report on infertility patient

[Guest guest]

Dear colleagues,

 

I am currently treating a 30 year old female for infertility and amenorrhea. 

She is a former dancer, has two healthy children conceived through IVF, but has

never naturally had a period except when artificially produced through ingestion

of birth control pills.  Her's is a complicated case, and I don't want to go

into all the details, but I want to relate a humorous and also informative

anecdote relating to my treatment of her.  Of course, we are taught that in

cases of infertility and amenorrhea, we need to train the body to naturally

develop the rhythm of life, each week in a four week cycle, to encourage one

part of the process.  So that week one, we start to build up the reproductive

material of the body by nourishing and supplementing the Yin and Jing.  The

Second week we want to encourage the process of ovulation which is accompanied

by a rise in basal temperature, so this time we want to tonify and warm the

Yang.  The third week, we want to

prepare the body for menstuation by moving the blood.  And finally in the

fourth week, when hopefully the patient will get her period, we want to  tonify

Qi and Blood, and if necessary encourage its movement as well.  To the best of

my knowledge, and from clinical experience, this 4 week cycle has worked

successfully for me in other cases of infertility and/or  amenorrhea. 

 

What I wanted to relate, is that this patient presented with a Wei Qi vacuity,

internal cold, Kidney Yin and Yang vacuity and Spleen Qi vacuity among other

things.  For week two I prescribed Yu Ping Feng San Wan,  Xiang Xia Yang Wei

Wan, and a large dose of You Gui Wan, all in pill form.  She always feels cold,

and this week was no difference.  I had her gradually increase daily the You Gui

Wan up to 16 pills, 3x daily.  At that dose she still felt ice cold, as usual,

but developed diarrhea.  When she cut back to 14 pills, the diarrhea stopped.  

Yesterday, I had her stop the You Gui Wan, and substitute it for Tao Hong Si Wu

Tang Wan, 12 pills--and she suddenly felt VERY HOT, afraid that she was having

pre-menopausal hot flashes!  What happened though, was that the very hot You Gui

Wan, was unblocked by the blood moving Tao Hong Si Wu Tang, and, again by

modulating the dosage she now feels comfortably warm, and hopefully I will be

able to report the good news that she will hopefully soon menstruate,

gradually build herself up, and in a few months attempt to conceive

naturally.