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3 types of pathology
zang fu organ dysfunction
qi/blood disharmony
direct injury to uterus (chong, ren , du)
4 KI patterns in gyno
KI yang def
KI Yin def
Both , yang predom
both yin predom
What KI pattern?
Menorrhagia, late periods, leucorrhoea, infertility
Chilliness, backache, frequent pale urination
Tongue: Pale, wet · Pulse: Deep, Slow
KI yang def
What KI pattern?
Menorrhagia, early or scanty periods, amenorrhoea
• Dizziness, tinnitus, backache, night sweating
• Tongue: Red, Peeled · Pulse: Floating-Empty or Fine Rapid
KI yin def
What KI pattern?
Late periods, leucorrhoea, oedema in pregnancy
Cold hands/feet, hot flushes, possible night sweats
Tongue: Pale · Pulse: Deep, Slow
Ki yin/yang def, yang predom
What KI pattern?
• Early or scanty periods, amenorrhoea, infertility
• Dizziness, tinnitus, night sweats, yet cold feet
• Tongue: Peeled · Pulse: Floating-Empty or Fine Rapid
Ki yin yang def. yin predom
gyno LV patterns
LV qi stag
LV blood def
LV blood stasis
LV blood heat /fire
LV yang rising / wind
What LV pattern ?
PMT, breast distension, irregular/painful periods
Cause: emotional stress
LV qi stag
What LV pattern ?
• Infertility, scanty periods, delayed cycle, amenorrhoea
• Pale/Thin tongue, Choppy pulse
LV blood def
What LV pattern ?
• Painful periods, dark clots
• Linked to endometriosis, myomas
LV blood stasis
What LV pattern ?
Excess menorrhagia, bright-red blood
Red tongue, yellow coating
LV blood- heat / fire
What LV pattern ?
• Pre-menstrual headaches, dizziness
• Can extend into Damp-Heat in the Liver channel
LV yang rising / wind
Qi patterns in gyno?
qi def
qi stag
qi rebelling
qi sinking
What qi pattern?
Menorrhagia, prolonged periods, early periods
Tiredness, weak voice, loose stools
Pale/normal tongue · Weak or Empty pulse
qi def
What qi pattern?
• PMT, breast distension, irregular/painful periods
• Abdominal distension, irritability, depression
• Normal or Red-sided tongue · Wiry pulse
Qi stag
What qi pattern?
PMT with vomiting, severe morning sickness
Tight chest, energy 'rising' from the abdomen
Normal or Red-sided tongue
· Wiry pulse
Qi rebelling
What qi pattern?
• Leucorrhoea, prolapsed uterus, miscarriage risk
• Tiredness, loose stools, depression
• Pale tongue · Weak pulse
Qi sinking
Blood patterns in gyno?
blood def
blood stasis
blood heat (full & empty)
blood cold (full & empty)
which vessel linked to qi rebelling in gyno?
chong (running piglet syndrome , hot face cold feet etc etc )
Deficient dai mai
can't raise Qi → organs sag → prolapse, miscarriage risk, and Dampness pours downward → leucorrhoea
Excess dai mai
abdominal fullness, backache radiating to the lower abdomen, 'as if sitting in water'
What is Yin qiao mai used for in gyno?
Lower burner excess patterns (masses, cysts, fibroids, difficult delivery, retained placenta, endometriosis surgery, hysterectomy)
what is yin wei mai used for in gyno?
nourishes rather than eliminates — calms the Mind, affects the Heart
Used for amenorrhoea or delayed cycle with depression, anxiety and chest tightness