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Gynae > Week 2 > Flashcards

Week 2 Flashcards

1
Q

Menorrhagia means _________ menstrual flow

A

Excessive

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2
Q

The average amount of blood loss is 80 ml and 3/4 of this is during which days?

A

1&2

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3
Q

Anything greater than __ml is considered Menorrhagia

A

80

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4
Q

Define excessive period

A

Heavy bleeding during the period

within the 5 day long menses

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5
Q

Define flooding

A

Sudden onset, profuse bleeding usually without warning, flooding may happen outside of the regular flow

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6
Q

Bleeding outside the expected menstrual cycle is known as ____________

A

Metrorrhagia

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7
Q

What are the treatment principals for both Menorrhagia and Meteorrhagia
Excessive bleeding within the cycle and flooding within or out of the menstrual cycle

A

Cool blood = heat in the blood = sudden onset bleeding
contain blood
clear heat
nourish qi and blood

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8
Q

Metrorrhagia is more likely to be caused by ____

A

Heat

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9
Q

Meno= _________

A

Excessive

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10
Q

Metro=

A

Bleeding outside of when is expected

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11
Q

Rhagia = ________

A

Bleeding

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12
Q

If you have heat in your blood what color will your menses be?

A

Bright red

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13
Q

Fire can dry up the ___________

A

Endometrium

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14
Q

If the endometrium is dried up is cant absorb _____, causing clots, even when there are signs on heat in the period

A

Blood

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15
Q

Brown spotting before the period indicates ____ deficiency

A

Yang

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16
Q

Any bleeding that comes without trauma is an indicator of ____

A

Fire

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17
Q

Emotional strain causes __________ and this creates fire

A

Qi stagnation

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18
Q

The _____ governs the free flow of Qi and stores the blood.

Qi stagnation will typically affect the _____

A

Liver

Liver

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19
Q

Emotional Qi stagnation will also lead to ____ ______

A

Blood stasis

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20
Q

Blood stasis will prevent the ______ from adsorbing new blood

A

Uterus

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21
Q

If the Uterus cannot absorb new blood, it will have to find somewhere else to go, causing uncontrolled ________

A

Bleeding

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22
Q

What are the two main factors that weaken the liver and kidney?

A

Overwork / excessive sexual activity

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23
Q

Yin deficiency leads to _____ heat

A

false

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24
Q

Empty heat may cause blood to become reckless in the same way as blood heat
T-F

A

T

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25
Q

Spleen point used to contain blood in the vessels

A

Spleen 8

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26
Q

Childbirth can also weaken _____ & ______

A

Kidney and Liver

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27
Q

How many cycles does it usually take to see a change when having treatment

A

3

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28
Q 
With meno & metrorrhagia we want to 
1-Stop bleeding
2-Eliminate Stasis
3-Calm blood
4-Nourish blood

Do we do all of these steps in one treatment?

A

No,
First 1&3
Then 2&4

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29
Q

Menorrhagia can be only excess

T/F

A

False, it can be excess or deficiency

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30
Q

Chronic illness depletes the ______ and inhibits the ability to control ____

A

Spleen and Blood

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31
Q

Blood loss from childbirth will lead to _____ and ____ deficiency

A

Blood and Yin

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32
Q

Excessive bleeding from Qi deficiency will lead to _____ deficiency

A

Blood

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33
Q

Since _____ is the mother of __ blood deficiency will lead to qi deficiency further exacerbating the condition

A

Blood is the mother of QI

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34
Q

What are the 4 major causes of Menorrhagia?

A

Blood Heat
Qi Deficiency
Blood Empty heat
Blood Stasis

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35
Q

With signs of blood heat, there will be sudden flooding often outside of the expected cycle and a trickling red flow for a long time after the expected period end date, what are a few more signs of Blood Heat

A 
Dark urine
constipation
bright red period
Thirst
Red face
Irritation
Agitation
Red T No coating
Rapid and overflowing
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36
Q

Treatment for Blood heat

A

Clear heat
Stop bleeding
Cool blood

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37
Q

Signs of Blood Empty Heat include Sudden flooding outside of expected dates and trickling for many days after expected end, what are a few more signs of Empty Blood Heat

A 
Fresh red color
Watery consistency
Mental restlessness
Evening heat - yin xu causing heat
Malar flush
Scanty dark urine
Dry stool
Red T no coating
P Floating and empty
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38
Q

Treatment for Blood Empty heat

A

Clear empty heat
stop bleeding
cool blood
nourish yin

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39
Q

Blood Stasis is an excess condition that causes hesitant start and intermittent flow, when it stars again after stopping it comes with a flood it also has a trickling flow for a long time after the expected period end date. What are other symptoms of Blood Stagnation?

A 
Pre-menstrual pain
Dark & clotted
Abdominal distention
dark complexion
T Purple & Red
P Choppy
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40
Q

Treatment principle for Blood Stasis

A

Move blood
Eliminate Stasis
Stop bleeding

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41
Q

Another excess condition of meno and metrorrhagia is Damp Heat in the Uterus this will cause the menstrual bleeding to be either scanty* or abundant
Patient will have ___ cycle bleeding
______ blood mixed with significant amounts of mucus
Color of the mucus will be ______ or _____ Premenstrually

A

Mid cycle bleeding
Sticky blood
yellowish or brown

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42
Q

With damp heat in the Uterus there will be clots

T/F

A

False

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43
Q

Damp Heat in the uterus will cause the patient to have what kind of feelings in the lower abdomen

A

Heavy and dragging

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44
Q

Will there be pain with Damp heat in the uterus?

A

Yes, Burning pain in the lower abdomen

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45
Q

Will there be any mucus with DH in the uterus?

A

Yes, significant amounts

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46
Q

DH in the uterus will be accompanied with ______ urination

A

Burning

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47
Q

What will the urine be like with DH in the uterus

A

Dark & scanty

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48
Q

Tongue and pluse with DH in the Uterus

A

T C sticky yellow coating

P Slippery

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49
Q

Treatment for Damp heat in the Uterus

A

Clear heat
Resolve damp
cool blood
stop bleeding

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50
Q

Deficiency types of Menrorrhagia and Metrorrhagia

A

Spleen not holding blood
Kidney Yang Xu
Kidney Yin Xu

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51
Q

Spleen not holding blood

The period would come with a _____

A

Flood

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52
Q

After the initial flood from Spleen not containing blood would there be any more bleeding?

A

Yes a trickle for along time after the expected end date

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53
Q

What would the patients period be like if the Spleen isn’t holding blood?

A

Flooding
post trickle
pale
watery consistency

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54
Q

Spleen not holding blood comes with other Spleen indicators, name a few

A

Tiredness
No appetite
Loose stool
Slight dizziness

55
Q

What will the T & P show with Spleen not holding blood

A

T Pale with teethmarks

P Weak

56
Q

Treatment plan for Sp not holding blood

A

Tonify Qi
Strengthen spleen
Nourish blood
Stop bleeding

57
Q

Someone with Spleen not holding blood would also ______ easily

A

Bruise

58
Q

Spleen Qi deficiency can move into ______ yang deficiency

A

Kidney

59
Q

Kidney Yang deficiency can manifest as ________ before the period

A

Spotting

60
Q

Yang needs to ____ to ____ and turn into Yin ( Period )

If ____ takes weeks to rise ovulation will be delayed

A

Rise to Fall

Yang

61
Q

Kidney yang Xu M&M will have Prolonged bleeding
trickling after the period has ended
Late onset
Pale blood
What are some other Kidney Yang xu symptoms?

A 
Feeling cold
Lower back pain
Pale complexion
weak knees
pale urine
62
Q

What will show on the T & P with Kidney Yang xu

A

T Pale & Swollen

P Deep & weak

63
Q

Treatment for Kidney Yang xu

A

Tonify and warm Kidneys

Consolidate the Chong and stop bleeding

64
Q

Kidney Yin deficiency will have trickling after the regular flow
T/F

A

True

65
Q

Kidney Yin xu will cause an early flow

T/F

A

False, it will cause a late flow

66
Q

What will the period consistency and color be with Kidney Yin xu?

A

Fresh red and Watery

67
Q

What are some symptoms of Kidney Yin deficiency?

A 
Night sweats
dizziness
tinnitus 
weak knees
evening heat
Hot flashes
Malar flush
mental restlessness
68
Q

T & P with Kidney Yin Xu

A

T Red no coating

P Empty and floating

69
Q

Treatment for Kidney Yin xu

A

Nourish Yin
strengthen Kidneys
stop bleeding

70
Q

Using Moxa is recommended for Kidney Yin xu

T/F

A

False, we dont use Moxa when there is heat or false heat

71
Q

Hypomenorrhea is the _______ of the menstrual flow

A

deficiency

72
Q

What would the period length and consistency be with Hypomenorrhea

A

3 days or shorter with extremely light or scanty flow

73
Q

Does Hypomenorrhea directly affect fertility?

A

No

74
Q

Although Hypomenorrhea does not directly affect fertility, It can indicate abnormally low _________, High prolactin levels, low thyroid hormone or irregular ovulation

A

Oestrogen

75
Q

Most oral contraceptives inhibit _______ production, therefore prevents ___________ lining from developing

A

Oestrogen

Endometrium

76
Q

The TCM diagnosis for Hypomenorrhea and Amenorrhea are different
T/F

A

F, they are the same, Just Amenorrhea is on the extreme end of the spectrum

77
Q

What is Amenorrhea

A

The absence of a period

78
Q

The two types of Amenorrhea are _______ and _________

A

Primary and secondary

79
Q

Primary Amenorrhea is the absence of a period in females over age __

A

18

80
Q

Secondary Amenorrhea are periods that don’t return after _________ or ___________.
OR they stop without obvious cause and do not start again within _ months

A

Childbirth
Medications (Typically contraceptives but not exclusively )
3 months

81
Q

Typically Amenorrhea maybe due to an __________ disorder - not functioning, delayed ovarian stimulation, blockage preventing __________

A

Ovulation

Ovulation

82
Q

Absence of period due to menopause is Amenorrhea

T/F

A

F

83
Q

Failure to produce eggs ( and therefore stimulate a menstrual cycle ) is due to
1- ______ / Blood Deficiency
2-Interruption in the ____________-_________-_______ Cycle due to HT/LV qi stagnation
3-______-____ accumulation in the Fallopian tubes
4- _____ stagnation

A

Kidney
Hypothalamus-Pituitary-Ovarian
Damp heat
Blood stagnation

84
Q

Can someone ovulate but not be able to produce eggs?

A

yes

85
Q

____ xu is one of the biggest reasons for Amenorrhea

A

Jing

86
Q

What is a primary question to ask a female with Amenorrhea?

A

Do you ovulate?

87
Q

Deficiency Amenorrhea causes

A

Kidney Jing deficiency
Kidney yin & Yang xu
Blood Xu

88
Q

Tian Gui means ________ _____, Pre and post heavenly qi + Kidney yin water which is _______ and _________ fluid, fails to arrive to fill up the Chong and Ren

A

Heavenly water

Seminal and menstrual fluid

89
Q

With Secondary Amenorrhea Chong and Ren is there but the foundation in not soild
T/F

A

True

90
Q

Jing produces Bone Marrow, DNA and Stem cells

A
91
Q

Jing deficiency = _____ deficiency = Empty _____ vessel = No period

A

Blood xu

Chong

92
Q

Jing is the vital component in producing _____ from ______

A

Blood from Marrow

93
Q

Jing xu is a much longer term and more deep seated

T/F

A

T

94
Q

What causes premature menopause

A

Jing xu

95
Q

If a female suffers from premature menopause or primary ovarian failure due to Jing XU will their body respond to hormone medications?

A

No
These women will not respond to the medication as the foundation is not there, there are either no follicles to stimulate or those that ware present refuse to respond to the hormones

96
Q

Shock can cause Amenorrhea

T/F

A

True

97
Q

What is Hypothalamic Annovulation

A

Hypothalamic amenorrhea is a condition in which menstruation stops for several months due to a problem involving the hypothalamus. The hypothalamus is in the center of the brain, controls reproduction

98
Q

What rebuilds blood?`

A

Yin

99
Q

Kidney ___ deficiency is the most common cause of Amenorrhea

A

Yin

100
Q

Yin becomes deficient due to ________ or __________

A

Lifestyle or constitution

101
Q

Phase 1 & 2 of the menstrual cycle are the ___ phase, where _____ is replenishing and building and follicles are maturing

A

Yin

Blood

102
Q

Most commonly blood xu Amenorrhea is due to a severely compromised ______ qi

A

Spleen qi

103
Q

___ is required for eggs to ripen

A

Yin

104
Q

___ is required for the production of clear fertile mucus

A

Yin

105
Q

___ is necessary to produce _____ to rebuild, thicken and nourish the ___________

A

Yin
Blood
Endometrium

106
Q

Yin deficiency causes the _____ and ________ _____ to dry up

A

Blood and cervical mucus

107
Q

We can reverse premature menopause by 5 years by clearing the heat and tonifying yin
T/F

A

True

108
Q

___ Xu leads to ____ xu

A

Yin xu leads to yang xu

109
Q

Deficiency of one ______ will lead to the other

First Yin _______ then Yang

A

Kidney

Kidney

110
Q 
Kidney Yin xu =
Infrequent periods 
LBP
No fertile mucus 
dizziness
5 palm sweats
night sweats
A
111
Q

What will the T & P show with Kidney yin xu

A

T Red no coating

P Floating and empty

112
Q

Nourish ___ to nourish _____

A

Yin

Blood

113
Q

Yin xu can give rise to heat in the _____ or _____ or both which compund the ____ yin

A

Heart or Liver

Kidney yin

114
Q

Over time ___ xu leading to ____ deficiency is considered an advanced condition which is harder but not impossible to treat

A

Yin

Yang

115
Q

Yin to yang collapse Patient will present with…

A 
Fatigue
vertigo
palpitation,
blurred vision 
LBP
Odema
as well as kidney Yin xu symptoms
116
Q

Treatment for Kidney yin xu

A

Nourish yin and nourish blood

117
Q

When there is no period we lay the necessary foundations by invigorating ___ and _____ since these are the drivers behind the first half of the cycle

A

Yin and blood

118
Q

________ and ___ maturation relies on ___ and _____ without these there would be no menstrual cycle

A

Follicle and Egg maturation rely on YIn

119
Q

The patient can also take ___ tonics for the first of the cycle and ____ tonics for the second half
If there is still no period after 2 weeks of Kidney yang tonic and blood regulating herb return patient to ___ tonics

A

Yin for 2 yang for 2

back to Yin for 2

120
Q

Once fertile mucus starts to appear again, increase Kidney ____ focus while strongly nourishing Kidney ___

A

Yang

Yin

121
Q

Blood Deficiency Amenorrhea that causes ovulation disturbance is due to Kidney ___ and sometimes ____ xu

A

Kidney yin and JIng

122
Q

When Kidney yin xu is the cause of blood xu which would we treat first

A

Kidney Yin xu
Blood XU would be the secondary
so we treat the underlying kidney first

123
Q

Blood XU can cause _________ dsturbance

A

Ovulation

124
Q

Blood deficiency is due to Yin deficiency BUT someone does not have to be blood deficient to be yin deficient
T/F

A

True

125
Q

There are occasions where blood deficiency would be the primary cause of Amenorrhea, what are they

A 
Childbirth
Significant injury
Physical trauma 
Abortion
Miscarriage
126
Q

Blood Xu is most commonly from ______ qi deficiency

A

Spleen qi xu

127
Q

What age do we most commonly see Blood xu

A

20-30 year olds

128
Q

Blood deficiency can be due to Physical strain, training, long periods of overwork and or under nutrition
T/F

A

True

129
Q

Blood deficiency symptoms

A 
Pale complexion
dizziness
fatigue
poor diet
restless, dreamful sleep
Anxiety
Cold extremeties
bloating
poor appetite
130
Q

What does the T & P show when there is blood Xu

A

T Pale

P Thready

131
Q

Treatment plan for Blood xu

A

Nourish blood
Nourish spleen qi
support kidneys

132
Q

____ can be a huge factor in Amenorrhea, young women who are too busy to eat a spleen and blood nourishing diet, often forced to eat on the run or while at the desk burning the candle at both ends and potentially dieting as well

A

Diet

133
Q

Advocating balance between rest and work along with a blood nutrient diet can often be treatment enough <3

A

Gynae (5 decks)

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