Mrs. SM, 49 years old, is a teacher. She was pregnancy when she was 23 years old, but met an inevitable abortion in 40 days. She has never been conceived again since then. After she is 40 years old, she starts to worry on her reproductive function and seeks diagnosis and treatment. She is found blockages on both of her fallopian tubes and failed two times of IVF. She visits me when she is 49 years old who has missed two months of her menstruation. Due amenorrhea’s occurrence, Gynaecologists refuse another IVF to her. She also manifested exhaustion, hot flashes, depression, tinnitus, insomnia and other symptoms with red tongue and wiry-fine pulse.
The pattern of TCM differentiation
Kidney Yin deficiency, Liver Qi stagnancy and Spleen deficiency
To nourish kidney Yin, to move stagnated liver Qi and to reinforce spleen Qi
a) Acup: Moxi at Ren8 (Shenque) b) Needle: Du20 (Baihui), Du24 (Shenting), Ren4 (Guanyuan), Ren6 (Qihai), St29 (Guilai), Li4 (Hegu), Liv3 (Taichong), Ki10 (Yingu), Ki3 (Taixi), Ki2 (Rangu), Sp6 (Sanyinjiao), St36 (Zusanli).
Patent herbal medicine:
Zhibaidihuang Pills and Jiaweixiaoyao Pills. Table 1 patent herbs will be taking 15pills (0.2g per pill), twice daily. Table 2 patent herbs will be taking 15pills (0.2g per pill), twice daily. Both of pills are taken together.
She is given a typical supporting treatment with the priority of kidney Yin pattern. Zhibaidihuang Wan reinforces kidney Yin and possesses Estrogen effect, and Jiaweixiaoyao Wan removes the liver Qi stagnation and excessive heat from liver and kidney Yin deficiency. A regular acupuncture stimulates her weaker menstrual function. After her period comes back, she is given a promoting menstrual circle treatment for a half year, then she has a pregnancy with a successful IVF and labour a healthy boy in the end of term.
The lady has been 49 years old who expects to be conceived, but her hormonal level has been in the end stage which has made her amenorrhea for two more months. After she is given acupuncture which stimulates her reproductive function, and herbal medicine which has a bigger job of reinforcing Qi and Yin to kidney and spleen, she has been her menstrual circle back [1-3]. But her hormonal level may still not be higher enough to make a natural pregnancy, but she is accepted by Gynaecologists due to her regular menstrual circle back, so an IVF is given and a successful result happen to her.
That menstrual circle is supported by regular acupuncture and herbal medicine is an effective therapy to successfully promote pregnancy. Not only it is able to support female be natural conceived, according to improve their ovary function; rise hormonal level, correct the endometria state in the uterus and harmony whole reproductive system; also raise the successful rate of IVF [4-6]. By a way of analogy: If you want to well plant, you have to plough the soil softer before you put seeds into it. So if you want to be conceived easily, you have to make the lining of endometrium softer and good circulation in the location. Acupuncture and herbal treatment look like ploughing which make the uterus and whole abdominal cavity be in a good condition. If patient in a good general and local condition, she will also easily be conceived by her husband in a natural way, or doctors with an IVF.
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3. Li Y, Ma H, Lu Y, Tan BJ, Xu L, et al. (2016) Menoprogen, a TCM Herbal Formula for Menopause, Increases Endogenous E2 in an Aged Rat Model of Menopause by Reducing Ovarian Granulosa Cell Apoptosis. Biomed Res Int p. 12.
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6. D Jiang (2014) Treating Female Infertility by Strengthening the Natural Menstrual Cycle with Acupuncture and Chinese Herbal Medicine. EJOM 7(6): 28-35.