A case of Polycystic Ovary Syndrome Leading to Infertility Treated by Ding Qihou
1.Department of Gynecology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang 550001, China
2.Former Department of Pharmacy, Guiyang College of Traditional Chinese Medicine, Guiyang 550002, China
DOI:
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DING Lixian, DING Qihou. A case of Polycystic Ovary Syndrome Leading to Infertility Treated by Ding Qihou[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394500&Fpath=home&index=0
DOI:
DING Lixian, DING Qihou. A case of Polycystic Ovary Syndrome Leading to Infertility Treated by Ding Qihou[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394500&Fpath=home&index=0DOI:
A case of Polycystic Ovary Syndrome Leading to Infertility Treated by Ding Qihou
Summary of case history, Patient Xiao, was first diagnosed on August 20, 2003 because of "2,+, years not pregnant".She was married 5 years ago and pregnant half a year after marriage with heavy early pregnancy reaction.3 months after menopause,the patient developed vaginal bleeding with hidden pain in the lower abdomen, and was diagnosed with "hydatidiform mole" at the local county hospital.She was hospitalized immediately and treated with "hydatidiform mole" routine treatment.She had uterine curettage twice, the bleeding was more in the first curettage, and the bleeding was clean for half a month after the second curettage.After discharge, she often felt dry mouth, night sweats, hot hands and feet, sore waist and knees, and poor sleep.Menstruation recurred after 3 months, the menstrual volume decreased obviously.Menstruation cycle was 2 to 3 months with less volume.The patient followed the doctor's advice to use condoms for contraception for 2 years and failed to get pregnant for 2,+, years. There was no clear diagnosis and standardized treatment in rural areas.Because be pregnant desire was urgent,she often had early pregnancy reaction to overdue menstruation, and felt disappointed after menstruation.At the time of treatment, the patient was thin, silent and had dark spots on her face. She cried with tears when asked about her condition.In addition to the above symptoms, there were breast distension,chest tightness, less leucorrhoea and so on.Menstruation cycle was still 2-3 months, the volume of menstruation was not much, with dark color and blood clot. Her tongue was thin and dark red, tongue coating was yellow and less fue, pulse was heavy,fine and fast.,TCM diagnosis, Infertility-deficiency of liver-yin and kidney-yin;Liver depression and blood stasis.,Western medicine diagnosis, 1. Polycystic ovary syndrome 2. Secondary infertility,Therapeutic methods, Chinese medicine for internal use, to nourish the liver and kidney, dredging the liver and activating blood circulation, regulating menstruation and helping pregnancy.The docter selected "Zuogui pill" and increased Chinese medicine for treatment, and enjoined patient to pay attention to emotional conditioning, eat less spicy and greasy food, encourage patients to establish confidence and believe she can be pregnant and have children.,Clinical outcomes, During the treatment period, the menstrual cycle was gradually shortened and the menstrual volume increased. After 4,+, months of treatment, the menstrual period was 40 days, and the female sex hormone examination showed that the LH/FSH ratio was normal. After 8,+, months of treatment, on May 5, 2004, the patient's urine HCG was positive, and B ultrasound suggested intrauterine pregnancy.