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Anatomy & Physiology
Bao Gong Uterus, house of the fetus.
Ru Fang Milk House
Shen Qi Kidney Qi, kidneys control
Uterus. The Kidney essence is the
origin of the formation of Tian Gui (heavenly water).
Heavenly water, the material substance of menstrual blood (& sperm).
Chong Mai Sea
of Blood, influences the supply and proper movement of blood in
the Uterus and controls menstruation in all its aspects. Starts between Kidneys.
Mai Sea of Yin,
provides the Yin substances for all womens physiological processes and
hormonal gateways, including puberty, conception, pregnancy, childbirth and
menopause. Ren starts between the
Kidneys also. The main difference
between Ren & Chong in relation to
menstruation is that Ren controls Qi and can be used to Tonify and nourish,
and Chong controls blood and is used to move Qi
and blood and remove obstructions.
Sea of Yang,
makes blood come out during menstruation.
It is the Yang balance of Ren.
Du starts between kidneys.
Mai Connects to Uterus, binds leg channels, nourishes and lubricates
Uterus. Dai also starts between the
The Uterus gets its blood from the Liver where it is stored. Liver also controls the smooth flow of
Qi, Blood needs Qi to move.
Makes blood from food, and keeps the Uterus from prolapsing.
Governs blood, connected to the Uterus Via Bao
Mai (Uterus Vessel), emotional aspect of the heart can influence womens
Govern Qi, are affected by sadness & grief, hence its effect
- Sometimes Qi is more in charge of
menstruation, sometimes Blood is.
- For men, the equivalent to the Uterus is
the Jing Gong (Essence House).
- Classically women under
21 with problems need KI treatment.
Women between 21-42 need LR blood
nourished. Women over 42 need SP nourished.
Formula still in use today;
- SI WU TANG nourish
Sun Miao said in spring add fang feng,
in summer add huang qin,
in fall add mai meng
dong, and in winter add gui zhi.
vaginal discharge should be thin, clear, & have no odor. Around ovulation it may be a little
thicker, like a raw egg white.
period or during pregnancy the amount may be more.
healthy discharge comes from the Kidneys for proper lubrication.
old this normal lubricant can dry up due to Kidney Yin Def.
Menarche until Menopause women are able to conceive.
duration of this period of time is closely related to Kidneys, especially
with the Yang-essence from men, you have conception.
- Shen enables development to start.
- From 1st
day of last period, gestation is 280 days, or +/- 10 months.
stop, picky for food (sour, tasteless), morning sickness 9-12 weeks, dizziness,
fast slippery forceful pulse, nipples change colour & may get itchy.
weeks feel Uterus. 16+/- can feel
movement. After 20 weeks start to
show. 20+/- weeks breasts may get
leaky, baby reaches umbilicus. 24 weeks
if problems are to come around now is the time back pain, pee problems,
blood def., edema (poor circ.).
30-36 weeks, very careful with diet because
of increase in appetite, eat healthy, not too much, less carbohydrates
& fats. Normal
to gain 20-25 lbs, 40 is too much.
36+/- weeks baby head drops down, treat
between 32-36 weeks to turn fetus.
things a woman MUST do; relax, get enough sleep, and take it slow &
the fruit is ready, it will fall.
Pre-delivery will start
with regular contractions, may start spotting blood when cervix opens. Water breaks for lubrication, if it
breaks early before dilation the cord can flow down with the water and wrap
around the neck.
hours after birth milk should come.
first milk is absolutely essential for the health of the child.
Initially feed a lot to get the milk ducts flowing freely.
well as to nourish blood for milk production.
will gradually reduce after 6-8 months.
- Mom and
baby should rest for I month and take good care of themselves as to restore
Qi and Blood.
flat soft shoes.
first week may experience light fever, spontaneous sweat, aversion to
starts 4-24 hours after delivery, first milk is slightly
yellowish & full of antibodies.
month, abdominal pain may arise from blood stasis, this is quite
normal. Bloody clotty discharge,
dark turning to pale from lots to a little happens over 3 weeks. this gradual
decline is normal.
Cold Impairs Ren & Chong
function, especially during menstruation & after delivery. Avoid cold, especially swimming. Can cause infertility, Dysmenorrhea,
irregular menses, blood stasis, can occur w/ damp that goes down to the
Heavy or irregular bleeding, during menses may vomit blood, have
nosebleeds, fever, and may cause miscarriage.
External invasion of turbid Damp or Spleen dysfunction makes dampness
accumulate in the Lower Jiao, this impairs the Ren & Dai function
causing leukorrhea, diarrhea during menses, watery blood, tiredness, pain
around period, and edema.
(Phlegm/Damp can cause obesity, infertility, & amenorrhea). Dai & Ren are involved in Dampness.
Overwork Should rest more during menses &
pregnancy. Easily injure SP KI.
Not enough nutrients = not enough Qi & Blood. Do not overeat, this will injure
Spleen/Stomach or produce pathogenic factors (dampness from SP def.).
Having sex too early in life, having too much sex, too many
birth close together, and trying to get pregnant too soon after
miscarriage can all adversely affect health.
During pregnancy do not do many little things you may not think of that
require slight bending, this strains the uterus.
5-element emotional imbalance can cause mental confusion during menses,
irritability, irregular menstruation, infertility, and many other
problems. Anger Qi upsurge, Joy
Makes Qi slow, Sadness dissolves Qi, Fear sinks Qi, Shock scatters
Qi, Worry/over-think Qi stag/knot.
These effect Qi---Zang
fu---4 meridians---female disorders.
Heat Accumulation of heat, toxic heat, heat in blood. Toxic is high fever, loss conscious,
delirium, eruptions, deep red tongue, reproductive cancers. After delivery heavy bleeding, spotting
w/ yin def. signs. Strong odour yellow discharge.
Stasis Qi stagnation leads to blood stasis. Cold or injury can also lead to blood
stasis. This can cause menstrual
disorders, bleeding, masses, infertility, & pain.
condition History of women in family (pre-heaven essence), original
Qi & Tian Gui not
overweight = Qi def., & accumulation of Tan/Damp. This blocks meridians and makes it
difficult to get pregnant. Ovarian
cysts (polycystic ovary syndrome) are more common in obese women.
Yin/blood def., delayed menses, no hips makes for difficult labor.
causes LR Qi stag. irregular menses. Dull dark complexion = KI def.
- watch getting cold
- take it easy, sleep enough
- try to balance emotions
- get enough sleep/rest
exercise should be done
- Kathy Smith videos
- water exercise
- breathing, yoga
- diet- not quantity,
quality frequent small amounts
- no sex in 1st
trimester or 3rd trimester
- 7 months & after, do
warm cloth nipple massage
- get your western tech
- stay at home, prevent
invasion, comfy temperature & fresh air
- eat easily digestible food
- no sex for 1st
- clean breast every time
you feed baby
- feed every 3-4 hours
Late menarche KI ↓
(probably from mom)
Early menopause KI LR ↓
When did menses stop?
The time to check breasts is
3+/- days after period.
Age 35-55 is the common time
for women to develop reproductive cancers.
History - menses, leukorrhea, pregnancy, delivery
details, family history.
-Complexion & Tongue shows strength of Qi &
-pale & puffy face & tongue → Qi ↓
-dull yellow skinny face & body → blood ↓
-red cheeks → Yin ↓.,
-purple on face & purple on tongue → blood stasis
- colour, amount,
-Cold or Hot
-very bad smell = cancer tumor
-Body hair pubic hair thin & small amount = KI ↓
-Too much hair = KI ↓
Pulse - Early pregnancy & close to menses =
slippery, rapid or slippery, wiry
-If too forceful = heat
-If too deep, thin = cold
Pregnancy the pulse should be clear
slippery in both KI positions (& uterus
Principles of Treatment
1. ***Nourishing Kidneys (major treatment method)
2. Always treat Liver & Kidney
for blood (LR is the root of woman)
3. Sooth Liver main method for
4. Strengthen Spleen/Stomach
common for womans disorders
- wiry, slippery
- slippery, rapid
*During menses forceful
(delayed) cold in Chong
*Thin, rapid &
late period ↓ Heat
& during menses Qi ↓ (heavy bleeding will come)
P/T strengthen Qi to regulate blood
blood & Yin accumulate
- smooth, slippery (in KI position)
*Close to delivery Labor
will start soon
- KI position becomes
floating, rapid, rushing (like water)
- seems to start under middle finger & go in both
Palpation 6 months
uterus @ umbilicus
- 7 months
uterus @ 3 fingers above umbilicus
months uterus @ 2 fingers down from Xiphoid angle