Jchang 3-27casestudyinfertility TCMWT LN

TCM Wisdom TubeTM
A Case Study Analysis:

Mission Impossible Infertility
by
Jimmy Wei-Yen Chang
L.Ac., O.M.D.
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Lotus Institute of Integrative Medicine

PO Box 92493, City of Industry, CA 91715
Tel: 626-780-7182 Fax: 626-905-6887
Website: www.eLotus.org Email: info@elotus.org
PRACTICE THE ART
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Jimmy Chang, O.M.D., L.Ac.
Tel: (626) 780-7182 Fax: (626) 609-2929

Web: www.elotus.org Email: info@elotus.org
Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine
#1 Case Study EY and HIL

Husband and Wife
EY: Female 39 y/o
HIL: Male 47 y/o
Chief Complaint
Infertility

INFERTILITY EY (WIFE)
#1 Case Study EY/HIL

EY (Wife)
Infertility
(1 of 7)
Herbal Formula:
Shan Yao 40%
Liu Zi Tang 30%
(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)
Wen Jing Tang 30%


EY (Wife)
Infertility
(2 of 7)
Herbal Formula:
Venus 7% (p.725)*
Ba Ji Tian 13%
Zi Shi Ying 20%
Wen Jing Tang 30%
Liu Zi Tang 30%
*Pls refer to the Lotus Clinical Manual of Oriental Medicine


EY (Wife)
Infertility
(3 of 7)
Anti-Mullerian Hormone (AMH)
AMH is a hormone produced by the ovarian follicles.
In fertility assessment, AMH level is used as a guide to
ovarian reserve (remaining egg supply).
Ovarian Fertility Potential
Optimal
Satisfactory
Low
Very Low / Undetectable
ng/mL
4.0 6.8
2.2 4.0
0.3 2.2
0.0 0.3
High (found in patients w/ PCOD)
> 6.8
Herbal Formula:
Ba Wei Di Huang Wan 50%
Huan Shao Dan 50%


EY (Wife)
Infertility
(4 of 7)
Herbal Formula:
Shao Fu Zhu Yu Tang 40%
Liu Zi Tang 30%
Er Xian 30%
(xian mao, yin yang huo)
Ba Ji Tian 25%
Shan Yao 25%

INFERTILITY HIL (HUSBAND)

HIL (Husband)
Infertility
(5 of 7)
Herbal Formula:
Liu Zi Tang 60%
Yin Yang Huo 20%



HIL (Husband)
Infertility
(6 of 7)
Herbal Formula:
Long Dang Xie Gan Tang 25%
Shui Zhi 15%
Cold Breaker 30%
(san leng, e zhu, wang bu liu xing)
Liu Zi Tang 30%



HIL (Husband)
Infertility
(7 of 7)
Herbal Formula:
Yin Yang Huo 30%
Xian Mao 20%
Liu Zi Tang 50%

#2 Case Study JC and VH

Husband and Wife
JC: Female 35 y/o
VH: Male 37 y/o
Chief Complaint
Infertility

INFERTILITY JC (WIFE)
#2 Case Study JC/VH

JC (Wife)
Infertility
(1 of 4)
Herbal Formula:
Shan Yao 25%
Er Xian 25%
(yin yang huo, xian mao)
Liu Zi Tang 25%

Wen Jing Tang 25%

INFERTILITY JC (WIFE)
#2 Case Study JC/VH

JC (Wife)
Infertility
(2 of 4)
Herbal Formula:

INFERTILITY VH (HUSBAND)
#2 Case Study JC/VH

VH (Husband)
Infertility
(3 of 4)
Herbal Formula:
Er Xian 50%
Long Dan Xie Gan Tang 20%

Tian (Sky) 1 30%
(tian hua fen, lian qiao)

INFERTILITY VH (HUSBAND)
#2 Case Study JC/VH

VH (Husband)
Infertility
(4 of 4)
Herbal Formula:

#3 Case Study RM
Female 35 y/o
BP: 93/57; HR: 76
Chief Complaint
Infertility with Menopausal S/S

#3 Case Study RM
Infertility with
Menopausal S/S
(1 of 3)
Herbal Formula:

#3 Case Study RM
Infertility with
Menopausal S/S
(2 of 3)
Herbal Formula:
Wen Jing Tang 50%

#3 Case Study RM
Infertility with
Menopausal S/S
(3 of 3)
Herbal Formula:
Wen Jing Tang 50%
Er Xian 25%
Liu Zi Tang 25%

Herbal Formula (to stabilize pregnancy):

Ba Wei Di Huang Wan 50%
Gu Jian San 25%
(du zhong, gu sui bu, xu duan, sang ji sheng, huai niu xi)
Shi Quan Da Bu Tang 25%


Jimmy Changs Contact Info

3133 S. Hacienda Blvd
Hacienda Heights, CA 91745
626-820-8858
Office hours
M, W, Th, Sat: 10am 12pm; 2pm 5pm
To intern, call and make a reservation with
Mimi ($350/day)
To read articles by todays speaker, watch

online videos, or to see his/her complete
seminar/webinar schedule for this year, please
visit www.elotus.org
More information on the classic single herbs mentioned in

this seminar/webinar can be found in the
Chinese Medical Herbology and Pharmacology
More information on the classic formulas can be found in
the Chinese Herbal Formulas and Applications
Collection formulas can be found in the eLotus
Clinical Manual of Oriental Medicine
All the above texts are available through www.elotus.org
Herbs mentioned in this seminar/webinar, are

available through our sponsor Evergreen
Herbs & Medical Supplies. Please contact
them for a catalog and see how they can help
your practice.
This webinar is sponsored by:
Evergreen Herbs & Medical Supplies

Toll-free Tel: 866-473-3697
Website: www.evherbs.com
Email: sales@evherbs.com
#1 Case Study EY and HIL

Jimmy Chang, O.M.D., L.Ac.
Husband and Wife

EY: Female 39 y/o
HIL: Male 47 y/o
Chief Complaint
Infertility
Tel: (626) 780-7182 Fax: (626) 609-2929

Web: www.elotus.org Email: info@elotus.org



EY (Wife)

EY (Wife)
Infertility
Focus on Left chi for infertility issue
Deep, long, wiry, and sl. Forceful
Her qi and blood is sl. low
The Liu Zi is good for kidney yang
Dietary recommendation: Oyster to tonify the
yang

Infertility
Pulse looks okay overall
Left chi sl. weak Kidney yang deficiency
Zi Shi Ying is a mineral, used to tonify Kidney
yangcan replace with Liu Zi Tang or Er Xian
Liu Zi Tang also for Kidney yang


EY (Wife)

EY (Wife)
Infertility
Bai Wei Di Huang Wan and Huan Shao Dan
used to stabilize the pregnancy
Low AMH is usually associated with low kidney
deficiency.
Infertility
Left chi, deep and weak
Shao Fu Zhu Yu Tang for stagnation in the lower
jiao (uterus) and also for tonifying Kd yang; also
can use for irregular menstruation and spotting
Ba Ji Tian used for tonifying Kidney yang for
female.
For low libido, use Ba Ji Tian with Rou Cong Rong
Er Xian for Kidney yang deficiency, low hormone



Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org
Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine.

HIL (Husband)

HIL (Husband)
Infertility
In the lower abdominal area, dead blood
Alkaline body type
Liu Zi to tonify Kidney yang
Shao Fu Zhu Yu Tang also good for men, for
dead blood in the lower abdominal area


HIL (Husband)
Infertility
In the lower triangular fossa, it is the pelvic
area. It was red on the patients ear, therefore
used Long Dan Xie Gan Tang to clear the heat.
Infertility
In this visit, his pulse is stronger.
Left chi pulse is stronger than the previous visit.
Dead blood in the lower abd area is less
In the triangular fossa, pelvic area, it is red and
dark
Cold breaker to break up blockage in the genital
area which can cause blockage of the sperm

#2 Case Study JC and VH

Husband and Wife
JC: Female 35 y/o
VH: Male 37 y/o
Chief Complaint
Infertility


#2 Case Study JC/VH

JC (Wife)
#2 Case Study JC/VH

JC (Wife)
Infertility
PCOS - will see darkness in the back of the neck and
also acne in the upper back area
Left chi pulse is turtle shaped, but thin, narrow on top
Young female with irregular period, acne, put on
weight, with the above pulse, likely PCOS.
To balance the hormone, use Zuo Gui Wan and You
Gui Wan
Stay away from sugar and carbs; insulin will produce
prolactin which will prevent ovulation
Infertility
Upper corner of triangular fossa is Liver; lower
corner is for genital area



#2 Case Study JC/VH

VH (Husband)
#2 Case Study JC/VH

VH (Husband)
Infertility
If the intertragic notch is too big, it indicates
cyst for women; for men, varicose vein
If the intertragic notch is too narrow in women,
uterus is too narrow.
Long Dan Xie Gan Tang and Tian 1 is used for
cooling; whereas Er Xian is used to tonify yang
Left chi, turtle pulse indicating possible
varicocele
Infertility
Shao Fu Zhu Yu Tang to clear the abd area,
remove stagnation
If pulse is too tight, constricted, then use
Resolve Lower


#3 Case Study RM
#3 Case Study RM
Female 35 y/o
BP: 93/57; HR: 76

Menstruation is always stuck
PCOS condition dark and acne in the back
neck and upper back area
(her husband has turtle pulse on both chi area,
possible varicocele)
Genital and urinary area of the ear dark color
indicating dead blood
Also has edema
Yang, qi, and blood deficiency
Chief Complaint


#3 Case Study RM
#3 Case Study RM

Pregnant pulse: both chi are jumpy and palms
should be warm/hot



Evergreen Herbs is not just an Herbal company, we are an

environmentally friendly, health conscious contributor to the healthcare community at large. Evergreen was founded by Dr. John Chen
and Tina Chen, siblings and coauthors of the Chinese Medical
Herbology and Pharmacology, and the Chinese Herbal Formulas
and Applications books.
Evergreen is a family business that is run by professionals like you
who care about Chinese medicine. And as a family business, we
have the well-being and satisfaction of our customers at the top
of our list. We care about the quality of our herbs, because we
care about our consumers, and have your best interest at heart.
Our goal is to support you in improving your clinical skills, and
enhancing the well-being of your patients.
To learn more about Evergreen Herbs and our products, please

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TCM Wisdom TubeTM

A Case Study Analysis:

LEARN THE SCIENCE

PRACTICE THE ART

LEARN THE SCIENCE

PRACTICE THE ART

to our TCM Wisdom Tube

TCM Wisdom TubeTM

LEARN THE SCIENCE

PRACTICE THE ART

Services and Products by Lotus Institute Of Integrative Medicine

Like Lao-tzu's adage - when you do better, we all do better

Lotus Website: www.eLotus.org

Lotus hosts 8-hour live CEU seminars in a city near you!

Missed a seminar or webinar? Enjoy on-demand CEU audio recordings

LEARN THE SCIENCE

PRACTICE THE ART

TCM Wisdom Tube

FREE Articles for Download

DRUG-HERB REFERENCE GUIDE SET 2ND EDITION

Clinical Manual of Oriental Medicine, 2nd edition

LEARN THE SCIENCE

Lotus Institute of Integrative Medicine

PRACTICE THE ART

A Case Study Analysis:

Tel: (626) 780-7182 Fax: (626) 609-2929

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#1 Case Study EY and HIL

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#1 Case Study EY/HIL

Wen Jing Tang 30%

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#1 Case Study EY/HIL

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#1 Case Study EY/HIL

High (found in patients w/ PCOD)

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#1 Case Study EY/HIL

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

INFERTILITY HIL (HUSBAND)

#1 Case Study EY/HIL

Yin Yang Huo 20%

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

INFERTILITY HIL (HUSBAND)

#1 Case Study EY/HIL

Liu Zi Tang 30%

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

INFERTILITY HIL (HUSBAND)

#1 Case Study EY/HIL

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#2 Case Study JC and VH

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#2 Case Study JC/VH

Liu Zi Tang 25%

Wen Jing Tang 25%

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#2 Case Study JC/VH

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#2 Case Study JC/VH

Long Dan Xie Gan Tang 20%

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

#2 Case Study JC/VH

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715