PMS

Question 1

PMS definition

Answer 1

Emotional and physical symptoms before a period;

Question 2

PMS Symptoms

Answer 2

• depression/lethargy
• sadness/crying
• irritability/outbursts of anger/aggressiveness
• anxiety/insomnia
• loss of concentration
• skin eruptions
• distention of abdomen and breasts
• changes in bowels
• food cravings
• changes in libido

Question 3

The PMS symptoms vary in severity at what range of time before the period?

Answer 3

1 to 14 days

Question 4

PMS more common at what age group?

Answer 4

30 to 40

Question 5

Etiology of PMS (4)

Answer 5

• Emotional Strain
• Diet
• Overwork
• XS sexual activity

Question 6

Emotional Liver strain may cause

Answer 6

LV Qi stagnation

Question 7

What dietary faults lead to PMS

Answer 7

XS dairy, greasy foods => Phlegm

=> combined with Heat accumulates in chest and breast => Phlegm-Fire obstructing orifices

Question 8

PMS pathology, pattern

Answer 8

• LV Qi Stagnation
• Phlegm-Fire harassing upwards
• LV Blood deficiency
• LV and KD Yin deficiency
• SP and KD Yang deficiency

Question 9

Prognosis to treat PMS

Answer 9

Treatment will take a minimum of 3 menstrual cycles to regulate the cycle completely.

Question 10

What PMS pattern takes the longest to treat?

Answer 10

Phlegm Fire Harassing Upwards takes the longest to treat

Question 11

ABD and breast distention before menses, irritability; clumsiness, moodiness, depression; hypochondrial pain, distention;
T: normal; in chronic cases: sides may be red
P: Wiry all over, or only on left

Answer 11

LV Qi stag

Question 12

Treatment strategy for PMS LV Qi stag

Answer 12

TX: Soothe the Liver, eliminate stagnation, calm the Mind, settle the Ethereal Soul

Question 13

Points for treating LV Qi stagnation

Answer 13

LIV 3, GB 34, GB 41, SP 6, TW 6, PC 6

Question 14

Agitation, depression, slightly manic behavior; aggressiveness; feeling of oppression of the chest; red face; blood-shot eyes
T: red with a sticky yellow coat
P: overflowing, slippery, rapid

Answer 14

Phlegm Fire harassing upwards

Question 15

Treatment strategy for PMS Phlegm Fire harassing upward

Answer 15

Clear Heat, resolve Phlegm, calm Mind, settle the Ethereal Soul

Question 16

Points for treating Phlegm Fire harassing upward

Answer 16

PC 7, ST 40, ST 8, GV 24, LI 11, SP 9, SP 4/PC 6,

CV 12, BL 20

Question 17

Depression and weepiness before; slight ABD and breast distention; scanty periods; tired; poor memory; poor sleep; slight dizziness and a dull pale complexion
T: Pale, may be only on sides
P: choppy or fine, may be slightly wiry on left

Answer 17

LV Blood def.

Question 18

Treatment strategy for PMS LV Blood def

Answer 18

Nourish Liver Blood, move Liver Qi

Question 19

Points for treating LV Blood def.

Answer 19

CV 4, LU 7/KD 6, SP 6, ST 36, GB 34, PC 6, CV 6, LIV 8, BL 20, BL 18

Question 20

Slight breast distention, irritability before and sometimes after; sore back and knees; dizzy; blurred vision; poor memory; insomnia; dry eyes and throat; 5 palm heat
T: red without coating
P: floating, empty

Answer 20

LV and KD Yin def

Question 21

Treatment strategy for LV and KD Yin def.

Answer 21

Nourish Liver and Kidney Yin, move LIV Qi

Question 22

Points for treating LV and KD Yin def.

Answer 22

LIV 8, CV 4, SP 6, LIV 3

Question 23

Slight premenstrual tension with depression and weeping; slight ABD and breast distention; tired; sore back; feeling cold; frequent pale urination; low sexual desire;
T: pale and swollen
P: deep and week

Answer 23

SP and KD Yang def.

Question 24

Treatment strategy for SP and KD Yang def.

Answer 24

TX: Tonify Yang, strengthen Kidneys

Question 25

Points for SP and KD Yang def.

Answer 25

BL 23, BL 20, CV 4, ST 36, SP 6, KD 3,

LU 7/KD 6