Pelvic Inflammatory disease

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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