Patient

Female: 31 years

Introduction

Hysterosalpingography showed both fallopian tubes blocked at both ends with signs of hydrosalpinx. No prospect of successful surgery was ofered. No sign of current infection. Had prolonged pelvic inflammatory disease in 1991 with long-term pain following. Generally few current symptoms. Some signs of mild Liver fire (red tongue sides and premenstrual irritability) and some signs of lingering damp-heat in the lower jiao (moderate greasy, slightly yellow coating at rear of tongue).

Treatment

1. Acupuncture

  • Tituo (N-CA-4) and Zigong (M-CA-18)
  • Alternated with
  • Shuidao ST-28 and Guilai ST-29
  • plus
  • Xuehai SP-10 and/or Diji SP-8
  • Ququan LIV-8 or Yingu KID-10
  • Sanyinjiao SP-6 and/or Fuliu KID-7
  • Xingjian LIV-2 or Taichong LIV-3

Acupuncture treatment was given twice a week for 6 months

2. Internal Chinese herbs

 

  • Wei Ling Xian (Radix Clemetidis Chinensis) 9g
  • Pu Gong Ying (Herba Taraxaci Mongolici cum Radice) 12g
  • Dan Shen (Radix Salviae Miltiorrhizae) 15g
  • Lu Lu Tong (Fructus Liquidambaris Taiwanianae) 15g
  • Gui Zhi (Ramulus Cinnamomi Cassiae) 9g
  • Qian Cao Gen (Radix Rubiae Cordifoliae) 9g
  • Zhi Ke (Fructus Citri seu Ponciri) 6g
  • Zhe Bei Mu Bulbus Fritillariae) 12g
  • Zao Jiao Ci (Spina Gleditsiae Sinensis) 12g
  • Huang Qi (Radix Astragali) 20g
  • Xia Ku Cao (Spica Prunellae Vulgaris) 12g
  • Yi Yi Ren (Semen Coicis Lachryma-jobi) 12g

Taken as a daily decoction for 6 months

3. External Chinese herbs

 

 

  • Da Huang (Rhizoma Rhei) 30g
  • Ji Xue Teng (Radix et Caulis Jixueteng) 30g
  • Ai Ye (Folium Artemisiae) 30g
  • Dang Gui (Radix Angelicae Sinensis) 30g
  • Ze Lan (Herba Lycopi Lucidi) 15g
  • Bai Zhi (Radix Angelicae) 15g
  • Chuan jiao (Fructus Zanthoxyli Bungeani) 15g
  • Hu Zhang (Radix et Rhizoma Polygoni Cuspidati) 15g
  • Chuan Xiong (Radix Ligustici Wallichii) 15g
  • Xiao Hui Xiang (Fructus Foeniculi Vulgaris) 15g
  • Gui Zhi (Ramulus Cinnamomi Cassiae) 15g
  • San Leng (Rhizoma Sparganii) 15g
  • E Zhu (Rhizoma Curcumae Zedoariae) 15g
  • Wu Yao (Radix Linderae Strychnifoliae) 6g
  • Xi Xin (Herba Asari cum Radice) 6g
  • Jiang Xiang (Lignum Dalbergiae Odoriferae) 6g
  • Bing Pian (Borneol) 3g

Ground to a coarse powder. A suitable amount was moistened with alcohol (gin), and placed (daily) between two layers of cloth over the abdominal area. A hot water bottle was then applied for 20 minutes. The same herbs were used as long as they remained fragrant.

4. External qigong

 

was administered to the abdominal area twice a week during retention of acupuncture needles.

After 6 months, a further hysterosalpingography showed that one tube had become patent (i.e. no longer obstructed).

Thanks to Steve Clavey for his advice on herbal protocols.


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