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PREMATURE OVARIAN FAILURE

GENERAL

Clinical Manifestations	Premature ovarian failure, a.k.a. premature menopause, refers to signs and symptoms of estrogen deficiency in women below 40 years of age. There may be any of several immune disturbances.
Treatment Principle
Herb Formulas
Points

KIDNEY YIN DEFICIENCY WITH SPLEEN QI AND BLOOD DEFICIENCY

Clinical Manifestations	A dark, gloomy or sallow facial complexion Dizziness Tinnitus Soreness and weakness of the low back and knees Possibly a dry mouth and throat Tidal fever Night sweats Both cheeks tidally red Five sole Heat Dry skin Dry, astringent eyelids Constipation Scanty, reddish urination Heart palpitations Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Red or Pale or Pale and flabby - may have teethmarks C: Scanty or White P: Even, forceless and Deficient or Deep and wiry or Deep and thready or Possibly floating at the inch and/or cubit positions if Yin fails to control Yang or Rapid if there is Heat
Treatment Principle	Nourish Yin Nourish the Kidneys Nourish the Blood Tonify the Spleen Augment Qi
Herb Formulas	Liu Wei Di Huang Wan + Gui Pi Tang Chinese Patent Medicine: Fu Ke Yang Rong Wan
Points	DU-20, KI-3, PC-6, REN-6, SP-6, SP-10, ST-36, UB-20, UB-23, Zigong

KIDNEY YIN DEFICIENCY WITH FIRE RISING AND BLOOD STAGNATION

Clinical Manifestations	A dark, gloomy or sallow facial complexion Dizziness Tinnitus Soreness and weakness of the low back and knees Possibly a dry mouth and throat Tidal fever Night sweats Both cheeks tidally red Five Sole Heat Dry skin Dry, astringent eyelids Constipation Scanty, reddish urination T: Red C: Scanty P: Thready, choppy and rapid
Treatment Principle	Tonifys the Kidneys Clear Deficiency Fire Invigorate and cool the Blood
Herb Formulas	Luan Chao Zao Shuai Fang
Points

LIVER QI STAGNATION WITH BLOOD DEFICIENCY AND HEAT

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Spontaneous sweating or night sweats with fever	Abdominal pain Anxiety Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish Blood and Yin Regulate menstruation Clear Heat Calm the Shen
Herb Formulas	Jia Wei Xiao Yao San Chinese Patent Medicine: Yang Xie An Shen Wan
Points	HT-7, LI-4, LI-11, LIV-3, REN-3, SJ-5, ST-29, UB-17, UB-18, Yintang

BLOOD STAGNATIN IN THE UTERUS

Clinical Manifestations	Palpable masses that may or may not be painful Lower abdominal pain without palpable masses Lower abdominal distention Lower back pain Lower abdominal distention during menstruation Frequent menstruation (3-5 timer per month) Spotting Dark purple menstrual Blood (usually with clots) Abnormal uterine bleeding with abdominal soreness and pain Aversion to Cold Depression Cold extremities White vaginal discharge T: Pale C: White P: Choppy
Treatment Principle	Invigorate the Blood Promote the movement of Qi Dispel Blood Stasis Warm and regulate menstruation Unblock the collaterals Alleviate pain
Herb Formulas	Xue Fu Zhu Yu Tang Shao Fu Zhu YU Tang Tao Hong Si Wu Wan Gui Zhi Fu Ling Wan
Points	LI-4, REN-2, SP-8, SP-10, ST-25, ST-29