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Gynecology > Gyn-Dysmenorrhea (Painful Menstruation) > Flashcards

Gyn-Dysmenorrhea (Painful Menstruation) Flashcards

1
Q

What is the Etiology of Dysmenorrhea

A
  1. Diet - Cold, Raw, Greasy, Sugar
  2. Emotional - Anger, Frustration, Anxiety
  3. Trauma, Injury, Surgery - affects REN & CHONG
  4. Too many children which harms LV, KD, QI, Blood
  5. Weak Constitution
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2
Q

Sharp, Severe, don’t want to be touched

A

Excess

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3
Q

Dull Pain, Like to be touched

A

Deficiency

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4
Q

Cramping Pain

A

Cold

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5
Q

Burning Pain

A

Heat

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6
Q

Bearing down pain BEFORE Period

A

Blood Stagnation

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7
Q

Bearing down pain AFTER Period

A

KD Deficiency

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8
Q

Pain in Lower Abdomen

A

Liver

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9
Q

Distention more than Pain

A

Qi Stagnation

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10
Q

Pain more than Distention

A

Blood Stagnation

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11
Q

Pain is Less AFTER passing CLOTS

A

Blood Stagnation

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12
Q

Pain around Waist

A

Dai

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13
Q

Pain referred from Front to Back & Both Sides

A

KD Deficiency

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14
Q

Pain from the Middle to sides & Down & Up

A

LV QI Stagnation

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15
Q
  1. Pain began several days before onset or during period and ceases upon end of menstruation
  2. Intense Pain aggravated by Pressure - Comes & goes
  3. With Clots (can be cold, qi or blood stagnation)
A

Dysmenorrhea - EXCESS

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16
Q

Treatment Principle for Excess Dysmenorrhea syndrome

A

Regulate Qi in Ren & Chong

17
Q

Acupuncture Points for EXCESS Syndrome

A 
RN 3 (3 yin crossing, like SP 6) UB22, LI4, SP10, LV3
Distending Pain = KD14, ST28 (moxa-qi & blood stagnation)
Pain + Cold = ST 27 & ST 29 Moxa
*UB 32= EMPIRICAL point for DYSMENORRHEA (S2 Level), 
Ear Acupuncture for dysmenorrhea = Lower abdomen, uterus, shenmen)
18
Q
  1. Appears AFTER menstruation had begun at the end or after
  2. Pain is more CONTINUOUS, relieved by Pressure and Warmth
  3. DULL Pain
  4. Pink, Menses
A

Dysmenorrhea d/t DEFICIENCY

19
Q

Acup. Points for Dysmenorrhea d/t Deficiency

A

RN4, UB20, 23, ST36, SP6 (Tonify Qi & Blood)

RN4 & UB 23 - tonify Yang

20
Q
  1. Pain in the Lower Abd.
  2. Distending Pain (1-2 days-before or during)
  3. Delayed, Hesitant, scanty
  4. Pain before menstruation
  5. Dislike to be touched
  6. Purplish or Dk. Red color Blood
  7. Pain Relieved after passing clot
  8. Bad mood, low spirit (LV)
  9. Dark & Clotted Blot
    T: Purplish on both sides (LV) P: Wiry, choppy
A

Dysmenorrhea - Excess

Qi and/or Blood Stagnation (may turn to heat)

LV QI Stagnation going to Blood Stagnation going to Pain

21
Q

Treatment Principle for Dysmenorrhea d/t LV QI Stagnation producing Blood Stagnation & Pain

A

Regulate LV qi, Move Blood, Stop Pain

22
Q

Points for Dysmenorrhea d/t LV Qi Stagnation - Blood Stagnation - Pain

A

SP6 (regulate period), SP8(regulate uterus, harm. blood for both stag & bleeding, LV3, REN4 & REN6=tonify & move qi & Blood, ST29, SP10, GB 34, SP14, LU7 & KD6 (open Ren & regulate Qi)
PC6 & SP4 (open Chong & regulate blood)

23
Q

Herbs for Dysmenorrhea d/t LV Qi Stagnation - Blood Stagnation - Pain

A

Qi Stagnation = Xiao Yao San (Rambling Powder)

Blood Stagnation = Tao Hong Si Wu Tang (four substance decoction with Safflower & Peach Pit)

24
Q
  1. Low abd. pain beofre, during, or after period started
  2. Pain & cold lower abd. referred to waist & back (uterus connected to KD)
  3. Alleviated by WARMTH
  4. Blood color is Dark Red, Scanty, with clots
    T: Pale or Pale Purple P: Deep, tight or deep choppy
A 
Excess Cold
Deficiency COLD (SP & KD Yang Def) - may be also Damp Cold
25
Q

TP for Dysmenorrhea d/t Excess Cold

A

Warm Uterus, Dispel Cold, Activate Blood, Stop Pain

26
Q

Points for Dysmenorrhea d/t Excess Cold

A

SP6, LU7, KD6, RN4&RN6 (Moxa), ST29 (Period Point), SP8, UB23(moxa) ST36, DU4

27
Q

Formula for Dysmenorrhea d/t Excess Cold

A

Wen JIng Tang (Warming the Menses Decoction)

Moves Blood, Activates Blood, Tonifies Yin
Also treats Whole Body Yin Deficiency

  • Cold is EXCESS
  • Body Constitution is Deficient
28
Q
  1. Abdominal Pain before or during Period
  2. Refuses to be Touched
  3. Period is THICK, Heavy Yellow Vaginal discharge, Foul Smelling
  4. Short Cycle
  5. Heavy Thick Period (Heat in Blood)
  6. Bright red blood with small clots
  7. Burning sensation extend to sacrum
  8. Feeling of Heat, Thirst, Scanty dark urine
  9. Irritability & mental restlessness
    T: Red with sticky yellow coat P: rapid,slippery
A

Damp Heat with Blood Heat (Toxicity)

Excess

29
Q

TP for Dysmenorrhea d/t Damp Heat with Blood Heat

A

Clear Heat, Resolve Damp, Eliminate blood stasis to stop pain

30
Q

Points for Dysmenorrhea d/t Damp Heat with Blood Heat

A

SP6, LU7, KD6, RN3, SP9, ST28(water passage), UB32, LI11, SP8, LV3, SP10, RN12 (Reg. SP/Damp)

31
Q

Formula for dysmenorrhea d/t Damp Heat with Blood Heat

A

Er Miao San variation (Two Wonderful Powder Variation)

32
Q
  1. Dull Pain (during, at end, or after period)
    2 Empty & pulling dragging down on lower abd.
  2. Blood color is light, scanty
  3. Pale Face, Pale lips and Tiredness
  4. Dizziness, Loose Stool
    T: Pale P: Weak (thready) and/or choppy
A

Dysmenorrhea d/t QI & BLOOD DEFICIENCY

After Chronic Disease creates manifestations of Yang Deficiency

33
Q

TP for Dysmenorrha d/t Qi & Blood Def

A

Tonify Qi & Blood

34
Q

Points for Dysmenorrhea d/t Qi & blood Def

A

SP6, 8, ST36, REN4, UB17, UB32, RN6 (t. qi & blood) LV8, UB18, 20, 23,

35
Q

Formula for dysmenorrhea d/t Qi & Blood Def

A

Ba Zhen Tang (Eight Precious Decoction)
4 substance plus
4 gentlemen

36
Q
  1. Lower abd. pain at the end or after period
  2. Pain radiates to Back
  3. Dizziness
  4. During period, scanty flow, pale, no clots
  5. Pain relieved by massage, pressure & warmth
  6. Dull Headache, blurred vision, dizziness
  7. Feels Cold
  8. Tired & Loose Stool
    T: Pale, swollen P: Fine & Deep
A

Dysmenorrhea d/t LV BLOOD & SP YANG DEFICIENCY

37
Q

TP for dysmenorrhea d/t LV Blood & SP Yang Deficiency

A

Tonify LV & SP
Warm Yang
Nourish Blood

38
Q

Points for Dysmenorrhea d/t Lv Blood & SP Yang Deficiency

A

SP6, RN4, 6, 12, LV8, UB17, 18, 20.

LU7, KD6

39
Q

Formula for Dysmenorrhea d/t LV Blood & SP Yang Deficiency

A

Dang Gui Jian Zhong Tang (Angelica Strengthening the Centre Decoction)

Gynecology (18 decks)

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