Saturday, June 9, 2012

Case Study - 2 - miscarriage


 Femal. 28, married for 4 years, on birth control for 4years. Off birth control for 11 months.

Chief Complaints: 
Trying to get pregnant 2 months off birth control, got pregnant right away, but miscarriage in just 2 weeks.

Diagnosis & Differentiation: 
Cycle for period is 30-32 days. Last 3-5 days with only one day heavy. First 1-2 days a lot of cramps on abdomen and lower back to 70%. Blood is dark with small clots.
Swollen tongue with not much coating. Pulse is weak on both side.  She looks thin and pale to me.  Her energy is good .  She easily feel cold especially with hand and feet.  Differentiation for her is blood deficiency and blood stagnation with some qi stagnation. 

Treatments: 
She had the first session right before ovulation.  The points used to course liver qi and invigrite blood and harmonize chong and Ren.The points used LV3, LI4, GB34, SP6, REN12, REN4, REN3, P3. Used moxa on SP4 and Ren12.  Formula used are Tao Hong Si Wu Tang and Gui Pi Tang.  She ovulated right after the first session .  She came back for follow up on day 21. The same points used and moxa on Sp4 and Ren4.  The third session she came back on day 29 with  positive pregnancy test.  Several more sessions to prevent miscarriage and to relieve morning sickness.  
Suggested life style change, go to bed early to reserve liver yin and blood and drink warm liquid instead of cold icy  to warm up uterus.


Results
Her pregnancy was good and the baby was born healthy.

Saturday, June 2, 2012

Case Study - 1 - Infertility


Female , 29 , mother of 15-month baby.  

Chief Complaints: trying to get pregnant for several months and unsuccessful.  

Other complaints: Feeling stressed and easily agitated; Low energy around ovulation and menstruation; Severe PMS symptoms; Severe cramps  with small clots, moody , anger,  fatigue  before and during menstruation; Digestion problems, hard to digest oily food , irritable bowel syndrome with abdominal pain, gastritis pain.  

Diagnosis & Differentiation: 
Pulse is weak on both side. Thin and wiry at liver area. Tongue is red with lack of coating.
Liver qi stagnation with liver yin and blood deficiency and spleen qi deficiency with deficiency cold .  

Treatment:

The first session is on day 5 right after period.  The acupuncture points used to course liver qi, tonify spleen qi and liver blood(P6, sp4, st36,ren12, sp15, ren3, lv3, sp6, K8).  Moxa on ren12 and sp4.

The second session and third is on day 10 and day16. The fourth session is on day 24th. Points are modified by adding local points st21, back points and back points BL18, Bl20, BL23.

Herb formula used: Jia Wei Xiao Yao Wan; Xiao Jian Zhong Tang.

Suggested life syle change: go to bed early to reserve liver yin and blood and drink warm liquid instead of cold icy  to warm up uterus.  

Results: Pregnant after four sessions.

Note: This is a rare case of quick result for infertility. Most of our infertility cases took 3 months or more.