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E&P III Final Exam > Acupuncture & Infertility > Flashcards

Acupuncture & Infertility Flashcards

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1
Q

TCM Pattern for absence or irregularity of ovulation?

A

Kidney Xu

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2
Q

TCM pattern for blockage of Fallopian tubes

With possible Fire poison and stasis of Blood?

A

Damp Heat

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3
Q

TCM pattern for uterine myxomas?

A

Blood stasis, phlegm.

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4
Q

TCM pattern for pelvic adhesions?

A

Damp heat, Blood Stasis.

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5
Q

True or False:

The Du Mai is responsible for follicular development, ovulation and corpus luteum development.

A

True: along with the Ren and Chong Mai

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6
Q

True or False: The Du Mai is responsible for the expulsion of the ovum?

A

True

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7
Q

True or False:

Du, Ren, Chong are all Yin?

A

False

Du = Yang

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8
Q

The easiest TCM pattern to treat for infertility?

A

Blood Deficiency

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9
Q

“Cold in the Uterus” typically occurs in which phase of menstruation?

A

Luteal or Progesterone Phase
(not enough Yang to warm the uterus)
Tx: Warm the uterus (can also be Phase 3)

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10
Q

True or False:

Nourish Qi in the follicular development stage (2)?

A

False: Tonify Kidneys and Nourish blood

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11
Q

Which phase is the follicular development phase?

A

Phase 2

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12
Q

Describe what happens during Phase 3 - Ovulation?

A
  1. Decline of Estrogen
  2. LH hormone surges
  3. Yin turns to Yang (temp. increase)
  4. Ovulation (egg is released)
  5. Egg implanted in uterine wall
  6. LH triggers progesterone
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13
Q

Acupuncture TX principle for Phase 3 - Ovulation?

A

Nourish and Invigorate Blood

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14
Q

Which stage is most YANG?

A 
Luteal Phase (4)
(Qi or Yang stage. One week post ovulation yang reaches it's peak)
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15
Q

How many days does the corpus luteum last?

A

14 days

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16
Q

If spotting occurs just prior to when period is due..what is the TX principle?

A

Strengthen Qi.

Spotting due to lack of Qi. This spotting is not considered Phase 1 b/c period has not really started.

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17
Q

What is progesterone responsible for in terms of a woman’s menstrual cycle?

A
  1. Builds lining of uterus in Luteal Phase (4)
  2. Tells pituitary to stop producing FSH
  3. Levels remain high for one week and drop off if pregnancy is not achieved
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18
Q

What hormone triggers progesterone?

A

LH (triggers Corpus Luteum to secrete progesterone Phase 3)

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19
Q

In which phase does LH surge?

A

Phase 3 - Follicular Maturity and Ovulation

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20
Q

Which is the shortest phase of menstruation?

A

Phase 3 - Follicular Maturity and Ovulation

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21
Q

Which phase it the most Yin?

A

Phase 2 - Follicular Proliferation or Development Phase

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22
Q

Which Phase is the Blood Phase?

A

Phase 1 (menstruation)

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23
Q

What is acupuncture TX principle in Phase One?

A

Invigorate Blood, and regulate menstruation. Move blood if too little. Stop blood if too much.

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24
Q

Acupuncture TX principle in Phase Two - Follicular Development?

A

Tonify Kidneys (and Liver), Nourish Blood (and Yin)

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25
What happens in days 1-4?
Menstruation
26
What Phase is the Follicular Development Phase?
Phase 2
27
In which phase does the pituitary begin making FSH and LH hormones to stimulate growth of new follicle?
Begins at Phase 1 (menstruation) and continues in Phase 2 (follicular)
28
How long does Phase 2 continue?
Until ovulation (around day 14)
29
What 3 Excess patterns can cause fallopian tube abnormalities?
1. Blood stasis 2. Blood Heat 3. Dampness
30
What 2 Deficiency patterns can cause hormonal disturbances of ovulation?
1. Kidney Def. | 2. Blood Def.
31
What TCM organ controls the wax and wane of yin & yang?
Kidneys
32
What EV(s) are the basis for follicles, ovum and corpus luteum?
Ren and Chong
33
What Ev(s) are the basis for follicular & corpus luteum development and ovulation?
Du, Ren, Chong
34
What TCM pattern is a uterine myoma?
Blood stasis or Phlegm | (myomas do not respond well to acupuncture if large) Affects Uterus and hormones
35
``` True or False: These conditions respond to acupuncture.. 1. Adhesions 2. Malformations 3. Hypoplasia 4. TB of uterus ```
False
36
Secondary infertility in western medicine is considered...?
Prior pregnancy
37
``` True or False: These three organs are responsible for fertility? 1. Hypothalamus 2. Pituitary 3. Ovary ```
True: they all release vital hormones
38
``` True or False: These three organs are responsible for ovulation? 1. Hypothalamus 2. Pituitary 3. Ovary ```
True: they all release vital hormones
39
Stress can primarily affects which gland? 1. Hypothalamus 2. Pituitary 3. Ovary
1. Hypothalamus
40
Tumors can affect the function of which gland? 1. Hypothalamus 2. Pituitary 3. Ovary
2. Pituitary
41
Absence of FSH receptors can affect the function of which gland? 1. Hypothalamus 2. Pituitary 3. Ovary
3. Ovary
42
True or False: | cervical mucus can be unreceptive to sperm?
True (considered a hormonal factor in infertility)
43
True or False: | Hyperthyroidism can cause infertility?
True: it creates Blood heat affecting LV & HT
44
True or False: | Adhesion to the endometrial can cause infertility?
True
45
TCM definition of infertility?
2 years
46
True or False: | During pregnancy Blood, Yin, Yang and Jing are all consumed?
False: | Only Blood, Yin and Jing
47
Prolonged scanty periods?
Kidney Yang Def.
48
Scanty pale delayed periods?
Blood Deficiency
49
Periods that are early, short, heavy (2x per month) are due to which TCM pattern?
Blood Heat
50
Periods that are early, scanty and with light blood are due to which TCM pattern?
Kidney Yin Deficiency
51
Irregular periods with dark blood and clots?
Blood stasis
52
Irregular periods with emotional issues?
Liver Qi Stagnation
53
Which TCM pattern? | Absence or irregularity of ovulation?
Kidney Deficiency
54
Which TCM pattern? | Blockage of fallopian tubes?
Damp Heat
55
Uterine Myomas?
Blood stasis or Phlegm
56
Pelvic Adhesions?
Damp Heat, stasis of blood
57
Which phase involves the atrophy of the corpus luteum?
Menstruation. Phase One
58
TX principle for Luteal Phase?
Tonify Kidneys, Consolidate the Ren and Chong Mai
59
Which phase? Pre-menstrual phase, corpus luteum develops and secretes progesterone.
Luteal Phase
60
Cold in Uterus: Primary or Secondary infertility?
Primary
61
TCM pattern for Delayed cycle, scanty period, small clots, painful.
Cold in Uterus
62
Irregular periods, delayed, mid cycle pain, discharge.
Dampness on Lower Jiao
63
Most difficult infertility pattern to treat?
Dampness (polycystic ovarian disease)
64
What are the four phases of menstruation?
1. Menstruation 2. Follicular Development 3. Ovulation 4. Luteal
65
What are the four TCM phases of menstruation?
1. Blood Phase 2. Most Yin Phase - Blood and Yin Empty 3. Yin to Yang Phase - Blood and Yin fill Ren and Chong 4. Most Yang Phase - Yang Qi and Live Qi Rises
66
What hormone correlates to each phase?
1. Estrogen / LH, FSH begin 2. Estrogen / LH, FSH 3. LH and FSH Peak / Estrogen declines / Progesterone begins 4. Progesterone
67
What are current WHO standards for male infertility?
1. Volume more than 1ml 2. Count: more than 20 mill per ml 3. Motility: more than 50% 4. Morphology: more than14%
68
Prolonged illness and taxation causes what TCM pattern?
Qi and Blood Def.
69
Improper Diet causes what TCM pattern?
Damp Heat pouring Downward
70
Phlegm Turbidity causes what TCM pattern?
Blood stasis obstructing semen
71
Congenital Deficiency causes what TCM pattern?
Deficiency of Essential Qi.
72
Debilitation of Life Gate Fire causes what TCM pattern?
Essential Qi deficiency
73
What organ stores essence and governs reproduction?
Kidney
74
Tian Gui refers to what in men?
Seminal fluid | menstruation in women
75
What needs to be abundant in order for Tian Gui to arrive?
Kidney Qi
76
Tian Gui enters what?
Ren and Chong
77
Excessive sexual activity can lead to what TCM pattern?
Essential Qi Deficiency Cold due to Debilitation of Life Gate Fire
78
Excessive consumption of alcohol, greasy food damages the SP & ST, especially in overweight and obese can lead to what TCM pattern?
Phlegm Turbidity and Blood Stasis Obstructing Semen
79
Prolonged illness or physical injury can lead to what TCM pattern?
Phlegm Turbidity and Blood Stasis Obstructing Semen
80
Excessive consumption of alcohol or greasy and spicy foods damages SP and ST causing damp-heat and phlegm that pours downward affecting the quality of seminal fluid
Damp-Heat Pouring Downward due to Improper Diet
81
Essence is derived from?
Blood
82
Qi and Blood may become deficient due to insufficient Spleen Qi, SP & ST damage, constitutional deficiency or poor recovery from illness - what TCM pattern?
Qi and Blood Deficiency due to Prolonged Illness of Taxation
83
Essentially, infertility results from what?
Essentially: infertility results from Kidney Qi deficiency with a failure of Yin essence transformation
84
The key to male infertility lies at what organ's deficiency?
Kidney
85
Deficiency at the Root, Excess at the Branch | Root
Root Tx: Kidney and Spleen | Branch Tx: Invigorate Blood, transform stasis, clear heat, disinhibit dampness, transform phlegm
86
For male immune infertility ASA (anti-ssperm antibodies what two organs do yo treat?
Kidney and liver (invigorate blood, free the collaterals) BL 18, BL 23, LV 3
87
TX principle for Abnormal Semen?
Tonify KD and essence, regulate Yin and Yang CV 4, KD 12, SP 6
88
Low Sperm Count?
Fortify SP, tonify KD, invigorate blood, dispel dampness BL 23, CV 4, BL 20, ST 36
89
Is male infertility one issue or many?
Many. 16

E&P III Final Exam (9 decks)

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