Experience in the Treatment for Infertility

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Experience in the Treatment for Infertility

Infertility is a common disease of gynecology. The infertility factors may be caused by the female or the male, or both husband and wife suffering from infertility which is caused by their own individual disease pathology. In recent years, stress was put on examination and treatment for male infertility, which creates a large research base for the treatment for infertility. This will benefit the patients who have suffered greatly from infertility.

In light of the description of infertility by the traditional Chinese medicine and based in the examination and diagnosis of modern medicine for infertility, during 1985-1994, the author successfully treated many infertile patients. 40 female cases treated are analyzed in this article.

Clinical Classification:

Five cases of protopathy, the duration of infertility was 2 to 5 years; 35 cases of the secondary, the duration of infertility was 4 to 10 years. All of them occurred between the ages of 24 and 40 years.

Pathogenic Classification:

Part or total obstruction of the oviduct accounted for 27 cases. Uterine factors such as inflammation of tunic intima or intima tuberculosis made up 3 cases. Incretion factors (obstruction of ovulation, hypoplasia of metoarion) made up 8 cases and unknown etiology, 2 cases.

Classification of applying treatment according to the differentiation of symptom-complex:

Deficiency of both Liver and Kidney accounted for 10 cases. Most of these were shown suffering from dizziness and vertigo, soreness of the waist, back pain, loin pain, upset, tinnitus, tiredness, enervation, hypomenorrhea and prolongation of menstruation. The gynecological examination of these patients was unremarkable and BBT (basal body temperature) somewhat elevated. They were treated with a prescription to invigorate the Kidney and nourish the Liver. Herbs given included Chinese Angelica and Kidney tonifying herbs along with Sealwort, Rhizoma Cibotii, Cornu Cervi Degelatinatum. In the meantime with reference to the menstrual cycle, the formula was modified to add Rhizoma Curculginis, Cistanches to promote the ovarian follicle to grow. Also treatments were include to regulate the menstrual function and invigorate blood circulation from premenstruation.

Depression of Liver energy and stagnation of vital energy and collateral stagnation due to damp and heat accounted for 27 cases. This type is commonly shown in pelvic inflammation of the Uterus. Many of these patients had a history of induced abortion and/or habitual abortion. Through iodolography, it was revealed as part of total obstruction of the oviduct. This syndrome has been shown as abdominal pain during menstruation, hypomenorrhea or blood clots, sensations in the breast before menstruation, emotional upset - particularly anger and melancholy. They were treated with an herbal prescription focusing on soothing the Liver and Qi stagnation as well as dispersing blood stasis and dredging collaterals. They were given Si Ni San with Fructus Melia among herbs. In the cases of sensations in the breast during menses Radix Curcuma, SarcoDactylis and Prunella were added. For abdominal pain during menses Rhizoma Corydalis and Fructus Melia T. was added. For after menses flow to clear Taraxicum, Patrina, Schaniosaefolia, Sweetgum and Fructus Liquidambaris were given. If possible an enema would be used as part of the treatment protocol.

Deficiency of Kidney Essence and impairment of Chong and Ren channels accounted for 3 cases. They were generally manifested in small framed person with poor function of incretion and a small uterus as well as hypomenorrhea. The treatment focused on tonifying Kidney, replenishing Essence and strengthening the Chong channel. A formula for tonifying kidney and replenishing essence containing barrenwort, Herba Epimedii, Cuscuta Chinesis, Art Argui, radix Morindae Officinalis, dried Human Placenta, Rhizoma Curculiginis, Lycium, Ramalus Loranthi, Himalaya Teasel, Radix Dipasci and Cistanches. If the patient exhibited pain and cold in the lower abdomen bark of Chinese Cassia Tree (Cortex Cinnamomi) and parched Chines Mugwort Leaf (Folium Artemisiae Argyi) were added. If soreness of the waist and flatulence were present Rhizoma Cibtii and Fructus Psorleae were added to the original prescription. For poor appetite then chicken Gizzard was used along with Rhizoma Dioscores and Fructus Amomi.

Treatment Results:

Of the 40 cases followed all were able to conceive following treatments described. The duration of the treatments were less than 3 months in 15 chastise dn 7-12 months in 10 cases. One of these cases resulted in induced abortion and another case conceived twins.

Conclusions:

Infertility results from numerous causes. The treatment applied must be according to the differentiation of symptoms-complex and modern science so the cause of disease can be rapidly identified to establish effective treatment alternatives. Etiology commonly found among females include obstruction of ovulation, obstacle of oviduct, obstruction of implantation with cytula and malformation of reproductive organ or infection. Male etiology generally include deformity of reproduction organs, impotence, ejaculation and abnormal semen. Factors specific to males will be discussed in another article.

Pathogen and pathogensis of female infertility from the Traditional Chinese Medicine perspective can often be traced to inherent defects, asthenia of both vital energy and spirit, deficiency of Ching and Ren channels, the retention of cold-evil in the uterus resulting in inability to accept sperm and/or internal impairment of vital energy and blood due to over strain and irregular menstruation.

It is important to mention that recently, changes in social and economic trends has contributed to increase intake in fatty diets, consumption of alcohol and intemperance in sexual activity which has contributed to evils of wetness and heat blended and stagnated within the body contaminating the womb. This accounts for a great proportion of infertility cases seen. For example of these 40 medical cases there were 35 cases of secondary infertility which represents 87.5% of the total number. These patients were given routing treatment focusing on invigorating the Kidney and soothing the Liver as well as dispersing blood stasis and regulating the menses. In addition, offering patients instruction in the areas of psychology, self-health care, self-care during menstruation and hygiene in regard to sexual intercourse will benefit the patients seen for inferility.

The American Acupuncturist.

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By You Rei Lo

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