Gynecology Intro Principles

Front 1

What does the heart zang supply to the uterus (zi gong)?

Back 1

Heart blood goes down to zi gong.
Heart yang goes down to zi gong.
They travel via the bao mai (uterus vessel)

Front 2

What does the liver (gan) supply to the uterus (zi gong)?

Back 2

Liver provides & moves blood

Front 3

What does the Penetrating vessel (chong mai) provide to the uterus (zi gong)?

Back 3

Chong mai provides & moves blood.

Front 4

What does the Directing Vessel (ren mai) provide to the uterus (zi gong)?

Back 4

The ren mai provides Essence & Yin to the uterus (zi gong)

Front 5

What does the Governing Vessel (du mai) provide to the uterus (zi gong)?

Back 5

The du mai provides Yang & Minister Fire to the uterus (zi gong)

Front 6

What do the Kidneys (shen) provide to the uterus (zi gong)?

Back 6

The Kidneys provide Essence to the uterus (zi gong) via the Uterus Channel (bao luo)

Front 7

How does the Stomach (wei) connect with the uterus (zi gong)?

Back 7

The wei connects with the uterus (zi gong)
via the chong mai (penetrating vessel).

Front 8

How does the Spleen (pi) contribute to the uterus?

Back 8

The Spleen makes blood
The Spleen holds the blood in the vessels.
The Spleen keeps the uterus in place.

Front 9

What type of organ is the uterus (zi gong)?

Back 9

The uterus is an extraordinary fu organ.

Front 10

What does the uterus store?

Back 10

Blood, Fetus, Essence, Eggs

Front 11

What does the uterus discharge?

Back 11

Fetus, Blood, Eggs

Front 12

The discharge of eggs and menstrual blood are associated with which organ and vesel?

Back 12

The Heart organ and
the bao mai (uterus vessel)

Front 13

Which organ and channel are associated with the ebb & flow of yin & yang throughout the menstrual flow?

Back 13

The Kidney organ and
the bao luo (uterus channel)

Front 14

What extraordinary vessels are strongly related to the uterus (zi gong)?

Back 14

Chong Mai (ming men to ren 1 to mouth)
Dai Mai (encircles waist)
Du Mai (up the back & over the head)
Ren Mai (up the front)

Front 15

What regular vessels are strongly associated with the uterus (zi gong)?

Back 15

Liver & Kidney

Heart

Spleen & Stomach

Front 16

What are the direct causes of Injury to the chong & ren mo?

Back 16

evil toxin infections

undisciplined bedroom affairs
(excessive sexual activity)

Front 17

What are the indirect causes of injury to the chong & ren mo?

Back 17

internal damage by the 7 affects

invasion by the 6
external environment excesses

loss of discipline in food & drink

Front 18

What external factors most frequently cause gynecological problems?

Back 18

excess cold

excess heat

excess dampness

Front 19

What causes leukorrhea?

Back 19

Spleen yang fails in its transporting
function, thus damp & turbidity pour
downwards causing leukorrhea.

Front 20

What gynecological problems will result from a loss of earth regulation function?

Back 20

Loss of earth regulation function is caused by loss of discipline in food
& drink.

It will result in delayed menstruation,
scanty menstruation, & menstrual block.

Front 21

At what points in pregnancy is intercourse allows?

Back 21

It is recommended that there be no
sexual activity during the pregnancy.
(fetal learning)

Front 22

What is the primary external cause of early menstruation?

Back 22

excess heat

Front 23

What is the primary external cause of delayed menstruation?

Back 23

excess cold

Front 24

What is the primary cause of menopausal syndrome?

Back 24

kidney xu due to aging

qi & blood xu detriment

liver yang rising

Front 25

What is lochia?

Back 25

The vaginal discharge that takes place
during the first week or two after
childbirth.

Front 26

What is menarche?

Back 26

The establishment or beginning of the
menstrual function.

Front 27

What is eclampsia?

Back 27

Convulsions and coma occurring in a
pregnant or puerperal woman, associated
with preeclampsia, i.e., with
hypertension, oedema, and/or proteinuria

Front 28

What are the 4 aspects of menstruation that are the primary indicators for diagnosis?

Back 28

Amount, Color, Clots, Quality

Front 29

What are 3 disorders typically occurring for recently delivered females?

Back 29

tremors,
fainting,
difficult defecation

Front 30

What are the Yin discharges of the female?

Back 30

Blood

Milk

clot, leukorrhea

menstrual blood

delivery - fluids, blood, et al

Front 31

What are three signs of the maturation of the tian gui?

Back 31

The arrival of the first menses

The development of secondary
sexual characteristics

Fertility

Front 32

What are the functions of the tian gui?

Back 32

Causes menses

Nourishes chong mai

Opens ren mai

Helps uterus performs its functions

(analogous to sex hormones)

Front 33

What 2 extraordinary vessels must me operative in order for menses to occur?

Back 33

The Chong must the Full
&
The Ren must be Flowing

Front 34

Name the extraordinary vessels and their corresponding master points that most influence gynecological functions?

Back 34

Chong Mai - Sp-4

Ren Mai - Lu-7

Du Mai - SI-3

Dai Mai - GB-41

Front 35

What is the normal length of the menstrual cycle?

Back 35

28 days is expected.

Normal range is 25-35 days

Front 36

What is the normal length of the period?

Back 36

between 3 & 7 days is normal

Front 37

What is the normal amount of fluid discharge during the period?

Back 37

50 ml to 80 ml is normal

Front 38

What is the color for normal menstrual blood?

Back 38

Dark red early (day 1)

Brighter red in middle (days 2-4)

Dark red at end

Front 39

What are the qualities for normal menstrual blood?

Back 39

not watery,
not sticky,
no clots ( small clotting OK),
no bad smell

Front 40

Menstrual Symptoms:
Phase: early
Amount: lots
Color: dark red
Quality: sticky
Clots: yes

Tongue: red Coat: dry, white or yellow
Pulse: Rapid, Full, or Big

Back 40

Early Menses due to Heat Shi

TP: Clear Heat, Cool Blood,
Regulate Menses

Formula: Xian Xi Tang
Si Wu Tang + Huang Qin
+ Huang Lian + Huang Bai

Acupoints:
LI-11 + ST-44: Clear Heat
LI-4 + LV-3: Reduce to slow blood
Du-14 + UB-17: Clear Heat (Blood)
KI-5: xi-cleft - reg menses, prtct yin
SP-6: moves & cools blood, reg. menses

Front 41

Menstrual Symptoms
Phase: early
Amount: scanty
Color: brigh red
Quality: sticky
Clotting: no

Tongue: red, thin Coat: thin or none
Pulse: rapid, thready

palps, night sweats, 5 palm heat, thirst, dry throat

Back 41

Early Menses due to False Heat

TP: Tonify Yin, Clear Heat,
Regulate Menses

Formula: Liang Di Tang,
Qing Jing San (mod)


Acupoints:
KI-3 + UB-23: Nourish Kidney Yin
Ki-5: xi cleft
Ren 3 + Zi Gong: Gyn points,
Essence & Yin

Front 42

Menstrual Symptoms:
Phase: early
Amount: more
Color: dark red, purple
Quality: sticky
Clots: lots

Tongue: darkish or light purple
Coat: thin, white or yellowish
Pulse: wiry or choppy

Breast fulness, hypochondrial fulness,
irritable, ~diarrhea, ~constipation,
insomnia, dry mouth, bitter taste

Back 42

Early Menses from Liver Qi Stagnation

TP: Clear Heat, disperse Liver Qi,
Regulate Menses

Formula: Dan Zhi Xiao Yao San
Jia Wei Xiao Yao San

Acupoints:
LV-3 + LV-14: move liver qi
GB-41 + SJ-5: Dai Mo
master a coupling point
SP-10: reduce heat

Front 43

Menstrual Symptoms
Phase: early
Amount: perhaps excessive
Color: ??
Clots: ??

Tongue Coat: white & slimy
Pulse: slippery & rapid

Body is obese, face is puffy & yellow,
head distention like a band, heavy limbs, vertigo,chest oppression,nausea,
~loose stools, abdominal distention,
chronic abnormal vaginal discharge

Back 43

Early Menstruation from Phlegm Heat

TP: Eliminate damp, transform phlegm,
clear heat

Formula: Dan Xi Xin Fa

Acupoints:
SP-9 + ST-40: clear phlegm
UB-20: tonify spleen (transform phlegm)

Front 44

Menstrual Symptoms
Phase: early
Amount: excessive
Color: pale
Quality: watery
Clots: none

Tongue: pale red, thin, moist
Pulse: soft, weak, forceless

dizziness, vertigo, palps, cold body,
dislike cold, quite voice, no hunger,
no thirst

Back 44

Early Menses from Qi Xu
(Big time Sp Qi Xu)

TP: Regulate qi, Tonify Spleen,
Regulate Menses

Formula: Bu Zhong Yi Qi Tong
Ju Yuan Jian, Gui Pi Tang

Acupuncture:
Ren 6, SP-6:
KI-13: tonify Kidney qi
ST-36: tonify Qi
UB-20 + UB-21: tonify spleen & stomach

Front 45

What are the indicators of delayed menses?

Back 45

Menses is late by 7 or more days
or
32-40 day cycle

occurs at least 2 cycles in succession

Front 46

What are the 5 causes of delayed menses?

Back 46

Excess Cold (exterior)
Empty Cold (interior yang xu (SP, KI))
Blood Xu
Qi Stagnation
Phlegm Obstruction
(can result from long time of any of them)
(especially cold)

Front 47

Menstrual Symptoms:
Phase: late
Amount: scanty
Color: dark
Quality: sticky
Clots: yes

Tongue: dark, twc
Pulse: deep, tight

lower abdominal ache & pain, aversion to cold, likes warmth, white complexion, 4 limbs cold, ~poor appetite, lower back & leg pain & weakness

Back 47

Late Menstruation due to Excess Cold

TP: Warm Channel, disperse cold,
regulate menses, activate qi flow

Formula: Wen Jin Tang

Acupoints:
Du 14: moxa
ST-29 + ST-25: warm lower jiao
SP-6 + CV-6: move stag (moxa)
CV-8: ginger moxa

Front 48

Menstrual Symtpoms
Phase: late
Amount: little
Color: pale
Quality: watery
Clots: none

Tongue: pale, enlarged, ~teethmarks
Coat: white, sticky coat
Pulse: slow, deep, weak

abdominal pain, likes pressure, diarrhea, pale face, pale lips, dislike cold, lumbar pain, lower limb pain, extremity pain

Back 48

Delayed menses from False Cold

TP: warm yang, disperse cold,
regulate menses

Formula: Ai Fu Nuan Gong Jian

Acupoints:
SP-3, SP-6, ST-36, UB-20: tonify + moxa
Du 4, UB-23: moxa (warm yang)

Front 49

Menstrual Symptoms:
Phase: late
Color: pale
Quantity: scanty
Quality: ~watery
Clots: none

Tongue: thin, ~pale, some coat
Pulse: deep, thready

lower abdominal pain, emaciated, dull white complexion, palps, dizziness, tinnitus, tidal fever in afternoon, dry skin, dry stool

Back 49

Delayed Menses from Blood Xu

TP: tonify blood, regulate menses

Formula: Da Bu Yuan Jian
Ren SHen Yang Rong Tang
Xiao Ying Jian

Acupoints:
ST-36: tonify whole body qi
Sp-3: Tonify spleen yuan qi
Sp-10: tonify blood
St-30: tonify spleen, reg chong,
regulate menses
UB-20: tonify Spleen
UB-17: blood point
Ki-3, Ki-10: tonify Ki & clr false heat

Front 50

Menstrual Symptoms:
Phase: late
Amount: less
Color: dark or purple
Quality: ~sticky, gluey
clots: many, ~sticky

Tongue: purple hue, twc
Pulse: shoppy or wiry

lower abd distention & pain, epigastric, lateral costal, & breast distention, irritability, anxiety, sighing (liver qi stag)

Back 50

Delayed Menses from Liver Qi Stagnation

TP: regulate menses, move (activate) qi
if cold: warm channels & disperse cold

Formula: wu yao tang, xiao yao san

Acupoints:
LV-3: reduce Lv heat, move qi
GB-37: disperse liver qi
GB-40 + LV-5: lessen stag, reg lv qi
SP-8: reduce stag, tonify qi
SP-6 + SJ-5: reg 3 yin, disperse qi
CV-12, PC-6: disp qi, reg qi, calm body
CV-3: reg menses
ST-25: reg qi, elim stasis in lower abd
ST-29: warm lower jiao uterus

Front 51

Menstrual Symptoms:
Phase: late
Amount: less (small amt)
Color: Dull & Dark
Quality: congealed, sticky
Clots: yes

Tongue: white, slimey coat
Pulse:slippery Coat:white/yellow, thick

chronic abnormal vaginal discharge, chest oppression, epigastric distention, excessive phlegm, heavy limbs, palps, short breath

Back 51

Delayed menses from Phlegm Obstruction

TP:regulate menses, elim phlegm/stasis,
tonify earth

Formula: Xiang Sha Liu Jun Zi Tang

Acupoints:
SP-9, ST-40: phlegm, tonify spleen
SP-3: spleen
K-7: kidney yang
UB-20, UB-21, UB-23: Sp, St, Ki
SJ-10: open 3 jiaos

Front 52

How much time is typically required for primiparas and multiparas birth?

Back 52

primiparas - 14 to 18 hours
multiparas - 8 to 12 hours

Front 53

Term refering to the fetus during the first trimester?

Back 53

initial fetus

Front 54

Paroxysmal contraction of the abdomen, especially a sagging, heavy sensation in the lower abdomen

Back 54

first stage of labor

Front 55

_______ are a major disease cause in gynecology.

Back 55

Emotional Disturbances

Front 56

What precautions should a woman take to prevent the onset of menstrual disease?

Back 56

During Menstruation:
- no sex
- no chilled food or drink
- no spicy food
- Protect the warmth of the lower body
- no soaking in the bath
- no excessive fatigue

Always:
- keep the essence spirit happy & calm

Front 57

Menstrual Symptoms

Amount: sudden, more than usual
Color: dark red
Quality: sticky
Clotting: many

Tongue: red, ~very dry, ~thin yellow
Pulse: rapid, ~full, or ~rolling

~fever, red face, thirst, dizzy or headache, constipation, yellow urine, et cetera

Back 57

Uterine Bleeding
from
Excess Heat

Clear Heat, Cool Blood,
Stop Bleeding, regulate menses

Qing Re Gu Jing Tang

Clear Heat:
LI-4, LV-3, LI-11, GB-40, GB-38,
HT-7 + KI-3, SI-4,5, LV-2, PC-6

Stop Bleeding:
ST-44, Ren 3, SP-10

Moxa:
Jiu Xue Bing
(#3 sacral verterbra)
10-20 minutes

Front 58

Menstrual Symptoms:

Amount: dribbling, scant, could also be heavier with false heat
Color: bright red
Quality: sticky
Clots: none

Tongue: red, thin or no coat, ~geo-coat
Pulse: fine, rapid, forceless

5-palm heat, insomnia, low pack pain, et cetera

Back 58

Uterine Bleeding
from
Kidney Yin Xu

Tonify Yin, Clear Heat,
Stop Bleeding, Regulate Menses

Bao Yin Jian
(Protect Yin Formula)

KI-3 + UB-57, KI-7, LU-8,
UB-23 or KI-8, KI-10, CV-4, ST-25

Front 59

Menstrual Symptoms

Amount: sudden, heavy or dribbles ceaselessly
Color: pale red
Quality: watery
Clots: none

Tongue: pale. swollen, teethmarks, TWC
Pulse: Deep without force

vertigo, chilly limbs, low back & knee pain & weakness, loose stools, long & clear urination.

Back 59

Uterine Bleeding
from
Kidney Yang Xu

Warm Kidney, Strengthen Qi,
Stop Bleeding, Regulate Menses

You Gui Wan

KI-3 + UB-57, KI-7, LU-8,
UB-23 or KI-8, KI-10, CV-4, ST-25

Front 60

Menstrual Symptons

Amount: Dribbling constantly
Color: pale
Quality: watery
Clots: none

Tongue: swollen, pale, TWC
Pulse: weak, fine

cold limbs, edema, short breath, low voice, epigastric distention, loose stools

Back 60

Uterine Bleeding
from
Spleen Qi or Yang Xu

Tonify Qi, Nourish Yin/Blood,
Control Blood, Regulate Menses

Gu Ben Zhi Beng Tang
(Secure Root, Stop Bleeding Decoction)

UB-20, LV-13, SP-3 or SP-6, GV-4,
CV-6, 12, GV-20, UB-43, SJ-8, SJ-5

Front 61

Menstrual Symptoms

Amount: dribbles without ceasing or precipitates heavily
Color: Dark or Purple
Clots: yes

Tongue: purple & dark or purple spots
Pulse: Choppy or ~wiry

abdominal pain - no pressure

Back 61

Uterine Bleeding
from
Blood Stagnation

Activate Blood, Break Stagnation

Shi Xiao San + Si Wu Tang
(must modify as tang is weak)

SP-3, LV-5, SJ-5 or SJ-8,
SP-10 or UB-17, CV-6 or CV-4

Front 62

Excessive uterine bleeding during or between cycles.
Beng = Sudden
Lou = Dripping

Back 62

What is Beng Lou?

Front 63

Uterine bleeding occurs because the chong & ren find it difficult to restrict the blood. There is likely a break in the flow of the ren & chong mai leading to instability

Back 63

What is the root of Beng Lou?

Front 64

What are the causes of uterine bleeding?

Back 64

Heat in Blood,
Kidney Yang Xu,
Kidney Yin Xu,
Spleen Qi/Yang Xu,
Blood Stasis

Front 65

What is the overiding treatment principle for uterine bleeding?

Back 65

1. STOP THE BLEEDING |
2. Treat the root pathology |
3. Maintain Balance (qi & Blood) |

Front 66

Main formula to stop bleeding...

Back 66

Dang Gui Bu Xue Tang

Tonify Qi to Stop Bleeding
&
Nourish Blood

Front 67

extra points:
Dbuan Hong, Xue Jian Chou

Auricular:
uterus point, endocrine point

Points:
Moxa on Bai Hui,
CV-8 with gan jiang or fu zi

Back 67

Stop Bleeding Acupoints?

Front 68

What are the three basic causes of Irregular Menstruation?

Back 68

Spleen (Pi) Qi Xu
Kidney (Shen) Qi Xu
Liver (Gan) Qi Yu Jie

Front 69

What are the 8 causes of Irregular Menstruation (Yue Jing Qian Hou Wu Ding)?

Back 69

1. Spleen (Pi) Xu |
2. Excess food injures Pi |
3. Chronic disease |
worsens Qi Xu |
4. Emotes held within: |
gan qi yu jie (肝氣鬱結) |
5. Polyparas: lose xue & jing: |
Shen Qi Xu |
6. Excessive Sexual Activity: |
Shen Yin Xu |
7. Female (9-15): Shen Jing |
not abundant |
8. Menopause: Shen Yin/Jing Xu |

Front 70

Why is menses irregular? What causes this (physiology)?

Back 70

Becuase blood gets to the chong
early or late.

Front 71

Menstrual Symptoms:

Phase: Irregular
Amount: excessive
Quality: watery
Clots: none
Color: pale (light red)

Pale face or yellowish tint, digestion fair, ~diarrhea, ~palps, sensation of edema in afternoon
T: pale, wide, teethmarks, TWC
P: slow (no move blood), thready, weak (no control blood)

Back 71

Irregular menstruation from
Pi Qi Xu
脾氣虛

Tonify Qi &
Regulate Menses

Front 72

Acupuncture:
SP-3: horary point
SP-9: activate spleen
Zi Gong: gyne point
ST-29:
PC-6 + SP-4: Chong & Yin Wei
ST-36: tonify San Jiao
ST-41: fire point on earth channel
UB-20, 21: SP/ST back shu
UB-32: gyne point
CV-7: chest qi - helps disperse qi
LU-7 or LU-9: help lung disperse

Herbal:
Shen Ling Bai Zhu San
(Genseng & Atractylodes)

Wen Wei Yin
(Warm Stomach Decoction)

Back 72

Treatment for
Irregular Menses
Pi Qi Xu
脾氣虛

Front 73

Menstrual Symptoms:
Phase: early, late, erratic
Amount: less
Color: pale
Clots: small to no clots
Quality: sticky or watery

Sore, cold lumbar, foggy thought, dizziness, tinnitus (high pitch), frequent urination
T: pale, ~TWC, ~ red
P: thready

Back 73

Irregular menses from
Kidney (Shen) Xu
腎虛

Tonify Shen Qi &
Regulate Menses

Front 74

Acupuncture:
KI-7: tonify shen yang
KI-3: tonify shen qi
KI-2: fire point on water channel
SJ-4: yuan source
SJ-5: improve san jiao circulation
LU-8: horary point on mother channel
KI-10: He Sea, horary point

Herbal:
Gu Yin Jian
(Consolidate Yin Tea)

Back 74

Treatment for
Irregular Menses from
Shen Shu
腎虛

Front 75

Menstrual Symptoms:
Phase: early, late, erratic
Amount: ~more, ~less
Color: red or dark red
Clots: yes
Quality: sticky

lower abdomen distention & pain, chest & lateral costal or breast distention & pain, appetite fair, ~bitter taste
T: tip & sides red, TYC or dry, ~normal
P: wiry, ~rapid

Back 75

Irregular Menstruation from
Liver Qi Stagnation
Gan Qi Yu Jie
肝氣鬱結

Disperse Liver Qi &
Regulate Menses

Front 76

Acupuncture:
LV-3: yuan source (even work)
LV-14: mu (sedate)
BL-18: shu
GB-37: luo
SP-4:
PC-6: calm shen
CV-4:
CV-6:
BL-17: reduce
LV-2: fire point on wood (reduce)
GB-34: damp-heat
SP-3, SP-9: move qi

Herbal:
Xiang Wu San
(cyperus & lindera)

Xiao Yao San

Xiao Yao San

Back 76

Teatment for
Irregular Menstruation
Liver Qi Stagnation
Gan Qi Yu Jie
肝氣鬱結

Front 77

1. Harmonize Blood
2. Treat the Root-cause of bleeding
3. Astringe
4. Treat Qi

Back 77

What are the principles
of treatment for any
bleeding syndrome?

Front 78

4 key points in the treatment of gynecological diseases...

Back 78

Regulate the Qi & Blood
Harmonize the Spleen & Stomach
Nourish the Liver & Kidneys
Boost the Chong & Ren

Front 79

Fetal education:
Modify both mental & emotional outlook to ensure healthy development of the baby.

1. abstain from random use of medications,
2. abstain from alcohol
3. no reckless treatment by acupuncture & moxibustion
4. no lifting heavy objects.
5. no climbing heights
6. take frequent leisurely walks
7. avoid excessive fatigue
8. do not sleep excessively
9. abstain from sexual activity

Back 79

Behaviors that expectant
mothers should exhibit?