Week 2 Flashcards
(133 cards)
1
Q
Menorrhagia means _________ menstrual flow
A
Excessive
2
Q
The average amount of blood loss is 80 ml and 3/4 of this is during which days?
A
1&2
3
Q
Anything greater than __ml is considered Menorrhagia
A
80
4
Q
Define excessive period
A
Heavy bleeding during the period
within the 5 day long menses
5
Q
Define flooding
A
Sudden onset, profuse bleeding usually without warning, flooding may happen outside of the regular flow
6
Q
Bleeding outside the expected menstrual cycle is known as ____________
A
Metrorrhagia
7
Q
What are the treatment principals for both Menorrhagia and Meteorrhagia
Excessive bleeding within the cycle and flooding within or out of the menstrual cycle
A
Cool blood = heat in the blood = sudden onset bleeding
contain blood
clear heat
nourish qi and blood
8
Q
Metrorrhagia is more likely to be caused by ____
A
Heat
9
Q
Meno= _________
A
Excessive
10
Q
Metro=
A
Bleeding outside of when is expected
11
Q
Rhagia = ________
A
Bleeding
12
Q
If you have heat in your blood what color will your menses be?
A
Bright red
13
Q
Fire can dry up the ___________
A
Endometrium
14
Q
If the endometrium is dried up is cant absorb _____, causing clots, even when there are signs on heat in the period
A
Blood
15
Q
Brown spotting before the period indicates ____ deficiency
A
Yang
16
Q
Any bleeding that comes without trauma is an indicator of ____
A
Fire
17
Q
Emotional strain causes __________ and this creates fire
A
Qi stagnation
18
Q
The _____ governs the free flow of Qi and stores the blood.
Qi stagnation will typically affect the _____
A
Liver
Liver
19
Q
Emotional Qi stagnation will also lead to ____ ______
A
Blood stasis
20
Q
Blood stasis will prevent the ______ from adsorbing new blood
A
Uterus
21
Q
If the Uterus cannot absorb new blood, it will have to find somewhere else to go, causing uncontrolled ________
A
Bleeding
22
Q
What are the two main factors that weaken the liver and kidney?
A
Overwork / excessive sexual activity
23
Q
Yin deficiency leads to _____ heat
A
false
24
Q
Empty heat may cause blood to become reckless in the same way as blood heat
T-F
A
T
25
Spleen point used to contain blood in the vessels
Spleen 8
26
Childbirth can also weaken _____ & ______
Kidney and Liver
27
How many cycles does it usually take to see a change when having treatment
3
28
```
With meno & metrorrhagia we want to
1-Stop bleeding
2-Eliminate Stasis
3-Calm blood
4-Nourish blood
```
Do we do all of these steps in one treatment?
No,
First 1&3
Then 2&4
29
Menorrhagia can be only excess
| T/F
False, it can be excess or deficiency
30
Chronic illness depletes the ______ and inhibits the ability to control ____
Spleen and Blood
31
Blood loss from childbirth will lead to _____ and ____ deficiency
Blood and Yin
32
Excessive bleeding from Qi deficiency will lead to _____ deficiency
Blood
33
Since _____ is the mother of __ blood deficiency will lead to qi deficiency further exacerbating the condition
Blood is the mother of QI
34
What are the 4 major causes of Menorrhagia?
Blood Heat
Qi Deficiency
Blood Empty heat
Blood Stasis
35
With signs of blood heat, there will be sudden flooding often outside of the expected cycle and a trickling red flow for a long time after the expected period end date, what are a few more signs of Blood Heat
```
Dark urine
constipation
bright red period
Thirst
Red face
Irritation
Agitation
Red T No coating
Rapid and overflowing
```
36
Treatment for Blood heat
Clear heat
Stop bleeding
Cool blood
37
Signs of Blood Empty Heat include Sudden flooding outside of expected dates and trickling for many days after expected end, what are a few more signs of Empty Blood Heat
```
Fresh red color
Watery consistency
Mental restlessness
Evening heat - yin xu causing heat
Malar flush
Scanty dark urine
Dry stool
Red T no coating
P Floating and empty
```
38
Treatment for Blood Empty heat
Clear empty heat
stop bleeding
cool blood
nourish yin
39
Blood Stasis is an excess condition that causes hesitant start and intermittent flow, when it stars again after stopping it comes with a flood it also has a trickling flow for a long time after the expected period end date. What are other symptoms of Blood Stagnation?
```
Pre-menstrual pain
Dark & clotted
Abdominal distention
dark complexion
T Purple & Red
P Choppy
```
40
Treatment principle for Blood Stasis
Move blood
Eliminate Stasis
Stop bleeding
41
Another excess condition of meno and metrorrhagia is Damp Heat in the Uterus this will cause the menstrual bleeding to be either scanty*** or abundant**
Patient will have ___ cycle bleeding
______ blood mixed with significant amounts of mucus
Color of the mucus will be ______ or _____ Premenstrually
Mid cycle bleeding
Sticky blood
yellowish or brown
42
With damp heat in the Uterus there will be clots
| T/F
False
43
Damp Heat in the uterus will cause the patient to have what kind of feelings in the lower abdomen
Heavy and dragging
44
Will there be pain with Damp heat in the uterus?
Yes, Burning pain in the lower abdomen
45
Will there be any mucus with DH in the uterus?
Yes, significant amounts
46
DH in the uterus will be accompanied with ______ urination
Burning
47
What will the urine be like with DH in the uterus
Dark & scanty
48
Tongue and pluse with DH in the Uterus
T C sticky yellow coating
| P Slippery
49
Treatment for Damp heat in the Uterus
Clear heat
Resolve damp
cool blood
stop bleeding
50
Deficiency types of Menrorrhagia and Metrorrhagia
Spleen not holding blood
Kidney Yang Xu
Kidney Yin Xu
51
Spleen not holding blood
| The period would come with a _____
Flood
52
After the initial flood from Spleen not containing blood would there be any more bleeding?
Yes a trickle for along time after the expected end date
53
What would the patients period be like if the Spleen isn't holding blood?
Flooding
post trickle
pale
watery consistency
54
Spleen not holding blood comes with other Spleen indicators, name a few
Tiredness
No appetite
Loose stool
Slight dizziness
55
What will the T & P show with Spleen not holding blood
T Pale with teethmarks
| P Weak
56
Treatment plan for Sp not holding blood
Tonify Qi
Strengthen spleen
Nourish blood
Stop bleeding
57
Someone with Spleen not holding blood would also ______ easily
Bruise
58
Spleen Qi deficiency can move into ______ yang deficiency
Kidney
59
Kidney Yang deficiency can manifest as ________ before the period
Spotting
60
Yang needs to ____ to ____ and turn into Yin ( Period )
| If ____ takes weeks to rise ovulation will be delayed
Rise to Fall
| Yang
61
Kidney yang Xu M&M will have Prolonged bleeding
trickling after the period has ended
Late onset
Pale blood
What are some other Kidney Yang xu symptoms?
```
Feeling cold
Lower back pain
Pale complexion
weak knees
pale urine
```
62
What will show on the T & P with Kidney Yang xu
T Pale & Swollen
| P Deep & weak
63
Treatment for Kidney Yang xu
Tonify and warm Kidneys
| Consolidate the Chong and stop bleeding
64
Kidney Yin deficiency will have trickling after the regular flow
T/F
True
65
Kidney Yin xu will cause an early flow
| T/F
False, it will cause a late flow
66
What will the period consistency and color be with Kidney Yin xu?
Fresh red and Watery
67
What are some symptoms of Kidney Yin deficiency?
```
Night sweats
dizziness
tinnitus
weak knees
evening heat
Hot flashes
Malar flush
mental restlessness
```
68
T & P with Kidney Yin Xu
T Red no coating
| P Empty and floating
69
Treatment for Kidney Yin xu
Nourish Yin
strengthen Kidneys
stop bleeding
70
Using Moxa is recommended for Kidney Yin xu
| T/F
False, we dont use Moxa when there is heat or false heat
71
Hypomenorrhea is the _______ of the menstrual flow
deficiency
72
What would the period length and consistency be with Hypomenorrhea
3 days or shorter with extremely light or scanty flow
73
Does Hypomenorrhea directly affect fertility?
No
74
Although Hypomenorrhea does not directly affect fertility, It can indicate abnormally low _________, High prolactin levels, low thyroid hormone or irregular ovulation
Oestrogen
75
Most oral contraceptives inhibit _______ production, therefore prevents ___________ lining from developing
Oestrogen
| Endometrium
76
The TCM diagnosis for Hypomenorrhea and Amenorrhea are different
T/F
F, they are the same, Just Amenorrhea is on the extreme end of the spectrum
77
What is Amenorrhea
The absence of a period
78
The two types of Amenorrhea are _______ and _________
Primary and secondary
79
Primary Amenorrhea is the absence of a period in females over age __
18
80
Secondary Amenorrhea are periods that don't return after _________ or ___________.
OR they stop without obvious cause and do not start again within _ months
Childbirth
Medications (Typically contraceptives but not exclusively )
3 months
81
Typically Amenorrhea maybe due to an __________ disorder - not functioning, delayed ovarian stimulation, blockage preventing __________
Ovulation
| Ovulation
82
Absence of period due to menopause is Amenorrhea
| T/F
F
83
Failure to produce eggs ( and therefore stimulate a menstrual cycle ) is due to
1- ______ / Blood Deficiency
2-Interruption in the ____________-_________-_______ Cycle due to HT/LV qi stagnation
3-______-____ accumulation in the Fallopian tubes
4- _____ stagnation
Kidney
Hypothalamus-Pituitary-Ovarian
Damp heat
Blood stagnation
84
Can someone ovulate but not be able to produce eggs?
yes
85
____ xu is one of the biggest reasons for Amenorrhea
Jing
86
What is a primary question to ask a female with Amenorrhea?
Do you ovulate?
87
Deficiency Amenorrhea causes
Kidney Jing deficiency
Kidney yin & Yang xu
Blood Xu
88
Tian Gui means ________ _____, Pre and post heavenly qi + Kidney yin water which is _______ and _________ fluid, fails to arrive to fill up the Chong and Ren
Heavenly water
| Seminal and menstrual fluid
89
With Secondary Amenorrhea Chong and Ren is there but the foundation in not soild
T/F
True
90
Jing produces Bone Marrow, DNA and Stem cells
91
Jing deficiency = _____ deficiency = Empty _____ vessel = No period
Blood xu
| Chong
92
Jing is the vital component in producing _____ from ______
Blood from Marrow
93
Jing xu is a much longer term and more deep seated
| T/F
T
94
What causes premature menopause
Jing xu
95
If a female suffers from premature menopause or primary ovarian failure due to Jing XU will their body respond to hormone medications?
No
These women will not respond to the medication as the foundation is not there, there are either no follicles to stimulate or those that ware present refuse to respond to the hormones
96
Shock can cause Amenorrhea
| T/F
True
97
What is Hypothalamic Annovulation
Hypothalamic amenorrhea is a condition in which menstruation stops for several months due to a problem involving the hypothalamus. The hypothalamus is in the center of the brain, controls reproduction
98
What rebuilds blood?`
Yin
99
Kidney ___ deficiency is the most common cause of Amenorrhea
Yin
100
Yin becomes deficient due to ________ or __________
Lifestyle or constitution
101
Phase 1 & 2 of the menstrual cycle are the ___ phase, where _____ is replenishing and building and follicles are maturing
Yin
| Blood
102
Most commonly blood xu Amenorrhea is due to a severely compromised ______ qi
Spleen qi
103
___ is required for eggs to ripen
Yin
104
___ is required for the production of clear fertile mucus
Yin
105
___ is necessary to produce _____ to rebuild, thicken and nourish the ___________
Yin
Blood
Endometrium
106
Yin deficiency causes the _____ and ________ _____ to dry up
Blood and cervical mucus
107
We can reverse premature menopause by 5 years by clearing the heat and tonifying yin
T/F
True
108
___ Xu leads to ____ xu
Yin xu leads to yang xu
109
Deficiency of one ______ will lead to the other
| First Yin _______ then Yang
Kidney
| Kidney
110
```
Kidney Yin xu =
Infrequent periods
LBP
No fertile mucus
dizziness
5 palm sweats
night sweats
```
111
What will the T & P show with Kidney yin xu
T Red no coating
| P Floating and empty
112
Nourish ___ to nourish _____
Yin
| Blood
113
Yin xu can give rise to heat in the _____ or _____ or both which compund the ____ yin
Heart or Liver
| Kidney yin
114
Over time ___ xu leading to ____ deficiency is considered an advanced condition which is harder but not impossible to treat
Yin
| Yang
115
Yin to yang collapse Patient will present with...
```
Fatigue
vertigo
palpitation,
blurred vision
LBP
Odema
as well as kidney Yin xu symptoms
```
116
Treatment for Kidney yin xu
Nourish yin and nourish blood
117
When there is no period we lay the necessary foundations by invigorating ___ and _____ since these are the drivers behind the first half of the cycle
Yin and blood
118
________ and ___ maturation relies on ___ and _____ without these there would be no menstrual cycle
Follicle and Egg maturation rely on YIn
119
The patient can also take ___ tonics for the first of the cycle and ____ tonics for the second half
If there is still no period after 2 weeks of Kidney yang tonic and blood regulating herb return patient to ___ tonics
Yin for 2 yang for 2
| back to Yin for 2
120
Once fertile mucus starts to appear again, increase Kidney ____ focus while strongly nourishing Kidney ___
Yang
| Yin
121
Blood Deficiency Amenorrhea that causes ovulation disturbance is due to Kidney ___ and sometimes ____ xu
Kidney yin and JIng
122
When Kidney yin xu is the cause of blood xu which would we treat first
Kidney Yin xu
Blood XU would be the secondary
so we treat the underlying kidney first
123
Blood XU can cause _________ dsturbance
Ovulation
124
Blood deficiency is due to Yin deficiency BUT someone does not have to be blood deficient to be yin deficient
T/F
True
125
There are occasions where blood deficiency would be the primary cause of Amenorrhea, what are they
```
Childbirth
Significant injury
Physical trauma
Abortion
Miscarriage
```
126
Blood Xu is most commonly from ______ qi deficiency
Spleen qi xu
127
What age do we most commonly see Blood xu
20-30 year olds
128
Blood deficiency can be due to Physical strain, training, long periods of overwork and or under nutrition
T/F
True
129
Blood deficiency symptoms
```
Pale complexion
dizziness
fatigue
poor diet
restless, dreamful sleep
Anxiety
Cold extremeties
bloating
poor appetite
```
130
What does the T & P show when there is blood Xu
T Pale
| P Thready
131
Treatment plan for Blood xu
Nourish blood
Nourish spleen qi
support kidneys
132
____ can be a huge factor in Amenorrhea, young women who are too busy to eat a spleen and blood nourishing diet, often forced to eat on the run or while at the desk burning the candle at both ends and potentially dieting as well
Diet
133
Advocating balance between rest and work along with a blood nutrient diet can often be treatment enough <3
