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Gynae > Week 3 > Flashcards

Week 3 Flashcards

1
Q

______ yin is the most common cause of Amenorrhea

A

Kidney

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2
Q

Shock can cause Amenorrhea by causing Yin xu in the heart and liver
T/F

A

True

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3
Q

The biggest cause of Kidney yin xu Amenorrhea is ___________ __________

A

Hyopthalamic Annovulation

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4
Q

WHat are two things that can cause Hypothalamic Annovulation?

A

Sudden weight loss

Prolonged illness

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5
Q

Yin can become depleted due to _________ factors or it can be _____________

A

Lifestyle

Constitution

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6
Q

Phases _ and _ are the Yin phase where blood is replenishing and building, and follicles are maturing

A

1 and 2

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7
Q

___ is required for eggs to ripen

A

Yin

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8
Q

___ is required for the production of fertile mucus

A

Yin

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9
Q

___ is necessary for the production of blood to rebuild and thicken the ___________

A

Yin

Endometrium

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10
Q

Signs of Kidney yin xu

A 
No fertile mucus
dizziness
LBP
infrequent or no period
5 palm sweats
night sweats
Red T
no coating
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11
Q

___ xu leads to ____ xu

A

Yin xu leads to yang xu

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12
Q

Deficiency of one Kidney will lead to Xu of the other, Which one would be depleted first?

A

Yin then yang

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13
Q

Yin xu can give rise to heat in the _____, _____ or both, which compound Kidney Yin

A

Heart or Liver

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14
Q

_____ and _____ fire can cause agitation, irritability and insomnia

A

Heart and liver fire

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15
Q

Dryness of blood, cervical mucus and constipation are signs of _____ and _____ fire

A

Heart and liver fire

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16
Q

Over time prolonged deficiency of ___ will lad to ____ collapse

A

Yin

Yang

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17
Q

Yin xu leading to yang xu is considered an advanced condition and is impossible to treat
T/F

A

False, it can be harder to treat but is possible

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18
Q

Symptoms of Kidney Yin and Yang xu

A 
Yang xu-
Fatigue
vertigo
palpitation
blurred vision
LBP
Oedema

as well as the kidney yin symptoms

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19
Q

The first part of treatment for KD yin / Yang xu Amenorrhea

A

Reinforce yin and nourish blood

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20
Q

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

A

Yin and Blood

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21
Q

________ stimulation and ___ maturation relies onyin and blood and without these there would be no menstrual cycle

A

Follicle and Egg

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22
Q

With herbal tonics the patient takes Kidney ___ and _____tonics for the first two weeks mimicking the natural cycle

A

Kidney yin and blood

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23
Q

For the 2 second weeks the patient is switched to Kidney ____ tonics

A

Kidney yang

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24
Q

If there is still no period after the month of Kidney yin and yang tonics the patient will return to taking the Kidney ____ tonics

A

Yin

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25
Q

With Acupuncture follow the same protocol- Mimicking the ___ phase for 2 weeks and then the ____ phase for two weeks and repeat until the natural rhythm is acheived

A

Yin

Yang

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26
Q

Yang Xu Amenorrhea

______ and ______ Yang xu will impede menstrual flow

A

Spleen and Kidney

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27
Q

___ needs to rise due to progesterone

A

BBT

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28
Q

If ____________ is xu Yang will not rise and will take longer for the cycle to function

A

Progesterone

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29
Q

The patient will feel more ________ than ____

A

Fatigued then Cold

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30
Q

Patient will prefer ______ and ________

A

Warmth and pressure

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31
Q

With Yang xu the pulse will be ____ and ____

A

Deep and slow

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32
Q

With Kidney Yang xu Patient will not feel ___________ at all. They will have no change in hormones to be aware of

A

Premenstrual

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33
Q

Treatment for Kidney yang xu

A

Tonify nourish Spleen and Kidney

Lift yang and Qi

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34
Q

Blood Stagnation deficiency Amenorrhea develops as a long term retained ____, retained ____-____ or Kidney xu

A

Cold

Damp heat

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35
Q

With blood stagnation amenorrhea the _____ vessel will not be filled or emptied completely

A

Chong

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36
Q

Not having the Chong vessel filled or emptied completely will negatively impact the function of the _____ since it controls blood circulation

A

Heart

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37
Q

The _____ also controls the _________ Gland so irregular messages to the ovaries may occur and destabilize the cycle

A

Heart

Pituitary gland

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38
Q

The pulse with Blood stagnation Amenorrhea would be _____ and _______

A

Tight -Cold

thready blood xu

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39
Q

With blood stagnation the tongue will be ______

A

Purple

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40
Q

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

A

Yang

Yin

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41
Q

Blood deficiency that causes ovulation disturbances is due to Kidney ___ and sometimes jing xu

A

Kidney yin

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42
Q

Therefore Blood deficiency is secondary, and the treatment principle is to treat the underlying ______ yin

A

Kidney

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43
Q

There are occasions where blood xu is a primary cause of __________
This may be following significant injury or physical trauma ie ________, ___________, __________

A

Amenorrhea
Abortion
miscarriage
childbirth

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44
Q

Most commonly true blood deficiency Amenorrhea is due to ______ qi xu

A

Spleen qi xu

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45
Q

Blood is yin
Blood deficiency is actually due to Yin xu
but you do not have to be Yin xu to be blood deficient
T/F

A

True

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46
Q

At what age do we most commonly see blood deficient women?

A

20-30

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47
Q

What is Spleen qi xu due to?

A 
Physical strain
intensive physical training
long periods of overwork
and or under nutrition, vegan, vegetarian
Following long term illness
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48
Q

Signs of Blood deficiency

A 
Pale
dizzy
fatigue
poor diet
overwork
restless dreamful sleep
anxiety
cold limbs
abdominal bloating
poor appetite
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49
Q

Tongue and pulse with blood deficiency

A

T- Pale

Pluse - Thready

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50
Q

Treatment principle or blood deficiency

A 
Nourish blood, spleen qi and kidneys
R12
STM 36
BLD 20
SP 6
KD 13
STM 30
HT 7
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51
Q

What are the 3 deficiency types of Amenorrhea?

A

Kidney Jing xu
Kidney Yin/Yang
Blood Deficiency

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52
Q

A woman can also have Amenorrhea due to excess conditions

T/F

A

True

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53
Q

What is the Hearts job?

A

To circulate blood around the body

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54
Q

What stagnates Heart Qi?

A

Prolonged mental stress
Termoil
Emotional abuse
Abusive home

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55
Q

If Heart Qi is stagnated _____ will also be affected

A

Kidney

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56
Q

The heart maintains balance to the _______ to harmonize ____ and ____

A

Yin and Yang

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57
Q

In order for the menstrual cycle to flourish and ovulation to occur ____ and _____ need to work as one

A

Fire and water

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58
Q

Heart governs ____

Kidney governs ___

A

Yang

yin

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59
Q

If there is no ovulation, there is no transition from ____ to ____

A

Yin to yang

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60
Q

You can ovulate and not have a period

T/F

A

True

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61
Q

The period should be ___ after ovulation

A

14 days

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62
Q

When Heart Qi is stagnated it directly affects ________ which is the transformation from yin to yang

A

Ovulation

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63
Q

Heart Qi also affects the ___ ___ vessel

A

Bao Mai

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64
Q

Bao Mai controls the ______

A

Uterus

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65
Q

Ren __ and Ren _ govern the uterus

A

Ren 14 and 4

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66
Q

If someone has Heart Qi stagnation they may not _______

A

Ovulate

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67
Q

_____ qi needs to travel to the Uterus to control the opening of the Bao Mai

A

Heart qi

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68
Q

If heart qi is stagnated the ______ will not open and _________ will not happen

A

Uterus

Ovulation

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69
Q

Most Amenorrhea that has an emotional root, or is due to miscommunication between the Hypothalamus and the Pituitary Gland are due to _____ Qi stagnation

A

Heart

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70
Q

Symptoms of Heart Qi stagnation

A 
Amenorrhea
Insomnia
Dreamful sleep
Pallpitations 
Anxiety
Fear
Restlessness
History of trauma
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71
Q

T and P with Heart qi stagnation

A

P Choppy and Rapid

T Red tip

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72
Q

Some points for Heart Qi stagnation

A 
Kd 3 SP 6 - Yin and Yang regulation
ZIGONG
HT 7
PC 5 &6
KD 19
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73
Q

LQS usually typically occurs with prolonged ___________, ___________ or __________

A

Irritation
frustration
depression

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74
Q

Amenorrhea due to LQS Can also be caused from long term ______ ________

A

Breast feeding

If the mothers constitution isn’t strong enough even one year of breast feeding could cause a problem

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75
Q

Prolonged use of medications, especially ______-_________ medications and oral _____________

A

Mental emotional

Contraceptive

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76
Q

LQS over time will lead to _____ ____

A

Liver fire

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77
Q

Liver fire will weaken ______ qi and exacerbate any underlying Kidney yin xu

A

Spleen qi

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78
Q

If Liver fire invades the Stomach channel it may force ________ blood UP and appear as secretion from the ______

A

Menstrual blood up

secretion from the nipple

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79
Q

Breast milk comes from ______ _____

A

Liver blood

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80
Q

If Liver blood is XU it will ________

A

Stagnate

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81
Q

The nipple discharge would happen at the time of ___________

A

Menstruation

82
Q

Symptoms of Liver Qi stagnation

A 
Irritability
Headaches
Milk secreations 
Chest oppression
Anorexia
breast distention
long term use of medications
83
Q

Tongue and pulse with LQS

A

T-Red sides

P-Wiry

84
Q

Treatment for LQS Amenorrhea

A

LV 2 & 8 Regulate liver qi, drain LV fire
P5 P7 move lv qi in upper jiao soothe emotions
LV 14 ST 18 Move qi stagnation from the breast
ST 36 support SP and ST function to gaurd against liver invasion
ZIGONG
SP 4 Activate Chong vessel

85
Q

What is post pill Amenorrhea?

A

Failure of the menstrual cycle to appear within 6 months of stopping oral contraceptives

86
Q

The pill interrupts the natural cycles of the body preventing the free flow of qi and injuring the _____

A

Liver

87
Q

______ governs the free flow of mucus

A

Liver

88
Q

Many women develop secondary Liver blood xu as a result of _____ __ being obstructed

A

Liver qi

89
Q

The Liver channel travels through the ________ therefore LQS can negatively impact production of fertile mucus

A

Cervix

90
Q

Points to regulate post pill amenorrhea

A

Liver 1,5,8 Regulate Qi in the reproductive tract, especially in the cervix
LV 11 to regulate qi in the Uterus
Ren 3 encourages movement and regulates function of the cervical glands
STM 30 Re enforces movement of qi in the lower abdomen and genitals

91
Q

Phlegm Damp accumulation can arise through

A

Infection
poor eating habits with excess sweet, greasy, fried food
weakness of internal organs
Disruption of their function due to blood and qi stagnation

92
Q

Phlegm damp can be specifically broken down into these 3 categories

A

Spleen & Kidney xu
LQS
Blood stagnation

93
Q

Phlegm damp can be most commonly seen in women over __ with excess weight in which area

A

40

Weight around their abdomen

94
Q

With phlegm damp ______ qi and yang are not transporting fluids

A

Spleen

95
Q

Spleen qi, KD yin & Yang XU Amenorrhea happens when ______ fails to T & T fluid around the body

A

Spleen

96
Q

Weak ______ fails to warm fluid to regulate volume

A

Kidney

97
Q

______ yang xu tends to lead on from ______ yin xu hence the triple diagnosis

A

Kidney

98
Q

Because of these deficiencies phlegm damp is allowed to accumulate

A

Sp qi KD yin and Yang

99
Q

With SP qi KD yin & Yang Amenorrhea we should focus on the _____ of the problem
The Ben, which is the Spleen and Kidney XU

A

Root

100
Q

The Baio is also known as the ______

A

Branch

101
Q

Patient will present with classic symptoms of Spleen & Kidney XU, with low Libido if Kidney YANG XU is predominate
Excessively HIGH libido and testosterone levels in the blood, If Kidney YIN is creating deficiency fire

A
102
Q

Treatment for SP KD yin and KD yang Amenorrhea

A

Moxa Ren 4, KD 3, SP 6 and Bld 23 to invigotare Kidney Y/Y
SP 6 BLD 20 promote Sp function
KD 13 SP 4 Activate Chong
BLD 28 encourage removal of Damp via bladder
ZIGONG Activate local qi around the ovaries

103
Q

Phlegm Damp with LQS

If the Liver qi stagnation affects the ______ and _______ it will fail to separate clear from turbid

A

Spleen and Stomach

104
Q

DH with LQS slows down the metabolism and ______ ____ quickly occurs

A

Weight gain

105
Q

LQS willl impede the production of ____ from the GB thus reducing fat metabolism

A

Bile

106
Q

LQS will often lead to _____ fire which further disrupts metabolism

A

Liver fire

107
Q

There is no background of ______ xu with this type of Amenorrhea

A

Kidney

108
Q

Both LQS and PD can be treated simultaneously

T/F

A

True

109
Q

Treatment principle for PD with LQS

A

Purge heat
Move stagnant liver
resolve phlegm and damp
invigorate free flow

110
Q

Be mindful to protect the ______ while purging strongly

A

Spleen

111
Q

Points for treating PD with LQS

A

LV 3 5 8 regulate LQ
Ren 1, 3 clear damp heat and promote menstruation
GB 41 with SJ 5 to open and regulate the Dai vessel to resolve damp in the lower body
GB 26 reinforce purging of damp from lower jiao

112
Q

Phlegm damp with Blood stagnation - excess type

This typically refers to the presence of _______ or _____

A

Fibroids or cysts

113
Q

Fibroids and cysts _______ the normal flow of qi and fluids giving rise to accumulation

A

Obstruct

114
Q

PD with Blood stagnation may also occur from simple cases such as

A

Surgery
infection
uterine adhesions (Ashermans syndrome )

115
Q

Also be mindful to the potential presence of cold in the ______ causing blood stagnation

A

Cold in the uterus

116
Q

________ is often the most appropriate choice for ________ obstructions

A

Surgery

Physical

117
Q

Points to use for PH with Blood stasis

A

Moxa St 29 to regulate blood in the lower abdomen
KD 14 and 19 to regulate blood stagnation in the Chong
SP 10 and 6 to regulate blood in the uterus
BLD 17 influential point of blood

118
Q

The term Menostaxis is referring to the prolonged excessive bleeding outside of the cycle OR Amenorrhea. These conditions are considered their own now and the term Menostaxis is no longer used

A
119
Q

Dysmenorrhea is ____ before, during or after ____________

A

Pain

Menstruation

120
Q

Pain maybe located in the _______ or _________ regions

A

Abdomen

Lumbrosacral

121
Q

Pain during your period is totally normal

T/F

A

False. no matter how mild or infrequent it is considered an imbalance

122
Q

In WM women are diagnosed with Dysmenorrhea if they have frequent episodes of pain or discomfort, In TCM even _ episode is significant

A

1

123
Q

Dys=

A

Disharmony

124
Q

Causes of Dysmenorrhea
Emotional strain- significant factor
Anger, frustration, resentment, hate, any retention of excess emotion may led to LQS

A
125
Q

Causes of Dysmenorrhea —– Cause 1 of 4

A

Emotional strain- significant factor

Anger, frustration, resentment, hate, any retention of excess emotion may led to LQS

126
Q

LQS will affect the flow of blood through the ______ to stagnate

A

Uterus

127
Q

LQS affecting the flow of blood through the uterus will present as Dysmenorrhea pain _______ or ______ the menstrual flow

A

Before or during

128
Q

Cause 2

A

Cold and dampness

129
Q

Excessive exposure to ____ and ____ may allow ____ to invade the ______

A

COld and damp

Uterus

130
Q

Typically Cold and dampness occurs with exposures during _______

A

Puberty

131
Q

Cold and dampness invades by

A

Sitting on damp, cold surfaces
not protecting lower abdomen
not protecting lower back
not protecting ankles in repeated episodes of cold and damp weather

132
Q

When are women more susceptible to cold and dampness invasion

A

Immediately after the period when blood is in a relatively weakened and empty state

133
Q

Women with pre existing ____ XU are more prone to invasion of cold

A

Yang

134
Q

Cause 3

A

Overwork and Chronic illness

135
Q

over work and chronic illness lead to __ and _____ deficiency

A

qi and blood deficiency

136
Q

Qi and blood deficiency will especially effect the ______ and _______ since its there that blood is produced from nutritive Qi

A

Spleen and Stomach

137
Q

Generalized blood deficiency will result in ______ and ___ vessels being left empty

A

Chong and Ren

138
Q

Blood xu means there isnt enough volume to generate circulation so that = Blood stasis and pain
T/F

A

T

139
Q

Cause 4

A

Excessive sexual activity / childbirth

140
Q

Excessive sexual activity tends to affect ______ more than _____ but it can still affect ______

A

Men more than women but it can still affect women

141
Q

Multiple ___________ especially close together will have the same effect

A

births

142
Q

excess sexual activity and childbirth both deplete ______and _____ qi

A

Liver and Kidney qi

143
Q

If _____ and ____ cannot get filled up they are unable to move qi and blood

A

Chong and Ren

144
Q

The most dominate factor of Dysmenorrhea is _________

A

Stagnation of Qi and or Blood, it may arise on its own or maybe due to Cold

145
Q

Blood/liver/kidney xu also causes _____ to stagnate

A

Blood

146
Q

Things to consider with Dysmenorrhea
Time of onset -
Pain before or during = ______
Pain after = __________

A

Excess

empty/deficiency

147
Q

Pressure
Better for pressure _____
Worse for pressure ______

A

Deficiency

Excess

148
Q

Better for Heat or cold
Better for Heat=____ condition. __ and _____ stasis
Better for cold = Blood ____

A

Cold condition qi and blood stasis

Blood heat

149
Q

Location of Pain
Bilateral abdomen = _____
Lower back/sacrum = ______

A

Liver

Kidney

150
Q

Cycle
Prolonged with dark clotted blood=
Red blood with small dark clots =
Cycle is short , heavy and bright red =

A

Blood stagnation
Cold in uterus
Blood heat

151
Q

Characters of pain
Better after passing clots = __________
Pain with pronounced feeling of distention = __ __________
Burning pain = _____ ____
Cramping pain = _____ in the uterus
Stabbing pain = _____ ______
Pulling pain _____ ______
Bearing down before the start _____ ______
Bearing down after the period = ______ XU

A 
Blood Stg
Qi deficiency
Blood heat
Cold
BS
BS
BS
Kidney XU
152
Q

When there is BS in the uterus you must treat the uterus specifically with the _____

A

Heart

153
Q

Excess types of Dysmenorrhea

3

A

Qi and blood stagnation
Stagnation of cold
Damp Heat

154
Q

Qi and blood stagnation. Pain would be ______ or ______ and better for _______ clots

A

before or during and better for passing clots

155
Q

with qi and BS there would be distention in the _______ and ______

A

Abdomen and breast

156
Q

Period with qi and BS would have a ____ start

A

Late or hesitant

157
Q

Color of flow with qi and BS

A

Dark flow with clots

158
Q

Qi and BS would come with pre menstrual _______ and ___________

A

Tension and irritability

159
Q

Tongue and pulse with qi ad BS

A

Purple and choppy/wiry

160
Q

Stagnation of cold lower abdominal pain ______ or _____ the period

A

before or after

161
Q

Cold stagnation pain is relived by ____

A

Heat

162
Q

Menstrual flow is ______, bright red with ____ clots

A

Scanty

dark clots

163
Q

With stagnation of cold patient ill have a feeling of being cold and will have pain in the ____________ area

A

Lumbosacral

164
Q

Tongue and pulse with stagnation of cold Dysmenorrhea

A

T - Pale blue or blue - purple

Pulse Choppy/wiry

165
Q

Stagnation of cold - Abdomen will be ____ to palpate

A

Cold

166
Q

Cold causes ___________ of the uterine tissue, Those are the clots

A

contraction

167
Q

Damp Heat Dysmenorrhea will present with pain ______ and period and sometimes ___ cycle

A

Before and sometimes mid cycle

168
Q

With DHD there will be a general feeling of ____

A

Heat

169
Q

The Menstrual flow with DHD will be ___ with small clots

A

red

170
Q

There will be ___________ vaginal discharge, Yellow in color

A

Significant yellow discharge

171
Q

With DHD the urine will be ______ and ____

A

Scanty and dark

172
Q

Tongue and Pulse with DHD

A

Tongue Red with Sticky coating

Pulse will be slippery

173
Q

Treatment plan for DHD

A

Clear heat
resolve dampness
eliminate stasis
SP 6 & 9 resolve damp in lower jiao and move blood
LG 7 & KD 6 open Ren and regulate uterus
Ren 3 & Stm 28 resolve dampness from lower jiao and uterus
BLD 32 resolves damp in Uterus
BLD 22 promotes transformation of fluid and resolves damp in lower jiao

174
Q

DH can occur from….

A

Medication
alcohol
diet
lack of movement

175
Q

Deficiency Dysmenorrhea

A
176
Q

Qi and Blood Xu

Dull Hypogastric pain at the _______ of the menses

A

End

177
Q

With Qi and BLD xu there will be a dragging sensation in the _____ abdomen

A

Lower

178
Q

Qi and Blood xu, the pain will be relieved by ________ and ________

A

Pressure and massage

179
Q

QI and blood xu will present with a ______ menstrual flow

A

Scanty

180
Q

QI and Blood xu patient will have a ____ complexion

A

Pale

181
Q

The patient will be chronically tired but worse _____ the menses

A

After

182
Q

The stool will be _____ with blood xu or qi xu

A

Loose

183
Q

QI and Blood deficiency effects the _____ body

A

Whole

184
Q

Add GB __ to the treatment to nourish Marrow

A

39

185
Q

Treatment for Qi and Blood XU

A

Tonify Qi
Strengthen Spleen
Nourish Blood

186
Q

Kidney & Liver Yin Xu will present with _____ Hypogastric pain towards or at the ___ of the period

A

Dull

at the end of the period

187
Q

Patient will have a sore _____ ______

A

Lower back

188
Q

There will be dizzliness which is _____ after the period

A

Worse

189
Q

Period will be ______

A

Scanty

190
Q

Pain will be relieved by ________ or _______

A

Pressure or massage

191
Q

patient will have this ringing in the ears

A

Tinnitus

192
Q

_______ vision

A

Blurred

193
Q

Tongue and Pulse with Kidney and Liver Yin xu

A

T Red color Peeled coating

P Floating and empty

194
Q

Treatment for Kidney and Liver Yin xu

A

Nourish Yin
Tonify Kidneys
Nourish liver

195
Q

Endometriosis - Endometrial tissue is _________ in adjacent pelvic organs
Fallopian tubes, ovaries, rectum, colon, uterus, bladder

A

Implanted

196
Q

Endometriosis is increasing and currently the most _______ cause of secondary Dysmenorrhea

A

Common

197
Q

Characterized by extremely painful periods with pain radiating into the ______ or _________

A

Rectum or perineum

198
Q

Endometriosis maybe accompanied with ___________ ( Heavy periods ) or Pain during ___________

A

Menorrhagia

Intercourse

199
Q

If no results are obtained in a case of Dysmenorrhea suspect _____________

A

Endometriosis

200
Q

Treatment principle is the same for Dysmenorrhea and Endometriosis
T/F

A

True

Gynae (5 decks)

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