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ENDOCRINE DYSCRASIAS, ANOVULATION, LUTEAL PHASE DEFECT

GENERAL

Clinical Manifestations	Endocrine Dyscrasia is an abnormal or unbalanced state of the endocrine system. The endocrine system is made up of a network of glands. These glands secrete hormones to regulate many bodily functions, including growth, metabolism kidney function; blood pressure; cardiovascular function; the body’s response to stress; the immune system; and sexual development and function. Endocrine diseases are common and usually occur when glands produce an incorrect amount of hormones.
Treatment Principle
Herb Formulas
Points

INFERTILITY

Clinical Manifestations	Infertility
Treatment Principle
Herb Formulas	1. Postmenstrual Formula Ovulatory Formula 2. Phase 1, post-menstruation, proliferative phase (days 4-10): Follicle-Stimulating Formula Phase 2, mid-cycle (days 11-14): Ovulation-Stimulating Formula Phase 3, pre-menstrual secretion phase (days 14-28): Corpus Luteum Stimulating Formula Phase 4, menstruation (days 1-4): Menstruation Regulating Formula 3. Phase 1, post-menstruation, proliferative phase (days 4-10): Liu Wei Di Huang Wan modified Phase 2, mid cycle (days 11-14): Endocrine Dyscrasia Infertility #1 Phase 3, mid cycle (days 14-28): Endocrine Dyscrasia Infertility #2 Phase 4, menstruation (days 1-4): Endocrine Dyscrasia Infertility #3 4. Phase 1, post-menstruation, proliferative phase (days 4-10): Tiao Chong Ren Yang Xue Tang modified Phase 2, mid cycle (days 11-14): Tiao Chong Ren Yang Xue Tang modified Phase 3, mid cycle (days 14-28): Tiao Chong Ren Yang Xue Tang modified Phase 4, menstruation (days 1-4): Tiao Chong Ren Yang Xue Tang modified 5. Endocrine Dyscrasia #1
Points

ANOVULATION

Clinical Manifestations	Anovulation
Treatment Principle
Herb Formulas	Kidney Deficiency: Phase 1: Chinese Patent Medicines: Wu Yao Tiao Jing Wan + Tai Ban Pian Phase 2: Zu Rong He Ji Phases 3 and 4: Tiao Jing Huo Xue He Ji With Deficiency Cold: Wen Jing Tang Kidney Deficiency: Bu Shen Fang Kidney Deficiency with Liver Qi Stagnation: Bu Shen Shu Gan Fang Blood Stagnation: Phase 1: Cu Luan Bao Tang Phase 2: Pai Luan Tang Phase 3: Ti Huang Di Tang Phase 4: Tiao Jing Huo Xue He Ji
Points

COLD UTERUS

Clinical Manifestations	Cold uterus
Treatment Principle
Herb Formulas	Phase 1: Gui Pi Tang modified Phase 2: Wen Shen Nuan Gong He Ji Phases 3 and 4: Tiao Jing Huo Xue He Ji modified
Points

LUTEAL PHASE DEFECT

Clinical Manifestations	The luteal phase is one stage of menstruation. It occurs after ovulation (when the ovaries release an egg) and before the period starts. During this time, the lining of the uterus normally gets thicker to prepare for a possible pregnancy. If there is a luteal phase defect, that lining doesn't grow properly each month. This can make it difficult to become or remain pregnant. TCM assumes that the women suffering this condition suffer from some type of Kidney Deficiency, including: Kidney Yin Deficiency: Early or late periods Scant Blood No clots Thin vaginal discharge T: Red C: Little or None P: Thready and rapid Kidney Yang Deficiency: Late menarche Delayed period Scanty, light colored Blood Lack of sexual desire Low back and knee soreness and weakness T: Pale C: White P: Deep and slow Spleen and Kidney Yang Deficiency: Menorrhagia Pink Blood No clots Profuse, thin vaginal discharge Fatigue Weakness Poor appetite Loose stools T: Pale C: White P: Deep and weak Kidney Yin Deficiency with Liver Qi Stagnation: Delayed or irregular menstruation Profuse or scanty dark Blood with small clots Premenstrual breast distention and pain Low back pain Distention and pain in the lower abdomen during menstruation Profuse thick or thin vaginal discharge T: Pale C: Thin and white P: Wiry
Treatment Principle	Phase 1: Supplement the Kidneys Rectify Qi Harmonize the Blood Phase 2: Warm Yang Promote the flow of Qi and Blood in the channels Phase 3: Nourish and warm the Kidneys Rectify the flow of Qi and Blood Phase 4: Promote the flow of Qi Invigorate the Blood Regulate the menses
Herb Formulas	Phase 1: Luteal Phase Defect #1 Phase 2: Luteal Phase Defect #2 Phase 3: Luteal Phase Defect #3 Si Wu Tang modified Phase 4: Luteal Phase Defect #4 Bu Shen Shu Yu Tang Cu Huang Ti Tang Luteal Phase Defect #5 Bu Shen Si Wu Tang Jian Quan Huang Ti Tang Wen Jing Tang
Points

HYPERESTROGENOSIS

Clinical Manifestations	An excessive amount of estrogenic activity in the body.
Treatment Principle
Herb Formulas	Endocrine Dyscrasia #1
Points

MIDCYCLE BLEEDING

Clinical Manifestations	Persistent midcycle bleeding
Treatment Principle	Supplement the Kidneys Nourish Yin Clear Deficiency Fire With Damp-Heat: Supplement the Liver and Kidneys Clear Heat Eliminate Dampness Dispel Stasis Stop bleeding
Herb Formulas	Phase 1: Yang Shi Tao Chong Tang Wen Jing San Leng Qian Phase 2: Midcycle Bleeding #1 Midcycle Bleeding #2 Bu Shen Qing Re Fang When normalcy is achieved in order to regulate and supplement Qi and Blood: Midcycle Bleeding #3
Points

PREMENSTRUAL SYNDROME

Clinical Manifestations	See Premenstrual Syndrome Headache Breast full pain Fatigue Emotional changes Insomnia Edema
Treatment Principle
Herb Formulas	Endocrine Dyscrasia #1
Points