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Infertility in women

Infertility in women is a reproductive condition affecting women who have failed to


become pregnant after living with their husbands for more than two years, and whose
husbands have normal reproductive ability, without contraceptive intervention. It may
be caused by kidney deficiency, stagnation of liver, accumulation of dampness and
phlegm, or blood stasis.

Differential diagnosis: Patients with kidney deficiency may suffer from retarded
menstruation with discharge of reduced amounts of pink vaginal blood, reduction of
sexual desire, and soreness and weakness of waist and knees. Patients with Yang
deficiency may suffer from cold body and limbs, cold and pain in lower abdomen,
pale tongue with white coating, and deep, slow and weak pulse. Patients with Yin
deficiency may suffer from hotness in heart, palms and soles, dizziness,heart
palpitations, yellow tongue coating, and wiry pulse. Patients with deficiency of qi and
blood may suffer from discharge of pink vaginal blood in varied amounts, sallow
complexion, fatigue, pale tongue with white coating, and deep and thready pulse.
Patients with fiver qi stagnation may suffer from purple menstrual discharge varied in
amount and duration and mixed with clots, distension and pain in chest and flank, red
tongue with white coating, and wiry pulse. Patients with accumulation of dampness
and phlegm may suffer from irregular menstruation with discharge of reduced
amounts of pink vaginal blood and profuse, white and thin leukorrhea, distension of
chest and abdomen, poor appetite, passage of loose stool, puffy tongue with white and
greasy coating, and rolling pulse. Patients with cold pathogens in uterus and blood
stasis may suffer from irregular menstruation with discharge of dark red vaginal blood
and clots, coldness and pain in lower abdomen during menstrual cycle, dark tongue
with white coating and ecchymoses, and deep pulse. And patients with accumulation
of damp-heat pathogens may suffer from pain in lower abdomen more severe before
start of menstrual cycle, low fever, profuse yellow leukorrhea, dripping discharge of
menstrual blood, yellow and greasy tongue coating, and rolling and rapid pulse.

Treatment

Foot massage: The massage is applied to pituitary gland (4), kidney (22),
reproductive gland (36), uterus (50), vagina (51), thyroid gland (12), parathyroid
gland (13), adrenal gland (21), ureter (23) and urinary bladder (24) reflecting areas.
The foot is held in one hand by the physician, the big toe is pinched by the flexed
index and middle fingers of the other hand, the medial side of the 2nd phalangeal
segment of index finger is put on the reflecting area, and the thumb is used to apply
massage 3- 4 times (Fig. 85).

Foot acupuncture:
I nf erti l i ty i n women
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Meridianal acupoints: At Yongquan (KI 1) and Rangu (KI2) acupoints, a reinforcing
technique is applied for deficient patients and a reducing technique is applied for
excessive patients, and the needles are retained for 15 to 20 minutes. Moxibustion for
10 to 15 minutes, after acupuncture can be applied to patients with Yang deficiency.



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