Gynecology - General 2

Front 1

Constipation

Definition:

________________ BM leading to ________________&_________________

Back 1

Infrequent
constipation
hemorrhoids

Front 2

Constipation

Causes:

Back 2

Diet
Stress
Lack of exercise
Overwork

Front 3

Constipation

Tx options:

Back 3

Ear:
LI
Rectum
Sympathetic

Diet:
Soft cooked veggies, whole grains, sweet potatoes

Front 4

Miscarriage

Definition:

Threatened miscarriage occurs when there is _______________________________during pregnancy

Inevitable miscarriage is when ____________________________________________________________

Habitual miscarriage: Usually defined as such after_____ occurrences.

Back 4

vaginal bleeding
the fetus has been injured or already has left the uterus
3

Front 5

Miscarriage

Causes:

Back 5

Overwork
Excessive physical exercise
Acute or chronic illness
Diet
Emotions
Weak Essence
Trauma injury

Front 6

Miscarriage

Most common cause is: ______________________, undelying:_______________/_________________ &
____________________________

Back 6

KD Qi def
SP Qi def / SP Qi sinking
Chong & Ren def

Front 7

Miscarriage

Causes related to fetus:

Back 7

Weak Original Qi (Yuan Qi) (parents too old, too sick)

Front 8

Miscarriage

Causes related to mother:

Back 8

Weak body constitution
KD def (constitutional or from overwork)
-Ren & Du not nourishing the fetus
-KD Qi not holding the fetus
Blood def - from diet lacking nourishment
Blood Heat - from emotional problems / shock / trauma
Blood statis - from emotional problems / shock / surgery / trauma
Excess sex
Drugs
Excessive lifting

Front 9

Miscarriage

Tx options:

Back 9

Scalp:
Reproductive area

Front 10

Labour physiology

The end of pregnancy & delivery stage is a shift from _______________________.

Back 10

Yin to Yang

Front 11

Labour physiology

________ (mother's body) expels ________ (baby), and_________forces provide the movement that expels the fetus.

Back 11

Yang
Yin
Yang

Front 12

Labour physiology

________ pushes & moves ________ & the __________________ opens in a significant downward movement. A correct balance of _______ & a sufficient supply of ________ are necessary for a harmonious delivery.

Back 12

Qi
Blood
uterine door
Qi
Blood

Front 13

Labour physiology

Labour definition:

Back 13

Onset of the uterine contractions with dilatation of the cervix (10 cm) followed by the baby's birth & expulsion of the placenta as well as control of bleeding.

Front 14

Labour physiology

Points & its fonctions during labour:


To enhance contractions

Back 14

LI 4

Front 15

Labour physiology

Points & its fonctions during labour:

To dilate the cervix

Back 15

SP 6

Front 16

Labour physiology

Points & its fonctions during labour:

For cervical lip

Back 16

BL 32
SP 6

Front 17

Labour physiology

Points & its fonctions during labour:

To aid decent the baby into the pelvis

Back 17

GB 21
BL 60

Front 18

Labour physiology

Points & its fonctions during labour:

For posterior position

Back 18

SP 6
BL 60
BL 67

Front 19

Labour physiology

Points & its fonctions during labour:

To help with fear

Back 19

KD 1

Front 20

Labour physiology

Points & its fonctions during labour:

To help with nausea

Back 20

PC 6

Front 21

Labour physiology

Points & its fonctions during labour:

For efficient delivery of the placenta

Back 21

GB 21
BL 60
LI 4

Front 22

Breech baby

Definition:

Back 22

Mal position of the fetus.

Front 23

Breech baby

Tx:

Back 23

Acupuncture or moxa on BL 67 on both feet for 15 to 20 minutes each day for 5 days until the baby's
position is right & checking daily if the baby has changed position before treating again or the baby may change position again.

Front 24

Breech baby

Instances of moxa contra-indication in breech births (7):

Back 24

Placenta previa (placenta lying on top of the cervix)
History of bleeding later in pregnancy
Known abnormalities of the uterus or pelvis
History of premature labour or premature rupture of the membranes
C-section less than 2 yrs ago
Too little amniotic fluid around the baby
Known hydrocephalic baby with enlarge head

Front 25

Labour

Contraction pain Tx:

Back 25

Ear:
Shenmen
Uterus
Endocrine

On each ear for 15 minutes during the contractions & if they are very strong then adding electro-acupuncture is recommended.

The treatment has to be done every time the contractions occur & the pain will lessen.

In between the contractions, TCM recommend that the woman listen to calming music, walks around,
sings, gets massages from the husband & breathes deeply.

Points:
LI 4
SP 6

Front 26

Labour

Inducing labour naturally definition & Tx:

Back 26

If the baby is 2 weeks late.

LI 4
SP 6
BL 32
BL 60
LV 3

Front 27

Labour

Retained placenta definition & Tx:

Back 27

Usually come out just a few minute after the baby but if it hasn't been expulsed after 20 minutes it's considered retained.

LI 4
LV 3
SP 6
RN 6
GB 21
SP 8
BL 60

Front 28

Problems after childbirth (post-partum)

3 diseases after childbirth are:

Back 28

Convulsions
Invasion of external pathogenic factor
Constipation

Front 29

Problems after childbirth (post-partum)

3 emergencies after childbirth are:

Back 29

Vomiting: Rebellious Qi syndrome
Sweating: Loosing Qi
Diarrhea: Deshydratation, loosing Qi

Front 30

Problems after childbirth (post-partum)

3 upwards rebellions after childbirth are:

Back 30

Depleted Blood rebelling upwards in the Chong vessel
Towards the HT
Towards the LU
Towards the ST

Front 31

Problems after childbirth (post-partum)

After a childbirth the 3 main diseases & what causes them are:

Back 31

Convulsions:
After delivery, Blood is exhausted, the woman has perspired profusely, so that Internal Wind develops & leads to convulsions.

Collapse:
Exhaustion of the Blood & profuse sweating may also allow Cold to invade leading to collapse.

Constipation: Exhaustion of the Body Fluids leads to dryness of the ST & therefore constipation.

Front 32

Problems after childbirth (post-partum)

3 questions after childbirth & what it tells us:

Back 32

Pain?
Tells us whether there is statis or not

Constipation?
Tells us whether the Body Fluids are exhausted or not

Breast milk ?
Tells us whether ST Qi or/& Chong has been injured (scanty milk)

Front 33

Problems after childbirth (post-partum)

3 treatment methods not to be used after childbirth are & why:

Back 33

Sweating:
Damages the Qi

Moving downwards:
Damages the SP

Promoting urination:
Damages the Body Fluids & causes ST dryness

Front 34

Abdominal pain

Definition:

Back 34

Soon after delivery the woman experiences abdominal or epigastric pain.

Front 35

Abdominal pain

Causes:

Back 35

Emotional stress
Exposure to cold
Irregular diet

Front 36

Abdominal pain

Tx options:

Back 36

Ear:
ST
SP
Esophagus

Front 37

Persistant lochia

Definition:

Lochia that _______________________________________________.

Lochia refers to ________________________________________.

The first _________days, the lochia is_________, then as the uterus begins to heal, the discharge ___________________________________________________________.

Back 37

remains abundant for longer than normal (3 weeks is normal)

the blood discharge coming from the placenta site

3 to 4
red
decrease in amount & gradually becomes lighter in color

Front 38

Persistant lochia

Causes:

Back 38

Cold exposure
Blood loss during chidbirth

Front 39

Persistant lochia

Tx options:

Back 39

Ear:
Reproductive
Subcortex
Endocrine
Uterus

Front 40

Lochia retention

Definition:

__________ of lochia or __________.

Back 40

Complete absence
very scanty

Front 41

Lochia retention

Causes:

Back 41

Exposure to cold
Emotional stress

Front 42

Lochia retention

Tx options:

Back 42

Ear:
LV
Uterus
Adrenal
Sympathetic
Subcortex

Front 43

Urinary difficulty

Definition:

Range from __________ to __________ because in TCM the cause is __________.

Back 43

retention
incontinence
the same

Front 44

Urinary difficulty

Causes:

Back 44

Extreme strain during labour injuring the BL

Front 45

Urinary difficulty

Tx options:

Back 45

Ear:
BL
KD

Front 46

Sweating

Definition:

__________ or __________ sweats lasting more than __________ after delivery.

Back 46

Day or night
3 days

Front 47

Sweating

Causes:

Back 47

Excessive strain during labour or blood loss cause Blood & Qi def, so the pores are open

Front 48

Sweating

Tx options:

Back 48

Cupping upper back

Front 49

Constipation & hemorrhoids

Definition:

__________, __________ with or without __________.

Back 49

Dry, very infrequent BM
painful hemorrhoids

Front 50

Constipation & hemorrhoids

Causes:

Back 50

Blood & Fluid def due to too much blood loss during & after labour

Front 51

Constipation & hemorrhoids

Tx options:

Back 51

Ear:
LI
LV
Rectum

Front 52

Fever after childbirth

Definition:

Fever that is at least __________ & __________, does not __________ & has other __________.

Back 52

38°C & persistent
abate by itself
symptoms

Front 53

Fever after childbirth

Causes:

Back 53

Wind-Heat invasion
Blood loss at labour
Emotion
Surgery
Irregular diet

Front 54

Fever after childbirth

Tx options:

Back 54

Bleed ear apex or if due to emotions bleed PC 9

Front 55

Scanty breast milk

Definition:

__________ refers to the __________ of milk or __________ milk flow

Back 55

Agalactia
absence
very scanty

Front 56

Scanty breast milk

Causes:

Back 56

Blood loss at labour time
Long labour
Emotions

Front 57

Scanty breast milk

Tx options:

Back 57

Ear:
Breast
ST
LV
KD

Eating soup made of Tong Cao (clear Heat, Damp & stimulate milk secretion), Pigs feet (internal
moistening) & salt, onions & ginger

Front 58

Spontaneous milk flow

Definition:

__________ breast milk __________ by the baby suckling.

Back 58

Trickling
not triggered

Front 59

Spontaneous milk flow

Causes:

Back 59

Long labour
Emotions
Stress

Front 60

Spontaneous milk flow

Tx options:

Back 60

Ear:
Breast
SP
ST
LV
KD

Front 61

Convulsions after childbirth

Definition:

Convulsions characterized by __________, __________, __________ & __________(spasms in which __________ & __________ are bent backwards).
__________ condition

Correspond to __________ in western medicine & usually requires western medicine intervention, TCM treats __________.

Back 61

lockjaw, limbs tremors, spine rigidity & opisthotonos
head & heels
Rare

tetanus infection
after attack

Front 62

Convulsions after childbirth

Causes:

Back 62

Blood loss at labour
Invasions of external pathogens & toxins

Front 63

Convulsions after childbirth

Tx options:

Back 63

Ear:
LV
Windscreen

Front 64

Infertility

Definition:

Inability to conceive for at least __________ while having a __________.

For TCM: infertility can only be helped if the future mother & father have both __________ & all
results showed normal reproductive function in both.

Back 64

2 yrs
healthy sexual life

been tested

Front 65

Infertility

Causes:

Back 65

KD Essence def
Overwork & stress
Excessive exercise
Too much sex at early age (before 18)
Cold Pathogen invasion
Diet

Front 66

Infertility

Tx options:

Back 66

Ear:
LV
SP
KD
Uterus
The woman should keep track of her period dates & also her basal body temperature which should
drop a day before ovulation & be at its highest during the 2 ovulation days.

Front 67

Infertility

Tx plan:

The 1st thing to do is __________ & __________ as possible with minimal __________ & help the woman be as __________ as possible.

Also as the woman becomes more balanced the treatment should adapt & concentrate mostly on
the __________ week

If the patient has mostly an excess condition:
Menstrual phase: ___________
Post-menses phase: __________
Mid-cycle (ovulation): __________
Pre-menses phase: __________

If the patient has mostly a deficiency condition: __________ (difference)

Back 67

regulate the cycle & make the period as normal
PMS
healthy

ovulation

Move Blood if period scanty, stop bleeding if too heavy
Nourish LV Blood & KD Yin
Nourish KD Essence & KD Yang
Move LV Qi if stagnant or tonify Yang if deficient

Menstrual phase: No treatment

Front 68

Infertility

Empty & full patterns:

Empty patterns __________: __________, __________ & __________ (2):

Full patterns __________: __________, __________ & __________(6):

Back 68

fail to nourish: Uterus, Ren & Chong
Blood def
KD def (Essence, Yin, Yang)

obstruct: Uterus, Ren & Chong
Cold
Dampness
Blood-Heat
Qi stagnation
Blood statis
Phlegm

Front 69

Breast lump

Definition:

Ru Yan means __________ in chinese which encompasses __________, __________ or __________.

In TCM, the breast is connected to many meridians (6):

So in treatment one needs to use the point on those specific channels to heal the patient.

Back 69

hard breast
nodules, movable or fixed lumps

ST, LV, Chong, GB, HT & PC.

Front 70

Breast lump

Western view:

The most important distinction is to differentiate between __________ & __________.
So before a TCM practitioner may treat a breast lump, the patient needs to go to the gynecologist
to find out what kind of lump is in the breast.

Back 70

benign (Phlegm accumulation) & malignant lump (Phlegm & Blood statis)

Front 71

Breast lump

Breast cancer symptoms (9):

Back 71

Breast lump
Change in size or shape of the breast
Pain
Indrawing or inversion of nipple
Rash around the nipple
Bleeding or discharge from nipple
Axilla lump(s)
Prominent veins on the breast
Swelling of skin around the breast

Front 72

Breast lump

ABCD of cancer:

Back 72

Asymmetry
Border
Color
Diameter

Front 73

Breast lump

Breast cancer TCM Tx:

TCM may treat cancer but the patient has to __________, go see a __________ (especially if the cause is emotional as often it is) & __________ in the healing process.

Also most often TCM __________ cancer in conjunction with western Tx (chemo, radiation, drugs).

Back 73

eat a very strict diet
psychologist
do his/her part

treat

Front 74

Breast lump

Breast cancer diagnosis:

Back 74

Phlegm & Qi stagnation
Blood statis
Fire & Toxicity

Front 75

Breast lump

Breast cancer Tx principles:

Back 75

Move Qi & Blood
Detoxify
Clear Fire
Remove Phlegm

Front 76

Breast lump

Benign breast conditions (10):

Back 76

Cyst - very common
Fibroadenoma - may shrink on its own
Papilloma - growth in milk duct, common in older women but day can become malignant
Breast nodules
Epithelial hyperplasia - at menopause time usually
Lipoma - fat tissue tumor
Fat necrosis - due to trauma injury
Mastitis - mostly infection during breast feeding
Duct ectasia - nipple discharge around menopause
PMS breast distension

Front 77

Breast lump

Causes:

Back 77

Diet
Emotions
Overwork
Trauma

Front 78

Breast lump

Tx options:

Back 78

Ear:
LV
ST
HT
GB
Breast
Shenmen

Diet recommendation:
iodine (kelp, kombu, seaweeds), greens & sour foods (granny smith apple, lemon, dandelion), avoid all stimulants.