Bleeding disorders

Question 1

Main location of Bleeding Disorders

Answer 1

• under skin
• Upper jiao : nose, coughing
• Middle jiao : vomiting
• Lower jiao : uterine, stool, urine

Question 2

3 main Causes of Bleeding

Answer 2

• heat rupture blood vessel and or heat dry body fluids
• Blockage in the vessel disturb blood flow
• SP not controlling blood

When reading the case ask: is it heat, Xu, stasis, trauma

Question 3

Etiology of Bleeding Disorders

6 Points

Answer 3

• External pathogenic factor
  Wind/ Heat (heat rupture blood vessel) Damp/ Heat (damp impede SP, and Heat rupture BV)
• Diet
  Hot food or alcohol = heat. Greasy or dairy = weak SP, SP not controlling Xue
• Emotional Strain
  Qi stag lead to heat. Heat leads to stasis
• Over work
  Leads to XU SP.
• Chronic illness / Child Birth
  Leads to xu condition
• Aftermath of heat disease

Question 4

Epistaxis common Points

4 Points

Answer 4

GV 23
BL 7
LI 20
LI 4

Question 5

Coughing Blood Points

2 Points

Answer 5

LU 6
LU 10

Question 6

Vomiting Blood Points

4 Points

Answer 6

CV 12
PC 6
PC 7, 8

Question 7

Blood in Stools

2 Points

Answer 7

ST 37
ST 25

Question 8

Blood in Urine

3 Points

Answer 8

BL 28
BL 23
CV 3

Question 9

Petechiae

3 Points

Answer 9

BL 17
SP 10
SP 6

Question 10

Western Medical Diseases

8 Points

Answer 10

• Lung Cancer
• Pulmonary Abscess
• TB
• Gastritis
• Peptic ulcer
• Gastric Cancer
• BL cancer
• Prostate Cancer

Question 11

Bleeding Gums

4 Points

Answer 11

LI 4
ST 44
CV 12
ST 6 (local)