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Gynae > Week 4 > Flashcards

Week 4 Flashcards

1
Q

Leukorrhoea

Traditionally referred to as ______ ____________

A

Morbid Leukorrhea

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2
Q

Characterized by excess ______ and vaginal _________

A

Mucus and vaginal discharge

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3
Q

Mostly common seen colors are _____, and ______ but historically was categorized as white, yellow, red, red-white and multi color

A

white and yellow

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4
Q

Leukorrhea has 3 main causes
______ xu
______ xu
____-____

A

Spleen xu
Kidney xu
Damp-heat

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5
Q

Spleen xu Leukorrhea

Spleen is responsible for ______________ of fluid and separating _____ from _______

A

Transportation

Clear from turbid

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6
Q

Spleen qi is unable to control the balance and flow of _____ in the body so it infuses downwards

A

Fluid

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7
Q

Combined with a deficiency of ______ yang qi warming the ______ jiao

A

Spleen

middle jiao

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8
Q

Profuse thick Leukorrhea will be accompanied by other ______ xu symptoms

A

Spleen

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9
Q

Damp suffocates the ______

A

Spleen

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10
Q

Causes of Spleen qi xu Leukorrhea

A

Overwork
Chronic illness
improper diet
All restrict Spleen from properly T & T

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11
Q

Clinical manifestations of SP qi Xu Leukorrhea

A 
Poor appetite
loose stool 
lower limb edema
pale and dull complexion 
cold extremities 
fatigue and lethargic
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12
Q

Complexion with Sp qi xu will be ____ and ____

A

Pale and dull

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13
Q

Tongue and Pulse with Sp qi xu Leukorrhea

A

Tongue: Pale
Coating: White and sticky
Pulse: Slow especially right middle

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14
Q

Treatment for SP qi xu Leukorrhea

A

Tonify Spleen
Warm middle jiao
Remove damp
Regulate Ren and Dai

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15
Q

Kidney Xu L

Kidney regulates _____ jiao

A

Lower

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16
Q

Kidney yang regulates __________ ____, which regulates water in the lower jiao by warming it

A

Mingmen fire

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17
Q

Kidneys govern all _____________ system activities, by harmonizing Dia and Ren meridians

A

Reproductive systems

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18
Q

When Kidney ____ is deficient thr Dai and Ren will fail to restrict essence

A

Yang

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19
Q

Kidney ____ is responsible for fluids

A

Yang

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20
Q

Kidney XU Leukorrhea is more severe than SP qi xu

T/F

A

T

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21
Q

Dampness will obstruct the ____________ of the embryo

A

Implantation

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22
Q

With Kidney XU the mucus will be _____

A

Clear

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23
Q

Patient will feel chronic _____

A

LBP

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24
Q

KD xu - There will be a ____ sensation in the lower jiao

A

Cold

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25
Q

Mingmen fire will not be maintained enough to warm the lower jiao specifically _______ , _______ & ______

A

Bladder, spleen and uterus

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26
Q 
Aetiology : Chronic \_\_\_\_\_\_\_
Excessive Childbirth ( 5 or more children ) 
Dysfunction of \_\_\_ and \_\_\_
A

Illness

Ren and Dai

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27
Q

KD xu Leukorrhea will produce ______ and __________ discharge

A

Profuse and continuous

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28
Q

____ mucus, opaque or transparent

A

Thin

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29
Q

There will be ________ and _________ urine

A

Frequent and excessive

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30
Q

_____ stool, severe fatigue and ____ sensation in lower abdomen

A

Loose

cold

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31
Q

Tongue and Pulse with KD XU Leukorrhea

A

Tongue - Pale
C- Thin
Pulse- deep

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32
Q

Treatment for KD xu Leukorrhea

A 
Tonify KD yang
Stabilize and contain Ren and Dai 
Resolve Leukorrhea
BLD 23 - Back Shu of Kidneys
Ren 4 Tonify kidneys regulates Dai ren and qi in lower jiao 
KD 12 strongly lifts KD yang
BLD 26 resolve damp in the lower jiao
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33
Q

Damp Heat Leukorrhea is excessive ____ that builds up due to ______ qi XU

A

Damp

Spleen qi xu

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34
Q

Heat comes from _____ qi stagnation

A

Liver

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35
Q

The background of DHL maybe _____ qi stagnation

A

Liver

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36
Q

When __________ is prolonged and retained it will generate heat

A

Stagnation

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37
Q

The _____ mixes with ____ created by ______ qi xu and then sinks to the lower jiao

A

damp
heat
spleen qi xu

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38
Q

Internally the body is affected by ____ heat as well as externally with __________

A

Damp heat

Leukorrhea

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39
Q

If the heat spills out and enters blood in the Leukorrhea will have a ___ tinge

A

red

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40
Q

Aetiology:

Spleen qi xu is accompanied with prolonged _____ qi stagnation

A

Liver

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41
Q

Clinical manifestations of DHL (HEAT)
Sticky, viscous Leukorrhea, dischanrge, ______ in color, possible ____ odor, vaginal _______, dry _____ and ______ ______ urine

OR

LQS 
Color would be \_\_\_\_-\_\_\_\_\_\_
\_\_\_\_\_\_ taste in mouth
Dry \_\_\_\_\_\_
Irritability, Feverish sensation
Palpitation & insomnia
A 
Yellow
Vaginal odor
vaginal itching
dry stool
dark scanty

LQS
Redish Yellow
Bitter taste
Throat

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42
Q

Heat _____ and Damp ________

A

Rises and descends

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43
Q

DHL is an excess state

2 pathogens that have caused a problem

A
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44
Q

Treatment principle for DHL

A

Clear heat
Resolve damp
Harmonize Ren and Dai

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45
Q

PMS
A reminder that all the multiple channels and systems which can influence the menstrual cycle, and therefore balance of all hormones throughout the month

A
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46
Q

Kidney stores _______ and influences ____________

A

Essence and reproduction

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47
Q

_____ influences the quality and movement of blood

A

Liver

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48
Q

______ makes blood

A

Spleen

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49
Q

Heart governs _____

A

Blood

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50
Q

_____ govern qi

A

Lungs

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51
Q

_______ is connected to the Uterus via ChongMai

A

Stomach

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52
Q

No qi = no __________

A

Ovulation

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53
Q

PMS is a term used to broadly describe ________ and ________ symptoms that may be experienced before the period

A

Emotional and physical symptoms

54
Q

PMS symptoms are usually felt after the period

T/F

A

F

55
Q

The specific presentation of symptoms will tell you your diagnosis
T/F

A

T

56
Q

Symptoms of PMS include…

A 
Depression
sadness
irritability
tearfulness
outbursts of anger
clumsiness
abdominal distention
forgetfulness
insomnia
57
Q

Some women are crippled by their ___

A

PMS

58
Q

Symptoms may last between 1 day and _ weeks prior to the period

A

two

59
Q

It is crucial to establish whether the pre menstrual tension is due to the ______ condition or the __________ condition

A

Excess or deficiency

60
Q

Typically there are _ causes of PMS

A

3

61
Q

First cause of PMS
___________ strain, The most important aetiological factor in PMS. All ________ over a long period of time will cause _____ __ to stagnate especially _____, ___________ and _________

A

Emotional strain
All Emotions
Liver qi will stagnate
Anger, frustration and resentment

62
Q

Cause 2 of PMS

_________ consumption of ______ or dairy foods will lead to damp phlegm

A

Excessive consumption of greasy and dairy foods

63
Q

If Damp and phlegm are accompanied by LQS it will gather heat and become ______ ____

A

Phlegm fire

64
Q

_____ ____ accumulates in the chest ( Chest oppression ) the breast ( breast distension ) and obstructs the ____ (severe mental changes )

A

Phlegm fire

Mind

65
Q

Cause 3 of PMS

Overwork and _________ ______ ________

A

Excessive sexual activity

66
Q

Overwork and E.sexual activity both deplete ______ and _____ yin

A

Kidney and liver yin

67
Q

Once ___ is deficient it will allow __________ to build up due to a reduced balance to stimulate the transition from ___ to ____ within the cycle, as well as stimulate the flow through the body

A

Yin
Stagnation to build
yin to yang

68
Q

What happens in the first ___ weeks of the cycle will influence what happens in the next ___ weeks of the cycle

A

Two

Two

69
Q

If a woman is ______ yin xu she will be _____xu.

Since blood and qi are the yin and yang aspects of the Liver, Liver blood and Liver qi and interdependent

A

Liver yin

blood xu

70
Q

If a woman is _____ yin xu, Liver qi is left with no anchoring foundation and therefore becomes _________

A

Liver

Stagnated

71
Q

Treatment for PMS

A

Yarrow tea to keep Liver qi moving
Move liver qi
reduce pc 6 - pc connects to the liver
calm the hun

72
Q

PMS excess patterns

LQS The most ______ and assumed pattern of PMS

A

Common

73
Q

Prevention is always better than cure when it comes to PMS

T/F

A

T

74
Q

Should advise patient to manage their lifestyle and LQS propensity and drink ______ tea

A

Yarrow

75
Q

Patient should respond well within _ months of treatment

A

3

76
Q

Clinical manifestations of LQS PMS

A 
Abdominal and breast distention before the period 
irritable
clumsiness
moodniess
depression
hypochondriac pain and distention
77
Q

T & P with LQS PMS

A

T Red sides in chronic cases

P Wiry either all over or just in the middle left depending on duration

78
Q

Treatment for LQS

A

Soothe the liver
resolve stagnation
calm the mind
settle the Ethereal soul

79
Q

Deficiency patterns of Leukorrhea

Liver Blood Xu

Liver Yin and blood xu will encourage Liver yin to become _________ since there is no yin to generate volume to circulate qi

A

Stagnate

80
Q

LBX may initially present as ____ but closer inspection will show the opposite ______ and _____

A

LQS

Tongue and pulse

81
Q

This means that it is important to nourish _____ _____ but at the same time we must address _____ __ __________

A

Liver blood

LQS

82
Q

If you have no ___ there will not be volume in the blood, causing Liver qi stagnation

A

Yin

83
Q

Qi stagnation is _________ to blood xu

A

Secondary

84
Q

_____ are the liquid of the Liver
Liver rises, filling the ____
The liquid needs to go somewhere
Opening wood element to the eye <3

A

Tears

Lung

85
Q

Liver Yin enables _____ to move

A

Blood

86
Q

Crying is the movement of __

A

Qi

87
Q

If you cant cry that maybe ____ XU

A

Yin

88
Q

LYD will lead to __XU

A

Liver blood xu

89
Q

Clinical manifestations of LBX

Weepiness ______ the period

A

Before

90
Q

LBX Symptoms

Slight _________ and ______ distension

A

Abdominal and breast distension

91
Q

Tongue and pulse with LBX

A

Tongue Pale, possibly on the sides

Pulse fine and a little wiry on the left

92
Q

Treatment for LBX

A

Nourish Liver blood, nourish Liver Qi

93
Q

Liver and Kidney Yin Xu tends to be _______ and long standing pattern of PMS

A

Chronic

94
Q

There will by symptoms of ______ _____ rising due to a deficiency of ___ to control it

A

Liver yang rising

Yin

95
Q

This can be a tricky pattern to diagnose due to the mixture of _____ yin xu symptoms, ______ yin xu symptoms and the resulting false yang rising symptoms

A

Liver

Kidney

96
Q

_____ and ______ yin co exist with PMS

A

Liver and Kidney Yin

97
Q

Patient will feel ill _______ the period due to Blood xu

A

After

98
Q

Clinical manifestations of Liver and Kidney yin xu

A 
Slight breast tenderness before the period
mild irritability before the period and occasionally after the period
sore back and knees
dizziness
blurred vision
poor memory
insomnia
dry eyes and throat
5 palm sweats
99
Q

T and P with Liver and Kidney Yin xu

A

T Red
C peeled
P Floating- yang rising, no yin to anchor it down
Empty push down to find pulse but nothing there

100
Q

Treatment for LV and KD Yin xu

A

Nourish Yin of Liver and Kidney, move Liver qi stagnation

101
Q

PMS while pregnant is a ____ state
Although we wouldn’t use the term PMS.
QI stagnation turns to ____ rising. Extra yang and qi of the baby easily turns to ____

A

Full
YAng rising
and that turns to fire

102
Q

Yin cant get built up overnight, and it wasnt lost over night

A
103
Q

Mood changes with PMS

Spleen & Kidney YANG xu patterns of PMS are due to ______ not producing enough __ though T & T to nourish Kidney

A

Spleen not producing enough qi to nourish

104
Q

Day to day Qi comes from ______

Pre heavenly Qi comes from ______

A

Spleen

Kidney

105
Q

We should be using our ______ energy, keeping our _______ in reserve, Long term ______ xu can only happen if accompanied by ______ xu

A

Spleen
Kidney
Kidney
Spleen xu

106
Q

This deficiency pattern can also lead to __________ of Liver qi due to reduce circulation of the Qi in the body

A

Stagnation of Liver qi

107
Q

women who experience Edema of the lower legs and or abdomen _____ to the onset of their period will suffer from ______ and ______ yang XU

A

Prior

Spleen and Kidney xu

108
Q

When __ flow is sluggish, and the ______ fire is deficient in warming everything, fluid will not be controlled either by volume or being contained

A

Qi

Mingmen fire

109
Q

This edema tends to be ____________ only coming when either imminently whilst at a concert and with a very sedentary lifestyle

A

Intermittent

110
Q

_______ yang gets flooded by _______ not moving fluid

A

Kidney yang

Spleen yang

111
Q

This impacts the _______ half of the cycle

A

second or luteal

112
Q

Clinical manifestations of KD and SP Yanfg XU

A 
Slight pre menstrual tension 
mild depression and tearfullness
slight abdominal distension
tiredness
sore back 
feeling cold
frequent and pale urination, low libido
113
Q

T & P with KD and SP yang xu

A

T Pale, swollen

P Weak and deep

114
Q

Treatment for SP and KD yang xu

A

Tonify yang

strengthen Kidneys

115
Q

Headaches with PMS!
Headaches associated with PMS follow the diagnostic patterns as previously discussed in the headaches lesson

Typical causes of PMS headaches are…

A
116
Q

Liver Qi Stagnation -

A

Forehead or temples, intense but not throbbing

117
Q

Liver yang rising

A

Throbbing, intense, pounding, aura, nausea

118
Q

Spleen qi xu

A

Intermittent, exhaustion better upon rest

119
Q

Kidney qi xu

A

Empty feeling on occiput, better for rest

120
Q

Liver blood and yin xu

A

dull pain, floaters, better for rest

121
Q

If liver blood is XU, ____ will rise

A

Yang

122
Q

As always with PMS, take care to distinguish whether the headaches are true ______ or _________

A

excess of deficiency

123
Q

Headaches that come at the _____ of the period will be severe and intense, typically in the orbital socket, will be due to _____ ______ xu

A

End

Liver blood xu

124
Q

LQS is the primary cause of premenstrual _____________ through Wood overacting on Earth

A

Constipation

125
Q

LQS will produce what kind of poos

A

Dry, small, pebble

126
Q

The patient will have the urge to move the bowels but will have difficultly doing so
T/F

A

T

127
Q

Once the period starts and the qi stagnation is temporarily resolved the bowel movements will _______ and become ________

A

regulate and become smoother

128
Q

Premenstrual constipation is also because ___________ has a relaxant effect on plain muscle and therefore reduces peristalsis on the colon

A

Progesterone

129
Q

Progesterone rises in the ______ half of the cycle

A

second

130
Q

Treatment

A

Keep qi moving

131
Q

LBX constipation is when there isn’t enough _____ to move things around

A

Blood

132
Q

SP and KD Yang xu would produce ____ and _____ shaped bowel movements
SP- Sinking
KD yang Xu without yang the food is undigested
There would be no urge to have a BM and would be _________ afterwards

A

Long and thin

Exhausted afterwards

Gynae (5 decks)

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