILICUS, ARE ONLY USED IN THE FIRST TRIMESTER
KD 20, 21
CV 10, 11, 12 13, 14
ST 19, 20, 21

Answer 17

MORNING SICKNESS points

Question 18

STOMACH CHANNEL
ST 19 ‘not containing’, Stomach overfull, excess
Combined with KID 21
ST 20 ‘receiving fullness’, excess ST patterns
Combined with CV 13
ST 21 ‘beam door’, door of ST Qi
Combined with ST 44 for ST heat; ST 34

Answer 18

MORNING SICKNESS points

Question 19

KIDNEY and CHONG MAI
–KID 21 ‘dark door’, exit point of Chong Mai (door) and
Yin character, on both the Kidney & Chong Mai
*Pacifies the Five Yin organs
*Combined with ST 19
–KID 20 also on Chong Mai, stops nausea and vomiting
from Qi rebelling up the Chong Mai
*Combined with ST 20

Answer 19

MORNING SICKNESS points