MISCELLANEOUS GYNAECOLOGICAL SYMPTOMS

MISCELLANEOUS GYNAECOLOGICAL SYMPTOMS

Chapter contents

INFERTILITY

Interrogation, Chapter 46

Kidney deficiency

Primary or secondary infertility, late periods, scanty periods, backache, dizziness, tinnitus.

Other symptoms, including tongue and pulse, depend on whether there is Kidney-Yang or Kidney-Yin deficiency. This is the most common cause of infertility, accounting for over half the cases.1

Blood deficiency

Secondary infertility, scanty periods or amenorrhoea, late periods, tiredness, dizziness, blurred vision, pale complexion, Pale-Thin tongue, Choppy pulse.

Cold in the Uterus

Primary infertility, late periods, painful periods, bright-red blood with small, dark clots, a feeling of cold during the period, cold limbs, backache, Pale tongue, Tight pulse.

Dampness in the Lower Burner

Secondary infertility, excessive vaginal discharge, late periods, mid-cycle pain and bleeding, a feeling of heaviness, obesity, sticky tongue coating, Slippery pulse.

Blood-Heat

Secondary infertility, early periods, heavy periods, a feeling of heat, thirst, anxiety, Red tongue, Rapid-Overflowing pulse.

Qi stagnation

Secondary infertility, irregular periods, premenstrual tension, breast distension, irritability, Wiry pulse.

Blood stasis

Secondary infertility, painful periods, dark blood with large, dark clots, Purple tongue, Wiry pulse.

Kidney-Yin deficiency with Blood Empty-Heat

Secondary infertility, heavy periods, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, scanty dark urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

• More than half of the cases of infertility are due to a Kidney deficiency.

• This means that nearly half of cases are due to a Full condition and especially Damp-Phlegm in the Uterus.

MENOPAUSAL SYNDROME

Interrogation, Chapter 46

Kidney-Yin deficiency

Hot flushes, dryness of the vagina, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, scanty dark urine, tongue without coating, Floating-Empty pulse.

Kidney-Yang deficiency

Hot flushes, backache, dizziness, tinnitus, a feeling of cold, weak knees, bright-white complexion, tiredness, abundant clear urination, Pale and wet tongue, Deep-Weak pulse.

Kidney-Yin and Kidney-Yang deficiency

Hot flushes, night sweating, dryness of the vagina, backache, dizziness, tinnitus, cold feet, frequent urination. The tongue is Pale if Kidney-Yang deficiency predominates and Red if Kidney-Yin deficiency predominates.

Kidney- and Liver-Yin deficiency with Liver-Yang rising

Hot flushes, dryness of the vagina, dry eyes, blurred vision, headache, irritability, insomnia, Red tongue without coating, pulse Floating-Empty and slightly Wiry on the left.

Heart- and Kidney-Yin deficiency

Hot flushes, dryness of the vagina, night sweating, palpitations, insomnia, dizziness, tinnitus, anxiety, mental restlessness, depression, a feeling of heat in the evening, dry mouth and throat, poor memory, tongue without coating, pulse Floating-Empty.

Accumulation of Phlegm and stagnation of Qi

Hot flushes, obesity, a feeling of oppression of the chest, expectoration of scanty phlegm, a feeling of distension of the breasts, irritability, sighing, nausea, depression, tongue slightly Red on the sides, Wiry-Slippery pulse.

This pattern frequently appears in early menopause.

Blood stasis

Hot flushes, night sweating, anxiety, mental restlessness, a feeling of agitation, menopause preceded by a period of time when menses are very irregular, stopping for a long time and then starting again, insomnia, possibly hypertension, Purple tongue, Wiry pulse.

• Remember: menopausal symptoms are not always due to Kidney-Yin deficiency. A simultaneous deficiency of both Kidney-Yin and Kidney-Yang (in varying proportions) is the most common situation.

ABDOMINAL MASSES

Observation, Chapter 16; Symptoms and Signs, Chapter 71

Liver-Qi stagnation

Movable abdominal masses which come and go, abdominal distension and pain, hypochondrial or epigastric distension, depression, irritability, moodiness, Wiry pulse.

Stagnation of Qi and stasis of Blood

Hard and immovable abdominal masses, abdominal distension and pain, late periods, Purple tongue, Wiry pulse.

Blood stasis knotted in the Interior

Hard, immovable and painful abdominal masses, dark complexion, dry skin, a feeling of cold, amenorrhoea, painful periods, late periods, Purple tongue, Choppy pulse.

Damp-Phlegm

Relatively soft abdominal masses, sputum in the throat, excessive vaginal discharge, ovarian cysts, sputum in the throat, a feeling of oppression of the chest, Swollen tongue with sticky coating, Slippery pulse.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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