Chapter 85 PROBLEMS AT PERIOD TIME Chapter contents PREMENSTRUAL TENSION HEADACHE BREAST DISTENSION FEVER BODY ACHES OEDEMA DIARRHOEA CONSTIPATION NOSEBLEED MOUTH ULCERS SKIN ERUPTIONS DIZZINESS VOMITING INSOMNIA EYE PAIN PREMENSTRUAL TENSION Interrogation, Chapter 46 Liver-Qi stagnation Irritability, depression, moodiness, propensity to outbursts of anger, impatience, irregular periods, breast distension, hypochondrial or epigastric distension, a feeling of a lump in the throat, Wiry pulse. Liver- and Heart-Fire Propensity to outbursts of anger, irritability, mental restlessness, shouting, anxiety, insomnia, breast distension, heavy periods, a feeling of heat, headache, red face, dizziness, tinnitus, thirst, bitter taste, constipation, dark urine, palpitations, mouth and tongue ulcers, Red tongue with redder sides and tip and yellow coating, Overflowing-Wiry-Rapid pulse. Heart-Fire Mental restlessness, anxiety, insomnia, dream-disturbed sleep, breast distension, heavy periods, palpitations, thirst, mouth and tongue ulcers, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse. Phlegm-Fire harassing upwards Mental restlessness, anxiety, insomnia, hyperactivity, dream-disturbed sleep, mental confusion, breast distension, swelling and pain, a feeling of heaviness and muzziness of the head, a feeling of heat, red face, greasy skin, a feeling of oppression of the chest, sputum in the throat, expectoration of yellow sputum, dizziness, nausea, Red and Swollen tongue with sticky yellow coating, Slippery-Rapid pulse. Liver-Blood deficiency with secondary Liver-Qi stagnation Weepiness, crying, depression, mild irritability, mild breast distension, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse. Liver- and Kidney-Yin deficiency Weepiness, crying, depression, lack of motivation, insomnia, scanty menstruation or amenorrhoea, dizziness, tinnitus, lower backache, dull occipital or vertical headache, numbness/tingling of the limbs, dry eyes, blurred vision, dry throat in the evening, dry hair and skin, brittle nails, night sweating, dry stools, normal-coloured tongue without coating, Floating-Empty pulse. Spleen- and Kidney-Yang deficiency Weepiness, crying, depression, lack of motivation, tiredness, lassitude, scanty or heavy periods, lower backache, a sensation of cold in the back, a feeling of cold, bright-white complexion, decreased libido, tiredness, lassitude, abundant clear or scanty clear urination, urination at night, apathy, oedema of the lower legs, loose stools, poor appetite, slight abdominal distension, a desire to lie down, Pale and wet tongue, Deep-Weak pulse. Spleen-Qi deficiency with Dampness and secondary Liver-Qi stagnation Weepiness, depression, tiredness, lassitude, feeling of heaviness, swelling of the breasts, mild irritability, poor appetite, slight abdominal distension after eating, pale complexion, weak limbs, loose stools, abdominal fullness, sticky taste, nausea, excessive vaginal discharge, Pale tongue with sticky coating, Soggy pulse. Clinical note • Remember: premenstrual tension is not always due to a Liver disharmony. For example, Heart-Fire can also cause it. HEADACHE Interrogation, Chapter 46 Liver-Blood deficiency Dull vertical headache during or after the period, scanty period, dizziness, blurred vision, Pale tongue, Choppy or Fine pulse. Liver-Yang rising Throbbing headache on the temples before or during the period, dizziness, tinnitus, irritability, propensity to outbursts of anger, red face, Wiry pulse. Liver-Fire Throbbing headache on the temples or eyes during the period, bloodshot eyes, red face, thirst, bitter taste, headaches, dizziness, tinnitus, irritability, propensity to outbursts of anger, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse. Blood stasis Stabbing headache on the temples during the period, painful periods with dark blood and clots, Purple tongue, Wiry pulse. BREAST DISTENSION Interrogation, Chapter 46 Liver-Qi stagnation Premenstrual breast distension, hypochondrial or epigastric distension, irritability, moodiness, Wiry pulse. Liver-Blood stasis Premenstrual breast distension and pain, painful period with dark blood and clots, hypochondrial pain, abdominal pain, dark complexion, Purple tongue, Wiry pulse. Phlegm with stagnation of Qi Premenstrual breast distension, breast nodularity, swollen and painful breasts, a feeling of oppression of the chest, sighing, obesity, Swollen tongue, Slippery-Wiry pulse. 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Chapter 85 PROBLEMS AT PERIOD TIME Chapter contents PREMENSTRUAL TENSION HEADACHE BREAST DISTENSION FEVER BODY ACHES OEDEMA DIARRHOEA CONSTIPATION NOSEBLEED MOUTH ULCERS SKIN ERUPTIONS DIZZINESS VOMITING INSOMNIA EYE PAIN PREMENSTRUAL TENSION Interrogation, Chapter 46 Liver-Qi stagnation Irritability, depression, moodiness, propensity to outbursts of anger, impatience, irregular periods, breast distension, hypochondrial or epigastric distension, a feeling of a lump in the throat, Wiry pulse. Liver- and Heart-Fire Propensity to outbursts of anger, irritability, mental restlessness, shouting, anxiety, insomnia, breast distension, heavy periods, a feeling of heat, headache, red face, dizziness, tinnitus, thirst, bitter taste, constipation, dark urine, palpitations, mouth and tongue ulcers, Red tongue with redder sides and tip and yellow coating, Overflowing-Wiry-Rapid pulse. Heart-Fire Mental restlessness, anxiety, insomnia, dream-disturbed sleep, breast distension, heavy periods, palpitations, thirst, mouth and tongue ulcers, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse. Phlegm-Fire harassing upwards Mental restlessness, anxiety, insomnia, hyperactivity, dream-disturbed sleep, mental confusion, breast distension, swelling and pain, a feeling of heaviness and muzziness of the head, a feeling of heat, red face, greasy skin, a feeling of oppression of the chest, sputum in the throat, expectoration of yellow sputum, dizziness, nausea, Red and Swollen tongue with sticky yellow coating, Slippery-Rapid pulse. Liver-Blood deficiency with secondary Liver-Qi stagnation Weepiness, crying, depression, mild irritability, mild breast distension, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse. Liver- and Kidney-Yin deficiency Weepiness, crying, depression, lack of motivation, insomnia, scanty menstruation or amenorrhoea, dizziness, tinnitus, lower backache, dull occipital or vertical headache, numbness/tingling of the limbs, dry eyes, blurred vision, dry throat in the evening, dry hair and skin, brittle nails, night sweating, dry stools, normal-coloured tongue without coating, Floating-Empty pulse. Spleen- and Kidney-Yang deficiency Weepiness, crying, depression, lack of motivation, tiredness, lassitude, scanty or heavy periods, lower backache, a sensation of cold in the back, a feeling of cold, bright-white complexion, decreased libido, tiredness, lassitude, abundant clear or scanty clear urination, urination at night, apathy, oedema of the lower legs, loose stools, poor appetite, slight abdominal distension, a desire to lie down, Pale and wet tongue, Deep-Weak pulse. Spleen-Qi deficiency with Dampness and secondary Liver-Qi stagnation Weepiness, depression, tiredness, lassitude, feeling of heaviness, swelling of the breasts, mild irritability, poor appetite, slight abdominal distension after eating, pale complexion, weak limbs, loose stools, abdominal fullness, sticky taste, nausea, excessive vaginal discharge, Pale tongue with sticky coating, Soggy pulse. Clinical note • Remember: premenstrual tension is not always due to a Liver disharmony. For example, Heart-Fire can also cause it. HEADACHE Interrogation, Chapter 46 Liver-Blood deficiency Dull vertical headache during or after the period, scanty period, dizziness, blurred vision, Pale tongue, Choppy or Fine pulse. Liver-Yang rising Throbbing headache on the temples before or during the period, dizziness, tinnitus, irritability, propensity to outbursts of anger, red face, Wiry pulse. Liver-Fire Throbbing headache on the temples or eyes during the period, bloodshot eyes, red face, thirst, bitter taste, headaches, dizziness, tinnitus, irritability, propensity to outbursts of anger, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse. Blood stasis Stabbing headache on the temples during the period, painful periods with dark blood and clots, Purple tongue, Wiry pulse. BREAST DISTENSION Interrogation, Chapter 46 Liver-Qi stagnation Premenstrual breast distension, hypochondrial or epigastric distension, irritability, moodiness, Wiry pulse. Liver-Blood stasis Premenstrual breast distension and pain, painful period with dark blood and clots, hypochondrial pain, abdominal pain, dark complexion, Purple tongue, Wiry pulse. Phlegm with stagnation of Qi Premenstrual breast distension, breast nodularity, swollen and painful breasts, a feeling of oppression of the chest, sighing, obesity, Swollen tongue, Slippery-Wiry pulse. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: OBSERVATION OF THE GENITALIA DIGESTIVE SYSTEM AND TASTE PULSE QUALITIES MENTAL AND EMOTIONAL SYMPTOMS Stay updated, free articles. Join our Telegram channel Join Tags: Diagnosis in Chinese Medicine A Comprehensive Guide Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on PROBLEMS AT PERIOD TIME Full access? Get Clinical Tree