Increase Endometrial Lining with Tradition Chinese Medicine and Acupuncture

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Case Report SOJ Gynecology, Obstetrics and Women’s Health Open Access Increase Endometrial Lining with Tradition Chinese Medicine and Acupuncture MS Qing Zhang1* Acu-herbs Chinese Medicine Southampton, 170 Hill lane, Southampton SO15 5DB, UK.

Received: June 14, 2019; Accepted: July 07, 2019; Published: July 16, 2019

*Corresponding author: MS Qing Zhang, Acu-herbs Chinese Medicine Southampton, 170 Hill lane, Southampton SO15 5DB, UK. Tel: 00447727123311,

Email: [email protected]

Case Report

A. Pauses:Premenopausal thin, weak, symptoms: string.) hot Her flushes; macroscopic: sweating infragmented the night; insomnia; anxiety. (Tongue small, red colour and thin fur. Thin endometrial lining is a difficult condition for IVF endometrial biopsy showing some crush artefact. It shows embryos to implant even when they are good quality embryos. glands of inactive pattern. Thintreatment. endometrial Thin lining endometrial also can lining cause low can pregnant make it rate difficult and high for miscarriage rate, which also cause miscarriages during earlier months of pregnancy. Many patients with this condition do not B. Differentiation of symptoms by TCM: Deficiency in both Liver and Kidney Yin. drugs and different protocols. blood, improve blood circulation of ultras. respond well to IVF drugs, even if Gynaecologists use different The reasons that cause thin endometrial lining are low C. Treatment principle: Reinforcing kidney and Liver, nourishing estrogens (occurs in women in 40’s, when estrogens receptors zhen tang, fuke yang rong wan. (Above herbs use concentrated in the endometrial have decreased, affecting endometrial lining D. HerbalChinese medicine: herbal powders, Liu wei twodi huang times wan, daily.) jiaweixiaoyao wan, ba of endometrial tissue (recurrent miscarriages, the trauma of D&C orincrease), some surgeries), inadequate endometrial blood flow, tuberculosis,fibroids of uterus; affected poor by health some E. Acupuncture points: tai xi, san yin jiao, tai chong, he gu, zu drugs, long term use of birth control pills, gene disorder etc., zi gong. san li, xue hai, gan shu, shen shu ,bai hui, guan yuan, zhong ji, TCM (traditional Chinese medicine) believes the reason Explanation and Result Mrs H suffers from Premature ovarian failure, thin endometrial causing thin endometrial lining are kidney deficiency (Kidney Qi, kidney YinJing, and nourish kidney blood, Jing), and blood activate deficiency blood and circulation blood stasis. and lining. Her differentiation of symptoms by TCM is deficiency in anti-bloodTCM treatment stasis. principle The advantages is to tonify of TCM Kidney treatment Qi, kidney are workingYin and both Liver and Kidney yin. The treatment from the conception of in a holistic way to improve balance of body Yin and Yang, balance the organism as a whole, I gave her Liu Wei Di Haung Wan, Jia Wei activatingXiao Yao pain her workblood oncirculation tonic her working Liver and her Kidney whole yin body in andgeneral. also ultras inner environments, endometrial receptivity and improve Ba Zhen Tang and Ren Shen Yang Rong Wan nourishing and body Qi and blood so as to improve body’s hormone level, improve her ultras and ovaries. I use acupuncture working on her ultras endometrial lining. and ovaries area, stimulation her local meridians and channel Case One to improve her ultras’ and ovaries’ blood circulation, repairing and healing her Endometrial. After ten weeks acupuncture and Mrs S .H, 40 years old, suffered from premature ovarian failure. She started anticipation drugs injection Depo-Provera from 17 years old. She stopped these drugs when she was 29 years old. startedChinese abroad. herbs treatment,Her endometrial she felt lining more increased relaxed, up her to sleep6.5mm. is Her menstruation stopped since. She started to see gynaecologist Sheimproved, was transferred her general two energy embryos. is much She better.had a positiveHer IVF pregnancytreatment when she was about 36 years old as she want to start her family. her scan showed she was pregnant with twins. Then she started different drugs. She was given different drugs, for months and sometest and bleeding. had a scanI prescribed when she some was Chinese six and herbs half weeksprescription pregnant, “An She was going to start IVF; she had still no period even with some

But her endometrial lining was not thickening (below 5mm). 20 g, Dang Shen 15g, Bai Zhu 10 g, Sheng Ma 6 g, Niv Zhen Zi 10 months, she was even put on Viagra to see if that would work. Tai Fang”. Ingredient: Sang Ji Sheng 10g, Xu Duan 10 g, Tu Si Zi she took the herbs, her bleeding stopped. She had a scan later. Gynaecologist suggested that she should have acupuncture Theg, Han scan Lian showed Cao 10 that g and there Zhi was Gan one Cao heartbeat. 6g. After Shetwo lostto three one baby,days preparation for her IVF, and suggested that she come to my clinic.

Explanation and Result Mrs H‘s main problems is endometriosis. This condition cause her poor endometrial receptivity’s and thin endometrial lining.

She also suffers from bad IBS. I prescribed her Jin Kui Shen Qi Pian and Shen Ling Bai Zhu Pian working on her general Spleen Qi circulationand her Kidney and anti- yang, blood improve stasis her on spleen her ultras. and stomachI use acupuncture function. workTao Hong on her Si whole Wu and body Xue and Fu her Zhu ultras, Yu Tang so as nourishing to improve blood her endometrial inner environments, improve her endometrial receptivity, and endometrial lining. I also suggested her massage

points every day. After two cycle menstruation acupuncture and and use Moxibustion on her abdomen and her legs acupuncture scan showed her endometrial lining was about 8mm. She was transferredChinese herbs two treatments, frozen embryos, she started she had her positive IVF. Her pregnancy ultrasounds test.

She gave a labour of twins of healthy girls Figure-2.

Figure 1: and another one survived. She entered labour when she was 40 weeks pregnant. She has a healthy, good looking baby boy. Her

gynaecologist in UK was surprised and pleased when he knew herCase situation Two Figure-1.

for some years. She has severe dysmenorrhoea, her endometrial adhereMrs., her H.W colon 32 years and herold. fallopianShe suffers tubes. from Shesevere had endometriosis an operation

hasto remove some acupunctureher left fallopian to increase tube. She her had endometrial failed two IVF,lining as andher thin endometrial lining. Gynaecologist suggested that she should

prepareA. Patient her frozensymptoms: embryo Dysmenorrhoea, transfer next IVF. Headaches before

pain, loose stool, sensitive to wheat and dairy products. menstruation, PMS, Cold extremities, abdominal fullness and Figure 2: Case Three B. Differentiation of symptoms by TCM: Deficiency in both Kidney yang and Spleen Qi, Qi stagnation and blood stasis.

C. Treatment principle: Strengthen Kidney yang and Spleen Qi, was Mrsthin. S A is a 30 years old. She had two failed IVF. She had good Nourishing Qi, activate blood circulation and anti-blood stasis. quality embryos; the IVF did not work as her endometrial lining A. Patient symptoms: She started her menstruation when she D. (AboveHerbal medicine:herbs use Jinconcentrated Kui Shen Qi Chinese Pian; Shenling herbal powders, Baizhu Pian; two was 16 years old. Her period was irregular. She suffered from timesXiao Yao daily. Pian; ) Tao Hong Si Wu Pian, Xue Fu Zhui Yu Tang dysmenorrhoea. She is thin, weak, and easy to catch cold, poor appetite. She had abdomen fullness, loose stool and the

E. Acupuncture points: San Yin Jiao, Tai Chong, He Gu, Zu San Li, Sensitive to wheat and dairy products. symptoms worse before her period. PMS, Anxiety, Insomnia, Xue Hai, Pi Shu, Shen Shu , Da Chang Shu , Bai Hui. Moxibustion, Qi Hai, Tian Shu, Guan Yuan, Zhong Ji, Zi Gong. Citation: Page 2 of 6

Qing Zhang MS (2019) Increase Endometrial Lining with Tradition Chinese Medicine and Acupuncture. SOJ Gynecol Obstet Womens Health 5(1): 1-6. DOI: http://dx.doi.org/10.15226/2381-2915/5/1/00138 Increase Endometrial Lining with Tradition Chinese Medicine and Acupuncture Copyright: © 2019 Qing Zhang MS.

B. Differentiation of symptoms by TCM: Kidney Qi and Jing period, small tongue, weak pause shows her kidney Jing, Kidney deficiency; Spleen Qi and blood deficiency and blood stasis. Qi, Kidney Yang all deficient, Spleen QI deficient. I prescript her Jin Kui Shen Qi Pian, Shenling Bai Zhu Pain, Aifu nuan gong Wan tonify C. Treatment principle: Nourishing Kidney Jing and Kidney Qi, I gave her acupuncture, working on her general and local points. and Anti blood stasis. her Kidney Qi and Yang, tonify her Spleen Qi and warm her Ultras, Tonic Spleen Qi; Nourishing blood; Activity blood circulation working on her abdomen at home as well. After a few menstrual I also suggested that she should massage and use Moxibustion D. Herbal medicine: Shen Ling Bai Zhu Pian, Jin Kui Shen Qi Pian. Her ultrasounds scan shows her endometrial lining is 6.5mm and timesAi Fu daily)Nuan Gongi Wan, Tao Hong Si Wu Pian, Ren Shen Gui stillcycles keeps of acupuncture this level. I startedand herbal increased treatment, acupuncture she started stimulation her IVF. Pi Wan (Herbs use concentrated Chinese herbal powders, two endometrial lining was increased about 8mm when she had her with electrical acupuncture machine, cupping, Moxibustion. Her E. Acupuncture points: Zu San Li, San Yin Jiao, Yin Ling Quan, Tai Chong, He Gu, Xue Hai, Pi Shu, Shen Shu , Da Chang Shu, frozen embryo transfer. She had a positive pregnancy test. When Bai Hui. Moxibustion: Qi Hai, Tian Shu, Guan Yuan, Zhong Ji, Zi she was six weeks pregnant, she started morning sickness. I gave ExplanationGong. and Result her acupuncture points: Gong Sun, Nei Guan, Zu San Li, and some Mrs. A has weak constitution, period start late, irregular Chinese herbs Xiang Sha Liu Jun Pian. Her morning sickness was improved. She is pregnant 30weeks now. Everything is fine. Table 1: Names of patent herbal Ingredients of formulae in No Ingredients of formulae in Latin name Dose (G) formulae Chinese spelling names Renshen 15

Baizhu Rhizoma AtractylodisRadix Ginseng Macrocephalae 12 Huangqi 12

RadixPoria Astragali 12 yuanzhiFushen 9 1 Renshenguipi Pills Suanzaoren SemenRadix Ziziphi Polygalae Spinosae 12 9

LongyanrouDanggui Arillus Longan 9 Dazao Radix Angelicae Sinensis 9 Zhigancao Fructus Zizyphi Jujubae 6 Chaihu Radix Glycyrrhizae 9 Dangui Radix Bupleuri 9 Baishao Radix AngelicaeSinensis 9 2 Xiaoyao Pills Baizhu RhizomaRadix Atractylodis Paeoniae Macrocephalae Alba 9 Poria 9

FulingBohe HerbaMenthae 3 Zhigancao 6

Shudihuang Radix Glycyrrhizae 24 Shanyao RehmanniaDioscorea GlutinosaOppositaThunb Libosch 12 Shanzhuyu 12

3 Jinkuishenqi Pills Mudanpi Fructus Corni 9 RhizomaCortex MoutanAlismatis 9 Zexie Poria 9 RouguiFuling 3 Cortex Cinnamomi

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Chaihu Bupleurum Chinese DC 11 Dangui 11

Baishao Radix AngelicaeSinensis 11 Baizhu RhizomaPaeonia Atractylodis Lactiflora Macrocephalae Pall 11 4 Jiaweixiaoyao Pills Poria 11

MudanpiFuling 9 Zhizi Cortex Moutan 9 Bohe GardeniaHerba Jasminoides Menthae Sllis 2 9

HuangqiGancao Glycyrrhizae Uralensis Fisch 24 Renshen Radix Astragali 12 Baizhu Radix Ginseng 12 Danggui Altractylodes Macrocephala Koidz 12 5 Buzhongyiqi Pills Shengma RadixRhizoma Angelicae Cimicifugae Sinensis 6 Chaihu Bupleurum Chinese DC 9 Chenpi Pericarpium Citri Reticulatae 9 Zhigancao 6

Renshen lycyrrhizae Uralensis Fisch 12 Baizhu Rhizoma AtractylodisRadix Ginseng Macrocephalae 12 Poria 12

ZhigancaoFuling 12 6 Shenlingbaizhupian Shanyao GlycyrrhizaeDioscorea OppositaThunb Uralensis Fisch 12 Baibiandou 9

Yiyiren Semen Dolichoris Lablab 6 Sharen Semen Coicis Lachryma-jobi 6 Jiegeng Fructus Amomi 6 Shudihuang Radix Platycodi Grandiflori 24 Shanyao RehmanniaDioscorea GlutinosaOpposita ThunbLibosch 12 Shanzhuyu 12 7 Liuweidi huang wan Mudanpi Fructus Corni 9 RhizomaCortex MoutanAlismatis 9 Zexie Poria 9 ChuanqiongFuling 9 Danggui Radix Ligustici Chuanxiong 9 Baishao Radix Angelicae Sinensis 9 8 Taohongsiwutang Shudihuang Paeonia Lactiflora Pall 12 Taoren RehmanniaSemen Glutinosa Persica Libosch 9 Honghua Carthami Tinctorii 6

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Shudihuang 18

Danggui Rehmannia Glutinosa Libosch 15 Baishao Radix Angelicae Sinensis 15 Chuanqiong Paeonia Lactiflora Pall 9 9 Bazhentang Renshen Radix Ligustici Chuanxiong 9 Baizhu Radix Ginseng 12 Altractylodes MacrocephalaPoria Koidz 15 ZhigancaoFuling 6 Baishao Glycyrrhizae Uralensis Fisch 12 Danggui Paeonia Lactiflora Pall 9 Chenpi PericarpiumRadix Angelicae Citri Reticulatae Sinensis 9 Huangqi 15

Rougui Radix Astragali 3 Baizhu Cortex Cinnamomi 9 10 Renshenyangyingtang Renshen Altractylodes Macrocephala Koidz 12 Zhigancao Radix Ginseng 6 Baizhu Glycyrrhizae Uralensis Fisch 9 Shudihuang Altractylodes Macrocephala Koidz 12 Rehmannia Glutinosa Libosch 4 Wuweizi FructusPoria Schisandrae 9 YuanzhiFuling 9 Xiangfu RhizomaRadix Polygalae Cyperi 12 Aiye 6

11 Aifunuangongwan Danggui Folium Aetemisar Argyi 12 Huangqi Radix Angelicae Sinensis 9 Radix Astragali 9 ChuanqiongWuzhuyu Fructus Evodiae Rutaecarpae 9 Baishao Radix Ligustici Chuanxiong 9 Shudihuang Paeonia Lactiflora Pall 9 Rougui Rehmannia Glutinosa Libosch 3 Xuduan Cortex Cinnamomi 9 Taoren RadixSemen Dipsaci Persica Asperi 12 Honghua Carthami Tinctorii 9 Danggui 9

Chuanqiong Radix Angelicae Sinensis 4.5 Chishao Radix Ligustici Chuanxiong 6 12 Xuefuzhuyutang Radix Paeonia Rubrae 9 ChaihuNiuxi Radix Achyranthis Bidentatae 3 Jiegeng Radix Bupleuri 4.5 Zhike Radix Platycodi Grandiflori 6 shengdihuang Fructus Citri seu Ponciri 9 Ridix rehmanniae Glutinosae 3 Gancao Ridix rehmanniae Glutinosae

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Analysis E. Thin endometrial lining patients tend to have miscarriages

easily during their pregnancy. We should treat them on time A. Infertility patients with a few IVF treatments are more likely to give them acupuncture support during their pregnancy and preventwhen they miscarriage. start to have Prevention some sign is better of miscarriage. than cure. We should wouldget stress have and better anxiety. respond Acupuncture to treatments treatment should release their stress and anxiety first, after their body relaxed; they Reference B. Patients with thin endometrial lining have different root cause 1. Dan jiang. Protecting Embryo with Chinese Herbal medicine for and some of them can be complicated .The treatment normally treating Miscarriagees-4 Cases Study Enclosed. Perceptions Report take time. Acupuncture and some Chinese herbs together would work better. 2. med. 2018; 1(3): 1-6. doi: 10.31031/PRM.2018.01.000515 C. Most thin endometrial lining patients do not have good diagnosis and treatment. Michal Vilimovsky (EN). Thin endometrial lining: causes, symptoms, menstruation. Mostly they have light period, some patients 3. suffer from amenorrhea. Treating this condition should Qing Zhang. Experience of Chinese Medicine and acupuncture work on regulate patient’s menstruation and improve blood Chinese Medicine and Acupuncture. ISSN 1745-684330. March 2017 Treatment during In-Vitro Fertilisation (IVF) ACTM. The Journal of 4. Thin uterine lining – Causes and Treatments menstruation improved. 5. flow. The endometrial lining would be improved when their D. Thin endometrial lining treatment can be complicated. Dan jiang. Infertility Caused by the Early Failure of Ovaries Has Cured By TCM with A Nature Pregnancy. Perceptions Report med. 2017; 6. conception of the organism as a whole. Treating a fundamental 1(1): 1-2. doi: 10.31031/PRM.2017.01.000504 Treating this condition should work with holistic way; see the aspect of the problem, as well as those conditions. Acupuncture Liang Dong–Yun TCM treatment Strategy of Multifactor Difficult working for this condition needs to use general body points Infertility Journal OF CHINESE MEDICINE IN THE UK ISSN: 2049-4289 and also local points together 2019 Volume 8 Issue I

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Qing Zhang MS (2019) Increase Endometrial Lining with Tradition Chinese Medicine and Acupuncture. SOJ Gynecol Obstet Womens Health 5(1): 1-6. DOI: http://dx.doi.org/10.15226/2381-2915/5/1/00138