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deanne's - CM diag (TCM diagnosis) > wk6 / c3 (menstruation) > Flashcards

wk6 / c3 (menstruation) Flashcards

1
Q

Always early- (more than 7 days early):

A

Qi deficiency or blood heat

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2
Q

Always late- (more than 7 days late):

A

blood deficiency, blood stagnation, cold.

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3
Q

Irregular: (sometimes late, sometimes early):

A

stagnation of liver Qi,

Blood stagnation,

spleen & kidney deficiency.

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4
Q
  • Amount:
A

loss of blood can vary between 30-80mls.

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5
Q

Heavy period

A

is if blood loss is profuse.

(ask patient to quantify how many times they need to change)

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6
Q

Heavy loss either due to

A

Qi deficiency

or blood heat

(depending on colour)

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7
Q

If period is scanty-

A

blood deficiency,

stasis of blood

or

cold uterus.

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8
Q

Colour:

A

dark red at the beginning,

deep red in the middle,

& pinkish at the end.

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9
Q

colour- Dark red or bright red:

A

blood heat

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10
Q

colour- Pale:

A

blood deficiency

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11
Q

colour

Blackish/very dark:

A

stasis of blood

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12
Q

colour

Purplish: full cold

A

full cold

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13
Q

colour

Brownish & dilute:

A

empty cold

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14
Q

colour

Scarlet red:

A

empty heat in blood.

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15
Q

Consistency:

A

does it coagulate, is it thick or dilute.

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16
Q

consistency

Clotted with dark clots:

A

blood/cold stagnation

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17
Q

consistency

Clotted with fresh looking clots:

A

heat

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18
Q

consistency

Large clots:

A

blood stasis

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19
Q

consistency

Watery:

A

blood or

yin xu (def)

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20
Q

consistency

Tissue fragments:

A

kidney yang deficiency

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21
Q

Menstrual pain:

Pain before period:

A

stagnation of

qi & blood

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22
Q

Pain during period:

A

blood heat or blood stagnation

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23
Q

Pain after period:

A

blood deficiency

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24
Q

Sever, stabbing pain:

A

blood stagnation

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25
Q

Severe cramping relieved by warmth:

A

cold.

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26
Q

pain-

Dragging feeling in lower abdomen:

A

sinking of Qi

27
Q

Pain on ovulation:

A

damp-heat

28
Q

PMS: irritability, depression, crying:

A

liver Qi stagnation

29
Q

PMS

Nausea:

A

liver invading St

30
Q

PMS

Headache:

A

Liver Qi stagnation, liver yang rising

31
Q

PMS

Distension of breasts:

A

liver qi stagnation

32
Q

pms

Swollen/ painful breasts:

A

phlegm + Qi stag

33
Q

Retention of water:

A

SP yang & Kid yang

deficiency.

34
Q

Inquiry involves questions about: 6

A
  • length
  • Amount
  • Colour
  • Consistency
  • pain (and symptoms)
  • PMS (and symptoms)
35
Q

What is a normal cycle?

start

early - before 13

after 16

cycle length

A

Start of menarche- between 10-16 mean age 12.

Early menarche before 13- indicates blood heat,

after the age of 16- blood & Kidney deficiency.

Cycle- l_ength,_ ideally 28 days but this may vary. Ask about regularity of the cycle. Occasional deviation from normal cycle is normal.

36
Q

cycle

Early arrival of period indicates: -2 main-

A

Heat in the Blood

(red tongue, blood bright red & thick- heat scorches the bv, Blood forces blood out of the blood vessels)

OR

spleen Qi Deficiency

(pale tongue, blood is light red, thin- weak spleen Qi could not hold blood within the vessels)

37
Q

Late period -3 main-

Cycle

If Blood is light coloured, thin & little in amount=

If Blood is dark purple with clots and in little in amount=

If Blood is deep red with clots + scanty=

A
  • Blood Deficiency (uterus unable to fill w blood, Blood fails to fill Chong & Ren channels),
  • Cold
  • Blood stagnation
38
Q

Cycle

Irregular period - related to disorder of Qi and Blood (wh fail to fill the chong and ren mai)

-2-

  • If Blood is purple with clots with breast distension=
  • If Blood is light red & thin=
A
  • Stagnation of Liver Qi
  • Deficient Spleen & Kidney (which leads to dysfunction of Chong & Ren Channels.)
39
Q

Cycle

Dysmenorrhea:

Pain before period and relieved after bleeding -

A

Excess condition of Liver Qi stagnation.

40
Q

Dysmenorrhea-

Dull pain in lower abdomen after bleeding with sore back/legs=

A

Qi/blood deficiency & Kidney essence deficiency (that cause malnourishment of Chong & Ren Channel & uterus)

or Liver Yin deficiency

41
Q

dysmenorrhea

Cold pain in lower abdomen that is relieved by warming + dark purple blood=

A

Cold syndrome (cold coagulates Blood leading to contraction of the uterus)

42
Q

Amenorrhea is

A

This is when the period stops for more than 3 months or does not arrive at all in a mature women.

43
Q

amenorrhea indicates -4-

A
  • Deficient Blood and Qi,
  • Stagnant Qi/Blood Stasis,
  • Deficient Kidney/Liver Yin,
  • Mucus/dampness Obstructing Menses
44
Q

Normal color is

A

a dull to medium red

45
Q

Very dark red or bright red Indicates

A

Heat in the Blood

46
Q

Pale blood Indicates

A

Deficiency of Blood

47
Q

Purple/blackish Blood Indicates

A

Stasis of Blood or Cold

48
Q

quality

Congealed blood with clots Indicates

A

Blood stasis or Cold

49
Q

quality

Watery blood Indicates

A

Blood or Yin Deficiency

50
Q

Turbid blood Indicates

A

Blood Heat or Stagnation of Cold

51
Q

vaginal discharge

White, thin + in large amounts=

A

leucorrhoea (which pertains to cold-damp pouring down caused by Spleen deficiency) or damp in kidney (articulate)

52
Q

vaginal discharge

Yellow, thick, fetid vaginal discharge in large amounts + genital itching=

A

damp-heat pours down to lower jiao.

53
Q

vaginal discharge

Red thick + fetid odor is due to

A

Liver Qi stagnation

(which transforms into heat. Heat damages the blood vessels and blood leaks out)

damp heat or

liver fire (articulate)

54
Q

天癸

A

Tiānguǐ

(heavenly gui)

55
Q

menstrural cycle depends on

A

qi and blood

(and there circulation)

56
Q

irregular period (articulate notes)

scanty due to -2-

A
  • qi and blood deficiency
  • stagnation of blood or phlegm
57
Q

dysmenorrhea

2 general causes

A
  • excess (liv qi stag)
  • deficiency (qi and blood, or kid essence, or liver yin)
58
Q

vaginal discharge

is a_

and should _

A

normal physiological function

should increase at

  • ovulation
  • during pregnancy
59
Q

when asking questions regarding vaginal discharge, what should be concidered -3-

A
  • colour
  • quantity
  • odor
60
Q

what is a major cause of vaginal discharge?

A

dampness

61
Q

Bright red or dark red blood that includes clots, thick viscosity, and profuse quantity is indicative of?

A

excess heat

62
Q

Dark purple blood with clots, scanty flow with abdominal pain relieved by warmth indicates?

A

Excess cold causing Blood stagnation.

63
Q
A

deanne's - CM diag (TCM diagnosis) (11 decks)

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