Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou...
Transcript of Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou...
![Page 1: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/1.jpg)
Integrative Woman’s Health Course DAOSHING NI
![Page 2: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/2.jpg)
Beng Lou – Abnormal Uterine Bleeding (AUB) 崩漏
![Page 3: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/3.jpg)
Definitions Beng Lou – Abnormal Uterine Bleeding (AUB) FrequentlytermedasDysfunc2onaluterinebleeding(DUB)andisdefinedasabnormaluterinebleedingintheabsenceoforganicdisease.Dysfunc2onaluterinebleedingisthemostcommoncauseofabnormalvaginalbleedingduringawoman'sreproduc2veyears.
![Page 4: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/4.jpg)
Case Study Dr. Ding, Qi Hou 丁启后 45yo,married,firstvisit11-12-2004.
AUB3months.Irregularmenstrualcyclesinceoneyearago,fluctua2ngmenstrualcycleupto10days,menstrualflowismoderateandnotheavy,7daystoclean.Beganthreemonthsago,sincemenstrua2on,bleedinghasnotstoppedsince,fa2gue,restlessness,insomnia,appe2teok,noabdominalpain,nofever,bleedingmoderate,paleandthin,tongueflabby,coa2ngthinyellow,pulsedeepslowforceless,pelvicexam(-).
![Page 5: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/5.jpg)
AUB has wider terminology in WM Bleedingbetweenperiods BleedingaPersex SpoRngany2meinthemenstrualcycle
Bleedheavierorformoredaysthannormal
BleedingaPermenopause
![Page 6: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/6.jpg)
Causes Pregnancy Ectopicpregnancy Adenomyosis
IUDorOCP Uterineorcervixinfec2on Fibroids
ProblemswithbloodcloRng
Polyps Endometrialhyperplasia
Cancerofcervix,uterusorvagina Polycys2covarysyndrome
![Page 7: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/7.jpg)
Exams History Sonohysterography Ultrasound MRI
Hysteroscopy Endometrialbiopsy
![Page 8: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/8.jpg)
Beng Lou 崩漏 Bengusuallydenotestouncontrolledheavybleeding LouusuallydenotestoincessantspoRngorlighterbleeding
Bothtermwhencomestogethertodefineabnormaluterinebleeding
![Page 9: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/9.jpg)
Classical Texts <ZhuBingYuanHouLun–LouXiaHou>諸病源候論,漏下候:definedbothBengandLou
JinKuiYaoLue–WenJingTangandJiaoAiTang
![Page 10: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/10.jpg)
TCM Etiology
SpleenDeficiency
KidneyDeficiency
HeatintheBlood
BloodStagna2on
![Page 11: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/11.jpg)
TCM Etiology Spleen Deficiency
ChronicSpleenWeakness
ExcessiveStrainingandWorrying
IrregularFoodIntake
SpleenDeficiency
ChongRenDysfunc2on
BloodLostControl
![Page 12: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/12.jpg)
TCM Etiology Kidney Deficiency
KidneyQiDeficiency
TianGuiDeficiency
TrueYinDamage
DeficientFireForma2on
DeficientFiremovingBlood
BloodExtravasa2on
ExcessiveLaborandSex
ChronicorMajorIllness
ChronicYangDeficiency
MingmenFireWeakening
ChronicYinDeficiency
TianQuiDeple2on
![Page 13: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/13.jpg)
TCM Etiology Heat in the Blood
Cons2tu2onalYang
AbundanceandYinDeficientcrea2ngHeat
Emo2onalInjury
LiverStasistransformingto
Heat
HeatDamagesChongRen
Accumula2onofDampHeat
ForceBloodExtravasa2on
![Page 14: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/14.jpg)
TCM Etiology Blood Stagnation
Cold,Heat,DeficientStasis
Emo2onalInjury
QiStasisBloodStagna2on
Stagna2onBlockingtheChongRen
BlooddoesnotreturntoChannel
MenstrualandGesta2onal
Accumula2ons
![Page 15: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/15.jpg)
TCM Pathology DisorderLoca2on:ChongRenChannels Pathology:dysfunc2onofChongRencausingmenstrualbloodtobeirregularanduteruslostitsstoringfunc2on.
![Page 16: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/16.jpg)
TCM Pathology SpleenDeficiency
LostofControlFunc2on
KidneyDeficiencyLostofStoringFunc2on
HeatintheBlood
HeatDamagesChongRen
BloodStagna2on
StagnantBloodBlocking
MenstrualBloodLostTiming
UterusStoringDysfunc2on
BengLuo
![Page 17: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/17.jpg)
TCM Pathology
UterineStoring
Dysfunc2on
Deficiency
HeatStagna2on
![Page 18: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/18.jpg)
Diagnosis MainSymptoms:Irregularmenstrualcycle,menstrua2oncanlastsmorethan14days,orseveralmonths.Itcanbeaccompaniedwithsuddenstoppageorsuddenhemorrhagingflow.
SecondarySymptoms:differentlevelsofanemiaduetochronicbleeding
![Page 19: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/19.jpg)
Exams Ultrasound Hysteroscopy Diagnos2cD&C CTorMRI
![Page 20: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/20.jpg)
Diagnosis Syndromes Characteris1cs
HeatSyndrome Suddenbleeding,excessiveandacute,incessantwithnostoppage,brightredordeepred,viscousflow
DeficiencySyndrome Suddenbleeding,orincessantflowwithnostoppage,palethinflow
BloodStagna2on Sluggishflowonandoff,fluctua2ngbetweenheavyandnone,startandstop,colorpurpledarkwithabdominalpain
ColdSyndrome Suddenbleedingwithnostoppage,paledarkflow,thinflowwithaversiontocold
![Page 21: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/21.jpg)
Treatment Principle Whenacute,treatsthemanifesta2on,whennon-acute,treatsthecause.急則治其標,緩則治其本。◦ StopTheFlow(SaiLiu塞流)–stopbleeding,especiallyduringacutephasewherethebleedingheavyanduncontrolledtoavoidanycollapsesitua2on.◦ Dis2lla2ontoFindtheSource(DengYuan澄源)–seekclarifica2onwherethesourceoftheproblemis.Itisatreatmentprincipleusedduringlessacutestagewherethebleedingisnotasheavy◦ Return(FuGui复歸)–aPersuccessfultreatments,thisiswherewepreventfurtheroccurrenceofAUB.Thetreatmentprinciplesduringthisperiodshouldbetotonifykidney,assistspleenorpacificliver.
![Page 22: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/22.jpg)
Syndromes SpleenDeficiency KidneyDeficiency◦ KidneyQiDeficiency◦ KidneyYangDeficiency◦ KidneyYinDeficiency
HeatintheBlood◦ ExcessHeat◦ DeficientHeat
BloodStagna2on
![Page 23: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/23.jpg)
Spleen Deficiency Suddenbleedingorincessantbleeding TonifyQi,ControlBlood,StrengthenChong,StopBeng GuBenZhiBengTang固本止崩湯
ShuDi,BaiZhu,DangShen,DangGui,HuangQi,BlackGinger(PaoJiang) <FuQingZhuNvKe> Fa2gueaddTianQi,YiMuCaoorShiXiaoSan
![Page 24: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/24.jpg)
Kidney Qi Deficiency Irregularmenstrualcycle,profuseincessantflow
TonifyKidneyQi,StrengthenChong,StopBleeding ModifiedCongRongTuSiZiWan(addDangShen,HuangQi,AJiao)
CongRongTuSiZiWan蓯蓉菟絲子丸 -ShuDi,RouCongRong,FuPenZi,DangGui,GouQiZi,SangJiSheng,TuSiZi,AiYe,TianQi
Palpita2onaddGuiPiWan
![Page 25: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/25.jpg)
Kidney Yang Deficiency Irregularmenstrua2on,heavybleedingorincessantspoRngorlightflow,orstopfewmonths,suddenheavyflowagain
WarmUpKidneyBenefitQi,StrengthenChong,StopBleeding
YouGuiWan右歸丸+DangShen,HuangQi,TianQi
YouGuiWan:ZhiFuZi,RouGui,ShuDi,ShanYao,ShanZhuYu,GouQiZi,TuSiZi,AiYe.
Lumbagoanddiarrhea,addBaiZhu,PaoJiang,BuGuZhi,XianLingPi
![Page 26: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/26.jpg)
Kidney Yin Deficiency Irregularmenstrua2on,bleedingincessantbutnotoverlyheavy,canstopforafewmonthsandcomebackonsuddenly.
NourishKidneyBenefitYin,StrengthenChong,StopBleeding. ZuoGuiWan+ErZhiWanorZiYinGuQiTang滋陰固氣湯
ZuoGuiWan左歸丸:ShuDi,ShanYao,ShanZhuYu,GouQiZi,TuSiZi,LuJiaoJiao,GuiBan,NiuXi.
熟地黃24克 山藥12克 山茱萸12克 枸杞子12克 菟絲子12克 鹿角膠12克 龜板12克 牛膝9克
![Page 27: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/27.jpg)
Zi Yin Gu Qi Tang 滋陰固氣湯 《实用中医妇科学》Prac2calTCMGynecology
DangShen,HuangQi,BaiZhu,AJiao,XuDuan,TuSiZi,HeShouWu,ShanZhuYu,LuJiaoShuang,BaiShao,ZhiGanCao
党参、黄芪、白术、阿胶、续断、菟丝子、何首乌、山茱萸、鹿角霜、白芍、炙甘草。
Aspecificformula2onespeciallyusedforBengLou
![Page 28: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/28.jpg)
HB due to Deficient Heat Abnormaluterinebleeding,incessantbleedingorspoRngorsuddenheavybleeding
NourishYin,ClearHeat,StrengthenChong,StopBleeding ShangXiaXiangZiTang上下相資湯
![Page 29: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/29.jpg)
Shang Xia Xiang Zi Tang 上下相資湯 <ShiShiMiLu>1687AD,Chapter6《石室秘錄》卷六
ShuDi,ShanZhuYu,WeiRui(YuZhu),RenShen,YuanShen(XuanShen),ShaShen,DangGui,MaiDong,WuWeiZi,NiuXi,CheQianZi.
UsedoriginallyfordrycrackingofmouthandtongueaPerAUB.
熟地1兩,山茱萸5錢,葳蕤5錢,人參3錢,元參3錢,沙參5錢,當歸5錢,麥冬1兩,北五味2錢,牛膝5錢,車前子1錢。
血崩之后,口舌燥裂,不能飲食。
![Page 30: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/30.jpg)
HB due to Excess Heat Abnormaluterinebleeding,suddenonsetorincessantspoRngformanydays.
ClearHeatCoolsBlood,StrengthenChong,StopBleeding QingReGuJingTang清熱固經湯
![Page 31: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/31.jpg)
Qing Re Gu Jing Tang 清熱固經湯 ZhiGuiBan,MuLi,AJiao,ShengDi,DiGuPi,ShanZhi,HuangQin,DiYu,ZongLuTanzhong(CarbonizedPe2oleofWindmill-palm),OuJie,GanCao.
炙龜板8錢(研粗末,先煎),牡蠣粉5錢(包煎),清阿膠5錢(陳酒燉沖),大生地5錢,地骨皮5錢,焦山梔3錢,生黃芩3錢,地榆片5錢,棕榈炭3錢,生藕節5錢,生甘草8分.
![Page 32: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/32.jpg)
Blood Stagnation Abnormaluterinebleeding,sluggishfluctua2ngflow,alterna2ngbetweenheavy,light,none,orincessantspoRng.
Ac2vateBloodDissolveStagna2on,StrengthenChong,StopBleeding ZhuYuZhiXueTang逐瘀止血湯fromDrFu,QingZhu’sGynecology
ShengDi,DaHuang,ChiShao,DanPi,DangGuiWei,ZhiKe,GuiBan,TaoRen.
生地酒炒30克 大黃9克 赤芍9克 丹皮3克 當歸尾15克 枳殼15克 龜板醋炙9克 桃仁10粒
![Page 33: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/33.jpg)
Emergency Measure Stop the Flow – Sai Liu Ginseng FuZi+Ginseng YunnanWhitePowder(TianQi)
CV20BaiHuai百會,LR1Dadun大敦,SP1Yinbai隱白,Moxa
Bloodtransfusion,D&C,IVfluid
![Page 34: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/34.jpg)
Case Study Dr. Ding, Qi Hou 丁启后 45yo,married,firstvisit11-12-2004.
AUB3months.Irregularmenstrualcyclesinceoneyearago,fluctua2ngmenstrualcycleupto10days,menstrualflowismoderateandnotheavy,7daystoclean.Beganthreemonthsago,sincemenstrua2on,bleedinghasnotstoppedsince,fa2gue,restlessness,insomnia,appe2teok,noabdominalpain,nofever,bleedingmoderate,paleandthin,tongueflabby,coa2ngthinyellow,pulsedeepslowforceless,pelvicexam(-).
![Page 35: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/35.jpg)
Case Study Dr. Ding, Qi Hou 丁启后 KidneyQideficiency,QiBloodDeficiency,ChongRenWeakness
DangShen15,ShanYao15,ShanZhuYu12,ShuDi15,YuZhu15,DiYuTan10,QianCao6,XianHeCao20,NvZhenZi15,HanLianCao15,WuZeiGu15,AJiao15,ChuanDuan15,MaiDong12,BaiShao15,LongGu30,MuLi30,JingJie10
![Page 36: Integrative Woman’s Health Course - Acupuncture CEU Online€¦ · Case Study Dr. Ding, Qi Hou 丁启后 45 yo, married, first visit 11-12-2004. AUB 3 months. Irregular menstrual](https://reader033.fdocuments.net/reader033/viewer/2022050402/5f7fb7cde5c57b59112415de/html5/thumbnails/36.jpg)
Case Study Dr. Ding, Qi Hou 丁启后 Secondvisit Herbleedinghasstoppedoneweek,duetofinancialdifficul2es,sheistotakeGuiPiWanoutsideofhermenstrua2onandduringhermenstrua2onshewouldtakethefirstformula2on.
Everythingnormalized.