An Effective Case of YU Jin's Treatment of Endometriosis
1.Department of Integrated Medicine, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200090, China
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CAO Qi, WANG Li, YU Jin. An Effective Case of YU Jin's Treatment of Endometriosis[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36539407&Fpath=home&index=0
DOI:
CAO Qi, WANG Li, YU Jin. An Effective Case of YU Jin's Treatment of Endometriosis[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36539407&Fpath=home&index=0DOI:
An Effective Case of YU Jin's Treatment of Endometriosis
Summary of case history, Zhu, 31 years old, was first diagnosed on March 25, 2006. Dysmenorrhea for more than 10 years, no contraception for 6 years without pregnancy. In other hospital, salpingography (HSG) showed that the fallopian tube was unsmooth. The other hospital performed laparoscopy and salpingo fluid drainage operation. Multiple endometriosis lesions were found in the pelvic cavity. The salpingo fluid drainage showed that the fallopian tube was unobstructed. After the operation, she was treated with Diphereline for 3 months, but she was still not pregnant after the withdrawal of the drug. Then she was treated with HMG for hyperstimulation of ovulation and given artificial insemination (AIH), but she had a miscarriage. After 10 times of husband lymphocyte immunotherapy, still no pregnancy. Last month, AIH was done again, and the preovulatory endometrium was 7.5mm, AIH failed again. Her last menstruation was on March 13, 2006. She had abdominal pain, mainly tingling pain, accompanied by headache. The serum follicle stimulating hormone (FSH) was 15.68 mIU/ml, which was higher than the normal value. She complained of dry mouth, upset, fatigue, and poor appetite. The tongue is light and dark, the moss is thin, and the pulse is fine.,TCM diagnosis, Dysmenorrhea, infertility (syndrome type: deficiency of Qi and Yin, blood stasis blocking the uterus).,Western medicine diagnosis, Endometriosis, secondary infertility, ovarian dysfunction.,Therapeutic methods, TCM treatment: invigorating Qi and nourishing Yin, removing blood stasis and channeling collaterals.Prescription:Codonopsis pilosula 15 g, Atractylodes macrocephala 12 g, Anemarrhena asphodeloides 15 g, Rehmannia glutinosa 18 g, Cornus officinalis 12 g, Poria cocos 15 g, Radix paeoniae alba 15 g, Testudinis carapax et plastrum 12 g, Lycium chinense miller 15 g, Epimedium brevicornu 15 g, Psoralea corylifolia 15 g, Cuscuta chinensis 15 g, Angelica sinensis 12 g, Persicae semen 12 g, Typha angustifolia 15 g, Faeces Trogopterpri 15 g, Curcuma zedoaria 12 g, Sparganii Rhizoma 12 g, Ophiopogon japonicus 12 g, Polygonatum sibiricum 15 g, Polygonatum odoratum 15 g, and Acorus tatarinowii 15 g. Take it in water, twice a day.,Western medicine treatment, from the 6th day of menstruation, ethinyl estradiol 0.0375 mg was taken orally, once a day for 20 days.,Lifestyle intervention, inform the patient of the disease, conduct scientific education, guide diet and exercise, and order regular life.,Clinical outcomes, After treatment with the above method, the patient had a natural pregnancy, followed up with normal fetal development and full-term delivery.
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