Week 3 Flashcards
(200 cards)
1
Q
______ yin is the most common cause of Amenorrhea
A
Kidney
2
Q
Shock can cause Amenorrhea by causing Yin xu in the heart and liver
T/F
A
True
3
Q
The biggest cause of Kidney yin xu Amenorrhea is ___________ __________
A
Hyopthalamic Annovulation
4
Q
WHat are two things that can cause Hypothalamic Annovulation?
A
Sudden weight loss
Prolonged illness
5
Q
Yin can become depleted due to _________ factors or it can be _____________
A
Lifestyle
Constitution
6
Q
Phases _ and _ are the Yin phase where blood is replenishing and building, and follicles are maturing
A
1 and 2
7
Q
___ is required for eggs to ripen
A
Yin
8
Q
___ is required for the production of fertile mucus
A
Yin
9
Q
___ is necessary for the production of blood to rebuild and thicken the ___________
A
Yin
Endometrium
10
Q
Signs of Kidney yin xu
A
No fertile mucus dizziness LBP infrequent or no period 5 palm sweats night sweats Red T no coating
11
Q
___ xu leads to ____ xu
A
Yin xu leads to yang xu
12
Q
Deficiency of one Kidney will lead to Xu of the other, Which one would be depleted first?
A
Yin then yang
13
Q
Yin xu can give rise to heat in the _____, _____ or both, which compound Kidney Yin
A
Heart or Liver
14
Q
_____ and _____ fire can cause agitation, irritability and insomnia
A
Heart and liver fire
15
Q
Dryness of blood, cervical mucus and constipation are signs of _____ and _____ fire
A
Heart and liver fire
16
Q
Over time prolonged deficiency of ___ will lad to ____ collapse
A
Yin
Yang
17
Q
Yin xu leading to yang xu is considered an advanced condition and is impossible to treat
T/F
A
False, it can be harder to treat but is possible
18
Q
Symptoms of Kidney Yin and Yang xu
A
Yang xu- Fatigue vertigo palpitation blurred vision LBP Oedema
as well as the kidney yin symptoms
19
Q
The first part of treatment for KD yin / Yang xu Amenorrhea
A
Reinforce yin and nourish blood
20
Q
When there is no period we lay the necessary foundation by invigorating ___ and _____ since these are the drivers behind the first half of the cycle
A
Yin and Blood
21
Q
________ stimulation and ___ maturation relies onyin and blood and without these there would be no menstrual cycle
A
Follicle and Egg
22
Q
With herbal tonics the patient takes Kidney ___ and _____tonics for the first two weeks mimicking the natural cycle
A
Kidney yin and blood
23
Q
For the 2 second weeks the patient is switched to Kidney ____ tonics
A
Kidney yang
24
Q
If there is still no period after the month of Kidney yin and yang tonics the patient will return to taking the Kidney ____ tonics
A
Yin
25
With Acupuncture follow the same protocol- Mimicking the ___ phase for 2 weeks and then the ____ phase for two weeks and repeat until the natural rhythm is acheived
Yin
| Yang
26
Yang Xu Amenorrhea
| ______ and ______ Yang xu will impede menstrual flow
Spleen and Kidney
27
___ needs to rise due to progesterone
BBT
28
If ____________ is xu Yang will not rise and will take longer for the cycle to function
Progesterone
29
The patient will feel more ________ than ____
Fatigued then Cold
30
Patient will prefer ______ and ________
Warmth and pressure
31
With Yang xu the pulse will be ____ and ____
Deep and slow
32
With Kidney Yang xu Patient will not feel ___________ at all. They will have no change in hormones to be aware of
Premenstrual
33
Treatment for Kidney yang xu
Tonify nourish Spleen and Kidney
| Lift yang and Qi
34
Blood Stagnation deficiency Amenorrhea develops as a long term retained ____, retained ____-____ or Kidney xu
Cold
| Damp heat
35
With blood stagnation amenorrhea the _____ vessel will not be filled or emptied completely
Chong
36
Not having the Chong vessel filled or emptied completely will negatively impact the function of the _____ since it controls blood circulation
Heart
37
The _____ also controls the _________ Gland so irregular messages to the ovaries may occur and destabilize the cycle
Heart
| Pituitary gland
38
The pulse with Blood stagnation Amenorrhea would be _____ and _______
Tight -Cold
| thready blood xu
39
With blood stagnation the tongue will be ______
Purple
40
Once fertile mucus starts to appear again, increase Kidney ____ focus while still strongly nourishing ___
Yang
| Yin
41
Blood deficiency that causes ovulation disturbances is due to Kidney ___ and sometimes jing xu
Kidney yin
42
Therefore Blood deficiency is secondary, and the treatment principle is to treat the underlying ______ yin
Kidney
43
There are occasions where blood xu is a primary cause of __________
This may be following significant injury or physical trauma ie ________, ___________, __________
Amenorrhea
Abortion
miscarriage
childbirth
44
Most commonly true blood deficiency Amenorrhea is due to ______ qi xu
Spleen qi xu
45
Blood is yin
Blood deficiency is actually due to Yin xu
but you do not have to be Yin xu to be blood deficient
T/F
True
46
At what age do we most commonly see blood deficient women?
20-30
47
What is Spleen qi xu due to?
```
Physical strain
intensive physical training
long periods of overwork
and or under nutrition, vegan, vegetarian
Following long term illness
```
48
Signs of Blood deficiency
```
Pale
dizzy
fatigue
poor diet
overwork
restless dreamful sleep
anxiety
cold limbs
abdominal bloating
poor appetite
```
49
Tongue and pulse with blood deficiency
T- Pale
| Pluse - Thready
50
Treatment principle or blood deficiency
```
Nourish blood, spleen qi and kidneys
R12
STM 36
BLD 20
SP 6
KD 13
STM 30
HT 7
```
51
What are the 3 deficiency types of Amenorrhea?
Kidney Jing xu
Kidney Yin/Yang
Blood Deficiency
52
A woman can also have Amenorrhea due to excess conditions
| T/F
True
53
What is the Hearts job?
To circulate blood around the body
54
What stagnates Heart Qi?
Prolonged mental stress
Termoil
Emotional abuse
Abusive home
55
If Heart Qi is stagnated _____ will also be affected
Kidney
56
The heart maintains balance to the _______ to harmonize ____ and ____
Yin and Yang
57
In order for the menstrual cycle to flourish and ovulation to occur ____ and _____ need to work as one
Fire and water
58
Heart governs ____
| Kidney governs ___
Yang
| yin
59
If there is no ovulation, there is no transition from ____ to ____
Yin to yang
60
You can ovulate and not have a period
| T/F
True
61
The period should be ___ after ovulation
14 days
62
When Heart Qi is stagnated it directly affects ________ which is the transformation from yin to yang
Ovulation
63
Heart Qi also affects the ___ ___ vessel
Bao Mai
64
Bao Mai controls the ______
Uterus
65
Ren __ and Ren _ govern the uterus
Ren 14 and 4
66
If someone has Heart Qi stagnation they may not _______
Ovulate
67
_____ qi needs to travel to the Uterus to control the opening of the Bao Mai
Heart qi
68
If heart qi is stagnated the ______ will not open and _________ will not happen
Uterus
| Ovulation
69
Most Amenorrhea that has an emotional root, or is due to miscommunication between the Hypothalamus and the Pituitary Gland are due to _____ Qi stagnation
Heart
70
Symptoms of Heart Qi stagnation
```
Amenorrhea
Insomnia
Dreamful sleep
Pallpitations
Anxiety
Fear
Restlessness
History of trauma
```
71
T and P with Heart qi stagnation
P Choppy and Rapid
| T Red tip
72
Some points for Heart Qi stagnation
```
Kd 3 SP 6 - Yin and Yang regulation
ZIGONG
HT 7
PC 5 &6
KD 19
```
73
LQS usually typically occurs with prolonged ___________, ___________ or __________
Irritation
frustration
depression
74
Amenorrhea due to LQS Can also be caused from long term ______ ________
Breast feeding
| If the mothers constitution isn't strong enough even one year of breast feeding could cause a problem
75
Prolonged use of medications, especially ______-_________ medications and oral _____________
Mental emotional
| Contraceptive
76
LQS over time will lead to _____ ____
Liver fire
77
Liver fire will weaken ______ qi and exacerbate any underlying Kidney yin xu
Spleen qi
78
If Liver fire invades the Stomach channel it may force ________ blood UP and appear as secretion from the ______
Menstrual blood up
| secretion from the nipple
79
Breast milk comes from ______ _____
Liver blood
80
If Liver blood is XU it will ________
Stagnate
81
The nipple discharge would happen at the time of ___________
Menstruation
82
Symptoms of Liver Qi stagnation
```
Irritability
Headaches
Milk secreations
Chest oppression
Anorexia
breast distention
long term use of medications
```
83
Tongue and pulse with LQS
T-Red sides
| P-Wiry
84
Treatment for LQS Amenorrhea
LV 2 & 8 Regulate liver qi, drain LV fire
P5 P7 move lv qi in upper jiao soothe emotions
LV 14 ST 18 Move qi stagnation from the breast
ST 36 support SP and ST function to gaurd against liver invasion
ZIGONG
SP 4 Activate Chong vessel
85
What is post pill Amenorrhea?
Failure of the menstrual cycle to appear within 6 months of stopping oral contraceptives
86
The pill interrupts the natural cycles of the body preventing the free flow of qi and injuring the _____
Liver
87
______ governs the free flow of mucus
Liver
88
Many women develop secondary Liver blood xu as a result of _____ __ being obstructed
Liver qi
89
The Liver channel travels through the ________ therefore LQS can negatively impact production of fertile mucus
Cervix
90
Points to regulate post pill amenorrhea
Liver 1,5,8 Regulate Qi in the reproductive tract, especially in the cervix
LV 11 to regulate qi in the Uterus
Ren 3 encourages movement and regulates function of the cervical glands
STM 30 Re enforces movement of qi in the lower abdomen and genitals
91
Phlegm Damp accumulation can arise through
Infection
poor eating habits with excess sweet, greasy, fried food
weakness of internal organs
Disruption of their function due to blood and qi stagnation
92
Phlegm damp can be specifically broken down into these 3 categories
Spleen & Kidney xu
LQS
Blood stagnation
93
Phlegm damp can be most commonly seen in women over __ with excess weight in which area
40
| Weight around their abdomen
94
With phlegm damp ______ qi and yang are not transporting fluids
Spleen
95
Spleen qi, KD yin & Yang XU Amenorrhea happens when ______ fails to T & T fluid around the body
Spleen
96
Weak ______ fails to warm fluid to regulate volume
Kidney
97
______ yang xu tends to lead on from ______ yin xu hence the triple diagnosis
Kidney
98
Because of these deficiencies phlegm damp is allowed to accumulate
Sp qi KD yin and Yang
99
With SP qi KD yin & Yang Amenorrhea we should focus on the _____ of the problem
The Ben, which is the Spleen and Kidney XU
Root
100
The Baio is also known as the ______
Branch
101
Patient will present with classic symptoms of Spleen & Kidney XU, with low Libido if Kidney YANG XU is predominate
Excessively HIGH libido and testosterone levels in the blood, If Kidney YIN is creating deficiency fire
102
Treatment for SP KD yin and KD yang Amenorrhea
Moxa Ren 4, KD 3, SP 6 and Bld 23 to invigotare Kidney Y/Y
SP 6 BLD 20 promote Sp function
KD 13 SP 4 Activate Chong
BLD 28 encourage removal of Damp via bladder
ZIGONG Activate local qi around the ovaries
103
Phlegm Damp with LQS
If the Liver qi stagnation affects the ______ and _______ it will fail to separate clear from turbid
Spleen and Stomach
104
DH with LQS slows down the metabolism and ______ ____ quickly occurs
Weight gain
105
LQS willl impede the production of ____ from the GB thus reducing fat metabolism
Bile
106
LQS will often lead to _____ fire which further disrupts metabolism
Liver fire
107
There is no background of ______ xu with this type of Amenorrhea
Kidney
108
Both LQS and PD can be treated simultaneously
| T/F
True
109
Treatment principle for PD with LQS
Purge heat
Move stagnant liver
resolve phlegm and damp
invigorate free flow
110
Be mindful to protect the ______ while purging strongly
Spleen
111
Points for treating PD with LQS
LV 3 5 8 regulate LQ
Ren 1, 3 clear damp heat and promote menstruation
GB 41 with SJ 5 to open and regulate the Dai vessel to resolve damp in the lower body
GB 26 reinforce purging of damp from lower jiao
112
Phlegm damp with Blood stagnation - excess type
| This typically refers to the presence of _______ or _____
Fibroids or cysts
113
Fibroids and cysts _______ the normal flow of qi and fluids giving rise to accumulation
Obstruct
114
PD with Blood stagnation may also occur from simple cases such as
Surgery
infection
uterine adhesions (Ashermans syndrome )
115
Also be mindful to the potential presence of cold in the ______ causing blood stagnation
Cold in the uterus
116
________ is often the most appropriate choice for ________ obstructions
Surgery
| Physical
117
Points to use for PH with Blood stasis
Moxa St 29 to regulate blood in the lower abdomen
KD 14 and 19 to regulate blood stagnation in the Chong
SP 10 and 6 to regulate blood in the uterus
BLD 17 influential point of blood
118
The term Menostaxis is referring to the prolonged excessive bleeding outside of the cycle OR Amenorrhea. These conditions are considered their own now and the term Menostaxis is no longer used
119
Dysmenorrhea is ____ before, during or after ____________
Pain
| Menstruation
120
Pain maybe located in the _______ or _________ regions
Abdomen
| Lumbrosacral
121
Pain during your period is totally normal
| T/F
False. no matter how mild or infrequent it is considered an imbalance
122
In WM women are diagnosed with Dysmenorrhea if they have frequent episodes of pain or discomfort, In TCM even _ episode is significant
1
123
Dys=
Disharmony
124
Causes of Dysmenorrhea
Emotional strain- significant factor
Anger, frustration, resentment, hate, any retention of excess emotion may led to LQS
125
Causes of Dysmenorrhea ----- Cause 1 of 4
Emotional strain- significant factor
| Anger, frustration, resentment, hate, any retention of excess emotion may led to LQS
126
LQS will affect the flow of blood through the ______ to stagnate
Uterus
127
LQS affecting the flow of blood through the uterus will present as Dysmenorrhea pain _______ or ______ the menstrual flow
Before or during
128
Cause 2
Cold and dampness
129
Excessive exposure to ____ and ____ may allow ____ to invade the ______
COld and damp
| Uterus
130
Typically Cold and dampness occurs with exposures during _______
Puberty
131
Cold and dampness invades by
Sitting on damp, cold surfaces
not protecting lower abdomen
not protecting lower back
not protecting ankles in repeated episodes of cold and damp weather
132
When are women more susceptible to cold and dampness invasion
Immediately after the period when blood is in a relatively weakened and empty state
133
Women with pre existing ____ XU are more prone to invasion of cold
Yang
134
Cause 3
Overwork and Chronic illness
135
over work and chronic illness lead to __ and _____ deficiency
qi and blood deficiency
136
Qi and blood deficiency will especially effect the ______ and _______ since its there that blood is produced from nutritive Qi
Spleen and Stomach
137
Generalized blood deficiency will result in ______ and ___ vessels being left empty
Chong and Ren
138
Blood xu means there isnt enough volume to generate circulation so that = Blood stasis and pain
T/F
T
139
Cause 4
Excessive sexual activity / childbirth
140
Excessive sexual activity tends to affect ______ more than _____ but it can still affect ______
Men more than women but it can still affect women
141
Multiple ___________ especially close together will have the same effect
births
142
excess sexual activity and childbirth both deplete ______and _____ qi
Liver and Kidney qi
143
If _____ and ____ cannot get filled up they are unable to move qi and blood
Chong and Ren
144
The most dominate factor of Dysmenorrhea is _________
Stagnation of Qi and or Blood, it may arise on its own or maybe due to Cold
145
Blood/liver/kidney xu also causes _____ to stagnate
Blood
146
Things to consider with Dysmenorrhea
Time of onset -
Pain before or during = ______
Pain after = __________
Excess
| empty/deficiency
147
Pressure
Better for pressure _____
Worse for pressure ______
Deficiency
| Excess
148
Better for Heat or cold
Better for Heat=____ condition. __ and _____ stasis
Better for cold = Blood ____
Cold condition qi and blood stasis
| Blood heat
149
Location of Pain
Bilateral abdomen = _____
Lower back/sacrum = ______
Liver
| Kidney
150
Cycle
Prolonged with dark clotted blood=
Red blood with small dark clots =
Cycle is short , heavy and bright red =
Blood stagnation
Cold in uterus
Blood heat
151
Characters of pain
Better after passing clots = __________
Pain with pronounced feeling of distention = __ __________
Burning pain = _____ ____
Cramping pain = _____ in the uterus
Stabbing pain = _____ ______
Pulling pain _____ ______
Bearing down before the start _____ ______
Bearing down after the period = ______ XU
```
Blood Stg
Qi deficiency
Blood heat
Cold
BS
BS
BS
Kidney XU
```
152
When there is BS in the uterus you must treat the uterus specifically with the _____
Heart
153
Excess types of Dysmenorrhea
| 3
Qi and blood stagnation
Stagnation of cold
Damp Heat
154
Qi and blood stagnation. Pain would be ______ or ______ and better for _______ clots
before or during and better for passing clots
155
with qi and BS there would be distention in the _______ and ______
Abdomen and breast
156
Period with qi and BS would have a ____ start
Late or hesitant
157
Color of flow with qi and BS
Dark flow with clots
158
Qi and BS would come with pre menstrual _______ and ___________
Tension and irritability
159
Tongue and pulse with qi ad BS
Purple and choppy/wiry
160
Stagnation of cold lower abdominal pain ______ or _____ the period
before or after
161
Cold stagnation pain is relived by ____
Heat
162
Menstrual flow is ______, bright red with ____ clots
Scanty
| dark clots
163
With stagnation of cold patient ill have a feeling of being cold and will have pain in the ____________ area
Lumbosacral
164
Tongue and pulse with stagnation of cold Dysmenorrhea
T - Pale blue or blue - purple
| Pulse Choppy/wiry
165
Stagnation of cold - Abdomen will be ____ to palpate
Cold
166
Cold causes ___________ of the uterine tissue, Those are the clots
contraction
167
Damp Heat Dysmenorrhea will present with pain ______ and period and sometimes ___ cycle
Before and sometimes mid cycle
168
With DHD there will be a general feeling of ____
Heat
169
The Menstrual flow with DHD will be ___ with small clots
red
170
There will be ___________ vaginal discharge, Yellow in color
Significant yellow discharge
171
With DHD the urine will be ______ and ____
Scanty and dark
172
Tongue and Pulse with DHD
Tongue Red with Sticky coating
| Pulse will be slippery
173
Treatment plan for DHD
Clear heat
resolve dampness
eliminate stasis
SP 6 & 9 resolve damp in lower jiao and move blood
LG 7 & KD 6 open Ren and regulate uterus
Ren 3 & Stm 28 resolve dampness from lower jiao and uterus
BLD 32 resolves damp in Uterus
BLD 22 promotes transformation of fluid and resolves damp in lower jiao
174
DH can occur from....
Medication
alcohol
diet
lack of movement
175
Deficiency Dysmenorrhea
176
Qi and Blood Xu
Dull Hypogastric pain at the _______ of the menses
End
177
With Qi and BLD xu there will be a dragging sensation in the _____ abdomen
Lower
178
Qi and Blood xu, the pain will be relieved by ________ and ________
Pressure and massage
179
QI and blood xu will present with a ______ menstrual flow
Scanty
180
QI and Blood xu patient will have a ____ complexion
Pale
181
The patient will be chronically tired but worse _____ the menses
After
182
The stool will be _____ with blood xu or qi xu
Loose
183
QI and Blood deficiency effects the _____ body
Whole
184
Add GB __ to the treatment to nourish Marrow
39
185
Treatment for Qi and Blood XU
Tonify Qi
Strengthen Spleen
Nourish Blood
186
Kidney & Liver Yin Xu will present with _____ Hypogastric pain towards or at the ___ of the period
Dull
| at the end of the period
187
Patient will have a sore _____ ______
Lower back
188
There will be dizzliness which is _____ after the period
Worse
189
Period will be ______
Scanty
190
Pain will be relieved by ________ or _______
Pressure or massage
191
patient will have this ringing in the ears
Tinnitus
192
_______ vision
Blurred
193
Tongue and Pulse with Kidney and Liver Yin xu
T Red color Peeled coating
| P Floating and empty
194
Treatment for Kidney and Liver Yin xu
Nourish Yin
Tonify Kidneys
Nourish liver
195
Endometriosis - Endometrial tissue is _________ in adjacent pelvic organs
Fallopian tubes, ovaries, rectum, colon, uterus, bladder
Implanted
196
Endometriosis is increasing and currently the most _______ cause of secondary Dysmenorrhea
Common
197
Characterized by extremely painful periods with pain radiating into the ______ or _________
Rectum or perineum
198
Endometriosis maybe accompanied with ___________ ( Heavy periods ) or Pain during ___________
Menorrhagia
| Intercourse
199
If no results are obtained in a case of Dysmenorrhea suspect _____________
Endometriosis
200
Treatment principle is the same for Dysmenorrhea and Endometriosis
T/F
True
