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TCM Wisdom TubeTM

A Case Study Analysis:


Mission Impossible Infertility

by
Jimmy Wei-Yen Chang
L.Ac., O.M.D.

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HEAL

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A Case Study Analysis:


Mission Impossible Infertility
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

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

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%

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

INFERTILITY EY (WIFE)

#1 Case Study EY/HIL


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%
(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)
*Pls refer to the Lotus Clinical Manual of Oriental Medicine

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

INFERTILITY EY (WIFE)

#1 Case Study EY/HIL


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%

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

INFERTILITY EY (WIFE)

#1 Case Study EY/HIL


EY (Wife)
Infertility
(4 of 7)

Herbal Formula:
Shao Fu Zhu Yu Tang 40%
Liu Zi Tang 30%
(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)

Er Xian 30%
(xian mao, yin yang huo)

Ba Ji Tian 25%
Shan Yao 25%

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

INFERTILITY HIL (HUSBAND)

#1 Case Study EY/HIL


HIL (Husband)
Infertility
(5 of 7)

Herbal Formula:
Liu Zi Tang 60%
(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)

Yin Yang Huo 20%


Shao Fu Zhu Yu Tang 20%

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

INFERTILITY HIL (HUSBAND)

#1 Case Study EY/HIL


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%


(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)

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

INFERTILITY HIL (HUSBAND)

#1 Case Study EY/HIL


HIL (Husband)
Infertility
(7 of 7)

Herbal Formula:
Yin Yang Huo 30%
Xian Mao 20%
Liu Zi Tang 50%
(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)

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

#2 Case Study JC and VH


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

Chief Complaint
Infertility

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

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%


(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)

Wen Jing Tang 25%

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

INFERTILITY JC (WIFE)

#2 Case Study JC/VH


JC (Wife)
Infertility
(2 of 4)

Herbal Formula:
Shao Fu Zhu Yu Tang 100%

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

INFERTILITY VH (HUSBAND)

#2 Case Study JC/VH


VH (Husband)
Infertility
(3 of 4)

Herbal Formula:
Er Xian 50%
(xian mao, yin yang huo)

Long Dan Xie Gan Tang 20%


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

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

INFERTILITY VH (HUSBAND)

#2 Case Study JC/VH


VH (Husband)
Infertility
(4 of 4)

Herbal Formula:
Shao Fu Zhu Yu Tang 50%

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

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

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

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

Herbal Formula:
Shao Fu Zhu Yu Tang 100%

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

#3 Case Study RM
Infertility with
Menopausal S/S
(2 of 3)

Herbal Formula:
Shao Fu Zhu Yu Tang 50%
Wen Jing Tang 50%

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

#3 Case Study RM
Infertility with
Menopausal S/S
(3 of 3)
Herbal Formula:
Wen Jing Tang 50%
Er Xian 25%
(xian mao, yin yang huo)

Liu Zi Tang 25%


(she chuang zi, bu gu zhi, jiu cai zi, tu si zi, che qian zi)

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%

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

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

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


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Website: www.evherbs.com
Email: sales@evherbs.com

#1 Case Study EY and HIL

A Case Study Analysis:


Mission Impossible Infertility
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

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

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/HIL


EY (Wife)

#1 Case Study EY/HIL


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

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

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

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/HIL


EY (Wife)

#1 Case Study EY/HIL


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

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

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

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


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.

#1 Case Study EY/HIL


HIL (Husband)

#1 Case Study EY/HIL


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

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/HIL


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

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

#2 Case Study JC and VH


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

Chief Complaint
Infertility

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

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

#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

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

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

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


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.

#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

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

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

#3 Case Study RM

#3 Case Study RM

Female 35 y/o
BP: 93/57; HR: 76

Infertility with Menopausal S/S


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
Infertility with Menopausal S/S

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

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

#3 Case Study RM

#3 Case Study RM

Infertility with Menopausal S/S


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

Infertility with Menopausal S/S

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

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

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


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.

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