For explanations click on the words with blue color (links).

主诉：有食後腹胀，舌有白苔。阳虚。眶下略黑。流产過。Per report, at 16 weeks. 過去中医诊断有

我忘记问舌底下颜色，静脉颜色。最好用Skype 或Email 相片 （舌面，舌底，眼眶）。

中医把脉後認為脉象如何？

黨 參 三 錢 ， 白 朮 三 錢 ， 茯 苓 四 錢 ，甘 草 一 錢 ， 熟 地 黃 五 錢 ， 當 歸 四 錢 ， 白 芍 四 錢 ， 川 芎 一 錢 ，黃 耆 四 錢 ， 肉 桂 一 錢 後 下 。

10/29/07 黨参， 巴戟，淫羊藿，枸杞，丹参，當歸，川芎，吐絲子，肉苁蓉，小茴香，香附，桃仁，紅花，牛膝，桂枝，熟地，益母草。

My questions on a FAX because of dark color：

药方的日期是什么：

有些字看不清楚： 鹿角霜，肉蓯蓉，?，？

枸杞子，川 芎，熟地，小茴香，

山藥，黃耆，龜 板，？

菟絲子，巴戟天，淫羊霍，阿 膠。

以上药方可能会帮助增加 testosterone (男性激素）。Lab test shows that it is in range but on the low end. But high testosterone and low FSH can cause follicles not to produce eggs and they can be filled with liquid and form polyps. It is not the polyps that cause infertility. It is the lack of eggs.

LH  PRL  FSH

History:

Tests ordered on 2-1-08 for FSH,  E2,  PRL, TSH, Testosterone, DHEA-S.   SHG next week. RTC 2 ~ 3 weeks. 

16 weeks pregnancy demise. Abnormal menses up to 40 days.

Is there low cortisol symptoms? Like: hypoglycemia (low blood sugar), fatigue, muscle aches,  salt craving, shakiness when hungry but relieved with eating, moodiness, food sensitivities, allergies, recurrent infections, life stressful when symptoms began, dizzy when standing, low blood pressure, decreased ability to handle stress, decreased cognitive ability rain fog? swollen ankles-worse in PM, hypoglycemia under stress, a need to lie down or rest after psychological or emotional stress, muscular weakness, difficulty getting out of bed, wiped out with exercise and/or inability to tolerate thyroid replacement treatment.

All the above is for academic discussion and not for diagnostics nor for prescription. All discussion result can be shown to your health care providers for their decisions.

Premature Ovarian Aging 卵巢早衰   

Blood and bone test:

1. Hypo-estrogenism

2. Low level of serum estradiol (E₂)

3. High level of serum gonadotropin (e.g.  LH (Luteinizing hormone) and FSH (folicle stimulating hormone))

4. Low cortisol

5. Low aldosterone

6. Osteoporosis （decreased bone density）

7. Thyroid dysfunction (i.e., Hashimoto thyroiditis)

Endometrial thickness between 6mm-14mm is ideal.  Pregnancies do occur when the endometrial thickness is < 6mm or >14mm but it seems not as often. 练氣功，用針灸可以帮助。

wu zi yan zong wan 五子衍宗丸

see ovulation enhancing formula here    看排卵湯 。

LH (Luteinizing hormone) is a  hormone produced by the anterior lobe of the pituitary gland that stimulates ovulation and the development of the corpus luteum in the female and the production of testosterone by the interstitial cells of the testis in the male.

A yellow, progesterone-secreting mass of cells that forms from an ovarian follicle after the release of a mature egg

大蕉花 （蕉蕾花）：有解濕毒，治便秘，潤胃腸，平肝，止血，降壓，抗高血糖，解酒等食療功效。

子宮肌瘤:

三棱、蓬莪術、穿山甲、鱉甲、白芥子、木鱉子、阿魏為組分，根據每味中藥的不同特性，分別以水煮濃縮成膏、風干、燙干，按比例粉碎配制而成，高熱滅菌制成膠囊劑、蜜丸、水丸。經臨床應用子宮肌瘤３６６例，乳腺纖維瘤２５６例，結果証明具有見效快、治愈率高、無毒副作用，可免受手術之苦，在不影響正常工作與生活情況下得以治愈。