POLYCYSTIC OVARY SYNDROME (PCOS)

Clinical Manifestations
  • Menstrual abnormalities:
    Irregular menstruation
    Early menstruation
    Late menstruation
    Scanty menstruation
    Metrorrhagia
    Amenorrhea
  • Development of male sex characteristics:
    Elevated levels of male hormones
    Androgens may result in physical signs, such as
    Decreased breast size
    Deepening of the voice
    Enlargement of the clitoris
    Hirsutism (excess facial and body hair)
    Adult acne or
    Severe adolescent acne
  • Obesity:About 50% of women with PCOS are overweight or obese.
  • Prediabetes or type 2 diabetes: Many women with PCOS have
    high blood glucose level and type 2 diabetes due to significantly high insulin resistant.
  • Acanthosis nigricans: This is the medical term for dark or thick skin markings and creases around the armpits, groin, neck, and breasts due to insulin sensitivity.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Very irregular menstrual cycle with no pattern at all
  • Scanty bleeding with clots or
  • Amenorrhea, although may flood sometimes
  • Infertility
  • Distension of chest and breasts
  • Bloated stomach
  • Cramping in the lower abdomen
  • Severe acne
  • Thick body and facial hair
  • Thirst
  • Constipation
  • Overweight
  • T:Dark red or Purple red with black spots around the edge
  • C: White or Yellow greasy
  • P: Wiry, slippery and rapid pulses
Treatment Principle
  • Clear Heat
  • Remove Phlegm
  • Invigorate the blood
  • Resolve Blood Stasis.
Herb Formulas
  • PCOS #5
  • Chinese Patent Medicines:
    Xue Fu Zhu Yu Wan + Chai Hu Shu Gan Tang
    Xue Fu Zhu Yu Wan + Qi Qi Hua Tan Wan
    Fu Ke Tiao Jing Wan + Chai Hu Shu Gan Tang
    Fu Ke Tiao Jing Wan + Qi Qi Hua Tan Wan
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
Clinical Manifestations
  • Dry mouth and tongue
  • Lower back and knee pain
  • Urinary difficulty
  • Weakness of the lower back, knees and extremities
  • Steaming bones
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Irritability
  • Hot flashes
  • Night sweats
  • Thirst
  • Insomnia
  • Dry skin
  • Deafness
  • Spontaneous and nocturnal emissions
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Swollen gums, painful and light red in color
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Urinary incontinence
  • Pain at midline and in lower back
  • Sore throat
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Kidney Yin
  • Clear Deficiency Heat
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstrual periods with light bleeding or
  • Amenorrhea
  • Severe Pre-menstrual syndrome
  • Depression
  • Restlessness
  • Headache or
  • Dizziness
  • Dream disturbed sleep
  • Night sweats
  • Acne
  • Infertility
  • T: Red
  • C: Thin
  • P: Thready and wiry
Treatment Principle
  • Nourish Kidney Yin
  • Nourish the Blood
  • Soothe Liver Qi
  • Unblock the Chong and Ren channels
Herb Formulas
Points
Clinical Manifestations
  • Delayed menstruation
  • Scanty and light-colored menses
  • Gradual amenorrhea
  • Occasional irregular menstruation
  • Infertility
  • Dizziness
  • Tinnitus
  • Aching and weak sensation in the loins and knees
  • A Cold sensation in the body
  • Cold limbs
  • Clear and profuse urine
  • Loose stools
  • Sexual frigidity
  • Obesity
  • T: Pale
  • C: Thin and white
  • P: Deep and thin
Treatment Principle
  • Nourish the Kidneys
  • Replenish Jing
  • Regulate and nourish the Ren and Chong channels
  • Scatter nodulation
Herb Formulas
Points
Clinical Manifestations
  • Delayed menstruation
  • Scanty periods with clots
  • Abdominal pain during menstruation
  • Amenorrhea
  • Infertility
  • Mental depression
  • Distending fullness in the chest and hypochondria
  • Dizziness
  • Heart vexation
  • Easily angered
  • Breast distention and pain
  • Hiccups
  • Twitching and spasm of the sinew vessels
  • A sore feeling in the extremities and body
  • The facial complexion is dusky and stagnant
  • Bitter taste in the mouth
  • Dry throat
  • Constipation
  • Reddish urine
  • T: Red edge and tip or Purplish and may have
    maculae or spots of static blood on its border
  • C: Normal or Slightly yellowish
  • P: Deep and wiry or Small and wiry or Wiry and forceful or Thready and choppy or Deep and choppy
Treatment Principle
  • Activate Qi
  • Invigorate the Blood
  • Break up Stasis
Herb Formulas
Points
Clinical Manifestations
  • Very irregular menstrual cycle with no pattern at all
  • Scanty bleeding with clots or
  • Amenorrhea, although may flood sometimes
  • Infertility
  • Distension of chest and breasts
  • Bloated stomach
  • Cramping in the lower abdomen
  • Severe acne
  • Thick body and facial hair
  • Thirst
  • Constipation
  • Overweight
  • T:Dark red or Purple red with black spots around the edge
  • C: White or Yellow greasy
  • P: Wiry, slippery and rapid pulses
Treatment Principle
  • Clear Heat
  • Remove Phlegm
  • Invigorate the blood
  • Resolve Blood Stasis.
Herb Formulas
  • PCOS #5
  • Chinese Patent Medicines:
    Xue Fu Zhu Yu Wan + Chai Hu Shu Gan Tang
    Xue Fu Zhu Yu Wan + Qi Qi Hua Tan Wan
    Fu Ke Tiao Jing Wan + Chai Hu Shu Gan Tang
    Fu Ke Tiao Jing Wan + Qi Qi Hua Tan Wan
Points
Clinical Manifestations
  • Scanty periods
  • Delayed menstruation or
  • Amenorrhea
  • Infertility
  • Leukorrhea
  • Dizziness
  • A heavy sensation in the head
  • Chest oppression
  • Nausea
  • Lassitude of limbs
  • Profuse sputum in the throat
  • Loose stools
  • Obesity
  • T: Normal
  • C: Whitish and greasy
  • P:Slippery
Treatment Principle
  • Resolve Phlegm
  • Eliminate Dampness
  • Regulate Qi
  • Regulate menstruation
Herb Formulas
Points