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OM Internal D Final
Obstetric Disease
| pathology | clinical Manifestation | Tongue/Pulse | Tx plan | Herbal Tx | Herbal Modification | Acu Tx |
|---|---|---|---|---|---|---|
| Morning sickness -Liv & St disharmony | vomit of bitter or sour regur, epig fullness & freq belching & sighning, hypochon pain, mental depress, dizzy & eye distension, chest congest, short temper, constipa w/ dry stool, concentrate dark urine | T. yellow t/c P. wiry slippery | disperse Liv Qi stag & harmo st | Ju Pi Zhu Ru Tang | - | Liv14, (REN12, ST36), (GB34, Liv3), (Pc6, Ren13, 10), SJ6, ST34, KD21 |
| Threatened Miscarriage -Kd essence Def | threatened miscarriage early in pregnancy,small amount of bleeding during pregnancy,sli pain of L.abdm during pregnancy,L.back pain, bearing down feel of L.abdm, dizzy, tinnitus, freq urine w/ clear water, drib of urine after urinate, enuresis | T.pale w/ white slippery t/c P. deep weak or T. red w/o t/c P. Superf empty p. | tonify Kd & calm fetus | Shou Tai Wan | -incontinece of urine in severe case add: Yi Zhi Ren, Fu Pen Zhi -def Kd Yang add: Ba Ji Tian, Yin Yang Huo, Xian Mao, He Shou Wu -abdm pain severe in danger of miscarriage add: Sheng Ma, Huang Qi | (UB20, 23, KD3, DU20, REN12, ST36, Qimen) |
| Threatened Miscarriage -Qi & Blood Def | threatened miscarriage toward end of 3 m., con scanty bleeding marked by light red & thin, distend pain at L.abdm & back, general weakness, palpitation, SOB, pale face | T. pale t. w/ thin white t/c P. feeble thready p. | tonify & raise qi, nourish blood, stabilize KD & calm fetus | Tai Yuan Yin | - | (St36, REN12), (UB20, 23), (UB17, 18, LIv8) |
| Threatened Miscarriage -blood heat | Threatened Miscarriage early in term, scanty vaginal bleeding in deep red, bearing down sensation w/ distend pain of l.abdm & back, fidget, irri, dry mouth & throat, thirst, scanty yellow urine, constipation | T. red t. yellow dry t/c P. slippery rapid p. | clear heat, cool blood, nourish blood, calm fetus | Bao Yin Jian | -severe bleeding add: Bai Mao Gen, Han Lian Cao, Qian Cao Gen -increse fetus calming add: Sang Ji Sheng, Du Zhong | Liv2, (LI11, SP10, UB17), Sp1, (KD2, Liv3) |
| Threatened Miscarriage -trauma or fall | Threatened Miscarriage following a fall or truama, distend & bearing down of L.abdm, abdm pain, scanty vaginal bleeding | T. normal or sli purple t. P. weak slippery p. | tonify Qi, harmonize blood, consolidate Ren & Chong Vessels & calm fetus | Sheng Yu Tang add: Sang Ji Sheng, Tu Si Zi, Xu Duan | -severe vaginal bleeding add: Ai Ye, E Jiao -severe abdm pain due to blood stag w/ purple t. add: Pu Huang, Wu Ling Zhi | (Du20, REN12), (Pc6, SP10), (KD6, LU7), Du3 |
| Vulva Pruritus -Damp heat in Liv chnl | itching vulva or vaginal area, leukorrheaor purulent yellow or cloudy milky discharge w/ fetid odor, fidget, insomnia, bitter taste, chest congest, anorexia | T. yellow greasy t/c P. wiry rapid | dispel damp heat, clear Liv & relieve skin itching | Bi Xie Shen Shi Tang add: Cang Zhu, Ku Shen, Bai Xian Pi | -vulva itch, lot of discharge,fidget, chest & hypoch pain, bitter taste, dark scan urine, constip, red t. yellow t/c & wiry p. cuz of damp heat accu at Liv chnl use: Long Dan Xie Gan Tang | (Ren3, 2), Liv5, 4, Sp6,9, UB32 |
| Vulva Pruritus -Liv & Kd Yin def | vulva dryness, burning sli itching at genital area, vaginal discharge w/ scanty amount of yellow/bloody color. five center heat, dizzy, vergito, freq hot flush, dry mouth w/o desire to drink, tinnitus, lumbar soreness | T. red t. scanty t/c & thready rapid p. | nourish Kd Yin, tonify Liv & Kd & dispel internal fire | Zhi Bai Di Huang Wan add: Dang Gui, Bai Xian Pi, He Shou Wu | - | (Ren4, Liv8, Sp6, Kd3), (Lu7, Kd6), Liv5, Ren3 |
| Infertility -Kd Yang Def | sterility for many years, delay mens, hypomens, pale red of mens flow, sometime amenorrhea, lusterlessfacial complex, back soreness, weak knee, low sexual drive, clear urine, loose stool | T. pale swollen t. white t/c P. deep thready or deep slow p. | warm up ld yang, tonify qi, nourish blood & regulate Chong & Ren chnl | Yu Lin Zhu | -cold pain at l.abdm & lumbar pain add: Ba Ji Tian, Bu Gu Zhi, Yin Yang Huo, Xian Mao | Kd13, (Kd3, UB23, 52, Ren4, Du4), (Lu7, Kd6), Ren8 |
| Infertility -Kd Yin Def | sterility for many year, early mens or delay mens, hypomen, red mens flow w/o clot, body emaciation, back soreness, weak knee, dizzy, blur vision, insomnia, palpitation, fidget, irri, dry mouth, low grade fever in afternoon | T. red t., scanty t/c P. thready rapid p. | nourish Yin, Nourish Blood, strengthenChong & Ren chnl & strengthenKd essence | Yang Jing Zhong Yu Tang Variation | -emacation, five center heat & tidal fever add: Mu Dan Pi, Di Gu Pi, Huang Bai, Gui Ban | (Ren4, 7, Kd3, Sp6), Kd13, (LU7, Kd6), UB52 |
| Infertility -Liv Qi stag | sterility for many year, irre mens, abdm pain before or during mens period, hypomen, dark red color of mens flow w/ some clot, breast distend, emo depress, anger, fidget | T. normal or dark red t. P. thin white t/c P. wiry | sooth Liv qi, releive qi stag, nourish blood, strengthensp & regulate period | Kai Yu Zhong Yu Tang | -hypochon distension & fullness add: Qing Pi | (Liv3, GB34, SJ6), (Pc6, Ren6, Kd14), (Sp4, Pc6), Ren4 |
| Infertility -damp phlegm accu | sterility for many years, obesity, delay mens, sometime amenorrhea, profuse leucorrheaw/ thick sticky discharge,pale face, dizzy, nausea | T. white greasy t/c P. slippery | dry up damp, resolve phlegm, regulate qi flow, regulate Chong & Ren Chnl | Qi Gong Wan | -hypermen due to weak astringentfunct of Kd add: Haung Qi, Xu Duan -Palpitation add: Yuan Zhi | (Ren3, Zigong), (ST28, Sp9, 6, Ren9), (Lu7, Kd6), (ST30, Kd14, UB32), (GB41, SJ5) |
| Infertility -blood stag | sterility for many year, delay mens, hyper or hypo mens, dark purple color of mens flow w/ clot, pain mens, l.abdm pain w/ mark tender | T. purple t. w/ purple spot P. wiry or choppy p. | activate blood circulation, remove blood stag, regulate Chong & Ren chnl | Shao Fu Zhu Yu Tang | - | (Liv3, GB34), (UB17, SP10, SP6, Pc6), (SJ6, REN6), REN4, (Sp4, Pc6), (Kd14, ST29), (Kd6, Lu7) |
| Morning sickness -Sp & St Def | nausea & vomit of clear fluid, reduce appe w/ feel surfeit after eat very little, belching, sometime vomit right after eat, full distend feel in chest, lassitude | T. slippery P. weak p. first trimester | strengthen Sp, harmo St, lower adverse flow of Qi | Xiang Sha Liu Jun Zi Tang | - | (REN13, 11), REN12, (ST36, UB20, 21), (SP4, Pc6) |
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