gyno diagnosis and treatment

always early period

qi def or blood heat

always late period

blood def, blood stasis, cold

irregular period timing

lv qi stag, LV blood stasis, sp def, KI def

heavy period

qi def or blood heat

scanty period

blood def, blood stasis, cold in the uterus

normal period colour

dark red, lighter in beginning, deep red in the middle, pinkish at the end

dark fresh clots

heat (congealing)

large clots

blood stasis

small clots

cold stasis

watery period

blood/yin deficiency

Xiao fu =?

below navel = KI and ren

Shao fu =?

lower lateral sides = LV channel & chong

unilateral pain w masses

= yin qiao channel - qi/blood stagnation (related to lv but treat w yin qiao )

thick sticky blood

blood heat

fresh clots

blood heat

purplish menstrual blood

excess cold

brownish dilute blood w small clots , soy sauce

deficiency cold

headache before period

LV qi or LV yang rising

headace during period

LV rising or LV fire

Headache after period

LV blood def

constipation before period

LV qi stagnation / cold

constipation during period

LV fire

constipation after period

blood / KI def

diarrhea after period

SP yan and/or KI yang def

retention of water / edema before period

SP yang and/or KI yang def

insomnia during period

blood heat w LV or HT fire

insomnia after period

blood def

very swollen painful breast distention

phlegm and qi stagnation

miscarriage before 3 months

KI def

Miscarriage after 3 months

sp qi sinking / lv blood stasis or blood heat

pre-eclampsia in tcm

Ki def w LV yang rising or LV wind

uterus pulse position

behind ki (chi)

deep hidden uterus pulse

amenorrhea

slippery uterus postions

leukorrhea

choppy middle positions of uterus pulse?

early menopause

normal pregnancy pulse

slippery & big rear positions on both

leather pulse

= wiry, big superficial, empty hollow deep =

danger of miscarraige

labour imminent pulse

chi (KI) position urgent , like beads on a rope

postpartum pulse

weak soft

rapid, full post partum pulse =

blood heat , and infection

soft abdomen

KI def

edema test, finger leaves a dent

excess water

edema test, skin rebounds instantly

excess qi

hot palms

deficiency (empty heat)

hot soles

KI yin def

does heat at qi level cause blood heat?

NO - treat w cold-pungent herbs

does fire at qi level cause blood heat?

YES - treat w cold - bitter herbs (drain fire)

red/slightly red tongue , thin yellow coating tongue

heat at qi level tongue

dark red, thick yellow brown black coating, dry tongue

fire at qi level tongue

red w no coat tongue

heat at nutriative-qi or blood level

3 ways patterns combine

1. coexistence (no causal link)

2. interaction (causal link)

3. Contradiction.

4 basic treatment principles

1. nourish and warm KI

2. soothe and nourish LV

3. fortify SP , harmonize ST

4. rectify QI and blood