Women's disease:an introduction of women's syndromes.

Women's disease.
TCM Knowledge:Miscellaneous Internal Disease according to Jin Kui Yao Lue. ✵Women's disease:is also known as Gynecology Syndromes, or Women's Syndromes.

 ✵Herbalist Zhang Zhongjing defined the women's disease in about 40 syndromes. These syndromes are all defined in details by his famous works:

Women's disease.
Miscellaneous Internal Disease according to Jin Kui Yao Lue 
 ✵Master: women pulse normal, Yin pulse small and weak, vomit, no appetite, no cold or heat, this is the case of gestation(conception, gravidity, pregnancy), use...For in 60 days(of pregnancy) should observe these symptoms. In case herbalist did not know it is gestation, but used the emetic and purgative method in another 30 days, lead to vomit and diarrhea, might lead to abortion.

 ✵ Case women abdominal mass in the past, menopause not over three months, observed metrorrhagia unstoppable, fetal movement on the belly button, this is the syndrome of abdominal mass hurt. Cases movement(fetal movement) till six months of pregnancy(conception, gestation), menstruation was free in the first 3 months(no coagulated blood and free menstruation), is the case of a fetus. Cases bleeding(metrorrhagia) three months before the menopause(menstruation stopped), is the coagulated blood. For the reason metrorrhagia, the abdominal mass not gone, should discharge its abdominal mass(coagulated blood), use...

 ✦Case pregnancy for six to seven years, pulse wiry(string-like),fever, fetus swelling, abdominal pain, aversion to cold, lower abdomen like a fan().For the reasons, the uterus is opening, should warm it with...

 ✦Master:cases women metrorrhagia, cases metrorrhagia after abortion(late miscarriage), incessant descent of blood. In case of pregnancy, pain in the abdomen, this is the case embarrassment of fetus(uterine obstruction, pregnant abdominal pain), use...

 ✦Case women pregnancy, deficiency pain in the abdomen, use...

 ✦Case pregnancy, incessant vomiting(keep vomiting), use...

 ✦Case pregnancy, difficult urination, appetite is as normal, use...

 ✦ Case pregnancy, water pathogen inside, inhibited urination(difficulty in micturition), aversion to cold and like cold water splashing on the body skin, dizziness or dazzled once stand up, use...

 ✦ Case pregnancy, no other syndrome, better take Dang Gui San regularly, then there is no dystocia about to give birth(no difficult labour near the time of labour), and could avoid other diseases after childbirth.

 ✦Case pregnancy, cold and dampness on body, or pain in abdomen, or vexed(vexation,upset), cardiac pain(heartache,or epigastric pain), no appetite(could not take food), fetal movement, better replenish, use...

 ✦ Case pregnancy seven months, abdominal full and could not urine(dysuria, inability to urinate, could not pee), symptoms observed similarly to edema below the waist, this is for the reason that TaiYin should be supplemented but lost replenish, heart Qi excess, better discharge Laogong(P8), Guan yuan(CV4, RN4), once urine uninhibited(free urination), it will be relieved.

 ✦Asked:there are three syndromes for women just gave birth, one is spasm(Jing, convulsive disease), another is depression and veiling(YuMao, postpartum depression and veiling, or postpartum depression with dizziness, or postpartum fainting), a third is a constipation(postpartum defecation difficulty), what are they? Master: case just gave birth and deficiency in blood, over sweating(sweat more), easy to wind stroke, thus lead to Jing(spasm); loss blood, sweating again, excessive cold, thus lead to YuMao(postpartum depression and veiling); loss of body fluid, dryness in stomach, thus lead to defecation difficulty.

 ✦Case puerpera(women just gave birth) depression and veiling(YuMao,postpartum depression and veiling), pulse thready and weak, vomit and no appetite(throw up, could not intake food), hard stool on the contrary, and sweating on head.For the reasons, blood deficiency and Jue(cold limbs), Jue and surely will veiling, cases veiling will be relieved, surely will great sweating, for blood deficiency and Jue at lower(cold limbs at lower part), solitary Yang go upward and out, thus sweating on the head(sweating head).For the reasons puerpera(women just gave birth) easily to sweat, loss of Yin and deficiency of blood, sole predomination of Yang Qi(Yang Qi predominate solely), thus should sweating, Yin and Yang recover to balance(harmonization of Yin and Yang). Cases hard stool, vomit and no appetite, better use...

 ✦Case YuMao relieved(postpartum depression and veiling relieved), have some appetite(could intake some food), fever again in seven to eight days, this is the case of stomach excess(excessiveness of the stomach, or excessiveness of the stomach and intestines), use...

 ✦Case postpartum deficiency pain in the abdomen, in the case deficiency cold and insufficiency, use...

 ✦Case postpartum abdominal pain(postpartum pain in the abdomen), dysphoria and could not sleep(vexed,fullness,insomnia), should Not use purgative method, better use Zhi Shi Shao Yao San to harmonize it.

 ✦Master:cases postpartum abdominal pain, should use Zhi Shi Shao Yao San. In cases not relieved, surely there is blood stasis attacked below the belly button in the abdomen, use Xia Yu Xue Tang.

 ✦Case seven to eight days after childbirth, not observed TaiYang syndrome, hard pain in the lower abdomen, this is the case of lochiorrhea (persistent flow of lochia). In cases no defecation, vexation and fever(upset, fever), pulse slight excess, better harmonize it; In cases not relieved in dozens of days, cephalea(headache), aversion to cold, fever, fullness below the heart, dry retching(retch, dysemesia), slight spontaneous sweating incessantly, use...

 ✦Case postpartum wind stroke(puerperal wind-stroke), fever, red face(flushing), headache and panting(cephalea,gasp for breath), pulse wiry(stringlike) and rapid, use...

 ✦ Case postpartum vexed and emotionally upset, vomiting and retching counterflow, no exterior syndrome, this is the case of debility during lactation(deficiency or asthenia during lactation), use...

 ✦Case postpartum diarrhea, pulse extremely deficient(extremely feeble pulse), use...

 ✦Case for women seems there are roast meat in the throat, use...

 ✦ Case visceral agitation in women, sorrow and desire to weep(being about to cry due to sadness), yawning for times, looks like affected by a spirit and supernatural things, use...

 ✦ Cases women spit saliva foam, herbalist used the purgative method, on the contrary, result in epigastric oppression(glomus below the heart), should treat the saliva foam first, then treat the glomus below the heart. To treat the spit saliva foam, use...; to treat glomus below the heart(epigastric oppression), use...

 ✦ Women's disease, for the reasons accumulated deficiency, cold binding, and amenorrhea(cessation of menstruation), blood binding at the uterine ostium. Or pain around the belly button, symptoms similar as cold hernia; or pain at the GuanYuan, squamous and dry skin as fish scale; or dragging pain in genital area, aversion to cold at lower abdomen; or pain protraction to waist(low back) and back, or flow down to the pathway of Qi(Qi Jie), these all cases of morbid leucorrhea(vaginal discharge). For various cases, observe and identify its pathogenic cold, heat, deficiency, excess, tight, wiry, practice acupuncture or remedy, detect its pathogenic reasons accordingly. You should make differentiate and remember, do not say no.

 ✦Asked:case women age fifty, sick of morbid leucorrhea(vaginal discharge), unstoppable in dozens of days, fever at nightfall, urgency at lower abdomen(contraction of genital organ), fullness abdomen, dysphoria with smothery sensation in palm of the hand, dry mouth and lips, what is it? Master: this disease is a case of morbid leucorrhea, how to know it? Ever late miscarriage(abortion), blood stasis accumulated in the lower abdomen and not discharged, thus dryness of the mouth and lips, use...

 ✦Case inhibited menstrual flow, fullness and pain in lower abdomen, or two menstruations in a month, use...Case swelling of the genital area, also use...

 ✦Case women late miscarriage(abortion), in the case metrorrhagia, use..., also could use...

 ✦Case women continuous uterine bleeding and metrorrhagia, color black as mass, use...

 ✦Case women fullness in the lower abdomen, slight difficulty in urination but not thirst, or after menstruation or after childbirth, this is the case water and blood binding together in the blood chamber(the uterus), use...

 ✦Case women abdominal pain now and then, alteration between menstruation and amenorrhea, menstruation after amenorrhea, use...

 ✦Case women amenorrhea, dry blood stasis accumulation binding into a block in the Zang-viscera, leukorrhea(discharge whites) incessantly, this is the case there is dry blood inside, use...

 ✦Cases women sixty-two kinds of wind syndromes, Qi and blood stabbing pain in the abdomen, use...

 ✦Cases women abdominal syndromes, in case pains, use...,...also could be used.

 ✦ Asked: women's disease, appetite as normal, dysphoria with smothery sensation(fever with irritability and fidget) and could not sleep, on the contrary, propped breathing, what is it? Master: this is the case known as dysuria due to the pressure of the fetus, unable to urinate, for the reason uterus system binding, thus lead to this syndrome, just free urine(prompt diuresis) and it will be relieved, use...

 ✦Case women coldness of the genitals, use...

 ✦Case ShaoYin pulse slippery and rapid, ulcer in genitals, in case erosion and rot, use...

 ✦Case flow down of stomach Qi, flatus vaginalis and sounding, similar as flatus, this is the case of anus excess, use...

References:
  • 1.Women's disease:an introduction of women's syndromes.
  • 2.Shang Han Za Bing Lun:the Treatise on Cold-induced and Miscellaneous Diseases.By Zhāng Zhòngjǐng.
  • 3.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By Zhāng Zhòngjǐng,Wáng Shūhé,Lín Yì,Gāo Bǎohéng.
  • 4.Zhong Jing Quan Shu:the Complete Book of Zhongjing.By Zhào Kāiměi.

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