pre-midterm Flashcards
(52 cards)
for early menses due to excess heat and liver depression heat, what will the quantity and quality of blood be like?
bright red or dark red color (the darker the color the more heat there is), heavy quantity, blood clots for liver depression heat, not so many blood clots for excess heat.
what is the patient demographic for early menses due to heat (liver depression or excess heat)
younger adults in their 20’s (excess heat)
teenager and college students (liver depression heat)
for early menses due to heat in the blood (chong & ren), what are the two patterns that exist in this category?
excess heat and liver depression heat
for excess heat causing early menses, what formula could we use
Qing Jing San
for liver depression heat causing early menses, which formula could we use
Jia Wei Xiao Yao San
for early menses due to spleen qi deficiency, what will the quantity and quality of blood be like?
Blood appears normal color at first, however the longer the cycle continues to be irregular, the paler the blood can get - pinkish. At first the blood may be heavy, and as time goes on, it becomes lighter and more watery. Very thin quality
what is the patient demographic for spleen qi deficiency causing early menses
middle age woman, before menopause; may have long term emotional or other chronic disorder.
what formula would we use for early menses caused by spleen qi deficiency
Bu Zhong Yi Qi Tang
if the patient has early menses due to spleen qi deficiency and leading to heart qi deficiency, how would we modify BZYQT
remove chai hu and sheng ma and add long yan rou, fu shen, and yuan zhi
if the patient has early menses due to spleen qi deficiency and leading to kidney qi deficiency, how would we modify BZYQT
add tu si zi, du zhong, gou qi zi
for early menses caused by yin deficiency, what is the quality and quantity of blood like?
scanty, brown in color, thin quality, heavy flowing in beginning, no big clots
what is the patient demographic for early menses caused by yin deficiency
young girls (because there is an underlying kidney deficiency); also may see in peri-menopause women also because of kidney deficiency.
what formula would we use for early menses caused by yin deficiency
Liang Di Tang
what is the prognosis for the early menses due to yin xu patients?
young girls have a better prognosis than peri-menopause.
add kidney tonics to Liang Di Tang for peri-menopause women - tu si zi, du zhong, etc.
what are the four patterns that can cause late menses caused by blockage
cold, qi stagnation, blood stasis, phlegm
for late menses caused by qi stagnation, which formula would we use?
chai hu shu gan can or xiao yao san
for late menses caused by blood stasis, which formula would we use?
chai hu shu gan can or xiao yao san
PLUS
tao hong si wu tang
for late menses caused by qi and blood deficiency, what is the quality and quantity of blood?
blood is light in color, very pale and thin like water
what formula would we use for late menses caused by qi and blood deficiency?
Ba Zhen Tang (SWT + SJZT)
what formula would we use for late menses caused by kidney essence deficiency + qi and blood deficiency?
Zuo Gui Wan
what are the single herbs in LWDHW
shu di shan yao shan zhu yu fu ling mu dan pi ze xie
would LWDHW be enough for someone with late menses caused by kidney essence deficiency?
no, we should use either zuo gui wan or add rou cong rong to liu wei di huang wan
what are the three patterns which can cause painful menses due to blockage?
pure excess cold, partial excess cold and deficiency cold, deficiency cold
severe pain which is stabbing, cramping or shooting; mostly localized in lower abdomen; interferes with patient’s ability to perform daily activities; pain may begin one or two days before period and last into start of menses. Pain is alleviated with heat. Patient may have acne, red tongue, pt feels hot, may have constipation and have a tight pulse.
blockage of excess cold causing painful menses
