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FALLOPIAN TUBE BLOCKAGE

GENERAL

Clinical Manifestations	Blocked fallopian tubes do not often present symptoms other than difficulty conceiving. Doctors typically class this as having tried to conceive for 1 year without success. A blocked fallopian tube may cause some women to experience symptoms such as pain in the pelvis or belly. This pain might happen regularly, such as around the time of their period, or be constant. Sometimes, a blockage in a fallopian tube can cause a fertilized egg to get stuck. This is known as an ectopic pregnancy. An ectopic pregnancy may not always cause symptoms and is usually detected during a scan. However, some woman may experience signs of pregnancy, such as stomach pain on one side of the body, or vaginal bleeding. Any woman who suspects she has an ectopic pregnancy should seek immediate medical attention. Causes: A history of pelvic infection A history of salpingitis A previous burst appendix Having had a sexually transmitted disease, such as gonorrhea or chlamydia Endometriosis, a condition that causes the lining of the womb to grow outside of the uterus A history of abdominal surgery Hydrosalpinx, which is swelling and fluid at the end of a fallopian tube All of these conditions can affect the fallopian tubes directly or this area of the body. In most cases, these conditions or procedures create scar tissue that can block the tubes.
Treatment Principle
Herb Formulas	Phase I (1st ten days of the menstrual cycle): Fallopian Tube Blockage #1 Phase II (days 11-20 of the menstrual cycle): Fallopian Tube Blockage #2 Phase III (days 21-30 of the menstrual cycle): Fallopian Tube Blockage #3 Topical: Fallopian Tube Blockage #7 Retention enemas: Retention Enema #8 For scanty menses due to Blood Deficiency: + Ba Zhen Tang With Blood Stasis: + Tao Hong Si Wu Tang With Kidney Jing Deficiency: + Gui Shen Wan If both tubes are blocked: Administer Liu Wei Di Huang Wan after the period and administer Chinese patent medicines Wu Ji Bai Feng Wan or Quan Lu Wan pre-menstrually.
Points

KIDNEY YANG DEFICIENCY WITH BLOOD STAGNATION

Clinical Manifestations	Fallopian tube blockage Ovulation may be hindered Irregular menstruation Late, scanty menstruation Dark, dusky menstrual Blood Dysmenorrhea Urgent pain in the lower abdomen which worsens as the period draws near Dizziness Tinnitus Poor memory Weariness Lassitude Low back weakness and pain Diminished sexual desire Clear, long urination Excessive, abnormal vaginal discharge Maybe uterine myoma Maybe endometriosis T: Pale or with ecchymotic spots, the sublingual veins may be distended C: White and moist P: Deep and thready or Wiry or Choppy
Treatment Principle	Strengthen Kidney Yang Invigorate the Blood
Herb Formulas	Infertility # 42
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KIDNEY YANG DEFICIENCY WITH PHLEGM

Clinical Manifestations	Fallopian tube blockage Patients are typically obese Chronic infertility or A history of miscarriage with two years or more since last conceiving Sallow, white facial complexion Dizziness The patients tend to be inactive and unmotivated Drowsiness A slimy mouth with excessive Phlegm Chest oppression Abdominal distention Pasty, excessive white vaginal discharge Late menstruation (may come only every 50 - 70 days) Scanty menstruation or Amenorrhea May be uterine myoma or May be anovulation T: Normal C: Slimy P: Slippery
Treatment Principle	Tonify the Kidneys Disperse Phlegm
Herb Formulas	Infertility #41
Points

QI AND BLOOD STAGNATION WITH DAMPNESS

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Heaviness Sluggish urination T: Dark purple (maybe purple spots on edge of tongue) P: Wiry, choppy and slow
Treatment Principle	Regulate Qi Invigorate the Blood Disperse blockage Dry Dampness
Herb Formulas	Fallopian Tube Blockage #4
Points

BLOOD STAGNATION

Clinical Manifestations	Pain that is fixed, stabbing and /or severe Pain is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Blue, dark or purplish discoloration of skin in small or large areas Dry skin Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Transform Stasis Soften the hard Scatter nodulation
Herb Formulas	Fallopian Tube Blockage #5 Fallopian Tube Blockage #6 Retention enema: Hong Teng Er Hao Feng 2nd and 3rd months
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BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Lower abdominal distention and pain (usually on right) Pain increases on pressure with rebound tenderness Guarding of the abdominal musculature Groin pain resembling urinary dysfunction without urinary difficulty Groin pain relieved by flexing hip and knee Groin pain intensified by extending hip Perspiration Irregular or intermittent fever followed by chills and perspiration May be mass in lower right quadrant of abdomen Aversion to Cold Hard lumps T: Pink C: Thin, white or yellow and greasy P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle	Drain Heat Break up Blood Stasis Invigorate the Blood Disperse nodules Reduce swelling
Herb Formulas	Da Huang Mu Dan Tang Fallopian Tube Blockage #1 Fallopian Tube Blockage #2 Fallopian Tube Blockage #3 Retention enemas: Hong Teng Yi Hao Feng 1st month Hong Teng Er Hao Feng2nd and 3rd months
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