Week 4 Flashcards
(132 cards)
1
Q
Leukorrhoea
Traditionally referred to as ______ ____________
A
Morbid Leukorrhea
2
Q
Characterized by excess ______ and vaginal _________
A
Mucus and vaginal discharge
3
Q
Mostly common seen colors are _____, and ______ but historically was categorized as white, yellow, red, red-white and multi color
A
white and yellow
4
Q
Leukorrhea has 3 main causes
______ xu
______ xu
____-____
A
Spleen xu
Kidney xu
Damp-heat
5
Q
Spleen xu Leukorrhea
Spleen is responsible for ______________ of fluid and separating _____ from _______
A
Transportation
Clear from turbid
6
Q
Spleen qi is unable to control the balance and flow of _____ in the body so it infuses downwards
A
Fluid
7
Q
Combined with a deficiency of ______ yang qi warming the ______ jiao
A
Spleen
middle jiao
8
Q
Profuse thick Leukorrhea will be accompanied by other ______ xu symptoms
A
Spleen
9
Q
Damp suffocates the ______
A
Spleen
10
Q
Causes of Spleen qi xu Leukorrhea
A
Overwork
Chronic illness
improper diet
All restrict Spleen from properly T & T
11
Q
Clinical manifestations of SP qi Xu Leukorrhea
A
Poor appetite loose stool lower limb edema pale and dull complexion cold extremities fatigue and lethargic
12
Q
Complexion with Sp qi xu will be ____ and ____
A
Pale and dull
13
Q
Tongue and Pulse with Sp qi xu Leukorrhea
A
Tongue: Pale
Coating: White and sticky
Pulse: Slow especially right middle
14
Q
Treatment for SP qi xu Leukorrhea
A
Tonify Spleen
Warm middle jiao
Remove damp
Regulate Ren and Dai
15
Q
Kidney Xu L
Kidney regulates _____ jiao
A
Lower
16
Q
Kidney yang regulates __________ ____, which regulates water in the lower jiao by warming it
A
Mingmen fire
17
Q
Kidneys govern all _____________ system activities, by harmonizing Dia and Ren meridians
A
Reproductive systems
18
Q
When Kidney ____ is deficient thr Dai and Ren will fail to restrict essence
A
Yang
19
Q
Kidney ____ is responsible for fluids
A
Yang
20
Q
Kidney XU Leukorrhea is more severe than SP qi xu
T/F
A
T
21
Q
Dampness will obstruct the ____________ of the embryo
A
Implantation
22
Q
With Kidney XU the mucus will be _____
A
Clear
23
Q
Patient will feel chronic _____
A
LBP
24
Q
KD xu - There will be a ____ sensation in the lower jiao
A
Cold
25
Mingmen fire will not be maintained enough to warm the lower jiao specifically _______ , _______ & ______
Bladder, spleen and uterus
26
```
Aetiology : Chronic _______
Excessive Childbirth ( 5 or more children )
Dysfunction of ___ and ___
```
Illness
| Ren and Dai
27
KD xu Leukorrhea will produce ______ and __________ discharge
Profuse and continuous
28
____ mucus, opaque or transparent
Thin
29
There will be ________ and _________ urine
Frequent and excessive
30
_____ stool, severe fatigue and ____ sensation in lower abdomen
Loose
| cold
31
Tongue and Pulse with KD XU Leukorrhea
Tongue - Pale
C- Thin
Pulse- deep
32
Treatment for KD xu Leukorrhea
```
Tonify KD yang
Stabilize and contain Ren and Dai
Resolve Leukorrhea
BLD 23 - Back Shu of Kidneys
Ren 4 Tonify kidneys regulates Dai ren and qi in lower jiao
KD 12 strongly lifts KD yang
BLD 26 resolve damp in the lower jiao
```
33
Damp Heat Leukorrhea is excessive ____ that builds up due to ______ qi XU
Damp
| Spleen qi xu
34
Heat comes from _____ qi stagnation
Liver
35
The background of DHL maybe _____ qi stagnation
Liver
36
When __________ is prolonged and retained it will generate heat
Stagnation
37
The _____ mixes with ____ created by ______ qi xu and then sinks to the lower jiao
damp
heat
spleen qi xu
38
Internally the body is affected by ____ heat as well as externally with __________
Damp heat
| Leukorrhea
39
If the heat spills out and enters blood in the Leukorrhea will have a ___ tinge
red
40
Aetiology:
| Spleen qi xu is accompanied with prolonged _____ qi stagnation
Liver
41
Clinical manifestations of DHL (HEAT)
Sticky, viscous Leukorrhea, dischanrge, ______ in color, possible ____ odor, vaginal _______, dry _____ and ______ ______ urine
OR
```
LQS
Color would be ____-______
______ taste in mouth
Dry ______
Irritability, Feverish sensation
Palpitation & insomnia
```
```
Yellow
Vaginal odor
vaginal itching
dry stool
dark scanty
```
LQS
Redish Yellow
Bitter taste
Throat
42
Heat _____ and Damp ________
Rises and descends
43
DHL is an excess state
| 2 pathogens that have caused a problem
44
Treatment principle for DHL
Clear heat
Resolve damp
Harmonize Ren and Dai
45
PMS
A reminder that all the multiple channels and systems which can influence the menstrual cycle, and therefore balance of all hormones throughout the month
46
Kidney stores _______ and influences ____________
Essence and reproduction
47
_____ influences the quality and movement of blood
Liver
48
______ makes blood
Spleen
49
Heart governs _____
Blood
50
_____ govern qi
Lungs
51
_______ is connected to the Uterus via ChongMai
Stomach
52
No qi = no __________
Ovulation
53
PMS is a term used to broadly describe ________ and ________ symptoms that may be experienced before the period
Emotional and physical symptoms
54
PMS symptoms are usually felt after the period
| T/F
F
55
The specific presentation of symptoms will tell you your diagnosis
T/F
T
56
Symptoms of PMS include...
```
Depression
sadness
irritability
tearfulness
outbursts of anger
clumsiness
abdominal distention
forgetfulness
insomnia
```
57
Some women are crippled by their ___
PMS
58
Symptoms may last between 1 day and _ weeks prior to the period
two
59
It is crucial to establish whether the pre menstrual tension is due to the ______ condition or the __________ condition
Excess or deficiency
60
Typically there are _ causes of PMS
3
61
First cause of PMS
___________ strain, The most important aetiological factor in PMS. All ________ over a long period of time will cause _____ __ to stagnate especially _____, ___________ and _________
Emotional strain
All Emotions
Liver qi will stagnate
Anger, frustration and resentment
62
Cause 2 of PMS
| _________ consumption of ______ or dairy foods will lead to damp phlegm
Excessive consumption of greasy and dairy foods
63
If Damp and phlegm are accompanied by LQS it will gather heat and become ______ ____
Phlegm fire
64
_____ ____ accumulates in the chest ( Chest oppression ) the breast ( breast distension ) and obstructs the ____ (severe mental changes )
Phlegm fire
| Mind
65
Cause 3 of PMS
| Overwork and _________ ______ ________
Excessive sexual activity
66
Overwork and E.sexual activity both deplete ______ and _____ yin
Kidney and liver yin
67
Once ___ is deficient it will allow __________ to build up due to a reduced balance to stimulate the transition from ___ to ____ within the cycle, as well as stimulate the flow through the body
Yin
Stagnation to build
yin to yang
68
What happens in the first ___ weeks of the cycle will influence what happens in the next ___ weeks of the cycle
Two
| Two
69
If a woman is ______ yin xu she will be _____xu.
| Since blood and qi are the yin and yang aspects of the Liver, Liver blood and Liver qi and interdependent
Liver yin
| blood xu
70
If a woman is _____ yin xu, Liver qi is left with no anchoring foundation and therefore becomes _________
Liver
| Stagnated
71
Treatment for PMS
Yarrow tea to keep Liver qi moving
Move liver qi
reduce pc 6 - pc connects to the liver
calm the hun
72
PMS excess patterns
LQS The most ______ and assumed pattern of PMS
Common
73
Prevention is always better than cure when it comes to PMS
| T/F
T
74
Should advise patient to manage their lifestyle and LQS propensity and drink ______ tea
Yarrow
75
Patient should respond well within _ months of treatment
3
76
Clinical manifestations of LQS PMS
```
Abdominal and breast distention before the period
irritable
clumsiness
moodniess
depression
hypochondriac pain and distention
```
77
T & P with LQS PMS
T Red sides in chronic cases
| P Wiry either all over or just in the middle left depending on duration
78
Treatment for LQS
Soothe the liver
resolve stagnation
calm the mind
settle the Ethereal soul
79
Deficiency patterns of Leukorrhea
Liver Blood Xu
Liver Yin and blood xu will encourage Liver yin to become _________ since there is no yin to generate volume to circulate qi
Stagnate
80
LBX may initially present as ____ but closer inspection will show the opposite ______ and _____
LQS
| Tongue and pulse
81
This means that it is important to nourish _____ _____ but at the same time we must address _____ __ __________
Liver blood
| LQS
82
If you have no ___ there will not be volume in the blood, causing Liver qi stagnation
Yin
83
Qi stagnation is _________ to blood xu
Secondary
84
_____ are the liquid of the Liver
Liver rises, filling the ____
The liquid needs to go somewhere
Opening wood element to the eye <3
Tears
| Lung
85
Liver Yin enables _____ to move
Blood
86
Crying is the movement of __
Qi
87
If you cant cry that maybe ____ XU
Yin
88
LYD will lead to __XU
Liver blood xu
89
Clinical manifestations of LBX
| Weepiness ______ the period
Before
90
LBX Symptoms
| Slight _________ and ______ distension
Abdominal and breast distension
91
Tongue and pulse with LBX
Tongue Pale, possibly on the sides
| Pulse fine and a little wiry on the left
92
Treatment for LBX
Nourish Liver blood, nourish Liver Qi
93
Liver and Kidney Yin Xu tends to be _______ and long standing pattern of PMS
Chronic
94
There will by symptoms of ______ _____ rising due to a deficiency of ___ to control it
Liver yang rising
| Yin
95
This can be a tricky pattern to diagnose due to the mixture of _____ yin xu symptoms, ______ yin xu symptoms and the resulting false yang rising symptoms
Liver
| Kidney
96
_____ and ______ yin co exist with PMS
Liver and Kidney Yin
97
Patient will feel ill _______ the period due to Blood xu
After
98
Clinical manifestations of Liver and Kidney yin xu
```
Slight breast tenderness before the period
mild irritability before the period and occasionally after the period
sore back and knees
dizziness
blurred vision
poor memory
insomnia
dry eyes and throat
5 palm sweats
```
99
T and P with Liver and Kidney Yin xu
T Red
C peeled
P Floating- yang rising, no yin to anchor it down
Empty push down to find pulse but nothing there
100
Treatment for LV and KD Yin xu
Nourish Yin of Liver and Kidney, move Liver qi stagnation
101
PMS while pregnant is a ____ state
Although we wouldn't use the term PMS.
QI stagnation turns to ____ rising. Extra yang and qi of the baby easily turns to ____
Full
YAng rising
and that turns to fire
102
Yin cant get built up overnight, and it wasnt lost over night
103
Mood changes with PMS
| Spleen & Kidney YANG xu patterns of PMS are due to ______ not producing enough __ though T & T to nourish Kidney
Spleen not producing enough qi to nourish
104
Day to day Qi comes from ______
| Pre heavenly Qi comes from ______
Spleen
| Kidney
105
We should be using our ______ energy, keeping our _______ in reserve, Long term ______ xu can only happen if accompanied by ______ xu
Spleen
Kidney
Kidney
Spleen xu
106
This deficiency pattern can also lead to __________ of Liver qi due to reduce circulation of the Qi in the body
Stagnation of Liver qi
107
women who experience Edema of the lower legs and or abdomen _____ to the onset of their period will suffer from ______ and ______ yang XU
Prior
| Spleen and Kidney xu
108
When __ flow is sluggish, and the ______ fire is deficient in warming everything, fluid will not be controlled either by volume or being contained
Qi
| Mingmen fire
109
This edema tends to be ____________ only coming when either imminently whilst at a concert and with a very sedentary lifestyle
Intermittent
110
_______ yang gets flooded by _______ not moving fluid
Kidney yang
| Spleen yang
111
This impacts the _______ half of the cycle
second or luteal
112
Clinical manifestations of KD and SP Yanfg XU
```
Slight pre menstrual tension
mild depression and tearfullness
slight abdominal distension
tiredness
sore back
feeling cold
frequent and pale urination, low libido
```
113
T & P with KD and SP yang xu
T Pale, swollen
| P Weak and deep
114
Treatment for SP and KD yang xu
Tonify yang
| strengthen Kidneys
115
Headaches with PMS!
Headaches associated with PMS follow the diagnostic patterns as previously discussed in the headaches lesson
Typical causes of PMS headaches are...
116
Liver Qi Stagnation -
Forehead or temples, intense but not throbbing
117
Liver yang rising
Throbbing, intense, pounding, aura, nausea
118
Spleen qi xu
Intermittent, exhaustion better upon rest
119
Kidney qi xu
Empty feeling on occiput, better for rest
120
Liver blood and yin xu
dull pain, floaters, better for rest
121
If liver blood is XU, ____ will rise
Yang
122
As always with PMS, take care to distinguish whether the headaches are true ______ or _________
excess of deficiency
123
Headaches that come at the _____ of the period will be severe and intense, typically in the orbital socket, will be due to _____ ______ xu
End
| Liver blood xu
124
LQS is the primary cause of premenstrual _____________ through Wood overacting on Earth
Constipation
125
LQS will produce what kind of poos
Dry, small, pebble
126
The patient will have the urge to move the bowels but will have difficultly doing so
T/F
T
127
Once the period starts and the qi stagnation is temporarily resolved the bowel movements will _______ and become ________
regulate and become smoother
128
Premenstrual constipation is also because ___________ has a relaxant effect on plain muscle and therefore reduces peristalsis on the colon
Progesterone
129
Progesterone rises in the ______ half of the cycle
second
130
Treatment
Keep qi moving
131
LBX constipation is when there isn't enough _____ to move things around
Blood
132
SP and KD Yang xu would produce ____ and _____ shaped bowel movements
SP- Sinking
KD yang Xu without yang the food is undigested
There would be no urge to have a BM and would be _________ afterwards
Long and thin
| Exhausted afterwards
