Jchang 3-27casestudyinfertility Tcmwt Ln

TCM Wisdom TubeTM

A Case Study Analysis: Mission Impossible Infertility

by Jimmy Wei-Yen Chang

L.Ac., O.M.D.

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DRUG-HERB REFERENCE GUIDE SET 2ND EDITION

is an invaluable suite of reference tool that will serve as a catalyst to support and multiply your skills for an effective acupuncture and herbal practice.

Clinical Manual of Oriental Medicine, 2nd edition CD Manual of Oriental Medicine, v.2 Mini Manual of Integrative Medicine 2nd edition


Lotus Institute of Integrative Medicine PO Box 92493, City of Industry, CA 91715 Tel: 626-780-7182 • Fax: 626-905-6887 Website: www.eLotus.org • Email: [email protected]


Jimmy Chang, O.M.D., L.Ac.

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

Tel: (626) 780-7182 Fax: (626) 609-2929Web: www.elotus.org Email: [email protected]

#1 Case Study – EY and HIL

Husband and Wife– EY: Female – 39 y/o– HIL: Male – 47 y/o

Chief Complaint– Infertility

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

Infertility(1 of 7)

INFERTILITY – EY (WIFE)#1 Case Study – EY/HILEY (Wife)


Herbal Formula:• Shan Yao 40%• Liu Zi Tang 30%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)• Wen Jing Tang 30%

Infertility(2 of 7)

*Pls refer to the Lotus Clinical Manual of Oriental Medicine

INFERTILITY – EY (WIFE)

#1 Case Study – EY/HILEY (Wife)


Herbal Formula:• Venus 7% (p.725)*• Ba Ji Tian 13%• Zi Shi Ying 20%• Wen Jing Tang 30%• Liu Zi Tang 30%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)

Infertility (3 of 7)

Herbal Formula:• Ba Wei Di Huang Wan 50%• Huan Shao Dan 50%

INFERTILITY – EY (WIFE)



Anti-Mullerian Hormone (AMH)AMH is a hormone produced by the ovarian follicles. In fertility assessment, AMH level is used as a guide to ovarian reserve (remaining egg supply).

Ovarian Fertility Potential ng/mLOptimal 4.0 – 6.8Satisfactory 2.2 – 4.0Low 0.3 – 2.2Very Low / Undetectable 0.0 – 0.3

High (found in patients w/ PCOD) > 6.8


INFERTILITY – EY (WIFE)#1 Case Study – EY/HILEY (Wife)


Herbal Formula:• Shao Fu Zhu Yu Tang 40%• Liu Zi Tang 30%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)• Er Xian 30%(xian mao, yin yang huo)• Ba Ji Tian 25%• Shan Yao 25%


INFERTILITY – HIL (HUSBAND)

#1 Case Study – EY/HILHIL (Husband)

Herbal Formula:• Liu Zi Tang 60%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)• Yin Yang Huo 20%• Shao Fu Zhu Yu Tang 20%





Herbal Formula:• Long Dang Xie Gan Tang 25% • Shui Zhi 15%• Cold Breaker 30%(san leng, e zhu, wang bu liu xing)• Liu Zi Tang 30%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)





Herbal Formula:• Yin Yang Huo 30% • Xian Mao 20%• Liu Zi Tang 50%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)


#2 Case Study – JC and VH

Husband and Wife– JC: Female – 35 y/o– VH: Male – 37 y/o




INFERTILITY – JC (WIFE)

Herbal Formula:• Shan Yao 25%• Er Xian 25%(yin yang huo, xian mao)• Liu Zi Tang 25%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)• Wen Jing Tang 25%


#2 Case Study – JC/VHJC (Wife)


Herbal Formula:• Shao Fu Zhu Yu Tang 100%

INFERTILITY – JC (WIFE)#2 Case Study – JC/VHJC (Wife)



Herbal Formula:• Er Xian 50%(xian mao, yin yang huo)• Long Dan Xie Gan Tang 20%• Tian (Sky) 1 30%(tian hua fen, lian qiao)

INFERTILITY – VH (HUSBAND)


#2 Case Study – JC/VHVH (Husband)



INFERTILITY – VH (HUSBAND)#2 Case Study – JC/VHVH (Husband)


#3 Case Study – RM

Female – 35 y/oBP: 93/57; HR: 76Chief Complaint– Infertility with Menopausal S/S


Infertility with Menopausal S/S (1 of 3)





Herbal Formula:• Shao Fu Zhu Yu Tang 50%• Wen Jing Tang 50%




Herbal Formula:• Wen Jing Tang 50%• Er Xian 25%(xian mao, yin yang huo)• Liu Zi Tang 25%(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)


Herbal Formula (to stabilize pregnancy):• Ba Wei Di Huang Wan 50%• Gu Jian San 25%(du zhong, gu sui bu, xu duan, sang ji sheng, huai niu xi)• Shi Quan Da Bu Tang 25%


Jimmy Chang’s Contact Info

3133 S. Hacienda BlvdHacienda Heights, CA 91745626-820-8858Office hours– M, W, Th, Sat: 10am – 12pm; 2pm – 5pm

To intern, call and make a reservation with Mimi ($350/day)

To read articles by today’s speaker, watch online videos, or to see his/her complete seminar/webinar schedule for this year, please visit www.elotus.org

More information on the classic single herbs mentioned in this seminar/webinar can be found in the Chinese Medical Herbology and Pharmacology

More information on the classic formulas can be found in the Chinese Herbal Formulas and Applications

Collection formulas can be found in the eLotus Clinical Manual of Oriental Medicine

All the above texts are available through www.elotus.org

Herbs mentioned in this seminar/webinar, are available through our sponsor Evergreen Herbs & Medical Supplies. Please contact them for a catalog and see how they can help your practice.

This webinar is sponsored by:

Evergreen Herbs & Medical SuppliesToll-free Tel: 866-473-3697Website: www.evherbs.comEmail: [email protected]

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Tel: 626-780-7182 • Fax: 626-609-2929 • Website: www.eLotus.org • Email: [email protected]

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 1


Jimmy Chang, O.M.D., L.Ac.

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

Tel: (626) 780-7182 Fax: (626) 609-2929Web: www.elotus.org Email: [email protected]

#1 Case Study – EY and HIL

Husband and Wife– EY: Female – 39 y/o– HIL: Male – 47 y/o



InfertilityFocus on Left chi for infertility issueDeep, long, wiry, and sl. ForcefulHer qi and blood is sl. lowThe Liu Zi is good for kidney yangDietary recommendation: Oyster to tonify the yang



InfertilityPulse looks okay overallLeft chi sl. weak – Kidney yang deficiencyZi Shi Ying is a mineral, used to tonify Kidney yang…can replace with Liu Zi Tang or Er XianLiu Zi Tang also for Kidney yang



Infertility Bai Wei Di Huang Wan and Huan Shao Danused to stabilize the pregnancyLow AMH is usually associated with low kidney deficiency.



Infertility Left chi, deep and weakShao Fu Zhu Yu Tang for stagnation in the lower jiao (uterus) and also for tonifying Kd yang; also can use for irregular menstruation and spottingBa Ji Tian used for tonifying Kidney yang for female.For low libido, use Ba Ji Tian with Rou Cong RongEr Xian for Kidney yang deficiency, low hormone






Infertility In the lower abdominal area, dead bloodAlkaline body typeLiu Zi to tonify Kidney yangShao Fu Zhu Yu Tang also good for men, for dead blood in the lower abdominal area



Infertility In this visit, his pulse is stronger.Left chi pulse is stronger than the previous visit.Dead blood in the lower abd area is lessIn the triangular fossa, pelvic area, it is red and darkCold breaker to break up blockage in the genital area which can cause blockage of the sperm



InfertilityIn the lower triangular fossa, it is the pelvic area. It was red on the patient’s ear, therefore used Long Dan Xie Gan Tang to clear the heat.



#2 Case Study – JC and VH

Husband and Wife– JC: Female – 35 y/o– VH: Male – 37 y/o



Infertility PCOS - will see darkness in the back of the neck and also acne in the upper back areaLeft chi pulse is turtle shaped, but thin, narrow on topYoung female with irregular period, acne, put on weight, with the above pulse, likely PCOS.To balance the hormone, use Zuo Gui Wan and You Gui WanStay away from sugar and carbs; insulin will produce prolactin which will prevent ovulation



Infertility Upper corner of triangular fossa is Liver; lower corner is for genital area






Infertility If the intertragic notch is too big, it indicates cyst for women; for men, varicose veinIf the intertragic notch is too narrow in women, uterus is too narrow.Long Dan Xie Gan Tang and Tian 1 is used for cooling; whereas Er Xian is used to tonify yangLeft chi, turtle pulse – indicating possible varicocele



Infertility Shao Fu Zhu Yu Tang to clear the abd area, remove stagnationIf pulse is too tight, constricted, then use Resolve Lower




Female – 35 y/oBP: 93/57; HR: 76– Yang, qi, and blood deficiency

Chief Complaint– Infertility with Menopausal S/S


Infertility with Menopausal S/SMenstruation is always stuckPCOS condition – dark and acne in the back neck and upper back area(her husband has turtle pulse on both chi area, possible varicocele)Genital and urinary area of the ear – dark color indicating dead bloodAlso has edema



Infertility with Menopausal S/S Pregnant pulse: both chi are jumpy and palms should be warm/hot



Infertility with Menopausal S/S



Evergreen Herbs is not just an Herbal company, we are an environmentally friendly, health conscious contributor to the health-care community at large. Evergreen was founded by Dr. John Chen and Tina Chen, siblings and coauthors of the Chinese Medical Herbology and Pharmacology, and the Chinese Herbal Formulas and Applications books.

Evergreen is a family business that is run by professionals like you who care about Chinese medicine. And as a family business, we have the well-being and satisfaction of our customers at the top of our list. We care about the quality of our herbs, because we care about our consumers, and have your best interest at heart.Our goal is to support you in improving your clinical skills, and enhancing the well-being of your patients.

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Jchang 3-27casestudyinfertility Tcmwt Ln

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