INFERTILITY

Clinical Manifestations
  • The inability to conceive in women who have at least two years normal sexual life and whose partner has normal reproductive functioning.
  • Habitual miscarriage
  • May bear one child and fail to conceive after that
  • Menstrual Phase:
    Endometrial lining is shed
    Menstrual bleeding
    Progesterone drops
    The Chong and Ren gradually empty
    Kidney Yin and Liver Blood are at their lowest levels
    Problems during menses are generally related to Qi and Blood flow
    Problems at the end of menstruation are usually related to Blood Deficiency
  • Follicular Phase:
    New follicles containing eggs begin their growth
    The menstrual Blood flow is over
    FSH (follicle stimulating hormone) is released
    The ovarian follicles mature
    The dominant follicle releases its eggs on ovulation
    The regeneration of the endometrium takes place including tissue repair of the uterus and the development of estrogen and progesterone receptors
    Estrogen levels rise
    proliferation of the endometrium ensues
    Cervical fluid is produced
    The Chong and Ren are filling with Yin and Blood
  • Ovulatory Phase:
    Leuteinizing hormone is released
    Ovulation occurs
    Basal temperature increases during the second half of the cycle (switching from Yin dominance to Yang dominance)
  • Luteal Phase:
    Egg fertilization occurs
    Egg implants in the endometrial lining
    Corpus luteum is formed
    Progesterone is secreted
Treatment Principle
  • Menstrual Phase:
    Clear Stagnation
    Move Qi and Blood
  • Follicular Phase:
    Nourish Yin and Blood
    Clear Heat
    Nourish the Chong and Ren
    Nourish the Heart and Liver
  • Ovulatory Phase:
    Strengthen Heart Qi and Blood
    Nourish Liver Blood
    Invigorate Qi and Blood
  • Luteal Phase:
    Tonify Qi and yang
    Nourish Yin and Blood
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Sore throat
  • Swelling of the throat
  • Coughing
  • Reddish urine
  • Dyspnea
  • Vertigo
  • Severe aversion to Cold
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • T: Red
  • C: White or Yellow and greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough with sparse sputum
  • Sputum difficult to expectorate
  • Shortness of breath
  • Spontaneous perspiration
  • Dry mouth and tongue
  • Palpitations with a stifling sensation in chest
  • Fatigue
  • Irritability
  • Thirst
  • Dry throat
  • Insomnia
  • Listless speech
  • T: Red and dry or Pink and dry
  • C: Thin and dry
  • P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle
  • Augment Qi
  • Clear Heat
  • Stop Excess perspiration
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold.
Herb Formulas
Points
Clinical Manifestations
  • Early period
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • May be much Blood due to Spleen Not Governing Blood
  • May be little Blood due to Spleen Qi Sinking
  • The Blood is pale-red in color and watery
  • An empty feeling in the lower abdomen
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Tonify The Spleen
  • Nourish Middle Jiao Qi
Herb Formulas
Points
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Sallow complexion
  • 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: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and Deficiency
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Chronic, intermittent, dull abdominal pain which is better with warmth and pressure and ingesting warm fluids
  • Waxy, pale or sallow lusterless complexion
  • Anorexia (maybe with vomiting)
  • Easily satiated
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations relieved by warmth
  • Intolerance of Cold
  • Cold limbs
  • Feeling chilled
  • Lethargy
  • Fatigue
  • Mental fatigue
  • Depression
  • Low spirits
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale maybe swollen
  • C: White or Thin and white or White and greasy
  • P: Deep, thready and forceless or Deep and weak or Thready and weak
Treatment Principle
  • Warm the Middle Jiao
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Vomits clear fluid
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • Vomiting immediately after eating
  • Indeterminate gnawing hunger
  • Acid regurgitation
  • Belching
  • May be epigastric pain
  • Dry heaves or spitting of clear fluids with vertex headache
  • Vomiting and diarrhea with cold hands and feet
  • Restlessness
  • Severe fidgeting
  • Irritability
  • So agitated, the patient wants to die
  • Habitual headache
  • Subcardiac distention
  • A feeling of fullness and distention in the chest and diaphragm
  • T: Pale
  • C: White and slippery
  • P: Weak or Slow and weak or Sinking or slow and thin or Slow and wiry
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Burning, painful, concentrated, urgent and frequent urination
  • A red complexion
  • Mouth and tongue ulcers, particularly on the tip of the tongue
  • Thirst with a desire for cold drinks
  • A sensation of Heat in the chest
  • Irritability
  • Restlessness
  • Agitation
  • Anxiety
  • Palpitations
  • Insomnia
  • Dream-disturbed sleep
  • T: Red with a redder tip, may have ulcers on the tip
  • C: Dry and yellow
  • P: Rapid and big, especially in the distal position
Treatment Principle
  • Clear Heat from the Heart
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Infertility
  • Inability to conceive for many years
  • Decreased and dark-colored menses that contain clots or
  • Scanty, pale-colored menses
  • Irregular menstruation
  • Breast and hypochondriac pain
  • Abdominal pain with periods
  • Maybe premenstrual breast distention
  • Premenstrual breast tension
  • Painful periods
  • Irritability before periods
  • Anxiety before periods
  • Depression
  • Abdominal distention
  • Eructation
  • Sighing
  • Water retention
  • Headache
  • A history of cramping
  • T: Normal color or slightly red on the sides; if Stagnation of Qi arises from Blood Deficiency, the sides might be Pale
  • C: Normal
  • P: Taut or Wiry; if Qi Stagnation arises from Blood Deficiency, it may be Choppy
Treatment Principle
  • Tonify the Blood
  • Soothe the Liver  
  • Unblock the Liver
  • Move Qi
  • Release Stagnation
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Scanty periods
  • Irregular menstruation
  • Infertility
  • Thick hair
  • Acne
  • Distending pain in the chest, hypochondria or breasts
  • Dry mouth with preference for drinking water
  • Constipation
  • T: Normal or Red edges
  • C: Yellowish and thin
  • P: Rapid and wiry
Treatment Principle
  • Sooth the Liver
  • Relieve Stagnation
  • Reduce Fire
Herb Formulas
Points
  • IV-3, SP-6, REN-6 +
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
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
  • Infertility
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • P: Wiry, choppy and slow
Treatment Principle
  • Invigorate Blood circulation
  • Regulate Qi
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain in women
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Maybe five sole Heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Pain, distention, fullness and cold sensation in lower abdomen
  • Cold limbs
  • Dislike of cold and preference for warmth
  • Lower abdominal pain radiating to the testicles
  • May be localized sensation of Cold
  • Menstrual pain and hardness
  • Hypochondriac pain
  • Abdominal pain
  • Mobile abdominal masses
  • Flank pain
  • Leukorrhea
  • T: Pale
  • C: White or White and greasy
  • P: Deep and slow or Wiry and tight or Deep and wiry or Slow or Deep and Excess
Treatment Principle
  • Warm the Liver
  • Dispel Cold.
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five Sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
  • T: Pink or Red
  • C: None or Thin and white or Thick and slippery
  • P: Thready and rapid or Wiry or Slippery, full and maybe wiry
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Long term infertility or infertility in an older woman
  • Possibly a history of late menarche
  • Delayed menstruation with decreased and pale menses or
  • Infrequent menstruation
  • Irregular periods
  • Period either scanty or heavy
  • Prolonged menstrual cycle
  • Scanty, dark discharge at the end of menstruation
  • Amenorrhea
  • Loss of libido
  • Aches and weakness in the waist and legs
  • Back pain
  • Cold limbs
  • A dusky complexion
  • Dull-pale complexion
  • Increased clear urine
  • Loose stools
  • Dizziness
  • Fatigue
  • Tinnitus
  • Feeling cold
  • Depression
  • Cold limbs
  • Frequent urination
  • Long-drawn-out urination with a thin stream or dribbling
  • Pain and coldness in loin and knees
  • Severe lumbago
  • Cold sensation in the lower abdomen
  • T: Pale, swollen and wet
  • C: White   
  • P: Deep and weak or Thin and soft or Deep and thready or Deep, thready and forceless or Deep and slow
Treatment Principle
  • Tonify Kidney Yang
  • Generate Blood
  • Nourish the Chong and Ren channels
  • Nourish the uterus
Herb Formulas
Points
Clinical Manifestations
  • Premenstrual chest oppression
  • Premenstrual vexation and agitation
  • Premenstrual breast distention and pain
  • Low back soreness and weakness during menstruation
  • Pain in the legs and feet during menstruation
  • Tinnitus during menstruation
  • Post-menstrual scanty vaginal discharge
  • Post-menstrual dry vagina
  • Post-menstrual decline in sexual desire
  • T: maybe dark
  • C: White
  • P; Deficient and wiry
Treatment Principle
  • Tonify Kidney Yang
  • Regulate the Liver
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Maybe fallopian tube blockage
  • T: Pale or with ecchymotic spots, the sublingual veins may be distended
  • C: White and moist
  • P: Deep and thready or Wiey or Choppy
Treatment Principle
  • Tonify Kidney Yang
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
    Ascites
    Edema of scrotum
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky
  • P: Deep and thready
Treatment Principle
  • Tonify Kidney Yang
  • Warm the Kidneys
  • Promote diuresis
  • Generate Blood
  • Nourish the Chong and Ren channels
  • Nourish the uterus
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Scanty periods
  • Irregular menstruation
  • Infertility
  • Thick hair
  • Acne
  • Distending pain in the chest, hypochondria or breasts
  • Dry mouth with preference for drinking water
  • Constipation
  • T: Normal or Red edges
  • C: Yellowish and thin
  • P: Rapid and wiry
Treatment Principle
  • Sooth the Liver
  • Relieve Stagnation
  • Reduce Fire
Herb Formulas
Points
  • IV-3, SP-6, REN-6 +
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
Clinical Manifestations
  • Impotence
  • Infertility
  • Listlessness
  • Lack of Spirit
  • Weakness and aching of the low back
  • A pale, shiny complexion
  • T: Pale
  • C: White
  • P: Deep and thready
Treatment Principle
  • Warm and tonify the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Fallopian tube blockage
  • May be anovulation
  • T: Normal
  • C: Slimy
  • P: Slippery
Treatment Principle
  • Tonify the Kidneys
  • Disperse Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Long-term infertility
  • Early menstruation
  • Possibly a history of late menarche
  • Irregular periods
  • Infrequent menstruation
  • Decreased menses with light colored Blood and no blood clots
  • Period either scanty or heavy
  • Prolonged menstrual cycle
  • Amenorrhea
  • Loss of libido
  • Emaciation
  • Dizziness
  • Night sweating
  • Blurred vision
  • Palpitations
  • Insomnia
  • Tinnitus
  • Hearing loss
  • A weak lower body
  • Five Sole Heat or
  • Low-grade fever in the afternoon
  • Back soreness
  • Aches and weakness in the waist and legs
  • Dry mouth
  • Dry bowl movements
  • Dry vagina
  • Cold limbs
  • A dusky complexion
  • Dull-pale complexion
  • T: Red
  • C: Little or None
  • P: Thready and rapid or Floating and Empty
Treatment Principle
  • Nourish the Kidney Yin
  • Generate Blood
  • Regulate the Chong and Ren channels
  • Support the Liver
  • Augment Jing
Herb Formulas
Points
Clinical Manifestations
  • Long term infertility
  • Irregular periods
  • Delayed cycle
  • Mid cycle pain
  • Vaginal discharge
  • Adhesions
  • Obesity
  • Feeling of heaviness
  • T: Fat
  • C: Sticky
  • P: Slippery
Treatment Principle
  • Resolve Dampness
  • Remove obstructions from the Ren and Chong channels
Herb Formulas
Points
  • REN-3, REN-9, Zigong, ST-28, SP-9, LU-7 on the right side of the body and KI-6 on the left side of the body, ST-30, KI-14, UB-32, (GB-41 on the right and SJ-5 on the left are used instead of LU-7 and KI-6 if there are symptoms of the Dai channel which include Damp Heat in the genital system, vaginal discharge, a feeling of heaviness of the abdomen, an abdominal pain that extends to the loins and a pulse that is Wiry on both Middle positions, GB-26, should be used in conjunction with SJ-5 and GB-41)
  • UB-32 with electrical stimulation with negative pole and REN-4
    in combination, is a modern treatment which is used specifically for obstruction of the fallopian tubes. For this treatment, the patient need to lie on her side.
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
Clinical Manifestations
  • Long-term infertility
  • Early menstruation
  • Irregular periods
  • Decreased menses with light colored Blood and no blood clots
  • Emaciation
  • Dizziness
  • Night sweating
  • Blurred vision
  • Palpitations
  • Insomnia
  • Tinnitus
  • Hearing loss
  • A weak lower body
  • Five sole Heat or
  • Low-grade fever in the afternoon
  • Back soreness
  • Dry mouth
  • Dry bowl movements
  • Increased clear urine
  • Loose stools
  • Feeling cold
  • Depression
  • Cold limbs
  • Frequent urination
  • Long-drawn-out urination with a thin stream or dribbling
  • Fatigue
  • Pain and coldness in loin and knees
  • T: Red or Pale, swollen and wet
  • C: Little or None or White   
  • P: Thready and rapid or Floating and Empty or Deep and weak or Thin and soft or Deep and thready
Treatment Principle
  • Nourish the Kidney Yin and Yang
  • Generate Blood
  • Regulate the Chong and Ren channels
  • Support the Liver
  • Augment Jing
  • Nourish the uterus
Herb Formulas
Points
  • UB-23, REN-4, SP-6, ST-36, KI-2, KI-13
  • If the tongue is not Red or only slightly Red and the pulse is very Fine: a small amount of moxa(as a warm needle) on KI-3
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
Clinical Manifestations
  • Dizziness
  • Tinnitus
  • Low back and knees weak and aching
  • Hair loss
  • Graying or whitening of hair
  • Weak sexual function
  • Atrophy and weakness of feet with difficulty walking
  • Poor memory
  • Senility (premature or mature)
  • Brittle bones
  • Gradual deterioration of hearing
  • In children:
    Retardation in mental and / or physical development
    Failure to thrive
    Late or incomplete closing of fontanel
    Poor bone development, brittle bones
Treatment Principle
  • Reinforce the Kidneys
  • Benefit Jing
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich the Yin
  • Nourish the Blood and Yang
  • Augments Qi and Jing
Herb Formulas
Points
Clinical Manifestations
  • Infertility
  • Late and small period
  • Lassitude
  • Dizziness
  • Blurred vision
  • Palpitations
  • Insomnia
  • Anorexia
  • Loose stools
  • Weak limbs
  • Abdominal distention
  • Lumbar soreness
  • Frequent, clear urine
  • Clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Weak in the Qi position
Treatment Principle
  • Tonify Qi
  • Nourish Blood
Herb Formulas
Points
Clinical Manifestations
  • Infertility
  • Thin and profuse leukorrhea
  • Sallow complexion or
  • Dark and gloomy complexion
  • Pain of lower limbs
  • Lassitude
  • Lack of vitality
  • Weakness
  • Irregular circulation of channels
  • Failure to conceive for a long time
  • Intolerance of Cold
  • Cold limbs
  • Soreness of waist
  • Pain in the lower back
  • Long-term or heavy menstrual bleeding
  • Painful menstruation which gets increasing worse
  • Pelvic pain during intercourse
  • Fullness and stuffiness in the hypochondriac region
  • Dizziness
  • Tinnitus,
  • Shortness of breath
  • Difficult speech
  • Delayed menstrual cycle
  • Abdominal pain during menstruation
  • Abdominal Cold pain which can be relieved by warmth
  • Scanty menstruation
  • Dark in color
  • Blood masses or
  • Amenorrhea
  • Distending pain in the lower abdomen prior to or during menstruation which can be relieved by warmth
  • T: Pale
  • C: White or White and greasy fur
  • P: Weak or Deep and tense pulse or Thready and weak or Deep and slow
Treatment Principle
  • Reinforce the Kidney and Liver
  • Support Yang
  • Eliminate Cold
  • Warm the uterus to help conception
  • Regulate menstruation
  • Nourish the Blood
  • Invigorate the Blood
  • Relieve cramps associated with the menstrual cycle
Herb Formulas
Points
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
Clinical Manifestations
  • Fatigue
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Chills
  • Cold limbs
  • Inability to get warm
  • Loose stools
  • Profuse clear urine
  • Spontaneous sweating
  • Lassitude
  • T: Pale
  • C: White or Thin, white and dry
  • P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle
  • Tonify Qi and Blood
  • Strengthen the Spleen
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Infertility
  • Irregular and painful periods or
  • Delayed menstruation with decreased menses or
  • Dysmenorrhea
  • The menses may become dark purple in color and contain many clots
  • May be abdominal pain with guarding
  • Pain in the lower abdomen
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Irritability
  • Manic behavior
  • Frequent abdominal pain
  • Mental restlessness
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Promote Qi circulation
  • Dispel Stasis
  • Regulate menstruation
  • Promote conception
  • Pacify the Liver and the Chong channel
  • Nourish the uterus
Herb Formulas
Points
Clinical Manifestations
  • Early menses
  • Scant amount
  • Purplish-red with clots
  • Lower abdominal distention and pain, especially along the sides of the abdomen
  • Dislike of pressure
  • Stabbing pain in the lower abdomen
  • Breast distention and pain
  • Chest and flank distention and pain
  • Abdominal pain which becomes worse as the period approaches
  • Emaciation
  • Chronic lumbar soreness
  • Possible low-grade fever
  • Possible abnormal vaginal discharge which is yellow and foul-smelling
  • T: Red
  • C: Thin and yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Infertility
  • Delayed cycle
  • Scanty periods
  • Pale Blood
  • Maybe copious, watery menses
  • Maybe amenorrhea
  • Insidious pain after menstruation
  • Tiredness
  • Withered, sallow complexion
  • Depression
  • Dizziness
  • Palpitations
  • Breathlessness
  • Pale complexion
  • Blurred vision
  • Insomnia
  • Poor memory
  • Dry skin
  • Constipation
  • A thin, weak body
  • T: Pale and thin
  • C: Little or Thin and white
  • P: Choppy or Fine or Thin and soft
Treatment Principle
  • Nourish the Blood
  • Nourish Jing
  • Strengthen the Liver and the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Early periods (short cycle) up to twice a month
  • Heavy flow
  • Feeling hot during period
  • Thirst
  • Mental restlessness.
  • T: Red
  • C: Yellow
  • P: Rapid and overflowing.
  • Scanty menstrual volume, red purplish in color and mixed with clots.
  • Distention and pain in the lower abdomen, especially along the sides, which refuses palpation.
  • History of lumbar soreness
  • Distension & pain of the chest and hypochondrium
  • Tongue is red with a thin coating
  • Pulse is wiry and rapid
Treatment Principle
  • Cool the Blood
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Scanty menstruation
  • The Blood is purplish red with clots
  • Distention and pain in the lower abdomen
  • Distention and pain in the flanks
  • Refuses palpation
  • Emaciation
  • A long history of lower back pain
  • Distention and pain of the hypochondrium
  • T: Red
  • C: Thin
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Disperse Stasis
Herb Formulas
Points
Clinical Manifestations
  • Long term infertility
  • Irregular periods
  • Delayed cycle
  • Mid cycle pain
  • Vaginal discharge
  • Adhesions
  • Obesity
  • Feeling of heaviness
  • T: Fat
  • C: Sticky
  • P: Slippery
Treatment Principle
  • Resolve Dampness
  • Remove obstructions from the Ren and Chong channels
Herb Formulas
Points
  • REN-3, REN-9, Zigong, ST-28, SP-9, LU-7 on the right side of the body and KI-6 on the left side of the body, ST-30, KI-14, UB-32, (GB-41 on the right and SJ-5 on the left are used instead of LU-7 and KI-6 if there are symptoms of the Dai channel which include Damp Heat in the genital system, vaginal discharge, a feeling of heaviness of the abdomen, an abdominal pain that extends to the loins and a pulse that is Wiry on both Middle positions, GB-26, should be used in conjunction with SJ-5 and GB-41)
  • UB-32 with electrical stimulation with negative pole and REN-4
    in combination, is a modern treatment which is used specifically for obstruction of the fallopian tubes. For this treatment, the patient need to lie on her side.
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
Clinical Manifestations
  • Infertility
  • Failure to conceive after the last delivery
  • Irregular periods
  • Delayed periods
  • Constant spotting
  • White vaginal discharge
  • Pains in the loins
  • Abdominal pain which is worse with menstruation and fatigue
  • Low-grade fever
  • Premenstrual breast distention
  • T: Red
  • C: White and sticky or Yellow and sticky
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Resolve Dampness
Herb Formulas
Points
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
Clinical Manifestations
  • Blood mixed with sticky pale colored leukorrhea
  • Generally overweight
  • Cough with copious, dilute, white frothy or lumpy sputum
  • Chest and epigastric congestion
  • Palpitations
  • Headache
  • Pain and full feeling in chest
  • Dyspnea - worse lying down
  • Asthma
  • Throat rattle
  • Maybe anorexia
  • Lassitude
  • Nausea / vomiting
  • Dizziness / vertigo
  • Shortness of breath
  • Wheezing
  • Acute attack of panting with high pitched sound and rapid exhalation
  • Facial edema
  • Weak extremities
  • T: Pale or Pink
  • C: Thick, white and greasy or sticky
  • P: Slippery or Soft or Slippery and wiry
Treatment Principle
  • Transform Phlegm
  • Dry Dampness
  • Promote blood circulation
  • Regulate menstruation
Herb Formulas
Points
  • Ear: Internal Reproductive, Endocrine, Subcortex, Liver, Spleen, Kidney, Pituitary
  • Scalp: Human reproductive system (electro)
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense and deep and slow
Treatment Principle
  • Invigorate Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduces fixed abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Long term infertility
  • A long history of Excess Phlegm
  • Irregular periods
  • Delayed menstrual cycle with sticky discharge or
  • Amenorrhea
  • Mid cycle pain
  • Vaginal discharge
  • Adhesions
  • Obesity or overweight
  • General feeling of heaviness
  • Heaviness i the four limbs
  • A pale complexion
  • Puffiness
  • Dizziness
  • Lack of strength
  • Possible swelling and edema of the lower limbs
  • Chest tightness
  • Palpitation
  • A feeling of stuffiness in the chest
  • Anorexia
  • Nausea
  • Copious viscid vaginal discharge
  • T: Fat
  • C: Sticky thick and white
  • P: Slippery or Wiry and slippery or Slippery, soft and thready or Thready and retarded
Treatment Principle
  • Eliminate Dampness
  • Eliminate Qi Stagnation
  • Invigorate the Blood
  • Dissipate Phlegm
  • Remove obstructions from the Ren and Chong vessels
  • Nourish the Chong meridian and reproductive organs
  • Regulate menstruation
Herb Formulas
Points
  • REN-3, REN-9, Zigong, ST-28, SP-9, LU-7 on the right side of the body and KI-6 on the left side of the body, ST-30, KI-14, UB-32, (GB-41 on the right and SJ-5 on the left are used instead of LU-7 and KI-6 if there are symptoms of the Dai channel which include Damp Heat in the genital system, vaginal discharge, a feeling of heaviness of the abdomen, an abdominal pain that extends to the loins and a pulse that is Wiry on both Middle positions, GB-26, should be used in conjunction with SJ-5 and GB-41)
  • UB-32 with electrical stimulation with negative pole and REN-4
    in combination, is a modern treatment which is used specifically for obstruction of the fallopian tubes. For this treatment, the patient need to lie on her side
  • REN-3, ST-30, ST-40, SP-6, SP-9
  • KI-13, REN-3, REN-12, SP-6, ST-30, ST-40, UB-20
  • Ear Acupuncture: Kidney, Uterus, Ovary, Endocrine
Etiology
  • This is a condition of Empty Cold in the Uterus from a Kidney Yang
    Deficiency; it is more common in young women or young girls.
Clinical Manifestations
  • Primary infertility
  • Delayed cycle
  • Prolonged discharge
  • Scanty period
  • Small clots
  • Painful period
  • Better with Heat
  • Feeling colder during period
  • Pale face
  • Feeling Cold
  • Cold lower abdominal pain
  • Pain relieved by warmth
  • Sore back
  • T: Pale
  • C: Thick and white or Thin and white
  • P: Weak and tight or Deep and slow
Treatment Principle
  • Warm and tonify Kidney Yang
  • Warm the Uterus
  • Scatter Cold.
Herb Formulas
Points
Clinical Manifestations
  • Afternoon fever
  • Five sole Heat
  • Dry mouth
  • Thirst
  • Cold abdominal pain
  • Infertility
  • Dysmenorrhea
  • Uterine bleeding
  • Chronic pelvic inflammation
  • Menopause
  • Habitual miscarriage
Treatment Principle
  • Warms the menses
  • Regulates menstruation
  • Dispels Cold
  • Warms the channels
  • Nourishes the Blood
  • Nourish the Chong and Ren channels
Herb Formulas
Points

Clinical Manifestations
  • Delayed menstruation or
  • Prolonged menstruation
  • Scant amount
  • Dark, purple menstrual Blood with clots
  • Cold pain in the lower abdomen. relieved by warmth
  • A thin, white abnormal vaginal discharge
  • T: Dull colored
  • C: White
  • P: Deep and slow
Treatment Principle
  • Warm the uterus
  • Scatter Cold
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain with icy cold hands and feet
  • Extremities are cyanotic and difficult to warm up
  • P: Thready or Imperceptible
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the Blood
  • Unblock the channels
Herb Formulas
Points