Beng Lou
types?
Damp Heat Blood Heat Blood Stasis Qi Xu Kidney Yin Xu Kidney Yang Xu
Beng Lou
what is it?
TCM?
Western?
Flooding and Leaking
Menorrhagia
Menotaxis
Metrorrhagia
Metrotaxis
Scanty periods may progress to…?
Amenorrhea
Heavy periods may progress to …
Beng Lou
Sudden onset of profuse bleeding, leaking for several days. Red complexion, thirst, constipation, dry mouth. Mental restlessness and agitation. Insomnia. Tongue is red with thin yellow coating. Blood is bright, deep red, thick and sticky.
Dx?
Pulse?
Pulse will be rapid, slippery, and sometimes fine.
Dx: Beng Lou – Blood Heat
Beng Lou - Blood Heat
Tx?
POT?
POT: STOP BLEEDING, clear heat, cool blood
LI 11 –cools the blood
+ General Beng Lou Tx: Sp 4/P 6, St 30, Sp 8 /Liv 6/ K 5, Sp 1, Sp 6, Sp 10.
What do Sp 8, Liver 6 and K 5 all have in common?
Xi Cleft or emergency points for the 3 leg Yin
What is the dominant organ involved in the Blood Heat version of Beng Lou?
Liver and Heart
Yellow facial complexion or red if heat is dominating. Possibly fever, perspiration, bitter taste in the mouth, concentrated urination, constipation or loose stools. Superficial edema, heavy feeling in head and limbs. Dizziness and Vertigo. mental fatigue. Chest oppression. Epigastric distention. Tongue is red with thin slimy coating, pulse is soggy and slippery. Blood is mixed with sticky fluids, and can be excessive (heat). Colour may be purplish, and it may have a strong foul odour. Some spotting.
Dx?
Beng Lou - Damp Heat
Beng Lou - Damp Heat
which is the dominant organ(s)?
Spleen
Alterations in uterus shapes
Bicornate
Retroverted
Septum
What does cold do to the follicular phase?
Prolongs it
prevents Qi transformation
What does phlegm do to the shape of a woman’s temperature chart?
Flattens it out - monophasic/annovulation
short luteal
blocks yang
prevents Qi transformation
How long should the luteal phase be?
12-14 days
Uterus as a Zang - what does it do?
Stores Fetus
Stores Blood
Uterus as a Fu organ - Fx?
Discharges Blood
Discharges Baby
Which organ influences the discharge of eggs and mensurate?
Heart
Which organ influences the ebb and flow of yin and yang in the menstrual cycle?
Kidneys
Which organ promotes the transformation of yin to yang?
Heart
Which organ provides the blood?
Liver
Which organ makes the blood?
Spleen?
Where is the yin for the menstrual cycle from?
Ren
What does Chong do?
Moves the blood
What does Du contribute to the menstrual cycle?
Provides Yang
What do the kidneys provide to the Uterus?
kidneys provide essence and ministerial fire (origin of Tian Gui)
How is menstrual blood made?
Tian Gui is made when the minister Fire of the kidney and the Kidney Jing water combine, when the Heart Yang descends to the Uterus.
Heart and Uterus
What happens if there’s Heart Blood Xu?
Scanty menses
What happens if there’s Heart Blood Heat?
Heavy Menses
What happens if there is Heart Blood Stasis?
Painful Menses
POT during period?
Invigorate Blood
– if bleeding is too heavy, stop bleeding—-
General Tx during Post-Menstrual phase?
Supplement and Nourish Yin and Blood
Tonify the kidneys
*Enrich Yin to Nourish and Replenish Blood**
General Tx during Mid-Cycle phase?
Tonify the Kidneys
Strengthen Chong and Ren
Tonify Spleen to resolve Damp
–all transformations are warm in nature, so we need to ensure there’s enough warmth to make them happen–
General Tx during Pre-Menstrual phase?
Invigorate Qi and Blood
Warm the Uterus
—unless she’s trying to get pregnant—
The Follicular phase contains which two sub-phases?
Period
Post-Menstrual
The Luteal phase contains which two phases?
Mid-Cycle
Pre-Menstrual
When in the cycle is Yin at it’s peak?
Where the follicular turns into the luteal phase, around 12-14 days into the cycle (day 1 being the first day of menses)
When in a healthy cycle is Yang at it’s peak?
The first day of the menses (first day of Follicular phase)
What’s the TCM name for the Menses phase of the cycle?
(Yin/Yang/Qi/Blood)?
Blood
What’s the TCM name for the Pre-Menstrual phase of the cycle?
(Yin/Yang/Qi/Blood)
Qi
What is the TCM name for the Post-Menstrual phase of the cycle?
(Yin/Yang/Qi/Blood)?
Yin
What’s the TCM name for the Mid-cycle phase?
Yin/Yang/Qi/Blood
Yang
Which axis do the Uterus-Heart-Kidneys form?
Vertical Axis
Which Axis do the Du-Ren form?
Horizontal Axis
The hypothalamus releases this hormone, which goes to the Pituitary…
Gonadotropin Releasing Hormone
The pituitary releases this hormone…
FSH —>Follicle (Estrogen)
LH—>Corpus Luteam (progesterone)
What does a short Luteal Phase mean?
Spleen and Kidney Yang Xu
What does a short Follicular phase mean?
Evil Heat
Xu
Depression
What does a long follicular phase mean?
Kidney Yin Xu
or
Spleen and Kidney Yang Xu
What does it mean when the temperature doesn’t rise in the Luteal phase?
Kidney Yang Xu
What does it mean when the temperature rises for the Luteal phase, then drops back off again?
Stomach-Spleen-Qi Xu
What does it mean when the temperature rises, but can’t be maintained (but not a drop like a saddle - just a tapering off)?
Spleen Qi and Kidney Yang Xu
What does a saw tooth effect mean on a temperature chart?
Kidney Yang Xu and Liver Heart Fire
or
Qi Xu
What does it mean when the temperature rise between the follicular and luteal phases rises less than .4 degrees?
Kidney Yin and Yang Xu
What does it mean if the temperature does not rise , or is too gradual?
Endometriosis
What does it mean if there’s a low Follicular phase temperature, then a saw tooth effect with no real rise in temperature for the Luteal phase?
Kidney Yin Xu, or Liver Heart Fire.
Which hormone causes the rise in body temperature?
Progesterone
What does a step-up pattern refer show in a temperature chart?
if it takes >72 hours, it’s a Yang Xu or Liver Qi Stagnation.