Tcm Notes; Polycystic Ovary Syndrome 1

8/6/2019 Tcm Notes; Polycystic Ovary Syndrome 1

1/8

A Newly Compiled

Prac tical English-Chinese Library

of Tra ditional Chines e Medicine

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2/8

. 92

2 . 1 . 6 Polycystic ovary

syndrome

Polycystic ovary syndrome is marked by chronic

a n o v u l a t i o n , a m e n o r r h e a o r s c a n t y m e n o r r h e a , s t e r i l i t y ,

o b e s i t y , p i l o s i t y a n d b i l a t e r a l c y s t i c e n l a r g e m e n t o f o v a r y .

I t u s u a l l y o c c u r s a m o n g w o m e n r a n g i n g f r o m 2 0 t o 3 0 o f

a g e a n d i s o n e o f t h e commonly e n c o u n t e r e d g y n e c o l o g i c a ld i s e a s e s . I t p e r t a i n s t o t h e c o n c e p t i o n s o f a m e n o r r h e a , i r -

r e g u l a r m e n s t r u a t i o n a n d s t e r i l i t y i n T C M .

T h i s d i s e a s e i s m a i n l y c a u s e d b y congenital weakness

o r e a r l y m a r r i a g e , e x c e s s i v e s e x u a l l i f e a n d c o n s u m p t i o n

o f k i d n e y q i ; o r b y o b e s i t y o r e x c e s s i v e i n t a k e o f g r e a s y

a n d r i c h f o o d o r i n t e m p e r a n c e o f f o o d l e a d i n g , t o i m p a i r -

ment of the spleen and , stomach a nd endogenous damp-

ness; o r b y r e t e n t i o n o f b l o o d a f t e r d e l i v e r y , d e p r e s s i o n

o r i m p a i r m e n t o f t h e l i v e r d u e t o r a g e , s t a g n a t i o n o f l i v e r

q i a n d q i s t a g n a t i o n an d b l o o d s t a s i s ; o r b y t r a n s f o r m a t i o n

o f f i r e f r o m p r o l o n g e d s t a g n a t i o n l e a d i n g t o d i s h a r m o n y

b e t w e e n q i a n d b l o o d . A l l t h e s e f a c t o r s m a y r e s u l t i n d y s -

f u n c t i o n o f t h e v i s c e r a , d i s o r d e r o f q i a n d b l o o d , o b s t r u c -

t i o n o f t h e m e r i d i a n s , a c c u m u l a t i o n o f p h l e g m a n d d a m p -

n e s s a n d a b n o r m a l a c c u m u l a t i o n i n t h e t h o r o u g h f a r e v e s s e l

w h i c h l e a d t o p o l y c y s t i c o v a r y s y n d r o m e .

[ K e y p o i n t s f o r d i a g n o s i s ]

( 1 ) I r r e g ul a r m e n o r r h e a a p p e a r s f i r s t a s s c a n t y m e n -

o r r h e a a n d t h e n t u r n s i n t o s e c o n d a r y a m e n o r r h e a , s t e r i l i -

t y , o b e s i t y a n d p i l o s i t y .

( 2 ) B a s a l bo d y t e m p e r a t u r e i s u n i d i r e c t i o n a l . D i a g -

n o s t i c c u r e t t a g e s h o w s e n d o m e t r i a l h y p e r p l a s i a o r e x c e s -

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2 Specific Discus sions

s i v e h y p e r p l a s i a o f e n d o m e t r i u m a n d n o s e c r e t o r y e n d o -

m e t r i u m o c c u r s ; u l t r a s o n i c a n d a b d o m i n o s c o p e e x a m i n a -

t i o n i n d i c a t e s p o l y c y s t i c . e n l a r g e m e n t o f o v a r y o n b o t h

s i d e s a n d i n t e n s i f i e d e c h o of t h i c k e n e d c a p s u l e s . ' T h e r e

a r e n u m e r o u s c y s t i c ' f o l l i c l e s 2 - 7mm in diameter under

c a p s u l e s . ;

( 3) F S H v a l u e i s l o w , s e r u m L H / F S H i s - > - 3 , E i a n d

E 2 > 1 h i g he r t h a n t h e n o r m a l c y c l e , a n d P R L i s e l e v a t e d .

[ S y n d r o m e d i f f e r e n t i a t i o n a n d t r e a t m e n t ]

P o l y c y s t i c o v a r y s y n d r o m e i s m a r k e d b y as t h e n i a o f

t h e p r i n c i p a l a s p e c t a n d s t h e n i a o f t h e s e c o n d a r y ' a s p e c t .

K i d n e y a s t h e n i a i s t h e p r i n c i p a l a s p e c t , w h i l e p h l e g m

d a m p n e s s , l i v e r d e p r e s s i o n t r a n s f o r m i n g i n t o f i r e , q i

s t a g n a t i o n a n d b l o od s t a s i s a r e t h e s e c o n d a r y a s p ec t . B o t h

a s p e c t s i n t e ra c t o n e a c h o t h e r . T h e v i s c e r a i n v o l v e d a r e

t h e l i v e r , s p l e e n a n d k i d n e y . T h e l o c a t i on o f t h e d i s e a s e i s

i n t h e t h o r o u g h f a r e a n d c o n c e p t i o n v e s s e l s . C l in i c al l y t h i s

s y n d r o m e i s d i v i d e d i n t o k i d n e y a s t h e n i a , p h l e g m - d a m p -

n e s s , l i v e r d e p r e s s i o n t r a n s f o r m i n g i n t o f i r e a n d q i s t a g -

n a t i o n ' w i t h b l o o d s t a s i s .

T h e t r e a t m e n t ' m a i n l y c o n c e n t r a t e s o n n o u r i s h i n g t h e

k i d n e y f o l l o w e d b y s t r e n g t h e n i n g t h e s p l e e n t o r e g u l a t e q i

a n d r e s o l v e p h l e g m , s o o t h i n g t h e l i v e r t o r e l i e v e d e p r e s -

s i o n a n d r e d u c e f i r e a s w e l l a s a c t i v a t i n g b l o o d t o r e s o l v e

s t a s i s a n d r e gu l a t i n g m e n s t r u a t i o n . T h e t r e a t m e n t a n d s e -

l e c t i o n o f h e r b s a r e b a s e d o n t h e d i f f e r e n t i a t i o n o f s y n -

d r o m e s a c c o r d i n g t o t h e p a t h o l o g i c a l c o n d i t i o n s in q u e s t i o n .

( 4 ) Cl i ni c al ly it s h o ul d b e di ff er en ti at ed fr om hy pe r-

t h e c o s i s , g r a n u l a r - t h e c o m a , h e m o p a t h y d u e t o e x c e s s i v e

p r o l a c t i n , a d r e n a l - o v a ry t u m o r a n d C u s h i n g ' s s y n d r o m e .


3/8

. 94 .

1) K idney ast henia syndrome

Main symptoms Delayed m e n s t r u a t i o n w i t h s c a n t y

menses, g r a d u a l a m e n o r r h e a , o c c a s i o n a l

b e p r e g n a n t l o n g a f t e r

k n e e s , d i s p i r i t e d ne s s o r c o l d s e n s a -

body a n d c o l d l i m b s , c l e a r a n d p r o f u s e ' u r i n e ,

p i l o s i t y , l i g h t -

p u l s e .

Therapeut ic methods : N o u r i s h i n g t h e k i d n e y t o r e -

h o r o u g h-

.

Prescription and drugs ; M o d i f i e d Yougui Wan c om-

l o g of Shudihuan g ( R h i z a r r r a R e h m a n n i a e P n i e

2 0 g o f S h a n y a o (Rhizama D i o s c o r e a e ) , l o g o f

ructu s W r n i ) , l o g o f Gouqizi (Fructn s

o f L u j i a o j i a o ( C o l l a Corms Cerui ) , 1 2 g o f

men Guscut ae) log of Duzhong (Cortex ku-

l o g o f Dangg ui (Radix Angetica e Sinensis),

g o f R o u g u i (Cort ex Cinna momi) an d g o f p r e p a r e d

x Aconiti Praeparat a) .

Modification : For s c a n t y m en s t r u at i o n, d e l ay e d

(Herba Lyco-

12g of Chuanniuxi (Radix Cyathulae) a n d 2 0 g , o f

(Caulis S)atholobi) a r e a d d e d ; f o r p a t i e n t s i n

l o g o f Z i -

(Placenta Hominis) ( t o b e d e c o c t e d f i r s t ) , log o f ;

( R a d i x P o t y g o n i M u l t i f l a r i ) , l o g of Rouomg-

Herba Cistanehes) a n d l o g o f Y i n y a n g h u o (Herba

) ar e added .

2) Phlegm-dampness syndromeMain symptoms : Scanty menorrh ea, delayed men-

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2 S p e c i f i c D i s c u s s i o n s

s t r u a t i o n o r e v e n a m e n o r r h e a , f a i l u r e t o b e p r e g n a n t l o n g

a f t e r m a r r i a g e , o r l e u k o r r h ag i a , d i z z i n e s s a n d h e a v y s e n -

s a t i o n i n t h e h e a d , c h e s t o p p r e s s i o n , n a u s e a, l a s s i t u d e o f

l i m b s , o r p r o f u s e s p u t u m i n t h e t h r o a t , l o o s e s t o o l , o b e s i -

t y , p i l o s i t y , w h i t i s h g r e a s y t o n g u e f u r a n d s l i p p e r y p u l s e .

Therapeutic methods : R e s o l v i n g p h l e g m a n d e l i m i -

n a t i n g d a m p n e s s , r e g u l a t i n g q i a n d m e n s t r u a t i o n .

P r e s c r i p t i o n and drugs ; Cangfu Daotan 'rang com-

p o s e d o f l o g o f C a n g z h u (Rhizonma Atractylodis), log o f

X i a n g f u (Rhizoma Cyperi), 12g o f F u l i n g (Par i a ) , log

o f F a b a n x i a ( R h iz o r nu P i n et t i a e ) , l o g o f Ch e n pi ( P e r i -

carpiume Gitri Reticalatae) and 3g of Ganc ao (Radix

Glycyrrhizae), log of Danxing (Ariswma cu m Bile),

log o f Z h i k e (Fructus Aurantii), l o g o f L i u q u ( Ma s s a

Medicata Ferrnentat a) a n d 3 s l i c e s o f S h e n g j i a n g (Rhi-

z o ' m a Z i n g i b e r i s R e c e d e ) .

M o d i f i c a t i o n : For obesity and pilosity, l o g o f

Shancigu (Pulubus I p h ig e n - i a e) , 1 0 , g o f X i a k u c a o (Spica

Prun ellae), 1 5 g o f Z a o j i a o c i ( S p i n a G l e d i t s i a e ) an d log

o f S h i c h a n g p u (Rhizorna Acori Gr(r minei) a r e a d d e d f o r

r e s o l v i n g p h l e g m a n d a c t i v a t i n g c o l l a t e r a l s ; for mass in

the lower ab domen, 15g of Ku nbu (Thallus La mminariae

sea &ktoniae) , 15g of Haizao (Saryassum), log o f

Xiakucao (Spica Prunellae) and 12g of Ezhu (Rhizarna

Careamae) a r e a d d e d f o r s o f t e n i n g h a r d n e s s a n d d i s s i p a -

t i n g a b d o m i n a l m a s s . -

(3) Syndrome of liver depression tr an sf orming

i n t o f i r e

Main symptoms Amenorrhea, or sca nty menor-

r h e a , or i r r e g u l a r m e n s t r u a t i o n , f a i l u r e t o b e p r e g n a n t

l o n g a f t e r m a r r i a g e , m u s c u l a r b u i l d i n g , t h i c k h a i r , a c n e

o n t h e f a c e , d i s t e n d i n g p a i n i n t h e c h e s t , h y p o c h o n d r i a

a n d b r e a s t s , o r l a c t o r r h e a , d r y m o u t h w i t h p r e f e r e n c e f o r

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g w a t e r , c o n s t i p a t i o n , y e l l o w i s h t h i n t o n g u e f u r

r a p i d p u l s e .

Thera peutic methods : S o o t h i n g t h e l i v e r t o r e l i e v e

.

Prescr iption and drugs : Modified Danzhi Xiaoyaq

omposed of l o g of Mudanpi (Cortex Moutan Radi-

l o g o f Zhizi (Fructus Gardeniae), l o g o f D a n g g u i

1 5 g o f B a i s h a o y a o (Radix

Alba), g o f C h a i h u (Radix & u p l e u r i ) , l o g o f

(Rhizaina Atractylodis Macrocephalae), 5 g o f

Ganca o ( Radix Glycyrrh-izae) and log of

(Radix Qyath ulae) .

Modification : For obvious c onstipation, p r o p e r

ahua ng (Radix et Rhizoma Rhei) i s a d d e d

; f o r l a c t o r r h e a, 0 g o f s t i r - b a k e d M a i y a ( F r u c t u s

Germinat es) a n d l o g o f K u d i n g c h a ( F o l i u m I l i ,

; f o r d i s t e n s i o n a n d f u l l n e s s i n t h e c h e s t ,

Y u j i n ( R a d i x Curcum-

) , 15g of Wangb uliuxing (Semen Vacca riae) an d log

( F r u c t u s Liquidambar is) a r e added for

.

Main symptoms : D e l a y e d m e n s t r u a t i o n , o r s c a n t y

smooth menorrh ea, unpressa ble abdominal pain

a l l e v i a t i o n

o r e v e n

; o c c a s i o n a l s c a n t y m e n o r r h e a , s t e r i l i t y a f t e r

e , m e n t a l d e p r e s s i o n , d i s t e n d i n g f u l l n es s i n t h e

e .

Therapeut ic methods : R e g u l a t i n g q i a n d a c t i v a t i n g

**_M1*Xjk1 3M

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2 Specific Discu ssions

b l o o d , r e s o l v i n g s t a s i s a n d r e g u l a t i n g m e n s t r u a t i o n . AL.Prescription and drugs : M o d i f i e d ( I e x i a Z h u y u T a n g h

composed of log of Danggu i (Radix A n g e l i c a e S i n e n t - 9 : As i s ) , 5 g o f C hu a n x i o n g ( R h - i z a r r a a C h u a n a ; i a r a g ) , l o g o f 1 0 g ,

C h i s h a o y a o (Radix Paeoniae Rubra) , log of Tapren 1 0 g ,

(Semen Persic ae), g o f l a on g hu a ( F l o s Carthami), fty+

l o g , o f Z h i k e (Fructus Aurantii ) , log of Yanhus uo 1 0 g ,

(Rhizama C o r y d a l i s ) , l o g o f W u l i n g z h i (Faeces Tro

gopterorum) , l o g of Mudanpi (Cortex Mautan Rad-i-

c i s ) , l o g o f B a i s h a o y a o (Radix Paeoniae Alba) , l o g o f

X i a n g f u ( R h i z o m a a , C y p e r i ) a n d 5 g o f G a n c a o (Radix Gly-

c y r r h i z a e ) .

Modification : F o r c h e s t d i s t e n s i o n , b r e a s t d i s t e n -

s i o n , l o w e r a b d o m i n al d i s t e n d i n g p a in , d y s p h o r i a a n d s u s - )% , ijc e p t i b i l i t y t o r a g e b e f o r e m e n s t r u a t i o n , l o g o f Q i n g p i ) J l l '(Periearpium Citri Reticulatae Viride), 9g of Muxiang ff{B

(Radix Aucklaneliae) and g o f C h a i h u (Radix &upleu- 14*kr i ) a r e a d d e d f o r s o o t h i n g t h e l i v e r i o r e l i e v e s t a g n a t i o n *10a n d a c t i v a t i n g q i t o s t o p p a i n ; f o r m a s s i n t h e a b d o m e n , M i f t f

log of Sanleng (Rhizama Sparg anii) , l o g of Fzhu

(Rhizome Gurcumae), log of Moyao (Myrrha) a nd

l o g o f L u l u t o n g (Fructu s Liquidambaris) a r e a d d e d f o r

a c t i v a t i n g b l o o d , r e s o l v i n g s t a s i s a n d d i s s i p a t i n g a b d o m i -

n a l m a s s .

[ O t h e r t h e r a p e u t i c m e t h o d s ] (

(1) Chinese patent drugs 1

1 ) Y o u g u i P i l l : 1 p i l l e a c h t i m e a n d t h r e e t i m e s a (

d a y , a p p l i c a b l e t o t h e t r e a t m e n t o f k i d n e y a s t h e n i a s y n - 1 i d 3

drome .

2 ) Q i z h i Xiangfu P i l l : F o r r e s o l v i n g p h l e g m a n d d r (

y i n g dampnes s, g ea ch t i m e , a p p l i c a b le t o t h e t r e a t m e n t it

of phlegm-dampness syndrome . oil .

3) Xiaoyao Pill : l o g each time and th ree times a

d a y , a p p l i c a b l e t o t h e t r e a t m e n t o f l i v e r d e p r e s s i o n s y n - 1 0 g ,


5/8

. 98 0

drome .

4) Dahuang Zh echong Pill : i p i l l e a c h t i m e a n d

t w i c e o r 3 t i m e s a d a y w i t h b o i l e d w a t e r o r g i n g e r d e c o c -

t i o n , a p p l i c a b l e t o t h e t r e at m e n t of b l o od s t a s i s s y n d r o m e .

( 2) E m p i r i c a l a n d f o l k r e c i p e s

t) Huanang Tang composed of 30 g- of Donggua ren

(Semen Benincasae), 3 0 g o f X i a k u c a o (Spica P run el-

l a e ) , 3 0 g o f J u h e (Semen Citri Retictatae) , 2 0 g o f

Zhebeimu ( R a l b u s F r i t i l l a r i a e 1 7hu ; n b e r g i i ) , l o g o f

Taoren ( Semen Persicae) , l o g of Mudanpi (Cortex

M a u t a n R a d i i c i s ) , l o go f C h i s h a o y a o (Radix Paeoniae

Rubra), l o g o f B i a nx u ( H e r b a P o l y j o n i A v i c u l a r i s ) ,

log o f S a n g z h i (Ramulus Mori ) . These h e r b s a r e d e c o c -

t e d i n w a t e r a n d t h e d e c o c t i o n i s o r a l l y t a k e n o n e d o s e a -

d a y . O n e m e n s t r u a l c y c l e i s a c o u r s e o f t r e a t m e n t . T h i s

t r e a t m e n t i s a p p l i c a b l e t o d a m p n e s s - h e a t s y n d r o m e .

2 ) Y i r e n S h a n z h a Y i m u c a o T a n g c o m p o s e d o f 3 0 g o f

Y i yi r e n ( S e m e n C o i c i s ) , 1 5 g o f S h a n z h a (Fructus C r a -

t a e g i ) , 3 0 g o f Yimucao (Herba Leonuri) a n d 2 0 g o f s t i r - 4 3 0 g , 0 g 20 g, ~Mlb a k e d B a i b i a n d o u (Semen La blab Album) . These i n g r e - *M, fflfgMij .d i e n t s a r e c o o k e d i n t o p o r r i d g e for t r e a t i n g phlegm-d a m p - n e s s syndrome .

"if.( 4 ) k *A A f i t , 1

l q 2 - 3 t C 3 * j j

*J F,iAM-T* i-E .

2. . i l l & )

(1) 4t** *n13 0 g , A4 3 0 g , ; 3 0 g , 0n7420g,%Clog,tL110g,A ) " 7 910g, 10g,ARIO g,7kW9,*H 1 &,1i-jj 1 n-WIIMTis

( 2 ) J a $jAT : : 30 g, W4 15 g,

2 . 1 .7 Premenstrual 31s-t i*7-Msyndrome - ,

P r e m e n s t r u a l s y n d r o m e r e f e r s t o p h y s i o l o g i c a l a n d ~'m e n t a l c h a n g e s b e f o r e m e n s t r u a t i o n , s u c h a s , i r r i t a b i l i t y , *EA _k~_aaytt AtIMsus c e p t i b i l i t y t o r a g e , nervousness, edema, d i a r r h e a , 1'I ~l J 4 - j /J W7j RJ ~JC3L, yWMh e a d a c h e and d i s t e n d i n g p a i n i n t h e b r e a s t s w i t h o u t o b v o u s 041-t0 9 3*NN, ao r g a n i c c h a n $ e s i n e x a m i n a t i o n . T h i s s y n d r o m e u s u a l l y MAk_#L&& ##, Wo c c u r s 7 - 1 4 d a y s b e f o r e m e n s t r u a t i o n a n d d i s a p p e a r s a f - -WKVAM

* 1 1=f,4fl

t e r m e n s t r u a t i o n . T h e i n c id e n c e i s 30 % - 4 0 % . - 4 f4AMA i

2 S p e c i f i c D i s c u s s i o n s

4

T h i s s y n d r o m e i s u s u a l l y c a u s e d b y e m o t i o n a l f a c t o r s

a n d d y s f u n c t i o n o f t h e v i s c e r a , s u s c e p t i b i l i t y t od e p r e s - R

sion, l i v e r d e p r e s s i o n a n d q i s t a g n a t i o n l e a d i n g t o t r a n s -00

f o r m a t i o n o f f i r e a n d d i s t u r b i n g c a r d i a c s p i r i t ; o r b y i n v a -

s i o n o f l i v e r q i i n t o t h e s p l e e n a n d s t o m a c h , d i s h a r m o n y X b e t w e e n t h e s p l e e n a n d s t o m a c h , a c c u m u l a t i o n a n d r e t e n -

t i o no f p h l e g m - d a m p ne s s a s w e l l a s o b s t r u c t i o n o f b r e a s t

c o l l a t e r a l s ; o r b y co ns t it ut io na l y in as t h en ia , r el at i v e h y-

p e r a c t i v i t y o f l i v e r q i , u p w a r d a d v e r s e f l o w o f q ia n d d i s - r z

h a r m o n y o f t h e l u c i d o r i f i c e s ; o r b y c o n s t i t u t i o n a l a s t h e n i a

o f t h e s p l e e n a n d k i d n e y , i n s u f f i c i e n c y o f k i d n e y y a n g , Ad e c l i n e o f f i r e i n m i n g m e n ( g a t e o f l i f e ) , l a c k o f w a r m t h V i

f o r t h e s p l e e n , d y s f u n c t i o n o f t h e s p l e e n i n t r a n s f o r m a t i o n

a n d t r a n s p o r t a t i o n , r e t e n t i o n o f d a m p n e s s , r e t e n t i o n o f

f l u i d i n t h e s k i n a n d m i g r a t i n g i n t o t h e s t o m a c h a n d i n t e s -

t i n e s . I t i s c l e a r t h a t t h i s s y n d r o m e i s m a i n l y c a u s e d b y

d y s f u n c t i o n o f t h e l i v e r a n d i s r e l a t e d t o t h e h e a r t , s p l e e n

a n d k i d n e y .

A c c o r d i n g t o t h e c l i n i c a l s y m p t o m s , t h i s s y n d r o m e

p e r t a i n s t o , t h e c o n c e p t i o n s o f h e a d a c h e d u r i n g m e n s t r u a - 5

t i o n , f e v e r d u r i n g m e n s t r u a t i o n , b o d y p a i n d u r i n g m e n - "

s t r u a t i o n , e d e m a d u r i n g m e n s t r u a t i o n , d i a r r h e a d u r i n g 1

m e n s t r u a t i o n , d i z z i n e s s d u r i n g m e n s t r u a t i o n , abnormal Ke m o t i o n a l c h a n g e s d u r i n g m e n s t r u a t i o n a n d d i s t e n d i n g Mp a i n i n b r e a s t s d u r i n g m e n s t r u a t i o n i n T C M , g en e r a l ly 'k n o w n a s s y m p t o m s b e f o r e a n d a f t e r m e n s t r u a t i o n .

[ K e y p o i n t s f o r d i a g n o s i s ]

( 1 ) B e f o r e o r d u r i n g m e n s t r u a t i o n t h e r e a r e r e g u l a r

m e n t a l t e n s i o n , d e p r e s s i o n , a n x i e t y , i r r i t a b i l i t y , i n s o m - ;

n i a , h e a d a c h e , v e r t i g o , d i s t e n d i n g p a i n i n c h e s t , h y p o -

c h o n d r i a a n d b r e a s t s , f e v e r , e d e m a , d i a r r h e a a n d o r a l u l -

c e r a t i o n , o r e v e n p s y c h o s i s i n a f e w e x t r e m e l y s e r i o us c a - t


6/8

i neseHERBAL MEDICINEMODERN APPLICATIONS OFTRADITIONAL FORMULASCHONGYUN LIUa n dANGELA TSENGw i t h

Su e Ya ng

C2005 by CRC Press LLC

C! )CRC PRESSBoca Raton London New Yor k Washington, D . C .


7/8

GYNECOLOGICAL DISORDERS 4 9

Liver Overact ing on Spleen (P sych ogenic Anorexia)

T r e a t m e n t P r i n c i p l e : S t r e n g t h e n S p l e e n , d i s p e r s e L i v e r , n o u r i s h b l o o d , a n d t o n i f y C h o n g

c h a n n e l .

U s e S i J u n Z i T a n g [ F o u r - G e n t l e m a n D e c o c t i o n ] p l u s M a o Y a o S a n [ R e l a x Wa n d e r e r P o w d e r ]

a n d B a i D o u K o u , X i a n g F u , T a i Z i S h e n , J i X u e T e n g , G o u Q i Z i , T u S i Z i , S h e n Q u , a n d S h a n Z h a .

A f t e r t a k i n g f o u r t o s i x b a g s o f t h e a b o v e f o r m u l a w i t h s t r o n g e r S p l e e n a n d S t o m a c h a n d i n c r e a s e d

a p p e t i t e , t h e n o n e c a n u s e B a Z h e n T a n g [ E i g h t - T r e a s u r e D e c o c t i o n ] p l u s X i a n g Fu a n d Z e L a n .

Malnu tritional Amenorr hea

Oi and Blood Deficiency, Empty Blood Sea, a nd Sca nt y Sour ce

Treatment Principle : M a l n u t r i t i o n , a l s o s e e n i n c o n s u m p t i v e d i s e a s e , g a s t r o i n t e s t i n a l d i s e a s e ,

s e v e r e t u b e r c u l o s i s , m a l a r i a , a n d s e v e r e a n e m i a .

S t r e n g t h e n S p l e e n , b e n e f i t Q i , n o u r i s h b l o o d , a n d r e g u l a t e C h o n g c h a n n e l .

U s e B a Z h e n T a n g [ E i g h t - T r e a s u r e D e c o c t i o n ] p l u s Z h i H e S h o u W u , H u a n g J i n g , B u G u Z h i ,

Bai Dou Kou, and Chen Pi .

T a k e t h e a b o v e f o r m u l a u n t i l Q i a n d b l o o d a r e r e c o v e r e d a n d S p l e e n a n d S t o m a c h a r e s t r o n g e r ,

t h e n c h a n g e t o T a o H o n g S i W u T a n g [ F o u r - S u b s t a n c e D e c o c t i o n w i t h P e a c h P i t a n d S a f f l o w e r ]

p l u s D a n g S h e n , X i a n g F u , a n d Z e L a n t o b e n e f i t Q i , n o u r i s h b l o o d , i n v i g o r a t e b l o o d , a n d u n b l o c k

c h a n n e l s .

Drug -Induc ed Amenorrh ea

Drug Int erference an d Chong a nd Ren Disorder

T h i s a m e n o r r h e a i s c a u s e d b y d r u g i n h i b i t i o n . I t i s o f t e n s e e n i n l o n g - t e r m u s e o f o r a l c o n t r a -

c e p t i v e s , l e a d i n g t o i n h i b i t i o n o f g o n a d o t r o p h i n h o r m o n e a n d a m e n o r r h e a .

Treatment Principle : T o n i f y K i d n e y , i n v i g o r a t e b l o o d , a n d r e g u l a t e C h o n g c h a n n e l .

U s e Z u o G u i W a n [ R e s t o r e t h e L e f t ( K i d n e y ) P i l l ] p l u s Y i n Y a n g H u o , Z h i H e S h o u W u , H u a n g

Jing, Chong Wei Zi, Dang Gu i, Xian g Fu, Tao Ren, and Hong Hua .

Internal Obs tr uc tion of Ph legm-Damp and Blocked Chong an d Ren

Chan nels

Polycystic Ovarian Syndrome

I t i s o f t e n s e e n i n f e m a l e s o f 2 0 t o 3 0 y e a r s o l d . S y m p t o m s o t h e r t h a n a m e n o r r h e a i n c l u d e

i n f e r t i l i t y , h i r s u t i s m , w e i g h t g a i n , a n d p e r s i s t e n t u n o v u l a t i o n.

Yan g Deficiency an d Phlegm Damp

T r e a t m e n t P r i n c i p l e : W a r m K i d n e y Y a n g , s t r e n g t h e n S p l e e n , e l i m i n a t e p h l e g m , a n d r e g u l a t e

Chong c hann el .

Use Dao Tan Tang [Gu ide Out P hlegm Decoction] plus Cang Zhu , Xiang Fu, Shan Z ha, Yin

Y a n g H u o , B a J i T i a n , L u J i a o J i a o , a n d T u S i Z i .

02005 by CRC Press LLC


8/8

470 CHINESE HERBAL MEDICINE

Phlegm-Damp Tra nsf orm into Heat

Treatment Pr inciple : Drain heat a nd damp .

Use Long Dan Xie Gan Ta ng [ Gentiana Longdanca o Decoction to Drain the Liver] plus Cang

Zhu, Shan Zha, an d Zhe Bei Mu .

A f t e r t a k i n g t h e f o r m u l a w i t h a l l e v i a t e d s y m p t o m s a n d r a i s e d e s t r o g e n , t h e n o n e s h o u l d c h a n g e

to Tao Hong Si Wu Ta ng [Four-Substan ce Decoction with Peach P it and Safflower] plus Xu Dua n,

X i a n g F u , D a n S h e n , Z e L a n , C h u a n N i u X i , a n d B u G u Z h i t o i n v i g o r a t e b l o o d , u n b l o c k m e r i d i a n s ,

a n d s t i m u l a t e o v u l a t i o n .

R e l a t e d c o n d i t i o n s a n d m o d i f i c a t i o n s a r e

Severe damp-phlegm : A d d G u a L o u P i , B a n X i a , a n d D a n N a n X i n g .

I f m e n s t r u a t i o n s t i l l d o e s n o t o c c u r , o n e c a n r e p e a t t h e a b o v e f o r m u l a s f o r o n e o r t w o m o r e

c y c l e s .

CHRONIC CERVICITISThis condition is discu ssed under leukorrhea ( Dai Ma) u nder TCM . I t i s m a i n l y c a u s e d b y

damp acc umulation in the Lower Jiao obst ructing Ren a nd Dai meridians . S p l e e n d e f i c i e n c y w i t h

damp-heat downward-pouring ca n also cause this condition . In Western medicine, more than 5 0%

of married women are reported to ha ve chronic cervicitis . The pathogens often invading after

d e l i v e r y , m i s c a r r i a g e , s u r g e r y , o r t r a u m a t i c c l i n i c a l m a n i f e s t a t i o n s i n c r e a s e l e u k or r h e a , w h i c h i s

m i l k y a n d s t i c k y o r l i g h t y e l l o w p u s , w i t h f o u l s m e l l , l o w e r b a c k p a i n , i n f e r t i l i t y , a n d s i n k i n g

s e n s a t i o n i n t h e p e l v i c c a v i t y o r w i t h p a i n d u r i n g i n t e r c o u r s e . T C M t r e a t m e n t s f o c u s o n s t r e n g t h -

e n i n g S p l e e n , a s c e n d i n g Y a n g , e l i m i n a t i n g d a m p , a n d c l e a r i n g h e a t .

Internal Treatment

T r e a t m e n t P r i n c i p l e : S t r e n g t h e n S p l e e n , b e n e f i t Q i , c l e a r h e a t , a n d e l i m i n a t e d a m p .

Use Wan Dai Tang [ End Disch arg e Decoction] plus Yi Yi Ren, Gu an Z hong, Huan g Bai, and

Jin Yin Hua .

R e l a t e d c o n d i t i o n s a n d m o d i f i c a t i o n s a r e

C o p i o u s l e u k o r r h e a , y e l l o w , a n d s t i c k y : R e m o v e D a n g S h e n a n d S h a n Y a o , a n d a d d B e i X i e , Z e

X i e , a n d Y i n C h e n H a o

L o w e r a b d o m i n a l a n d l u m b a r d i s t e n d i n g p a i n , y e l l o w a n d w h i t e l e u k o r r h e a , a n d s t i c k y a n d f o u l

s m e l l : R e m o v e D a n g S h e n , a n d a d d Z h i K e , C h u a n N i u X i , C h u a n L i a n Z i , T u F u L i n g , a n d P u

Gong Ying .

B l o o d - t i n g e d l e u k o r r h e a : A d d D i Y u a n d Q i a n C a o .

C o p i o u s l e u k o r h e a w i t h w h i t e a n d w a t e r y q u a l i t y a n d l o w e r a b d o m i n a l c o l d n e s s : Remove Guan

Z h o n g a n d H u a n g B a i , a n d a d d J i n Y i n g Z i , A i Y e , a n d L u J i a o J i a o .

External Application

Apply powder topically .

T r e a t m e n t P r i n c i p l e : C l e a r h e a t , r e l i e v e t o x i c i t y , i n v i g o r a t e b l o o d , a n d e l i m i n a t e t h e r o t t e n a n d

g e n e r a t e f l e s h .

Use Hai Ge Ke powder 30 g, Zha ng Nao 15 g , Ru Xiang 5 g, Mo Yao 5 g, and Bing Pian 5 g .

G r i n d a l l i n g r e d i e n t s i n t o p o w d e r . F o l l o w r o u t i n e o f c l e a n i n g t h e v a g i n a l a r e a , t h e n s p r a y t h e p o w d e r

02005 by CRC Press LLC

Documents

Tcm Notes; Polycystic Ovary Syndrome 1