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TCM OBGYN - working with the cycle
Phases 1&2 - What treatments are appropriate
19
Health Care
Graduate
02/16/2012

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Cards

Term
What is the appropriate treatment principle during the menstrual phase? (days 1-5)
Definition
*Move qi & xue (Tao Hong Si Wu Tang)
*Stop bleeding if menses too heavy
If necessary:
* clear damp
* nourish heart
* nourish blood
Term
What is the appropriate treatment principle during the post-menstrual phase? (days 8-12)
Definition
Nourish blood & Kidney yin
Regulate Qi & Blood
Fill the Chong
Term
What is the appropriate treatment principle during the midcycle phase? (days 13-20)
Definition
Nourish & warm Kidney yang
Regulate Qi & Xue
If necessary:
*Clear Damp
*Balance Ht & LV
Term
These are all good possible formulas for which phase of the menstrual cycle?
*Gui Zhi Fu Ling Wan (drain damp/fibroid)
*Xue Fu Zhu Yu tang (stasis upper chest)
*Ge Xia Zhu Yu Tang (stasis diaphragm)
*Shao Fu Zhu Yu Tang (stasis pelvis)
*Tong Jing Wan (Purges, jump starts menses in amenorrheic px -Sharon loves!)
Definition
Phase 1 - Menstruation
Term
What is the appropriate treatment principle during the Premenstrual phase? (days 21-28)
Definition
*Nourish & Warm Kidney Yang
* Regulate Qi & Xue
* Move Lv Qi
If Necessary:
*Clear Damp
*Balance Ht & Lv
Term
If the heart isn't open, menses can't discharge blood, what's the treatment?
Definition
Open Bao Mai & Bai Luo
P 5
Ren 14
- only days 8-14?
Term
What point should be avoided if a patient has heavy menstrual bleeding?
Definition
LI 4
Term
What point can be needled with moxa to relieve menstrual cramps?
Definition
SP 8
Term
What happens on cycle day 1?
Definition
Ren Mai begins to empty - must be strong for blood to come out.
Term
What happens on cycle day 2?
Definition
Lining starts rebuilding for next cycle - causes pain for endometriosis px
Term
If follicles aren't growing in response to FSH during phase 2 (Yin Phase) what treasure should be treated?
Definition
Kidney Jing
Term
If cervical mucous is scanty in the Yin Phase, what is the treatment?
Definition
Boost Yin!
(liu wei di huang wan + blood tonics= Gui Shao Di Huang Tang
or
shi quan da bu yin)
Term
if the patient has a long flow, when should one start astringing?
Definition
around Cycle Day 3-4
Term
When should one start building yin in a normal patient and when for a patient with scanty cervical mucous?
Definition
Normal - Day 4
Scanty - Day 3
Term
What Neutral Kidney tonic herb can be given in the Yin phase to force ovulation?
Definition
Tu Si Zi
Tonifies KD yin & yang
Term
What two herbs are in Er Zi Wan, and are famous for their coupled action to clear deficiency heat while building yin in the Yin phase?
Definition
Nu Zhen Zi
Han Lian Cao
Term
What herb is used in the Yin phase to build yin without creating dampness?
Definition
Gui Ban
Term
What two points should be needled on every px in the Yin cycle to tonify?
Definition
Ki 13 - tonify jing & yin
St 27 - Tonify Kd jing
Term
What point is used if a px is still bleeding / hemorrhaging in the yin cycle?
Definition
Kd 5 (xi cleft)
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