Female Infertility (bu yun zheng) - CatsTCMNotes
Female Infertility (bu yun zheng) - CatsTCMNotes
Female Infertility (bu yun zheng) - CatsTCMNotes
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<strong>Female</strong> <strong>Infertility</strong> (<strong>bu</strong> <strong>yun</strong> <strong>zheng</strong>)<br />
Differential Disgnosis & Treatment<br />
– always a disorder of RN & Chong (Regulate REN & Chong)<br />
Basic Points REN-4, 6; Zigong; SP-4, 6, 9, 10<br />
KID Xu<br />
(Yin, Yang, Qi,<br />
or Essence)<br />
HT & SP Xu<br />
(HT Xue Xu &<br />
SP Qi Xu)<br />
Cold in Uterus<br />
- Yang Xu: can’t conceive = functional d.o.<br />
- Cold extremities, aversion to intercourse<br />
- Qi Xu: weakness of lower back or knees,<br />
fatigue …<br />
- Yin Xu Sx …<br />
- Prolonged or shortened menstrual cycle;<br />
scanty pale menstrual discharge<br />
- Frequent, copious urination; nighttime<br />
urination; dizzy; tinnitus<br />
T: Pale, swollen, wet<br />
P: Weaker, deeper in rear positions<br />
- <strong>Infertility</strong> lasting for long time<br />
- Inability to conceive<br />
- Palpitations, insomnia, poor memory, bad<br />
concentration, scanty light menses,<br />
dizziness, pale complexion, blurred vision<br />
- Poor app, fatigue, SOB, depression…<br />
T: Pale, thin C: Thin white<br />
P: Weak, thin [fine, choppy]<br />
- Typically, caught cold and severe<br />
dysmenorrhea: cold sensation, severe pain,<br />
retarded/late menses, dark red clots<br />
- Inability to conceive<br />
- Pain relieved by heat, worse w/ cold<br />
- Cold extremities<br />
- If still has ext. cold pathogen: shivering,<br />
chills …<br />
- Pale face<br />
T: Normal, or pale, swollen<br />
C: Thin, white coat<br />
P: Slow, deep (if more Yang: slow, weak)<br />
Strengthen KID,<br />
Strengthen Chong & REN Channels<br />
------------------------------------<br />
Basic +<br />
KID-3; GB-39; UB-23, 52; DU-4<br />
Also:<br />
ST-36; ST-29 (for prolonged cycles)<br />
KID-13 (nourish Chong; tonify KID; strengthens uterus)<br />
UB-52 (tonifies KID; nourishes Essence)<br />
LU-7 (regulates REN; strengthen uterus & KID)<br />
>Yu Lin Zhu (Unicorn Rearing Pill)<br />
Tonify SP Qi, Nourish HT Blood,<br />
Strengthen Chong and REN<br />
---------------------------<br />
Basic +<br />
ST-28; UB-20, 21<br />
UB-17, 15; REN-14<br />
--<br />
ST-36; KID-13; UB-23; REN-12<br />
> Ba Zhen Tang (Eight Precious Decoction)<br />
Warm Uterus, Expel Cold epf,<br />
Regulate Chong and REN<br />
--------------------------<br />
Basic +<br />
DU-4; REN-4 w/ moxa<br />
UB-12, 13 w/ moxa<br />
Moxa: REN-2 (scatters cold),<br />
KID-7; UB-23 (tonify KID Yang)<br />
REN-7 (nourishes KID, strengthens uterus)<br />
> Ai Fu Nuan Gong Wan (Artemisia-Cyperus<br />
Warming The Uterus)<br />
1
Obstruction<br />
by Phlegm-<br />
Dampness<br />
overweight,<br />
high cholesterol<br />
LIV Qi Yu<br />
Blood Stasis<br />
Treatment<br />
Principles:<br />
4 phases of<br />
Menstrual Cycle<br />
- Profuse vaginal discharge<br />
- Blockage of fallopian tubes<br />
- Inability to conceive<br />
- Prolonged menstrual cycle; amenorrhea in<br />
severe cases<br />
- May be overweight<br />
- Chest distention w/ profuse mucous, phlegm<br />
- Heaviness sensation; n, v<br />
- Dizziness & vertigo<br />
T: Normal or Pale, swollen<br />
C: Thick, white or yellow, greasy coat<br />
P: Slippery<br />
- Clearly related to emotional disorder<br />
- <strong>Infertility</strong> w/ PMS, irritability<br />
- Irregular, late or absent periods; premenstrual<br />
depression/ tension; painful periods<br />
- Sighing, depression<br />
- Breast tenderness, …<br />
T: Normal<br />
P: Wiry<br />
- Inability to conceive; irregular or delayed<br />
menses; painful periods; lower abdominal pain<br />
worse with pressure; dark blood (purplishblack)<br />
with clots<br />
- Irritability; mental restlessness or manic<br />
behavior<br />
T: Dark purple w/ spots or patches<br />
P: Wiry or choppy<br />
Basic+<br />
Remove Damp-Phlegm,<br />
Open Chong & REN<br />
-----------------------<br />
ST-40; REN-12, 17; P-6<br />
REN-3 (strengthen uterus; resolve damp)<br />
ST-28; SP-9; SP-6; REN-9 (resolve damp)<br />
LU-7 + KID-6 (regulate REN; strengthen uterus)<br />
ST-30 (reg. chong; invigorate Blood to transform<br />
water)<br />
UB-32 (drains damp from genital system)<br />
> Qi Gong Wan (Uterus Opening Pill)<br />
Soothe LIV; Promote circulation;<br />
Regulate Chong and REN<br />
-------------------------------<br />
Basic +<br />
4 gates, GB-34; LIV-14; UB-18<br />
> Jia Wei Xiao Yao San<br />
> Kai Yu Zhong Yu Tang (Depression<br />
Opening Jade-Plant Decoction)<br />
Invigorate Blood; Remove Stasis;<br />
Soothe LIV; Regulate menses<br />
-------------------------<br />
Basic +<br />
UB-17; ST-29; LU-7 + KID-6<br />
LIV-3; GB-34; KID-14<br />
> Shao Fu Zhu Yu Tang (Lesser Abdomen<br />
Stasis-Expelling Decoction)<br />
1. Period phase: regulate menstruation: stop period if heavy or invigorate Blood if<br />
scanty<br />
2. Post-menstrual phase: nourish Blood & tonify KID<br />
3. Inter-menstrual phase: tonify KID & consolidate REN & Chong<br />
4. Pre-menstrual phase: tonify yang and move LIV Qi<br />
Herbal Therapy:<br />
Placenta powder (from sheep or goat)<br />
Take 3-5 d before ovulation<br />
> Ba Zhen San / 8 Treasure Decoction (sometimes called Nu Zhe Ba Zhen San)<br />
2
Basic Points<br />
Impotence (yang wei)<br />
[Yang Wei = Yang Flaccidity Syndrome]<br />
Differiential Diagnosis & Treatment<br />
REN-4, 6<br />
Jing gong (“sperm palace” = same as zi gong! [3 cun lateral to REN-3])<br />
BL-23, DU-4, Ba liao (BL-31 to 34: esp. BL-31, 32 on both sides)<br />
SP & KID<br />
Qi Xu<br />
Chronic<br />
Qi Xu w/ SP & KID Qi Xu signs:<br />
- Impotence, infertility<br />
- Fatigue; tiredness; poor appetite; loose stool<br />
or diarrhea; gas & bloating in the abdomen<br />
- Incontinence or profuse, frequent urination;<br />
low back pain; worse after orgasm<br />
- Sinking sensation in the lower abdomen<br />
- Pale face; may have SOB<br />
- “Palace therapy” – qigong to prevent loss of Qi<br />
T: Pale, swollen w/ tm C: Thin, white<br />
P: Deep, weak<br />
Tonify SP & KID Qi;<br />
Benefit/Strengthen External Kidneys<br />
---------------------<br />
Basic +<br />
KID-3; SP-6; ST-36; UB-20, 21<br />
If impotence is predominant Sx:<br />
Use moxa for preventative tx<br />
[not for long term: if begin to feel: 1) thirsty,<br />
2) have insomnia/poor sleep, 3) dark, yellow<br />
urination or constipation – stop moxa! B/c the<br />
P T is not Yang Xu yet!]<br />
UB-52; REN-17<br />
SP & KID<br />
Yang Xu<br />
LIV Qi Yu<br />
- Worse than Qi Xu<br />
- Impotence, failure to achieve erection<br />
- Premature ejaculation<br />
- All of the above Qi Xu Sx, plus:<br />
- Cold extremities, cold pain in the lower back or<br />
abdominal, desire for warm drinks<br />
- Profuse, clear, frequent urination<br />
- Morning diarrhea<br />
- Incontinence (more severe)<br />
- No desire or aversion to sexual intercourse<br />
- May have edema<br />
T: Pale swollen tongue body<br />
C: Wet/moist<br />
P: Deep, weak, slow<br />
- Hx of relationship or emotional disorder, or<br />
personality (introverted, scared)<br />
- Impotence, failure of erection<br />
- Stress & depression; prefers to be alone<br />
- Sighing time to time<br />
- Distention of the hypochondriac region or<br />
breast<br />
- Distending sensation or pain (esp. after<br />
intercourse) at root of penis or scrotum &<br />
radiates to perineum, groin or hypochondriac<br />
region<br />
T: Normal<br />
P: Wiry<br />
Warm SP & KID Yang;<br />
Benefit the external kidneys<br />
------------------------<br />
Basic +<br />
Same points as above<br />
Add moxa (moxa box is very good on the<br />
lower back over DU-4, UB-23 area, or<br />
over the Baliao pts)<br />
SI-3 + UB-63 for the DU<br />
May add:<br />
SP-6; ST-36; REN-17; DU-20; REN-8<br />
Basic +<br />
Soothe LIV Qi;<br />
Promote circulation;<br />
Benefit the external kidneys<br />
--------------------<br />
4 gates; GB-34 (hui of sinews)<br />
UB-18, 19<br />
3
Lower Pouring<br />
of Damp Heat<br />
Acute stage of<br />
prostatitis<br />
- Related to UTI-type Sx: <strong>bu</strong>rning, urgent,<br />
frequent and/or painful urination; itchiness<br />
- Impotence, failure of erection<br />
- Dark yellow/brown tea/may even be pink urine<br />
(if bleeding)<br />
- Wetness of the scrotum w/ itching or skin rash<br />
- Bitter taste<br />
- If more H: thirsty; If more D: no desire to drink<br />
- May have temporal headaches; restlessness<br />
T: Red, w/ red spots, tm<br />
C: Yellow greasy, may be thick<br />
P: Slippery, wiry, fast<br />
Basic +<br />
Remove D-H from LJ;<br />
Benefit the external kidneys<br />
-------------------<br />
REN-3; UB-28, 22, 39<br />
ST-28; SP-9; SJ-5<br />
If more Heat: LI-11<br />
Herbal therapy – Yang tonifying:<br />
- “King’s Therapy” or “Spring Therapy” [Spring is a very active and upgoing season]<br />
• Can warm Yang temporarily, <strong>bu</strong>t can lead to Yin damage<br />
• Animal penises soaked in alcohol for 6 months<br />
- Dong Chung Xiao Tiao formula<br />
- Silk worm cocoon soaked in alcohol<br />
Qigong therapy<br />
Tie Dan gong (sp?): Qi gong & massage to tx male infertility<br />
4