Tcm Path Iv Final

Front 1

What is Tian Gui? Where does it originate from?

Back 1

Tian Gui is menstrual blood and ova from ovaries. In men it is sperm. It originates from the Kidneys

Front 2

What other organs influence blood in women?

Back 2

Liver & uterus = store bloodST & Sp = post-natal Qi and blood --> menstrual blood

Front 3

What type of organ is the uterus (bao)?

Back 3

It is one of the six extra Yang organs. Its yang function is to discharge menstrual blood and the act of labour. Its yin aspect stores blood and nourishes the fetus.

Front 4

What is the channel (Bao luo) and vessel (Bao luo) of the uterus?

Back 4

The uterus channel connect the uterus to the kidneys.The uterus vessel pertains to the heart and extends to the uterus.

Front 5

At age 14 what is the physiology of women?

Back 5

Tian Gui arrives, the Ren Mai (provides essence and yin) is open, the Chong Mai (provides and moves blood) is flourishing, the period arrives and conception is possible.

Front 6

What is the status of Yin and Yang during the menstrual cycle? (esp Kidney Yin and Yang)

Back 6

Yang decreases when menses starts and reaches the minimum at ovulation. Maximum of yang occurs shortly before menses.Yin is at its minimum level before menses and maximizes at ovulation and decreases until beginning of menses.

Front 7

The times of transition from Yin to Yang or Yang to Yin is marked by what?

Back 7

There is always discharge and downward movement.Yang --> Yin = mensesYin --> Yang = ovulation

Front 8

What controls the yin-yang, yang-yin transformation?

Back 8

Both transformations depend on the descent of Ht-Qi and Ht-Blood

Front 9

What occurs during the menstrual phase?

Back 9

Heart-Qi descends --> Qi & Blood move downward, level of Yang drops sharply while Yin grows.Liver-Blood and Chong Mai influences this phase.

Front 10

What occurs during the follicular phase?

Back 10

Blood and Yin are empty from menstrual phaseYin increases --> growth of fluids and cervical secretionsEssence matures --> nourishing uterus & follicles, growth of endometrium

Front 11

What occurs during ovulation?

Back 11

Yin reaches its maximum --> fertile cervical secretion (manifestation of Kd-Yin & Essence)The Du, Ren & Chong Mai must be flourishing for ovulation to occur.Heart Qi descends --> Yin transfroms to Yang --> discharge of ovum

Front 12

What occurs during the luteal phase?

Back 12

Liver-Qi & Liver-Blood --> Qi & Blood movesYang increases --> expels any potential yin pathogens in uterus (D-P, cold, Blood stasis)Chong Mai has strongest influence.

Front 13

What are the treatment principles during the menstrual phase?

Back 13

Influenced by Chong MaiInvigorate blood, stop bleeding (only if heavy menses)

Front 14

What are the treatment principles during the follicular phase?

Back 14

Influenced by Ren Mai & Kidney YinNourish Blood and tonify Kidneys

Front 15

What are the treatment principles during ovulation?

Back 15

Influenced by Ren & Du Mai, Kidney Yin & YangTonify the Kidneys, Stregthen Du, Ren, & Chong Mai, (if needed resolve dampness & tonify Spleen)

Front 16

What are the treatment principles during luteal phase?

Back 16

Influenced by Chong MaiMove Qi, invigorate blood, warm the uterus (if needed expel Cold, resolve Damp-phlegm)

Front 17

What role does the Ming Men fire play?

Back 17

The fire of Ming Men warms the uterus and balances Yin.Promotes maturation of follicles and the production of ova = makes conception possible

Front 18

What role does the Minister fire play (Kidney fire)?

Back 18

When Minister fire is xu = uterus is not warm --> infertility, dysmenorrhoea, low libidoWhen Minister fire is shi = heats the blood --> excessive menstrual bleeding, infertility, miscarriageMinister Fire + Kidney-water = Tian Gui

Front 19

What role does the Liver play?

Back 19

Blood stored in Liver = Tian Gui + Post-Natal Blood & Qi (Sp&ST)Health of Liver Qi is vital to movement of bloodWhen treating blood for women's physiology always treat Liver as wellIf Liver blood xu = secondary Liver Qi stagnation

Front 20

What role does the Spleen play?

Back 20

Spleen makes post-natal blood --> stored in Liver with Tian GuiLiver-Blood Xu = Tian Gui xu and/or Post-Natal blood xuSpleen-Qi keeps the uterus in placeSinking of Sp-Qi -->prolapse of uterus or bladder, menorrhagiaSpleen-Qi gathers Blood.Spleen Qi xu --> blood leaks = menorrhagia

Front 21

What role does the heart play?

Back 21

Heart governs bloodHeart is connected to uterus via the Bao maiHeart-Qi descent controls the yin->yang (ovulation) and yang->yin (menses) transformation during menstrual cycleIf Heart-Qi does not descend --> no ovulation, no mensesHeart-blood xu --> scanty periods or amenorrhoeaHeart-blood stasis --> painful periodsHeart-blood heat --> menorrhagia

Front 22

What role does the lung play?

Back 22

Minor influence, connected to Spleen Qi xuSaddness or grief --> depletion of Qi = no menses

Front 23

What role does Stomach play?

Back 23

 Chong Mai arises from the uterus, passes through ST 30 and the StomachChong Mai <-> ST --> morning sicknessST flows through the breast & supplies Post-natal Qi --> breast milkST and Sp --> source of post-natal qi & blood

Front 24

Role of Chong Mai

Back 24

Chong Mai strongly influences menstruation = Sea of Blood--> influences the supply and proper movement of Blood in Uterus--> works with Ren Mai to regulate Uterus and menstruation--> nourishes and moves Blood

Front 25

Role of Ren Mai

Back 25

Ren Mai is closely related to Uterus, internal & external genitaliaDysfunction of Ren Mai --> problems with cervix, vagina & vulvaRen Mai --> provides Yin substances (Essence, Blood & fluids) for all women's physiological processes and hormonal gateways

Front 26

Role of Du Mai

Back 26

The Du Mai and Ren Mai are almost one vessel.Du mai --> tide of Yang during menstrual cycleRelated to the Ming Men and Minister Fire

Front 27

Role of Dai Mai

Back 27

Encircles leg channels --> restrains Liver's flow of Qi, harmonizes vertical movement of Spleen & KidneysThe functions & structures of the Kidney, Spleen & Liver rely on Dai Mai being relaxed and stretchedIf Dai Mai not restricted enough --> Damp-Heat --> leucorrhoeaIf Dai Mai xu --> Ren MaiDai Mai xu -->Kd & Liv xu -->Essence rebels, Sp Qi sinks, unsupported Post-Natal Qi --> Du, Ren, Chong Mai XuIf Dai Mai shi --> Chong Mai

Front 28

What are the requirements for conception?

Back 28

The ingredientsabundant supply of Blood & Essenceflourishing of Kidneys & Liverhealthy Chong & Ren MaiThe 'spark'Ming MenAdd in the personalFather's essenceMother's essence + Corporeal Soul (Po)

Front 29

What happens to Yin & Yang during pregnancy?

Back 29

Yin increases --> no longer monthly loss of blood + build up of amniotic fluidYang increases --> no more menses = build up of Minister Fire

Front 30

What happens to blood in the first trimester of pregnancy?

Back 30

Blood --> moves to upper burner --> milk & breast distensionAs a result --> Qi rebels in the Chong Mai --> morning sickness

Front 31

What effect does pregnancy have on the Kidneys?

Back 31

Kidneys strained --> Qi & Essence feeds fetusMenstrual blood (Tian Gu) --> Essence that nourishes body & fetus

Front 32

What causes the increase in heat during pregnancy?

Back 32

Emperior & Minister Fire --> nourishes fetus == feeling of heat and restlessness in mother.

Front 33

What occurs during Menopause?

Back 33

Decline of Kidney energy, the Ren & Chong MaiDry of the fluids & Blood

Front 34

What is the luteal phase defect?

Back 34

It is defined as a Luteal phase that is shorter then 10 days.It occurs because of poor follicle development ORpremature failure of the corpus luteum ORfailure of uterine lining to respond

Front 35

How does Chinese Medicine view the Luteal phase defect?

Back 35

Yang energy increases during the Luteal phase1. too little yin in follicular phase --> too little yang in luteal phase2. Stagnation at ovulation --> prevents transition from Yin to Yang3. Too little Yang --> prevents ovulation and/or shorten Luteal phase 

Front 36

How do you define late periods? 

Back 36

Late up to one week (40 to 50 day cycle) for two consecutive cycles

Front 37

What are the two different types of painful period?

Back 37

Primary = common in young womenSecondary = ex. endometriosisThe main pathology is Qi and blood stagnation

Front 38

What should you rule out in painful periods?

Back 38

It could be an ectopic pregnancy. This is an emergent condition

Front 39

How should herbs be modified for painful periods?

Back 39

According to Cold, Qi stagnation, Blood stasis and heat

Front 40

When should you treat for painful periods?

Back 40

Several days before and during menses

Front 41

What is endometriosis?

Back 41

The presence of endometrium tissue outside the uterus. Painful periods, infertility and pelvic pain are the most common outcomes.

Front 42

What are the three steps to treating flooding and trickling?

Back 42

1. Shore up the flow2. Settle the source3. Restore the old

Front 43

What are the four treatment strategies for stopping bleeding?

Back 43

1. Harmonize the blood2. Treat the root3. Astringe4. Treat the Qi

Front 44

What is Zang organ disorder?

Back 44

visceral restlessness"saddness and tends to weep constantly as if haunted. Stretching frequently and yawns repeatedly"

Front 45

What is Lily bulb disease?

Back 45

as if in a trance" or absent-mindedPatient wants to eat but is relectant to swallowunwilling to speakhe or she wants to lie in but cannot lie quietlycannot tolerate the smell of foodwants to walk but soon tired"

Front 46

What are the seven emotions of Chinese medicine?

Back 46

1. Joy --> Heart2. Anger --> Liver --> ST&Sp3. Anxiety --> Lungs & LI4. Pensiveness --> Spleen5. Grief --> Lungs --> Qi6. Fear --> Kidney7. Fright --> Heart --> Kd

Front 47

What is the role of Kidneys in menopausal syndrome?

Back 47

Menopausal symptoms are due to a decline of Kidney-Essence in its Yin or Yang aspect.Often these deficiencies are combined with excess of Dampness, Qi stagnation, Blood stasis, Empty-Heat or Liver-Yang rising

Front 48

How to teach menopausal women about osteoporosis?

Back 48

Osteoporosis = low estrogen>weight-bearing exercise>calcium supplement with vit D>Tonify Kidney essence and yang with strengthen bone herbs

Front 49

Teach menopausal women about coronary heart disease.

Back 49

#NAME?

Front 50

How does infertility happen from the Chinese medicine view?

Back 50

1. constitutional weakness of Kd essence2. overwork --> Kd-Yin xu3. Excessive physical work --> Sp or Kd Yang xu4. Sexual activity too early --> weakens Kd and damage Ren and Chong Mai5. Invasion of Cold --> Obstructs uterus, Ren and Chong Mai6. Irregular diet --> Cold = as above, Phlegm = blockages (uterus, fallopian tubes)