A. Chong Ren is weak, his pulse is dystrophy, and he suffers from humiliation.
B) Impetus and Ren are blocked, pulse is blocked, and it hurts if it is blocked.
C. liver and blood deficiency, this person is disgraced.
D. Deficiency of kidney yang and loss of warm pulse.
E. Deficiency of Qi and Blood, Chong Ren dystrophy
1. The pathogenesis of abdominal pain and dysmenorrhea in solid women is * * *
Correct answer b
2. The pathogenesis of abdominal pain and dysmenorrhea in debilitating women is * * *.
Correct answer a
Breakdown 4: Infertility
I. Definition
Primary infertility: a woman who has not used contraception after marriage, has a normal sexual life, has lived together for 2 years and is not pregnant. Nothing? .
Secondary infertility: a person who is pregnant but has not taken contraceptive measures and has not been pregnant for two consecutive years, which was called in ancient times? Is it disconnected? .
Second, the etiology and pathogenesis
Third, treatment based on syndrome differentiation.
1. Kidney deficiency syndrome
(1) Kidney-Qi Deficiency Syndrome
Main symptoms: long-term infertility after marriage, irregular menstruation or amenorrhea, more or less menstrual flow and dark color; Dizziness and tinnitus, backache and knee weakness, mental fatigue and long urination; The tongue is pale, the coating is thin, and the pulse is heavy and thin, especially on the feet.
Treatment: tonifying kidney and benefiting qi, warming yang and chong ren.
Main party: Yu.
(2) Kidney-yang deficiency syndrome
Main symptoms: infertility after long-term marriage, delayed menstruation, delayed onset, or inability to stop, pale menstruation, indifferent sexual desire, cold abdomen, large amount of leucorrhea, clear and watery. Or uterine dysplasia; Dizziness and tinnitus, backache and knee weakness, nocturia; Black eyes, black spots on the face, or black lips; The tongue is pale and dark with white fur, and the pulse is heavy and thin.
Treatment: Warming and tonifying the kidney palace, regulating and tonifying Chong Ren.
The main prescription: Wennangyin or Gui You Pill.
(3) kidney yin deficiency syndrome
Main symptoms: infertility after long marriage, frequent menarche, less or amenorrhea, and bright red menstruation; Or the menstrual time is prolonged, even collapsed or leaked; Sallow and emaciated, dizziness and tinnitus, soreness of waist and knees, vexation and fever, insomnia and dreaminess, dizziness and palpitation, moist skin and dry shade; The red tongue is slightly dry, with little moss and thin or thin pulse.
Treatment: tonify the kidney and nourish the blood, regulate and tonify chong ren.
Main prescription: nourishing essence and planting jade soup.
2. Syndrome of stagnation of liver qi
Main symptoms: long-term infertility after marriage, different menstrual flow before and after menstruation, or menstrual abdominal pain; Or premenstrual dysphoria, chest pain, mental depression, dyspnea; The tongue is dark red or has ecchymosis on the edge of the tongue, and the pulse string is thin.
Treatment: soothing the liver and relieving depression, promoting blood circulation and regulating menstruation.
Main prescription: Prescription of Yu Zhongyu Decoction or Bailing Tiaogan Decoction.
3. Syndrome of uterine blood stasis
Main symptoms: infertility after long marriage, delayed menstruation or normal cycle, menstrual abdominal pain, and even progressive aggravation, irregular menstrual flow, dark purple menstruation, blood clots and pain under the block; Sometimes menstruation is not smooth, dripping water is difficult to clear, or menstrual bleeding; Or anal distension discomfort, sexual pain; The tongue is purple and dark, or there are petechiae on the edge of the tongue, with thin white fur and thin and astringent pulse.
Treatment: removing blood stasis, regulating menstruation and helping pregnancy.
The main prescription: Shaofu Zhuyu decoction or Gexia Zhuyu decoction.
4. Syndrome of phlegm-dampness internal resistance
The main symptoms: infertility after long marriage, mostly from adolescence, obesity, delayed confinement, sparse hair, and even never stopped; The leucorrhea is large, and the white matter is sticky and tasteless; Dizziness, palpitation, chest tightness, aversion, vain or (white) white complexion; The tongue is pale and fat, the coating is white and greasy, and the pulse is slippery.
Treatment: dampness and phlegm, stagnation and menstruation.
Main prescription: Cangfu Daotan Pill.
The best prescription for treating phlegm-dampness infertility is ()
A. Erchentang
B.wendan decoction
C. Cang Fu Dao Tan Pill
D. qigong pill
Danggui Erchen Decoction
Correct answer c
Structural diagram of syndrome differentiation and treatment of infertility
Four. Yu Linzhu's works
Yulinzhu: Ginseng Radix, Atractylodis Rhizoma, Poria, Radix Paeoniae Alba, Radix Angelicae Sinensis and Rhizoma Chuanxiong.
Bear, Radix Rehmanniae Preparata, Radix Glycyrrhizae Preparata, Semen Cuscutae, Eucommiae Cortex, Cornu Cervi Degelatinatum, and Zanthoxylum bungeanum
Brother Fang
Lin Yuzhu CMB Zhen Tang, Du Zhongchuan scorched earth Lu Shuang;
Warming kidney, nourishing liver and regulating chong and ren, no fetus after menstruation.
Item 5: pruritus vulvae
I. Definition
Women's vulva and vagina are itchy, even itchy and painful, fidgeting, or accompanied by increased leucorrhea. , known as? Itching? .
Second, the etiology and pathogenesis
1. Damp-heat of liver meridian
Emotional injury to the liver, stagnation of liver-qi, stagnation of heat, stagnation of liver-qi, excess of spleen deficiency and dampness, mutual stagnation of damp and heat, discharge of lower energizer, chronic insects and insect venom eroding vulvar skin, itching and uneasiness.
2. Yin deficiency of liver and kidney
Deficiency of liver and kidney, or prolificacy, or excessive atrioventricular, or old and weak, deficiency of liver and kidney yin and blood, dryness due to yin deficiency, dystrophy of pudendal skin, itching and uneasiness.
Third, treatment based on syndrome differentiation.
1. Damp-heat syndrome of liver meridian
Main symptoms: unbearable pruritus of vulva, fidgeting, rough and thickened vulva skin, scratches, congestion, ulceration of mucosa, or excessive leucorrhea, yellow as pus, or like foamed rice bran, or gray as curd, with foul smell; Accompanied by restlessness, chest pain, bitter and greasy mouth, loss of appetite, and Huang Chi in urine; The tongue is fat, red in color, yellow and greasy in fur and slippery in pulse.
Treatment: clearing away heat and promoting diuresis, killing insects and relieving itching.
The main prescription: Longdan Xiegan Decoction or Dioscorea zingiberensis Runzao Decoction, and Fructus Cnidii powder for external use.
Aortic second sound
Patient, female, 24 years old. Pubic diseases include pruritus, pain, vexation, excessive leukorrhagia, yellow pus, bad breath, bitter taste, dry throat, red tongue, yellow greasy fur and rapid pulse. The first choice for treatment is prescription ()
A. Ermiao Powder
B. Rhizoma Dioscoreae Septemlobae Runzao Decoction
C. Longdan Xiegan Decoction
D, adding Fructus Cnidii into the belt stopping prescription.
E. Bai Bai di Huang Tang Bai xian pi
Correct answer c
2. Liver and kidney yin deficiency syndrome
Main symptoms: unbearable itching, dry and burning, aggravated at night, or pale skin, rough skin, chapped perineum and ulceration; Vertigo, tinnitus, vexation and fever, sweating, backache and leg weakness, dry mouth and thirst; Red tongue with little fur and weak pulse.
Treatment: nourishing yin and tonifying kidney, clearing liver and relieving itching.
Main prescription: white yellow soup, angelica, gardenia and cortex Dictamni Radicis.
utilize
Patient, female, 56 years old. Pubic itching and dryness for 7 days, vexation and fever, backache and leg weakness, red tongue with little coating, and rapid pulse. Treatment should be the first choice ()
A. zhibaidihuang decoction
B.baoyin decoction
C. double soup
D. Liuwei Dihuang Pill
E. Zuo guiwan
Correct answer a
Structural diagram of syndrome differentiation and treatment of vulvar pruritus
Damp-heat syndrome of liver meridian: clearing heat and promoting diuresis, killing insects and relieving itching? Longdan Xiegan Decoction or Xie Shi Decoction is externally applied with Fructus Cnidii powder.
Yin deficiency syndrome of liver and kidney: nourishing yin and tonifying kidney, clearing liver and relieving itching? Baizhi Huangtang contains Radix Angelicae Sinensis, Fructus Gardeniae and Cortex Dictamni Radicis.
Fourth, the external treatment method
1. Fumigation bath: 30g of Fructus Cnidii, 30g of Stemonae, 30g of Radix Sophorae Flavescentis, 20g of Xu Changqing15g, 20g of Cortex Phellodendri and 20g of Herba Schizonepetae (or mint) (below). You can also choose traditional Chinese medicine preparations such as Jieeryin and Jieshenchun.
2. Vaginal medication: according to the results of vaginal discharge examination, choose drugs according to the source of the disease.
Detail 6: Vulvar ulcer
I. Definition
Female vulva is red and swollen, or festers into sores, dripping with yellow water, local swelling and pain, and even ulcers such as worms. What is this called? Acne? .
Second, the etiology and pathogenesis
1. Heat poison
Postpartum, improper health care, invasion of pathogenic toxin, or accumulation of damp heat, lying in the liver pulse, staying in impulse, eroding the vulva skin, breaking into sores.
2. Cold and dampness
Living in a cold and humid place for a long time, cold and dampness enter from the virtual, stagnate in the inside, and evil spirits can't reach the outside, trapped in the skin; Or yang deficiency, qi and blood disharmony, phlegm and dampness stagnation, skin dystrophy, long-term ulceration into sores.
Third, treatment based on syndrome differentiation.
1. Heat toxin syndrome
Main symptoms: local swelling, ulceration and erosion of vulva skin, burning and caking, thick pus, or pus discharge; The whole body is upset and hot, dry mouth, constipation and yellow urine; The tongue is red and greasy with yellow fur, and the pulse is smooth.
Treatment: clearing away heat and promoting diuresis, detoxifying and eliminating sores.
Main prescription: Longdan Xiegan Decoction.
2. Cold and dampness syndrome
Main symptoms: swelling and ulceration of pudendal skin, difficulty in touching, dull and dull, persistent, purulent and painful; Accompanied by pale face, listlessness, fatigue, chills and cold limbs, eating less and staying; The tongue is pale and greasy with white fur, and the pulse is slow.
Treatment: Warming channels to dispel cold, eliminating dampness and eliminating sores.
Main prescription: Yanghe decoction or Tori disinfectant powder.
Structural diagram of syndrome differentiation and treatment of vulvar sores
Heat toxin syndrome: clearing heat and promoting diuresis, detoxifying and eliminating sores? Xiegan decoction
Cold-dampness syndrome: warming meridians to dispel cold, eliminating dampness and eliminating sores? Yanghetang or Tori disinfectant powder
Breakdown 7: Uterine prolapse
I. Definition
The uterus descends from the normal position along the vagina, the external opening of the cervix reaches below the level of the ischial spine, and even all the uterus exits the vaginal opening, which is called? Uterine prolapse? .
Second, the etiology and pathogenesis
1. Qi deficiency
Physical weakness, lack of qi, childbirth injury, impulsiveness and unstable dating, failure to keep the appointment and feel the pulse, or heavy labor after childbirth; Or stay in a wet and dirty place for a long time, cold and dampness invade the cell network, damage the pulse, lose fixation, and the uterus falls off for a long time.
2. Kidney deficiency
Congenital deficiency, or overwork at home, damaging essence and kidney; Or old and weak, kidney qi deficiency, unstable chong and ren, loose pulse, unable to tie cells and cause uterine prolapse.
Third, graduation.
I degree: the cervix sags below the ischial spine, but does not exceed the vaginal opening.
ⅱ degree: mild, the cervix has slipped out of the vaginal opening;
In severe cases, a part of the cervix and uterus has been exposed from the vaginal opening.
Ⅲ degree: Both cervix and uterus protrude from the vaginal opening.
Third, treatment based on syndrome differentiation.
1. Qi deficiency syndrome
Main symptoms: uterus moving downwards or protruding from vaginal orifice, vaginal wall relaxation and swelling, fatigue aggravation, lower abdomen prolapse; Tired, lazy, pale, weak limbs, frequent urination, the most frequent discharge, light color; The tongue is pale with thin fur and thin pulse.
Treatment: tonify middle energizer, tonify yang and relieve depression.
Main prescription: Buzhong Yiqi decoction plus Rosa laevigata, Eucommia ulmoides and Dipsacus.
2. Kidney deficiency syndrome
Main symptoms: uterine prolapse, long-term non-union; Dizziness and tinnitus, soreness and cold pain in the waist and knees, falling abdomen, frequent urination, especially at night, thin leucorrhea; Red tongue and weak pulse.
Treatment: tonify kidney, strengthen body and lift qi.
Main prescription: Dabuyuan decoction and Astragalus membranaceus.