Week 10 - 10 Questions - Insomnia, Body Pain, Gyn

Question 1

Insomnia due to excess can be caused by _______

Answer 1

LV fire
HT fire
Phlegm heat

Question 2

Describe insomnia due to LV fire

Answer 2

vivid dreams, nightmares, wake up exhausted

Question 3

Describe insomnia due to HT fire

Answer 3

restless sleep, waking periodically, mentally restless, agitated

Question 4

Describe insomnia due to phlegm heat

Answer 4

nightmarish dreams, tossing, turning, nausea

Question 5

List possible causes of somnolence

Answer 5

weakened wei qi
yang vacuity
damp accumulation

Question 6

Describe somnolence due to weakened wei qi

Answer 6

exterior pathogen invasion - feel need to rest/sleep

Question 7

Describe somnolence due to yang vacuity

Answer 7

lethargy, can fall asleep anywhere, wan pallor, spontaneous sweat, overweight

Question 8

Describe somnolence due to damp accumulation

Answer 8

underlying Qi vacuity

difficulty staying awake/alert

Question 9

Body pain of rapid onset can be caused by _______ and can be described as being _______

Answer 9

excess, exterior wind

worse w/ pressure

Question 10

Body pain of gradual onset can be caused by _______ and can be described as being _______

Answer 10

vacuity

relieved w/ pressure, worse w/ exhaustion

Question 11

Body pain that is fixed in a location can be caused by ______ and can be described as _______

Answer 11

blood stasis

stabbing pain

Question 12

Body pain that is migratory can be caused by ________ and can be described as _______

Answer 12

Qi stagnation

distending pain, migrating around an area

Question 13

Body pain that is dull and achy is often attributed to _______

Answer 13

KD vacuity

Question 14

Bi syndrome is described as _____ over ________ and tends to be influenced by ________

Answer 14

excess
underlying vacuity
climate

Question 15

Gynecological pathologies often involve treating which channels? organs? Why?

Answer 15

Ren - “sea of yin”, Chong - “sea of blood”

HT, LV, SP - involved in blood production

Question 16

Describe healthy menses

Answer 16

menstrual flow 5-7 days
healthy red color
healthy viscosity
no clotting
no significant pain
25-31 day cycle

Question 17

Approximate ages for first menses, perimenopause and menopause are ______

Answer 17

14, 42, 49

Question 18

Describe the types of pathological menstruation

Answer 18

early, delayed, irregular

Question 19

Early menstruation is described as ____. List and describe causes.

Answer 19

< 25 day cycle
excess/vacuity heat - reckless blood, dark red blood, tacky quality
SP Qi vacuity - failure of holding function of SP, watery, pale blood

Question 20

Delayed menstruation is described as ______. List and describe causes.

Answer 20

> 33 day cycle
cold - excess - pain, worse w/ pressure, relieved by heat
vacuity - dull pain, relieved w/ pressure & heat
dark red blood, possible clotting
blood stasis - purple blood, possible clotting, stabbing pain
blood vacuity - rust discharge, scanty
Qi vacuity - failure to hold, insufficiency to move blood, copious, pale blood

Question 21

Irregular menstruation is described as ______. List and describe causes.

Answer 21

menstrual cycles varying in length
LV Qi stagnation - dull pain, darker blood
LV Qi stagnation w/ blood stasis - stabbing pain, even darker blood w/ clotting
LV Qi invading SP - semi-menstrual bleeding

Question 22

Primary amenorrhea is described as _______ and can be caused by ________

Answer 22

first menses after 18 yrs of age

taxation fatigue, KD essence vacuity, yin vacuity, blood vacuity

Question 23

Secondary amenorrhea is described as ________

Answer 23

first menses around 14 yrs of age

second menses 2-4 yrs later

Question 24

Amenorrhea can be caused by _____

Answer 24

Stagnation
Qi vacuity
Blood vacuity
Phlegm

Question 25

Describe the possible causes of dysmenorrhea

Answer 25

Qi or Blood stagnation - pre-menstrual pain, PMS, LV pathologies - ribside pain, breast tenderness, nausea Hot/cold pathology - pain during menstrual flow, often combined w/ stagnation, cold - debilitating menstrual pain Qi & blood vacuity - dull pain after menses, fatigue

Question 26

Leukorrhea is described as ________. List and describe causes.

Answer 26

abnormal vaginal discharge cold-damp - profuse discharge, clear or white damp-heat - sticky discharge, strong odor, yellow SP Qi vacuity - sticky discharge, creamy, no odor

Question 27

Describe perimenopause and associated symptoms

Answer 27

irregularity in menstrual flow | flooding/spotting, disregulation of Ren & Chong w/ emotional symptoms, KD yin vacuity - hot flashes, night sweats

Question 28

Describe menopause and associated symptoms

Answer 28

12 months of no menses dryness - vaginal, eye, skin aging signs - knee pain, back pain