wk13 - gynecology Flashcards
What does a normal menses look like?
· 25-30 day cycle · 4-7 days floow · moderate flow · red · no clotting · not too watery, not too thick · no pain or major discomfort (though fullness ok) · onset around 12-14 years of age
Early Menses could be due to what possible pathologies?
· SP Qi Vacuity
· Heat (Excess or Vacuity)
What distinguishes Early Menses due to Excess Heat or Vacuity Heat?
· scanty, red - Vacuity Heat
· copious, purplish, thicker - Excess Heat
How does heat lead to Early Menses?
heat causes blood to be chaotic & leave the vessel
How does SP Qi Vacuity lead to Early Menses?
blood not retained, and leaves vessel
A patient with pale, thin, copious (flooding) blood and Early Menses most likely has what?
SP Qi Vacuity
Delayed Menses could be due to what possible pathologies? (very generally)
· Blockage - Blood Vacuity
· Insufficiency - Cold, Blood Stasis, or a combination of the two
In Delayed Menses, is the pain worse with Excess Cold or Vacuity Cold?
pain worse with Excess cold
A patient with Delayed Menses who complains of great pain, dark red blood, scanty flow, and desire for heat most likely has what?
Excess Cold
A patient with Delayed Menses who complains of dull pain, light red blood, scanty flow, desire for heat, relief with pressure likely has what?
Vacuity Cold
A patient with Delayed Menses who complains of fixed stabbing pain and purple blood with clots likely has what?
Blood Stasis
A patient with Delayed Menses who complains of some pain but not much, scanty flow, and pale or light brown (or rusty) blood, and relief with heat likely has what?
Blood Vacuity
Irregular Menses could be due to what possible disorders?
· LV Qi Stagnation
· Blood Stagnation (due to LV Qi Stagnation)
· SP Qi Vacuity
