Women’s physiology in Traditional Chinese Medicine (TCM)

Acupuncture in treatment of female infertility
Abstract

Introduction
Theoretical background
Problem statement (infertility in general)
Prevalence
USA
China
Global
Research questions (importance of utilization of acupuncture in treatment of infertility?)
Literature Reivew

Ch-1:  Historical understanding of female fertility
Suwen chapter one (emphasis)
The seven year cycles
Arrival of Tiangui
Renmai and chongmai
Menstruation
(Big question in this section or maybe later section:  what is tiangui?, what parallels Tiangui in Western medicine?   How does this compared to puberty in western medicine?  Is there a parallel relationship?)
Historical understanding of women’s body, conception and fertility
Sun Si Miao – Women are “Ten times more difficult” to treat
Blood as the central idea of fertility
Regulating menstruation
Womb
(include books, authors, documents, etc. which mentions all of the above in this section)
Historical records/authors/documents of Acupuncture and moxibustion in treatment of fertility and infertility

Ch-2:  Women’s physiology in Traditional Chinese Medicine (TCM)
Reproductive Organs in relationship to fertility
Bao Gong (Uterus)
Kidneys
Heart
Spleen
Liver
Other organs
Reproductive Substance in relationship to fertility
Jing
Yin
Yang
Qi
Shen
Fluids
Blood
Reproductive Channels in relationship to fertility
Chongmai (strong emphasis)
Renmai (strong emphasis)
Dumai
Daimai
BaoLuo
Bao Mai
Other channels
Menstrual cycle
Menstrual cycle in TCM
Comparison/Parallel relationship between Western and TCM

Ch-3: Etiology, Pathology, Diagnosis and Treatment of Female Infertility in TCM
Etiology
Female pathophysiology of infertility
Deficiency Patterns
Kidney Jing def
Kidney Yin def
Kidney Yang def
Spleen Qi Def
Liver Blood Def
Kidney Yin and Yang def
Excess/Full Patterns
Qi stagnation
Heart Qi Stag
Liver Qi Stag
Blood Stasis
Phlegm-Damp
Female infertility treatment principle and methods (with strong emphasis of acupuncture treatments)
Treatment of deficiency patterns
Treatment of Excess patterns
Treatment of mixed patterns
Treatment according to the four phases of the menstrual cycle

Ch-4:  Western medical causes of infertility, diagnosis, and the pathology pattern
presentation in TCM
Endometriosis
Pelvic Inflammatory disease
Fibroids and polyps
Disorders of ovulation – anovulation/amenorrhea/PCOS
Blocked Tubes
Pregnancy loss
Age and infertility

Ch-5:  Western medicine treatments of infertility(minimal emphasis)
Drug therapy
Surgical interventions
AssitedReproductive Technologies (ART)-Clomid, Intrauterine insemination
(IUI),In vitro fertilization (IVF), Frozen embryo transfers (FET)

Ch-6:  Acupuncture research in in Western causes of Infertility (emphasis)
Endometriosis
Pelvic Inflammatory disease
Fibroids and polyps
Disorders of ovulation – anovulation/amenorrhea/PCOS
Blocked Tubes
Pregnancy loss

Ch-7:  Acupuncture research in ART (emphasis)
Acupuncture research on embryo transfer
Acupuncture research on enhancing blood flow
Acupuncture research on ovulation induction
Acupuncture research on miscarriage prevention
Acupuncture research on mind/body infertility

Ch-8:  Integration and the future implication of TCM and Western in treatment of
infertility based on the research findings (emphasis – include the possible
application and/or use of Chong/Ren channels in treatment strategy)
Integration
Gynecological conditions
Miscarriage prevention/pregnancy Loss
ART (Proposed mechanism of acupuncture supporting IUI, IVF and
FET cycles)
Advanced Age
Future implications
Discussion
Conclusion…….
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