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E&P final > Infertility > Flashcards

Flashcards in Infertility Deck (40):
1

Definition of infertility

Defined as the:
inability to produce offspring in a woman who has been trying for two years… (one year in bio-med)
who has a normal sexual life…
and a partner who has normal reproductive function.

2

Etiology of infertility (6)

1) Constitutional weakness -
Weakness of KD Essence the basis for Heavenly Water Tian Gui; a congenital weakness of pre-Heaven Jing
2) Overwork
Inadequate rest, poor diet depletes KD Yin
3) Excessive physical work weakens SP/KD Yang
4) Excessive sexual activity at an early age
Before and during puberty up until age 18; weakens Kidneys and damages the Ren and Chong Mai
5) Invasion of Cold
6) Diet

3

When does Jing ripen?

Jing ripens as a young girl reaches puberty, filling the Chong Mai with Blood, the Ren Mai with Qi and the periods begin;

4

What is rapidly consumed by the forming fetus?

jing, blood, yin

5

Is the pathology of infertility xs or xu?

It is both! (tricked ya!)

6

What is the infertility pathology of xu?

Lack of vital, essential substances - blood and or essence

7

What is the infertility pathology of xs? (5)

1) Cold
2) Blood heat
3) Dampness
4) Qi Stagnation
5) Blood Stasis

8

How does cold affect infertiltiy?

Cold, a frequent cause, obsturcts the uterus and its channels dampens the fire of gate of life

9

what is the pulse for both full and empty cold

full cold pulse - full and tight
empty cold pulse -weak, tight on left rear

10

how does blood heat affect infertility?

adverse condition for fertilization

11

how does dampness affect infertility?

invades the body from the lower jiao - damp heat obstructs qi and blood

12

how does qi stagnation affect infertility?

LV qi stagnation obstructs the ren/chong

13

how does blood stasis affect infertility?

blood stasis obstructs uterus and channels, phlegm also

14

What are the 4 TCM and western connections?

1) KD XU - absence or irregularity of ovulation
2) Damp-Heat = blockage of Fallopian tubes
With possible Fire poison and stasis of Blood
3) Blood Stasis, Phlegm = uterine myomas
4) Damp Heat, Stasis of Blood = Pelvic adhesions

15

What are the 4 ways you treat infertility?

1) Treat the Kidneys, the wax and wane of Yin/Yang through the phases of the menstrual cycle
2) Du, Ren and Chong Mai are the basis for follicle development, ovulation and corpus luteum development
3) Yin: Ren/Chong Mai, basis for follicles, ovum, corpus luteum
4) Yang: Du Mai, force of transformation, maturation of follicles and corpus luteum, expulsion of ovum

16

what are the 3 XU infertility patterns?

KIDNEY YANG DEFICIENCY
KIDNEY YIN DEFICIENCY
BLOOD DEFICIENCY

17

what are the 5 XS infertllity patterns?

COLD in UTERUS
DAMP in LOWER JIAO
BLOOD HEAT
STAGNATION of QI
STASIS of BLOOD

18

What are the sx of kd yang xu?

Prolonged menstrual cycle, period is scanty or heavy, backache, dizziness, feeling cold, depression, frequent urination
T: Pale, swollen, wet
P: Deep, weak

19

What are the point selections for KD yang xu?

KD 13, KD 3, BL 23, BL 52, CV 4, GV 4, LU 7, KD 6, CV 8

20

What are the sx of kd yin xu?

Long term infertility, periods early, scanty, with light colored blood, 5 palm heat, night sweating, dizziness, tinnitus
T: Red without coating
P: Floating Empty or Rapid Fire

21

What are the points for kd yin xu?

CV 4, CV 7, KD 3, KD 13, SP 6, LU 7, KD 6, BL 52

22

what are the sx of blood xu?

Scanty periods, pale blood, delayed cycle, tiredness, depression, dizziness, pale complexion, blurred vision
T: Pale and thin
P: Choppy or Fine

23

what are the points for blood xu?

CV 4, ST 36, SP 6, KD 13, BL 20, BL 23, BL 17, moxa
Zi Gong: 3 cun lateral to CV 3

24

what are the sx for cold in the uterus?

Primary infertility, delayed cycle, scanty period, small clots, painful period, better with heat, feeling colder during period, pale face, feeling cold, sore back
T: Pale, thick white coat
P: Weak, tight

25

what are the points for cold in uterus?

CV 2, CV 4, GV 4, KD 7, BL 23, CV 7, moxa

26

what are the sx of dampness in lower jiao?

Irregular periods, delayed cycle, mid cycle pain, vaginal discharge, long term infertility, adhesions, obesity, feeling of heaviness
T: Sticky coat
P: Slippery

27

what are the points for dampness in the lower jiao?

CV 3, ST 28, SP 9, SP 6, CV 9, LU 7, KD 6, ST 30, KD 14, BL 32
If Damp Heat in Lower Jiao: GB 41, TW 5, GB 26. For Fallopian tube obstruction: BL 32 - and CV 4 + with EA, patient on lying on side

28

what are the sx of blood heat?

Early periods (short cycle) up to twice a month, heavy flow, feeling hot during period, thirst, mental restlessness
T: Red
P: Rapid, overflowing

29

what are the points for blood heat?

LI 11, SP 10, KD 2, LIV 3, SP 6, PC 3, BL 17, CV 4, LU 7, KD 6

30

what are the sx for qi stagnation?

Irregular periods, pre-menstrual tension, painful periods, breast distention, irritability
T: normal color or slightly Red on sides; if stagnation arises from Blood def.=pale sides
P: Wiry, or choppy if Blood def.

31

what are the points for qi stagnation

LIV 3, GB 34, TW 6, PC 6, CV 6, CV 4, KD 14, SP 4

32

what are the sx of blood stasis?

Irregular and painful periods, dark blood with clots, irritability, manic behavior, mental restlessness, abdominal pain
T: Purple
P: Wiry or Choppy

33

what are the points for blood stasis

LIV 3, GB 34, BL 17, SP 10, SP 6, PC 6, SP 4, TW 6, CV 6, CV 4,
KD 14, ST 29, KD 6

34

What pattern is the easiest to treat?

blood xu

35

what pattern is the most difficult to treat?

dampness - it corresponds to PCOS

36

What is the western definition of primary infertility?

female partner has never conceived

37

what is the western definition of secondary infertility?

when woman has had a pregnancy

38

What are the 7 hormonal factors with infertility?

ovulatory failure
tubal abnormalities
uterine factors
cervical factors
hypothyroidism
hyperthyroidism
endometriosis

39

What are the 3 western causes of male sterility?

1) deficient sperm count
2) insufficient motility of the sperm
3) poor morphology of the sperm

40

what are the 2 TCM causes of male sterility?

1) KD xu
2) Damp heat in the genital system