One in four American couples struggle with infertility. Of those
women who either cannot get pregnant after 12 months of trying or
who cannot carry a baby to term, around 45% seek medical
assistance. A study at the University of Maryland School of
Medicine indicates that acupuncture may increase the success of IVF
therapy by as much as 65%, but how is it working?
Dr. David Bai and Dr. Linda Xu summarize that acupuncture has
been shown to:
That's the western world's attempt to explain an ancient Chinese
practice. Now let's put it into our Traditional Chinese Medicine
(TCM) terminology. Infertility can be caused by a variety of
disharmonies in the body of the woman, the man, or both. Generally
speaking, it can usually be traced to some sort of deficiency,
stasis, or heat condition. That's too general for me. I need more
Kidney Yang Deficiency, Ren and Chong Disharmony, Jing
Deficiency, Kidney & Liver Yin Deficiency, Spleen Blood
Deficiency, Spleen Qi Deficiency, Heart/Liver Blood Deficiency,
Damp Retention, Phlegm Accumulation, Blood Stasis, Qi Stagnation,
Heat in the Blood, and the list goes on seemingly indefinitely as
you combine the abovementioned patterns in a horrid and
unsatisfactory mix and match fashion.
Think that's a lot of patterns? Well, there's a lot of infertile
couples out there. This array of options lends itself to several
western presentations of infertility. It also explains why one
treatment strategy, whether it be an herb, an exercise, or an
acupuncture point prescription, can't work for everyone. There are
indeed acupuncture points and herbal formulas that address each and
every one of those patterns of disharmony, but each patient can
expect a unique treatment strategy based on his or her
While acupuncture appears to give the same result as Clomid (a
50% success rate for producing an egg in a given cycle), it also
has a two-fold added bonus. First, acupuncture has no negative
side-effects. Secondly, acupuncture will almost always produce
seemingly unrelated positive benefits on health and wellness. Going
in for irregular menstrual cycles? You'll probably also sleep
better. Going in for low sperm count? You'll probably also feel
relief from your chronic lower back pain.
Many patients seeking acupuncture assistance for infertility
will also be given herbs to assist in the balancing and overall
wellness. These two modalities in combination often produce better
results than either one alone, similar to the way that patients
receiving acupuncture with IVF have better results than those
undergoing IVF alone. No matter the high efficacy of TCM in
infertility cases overall, it's still not magic. If you've ruptured
a fallopian tube or lost an ovary and are working with only one,
it's still harder to conceive. If there's a structural issue, it's
more difficult for TCM to help; in these cases, surgical repair
might be indicated.
What's the conclusion? If you're struggling with infertility,
give acupuncture (and herbs) a try! You could experience the
improved menstrual regularity, ovulation, and conception that many
others have. In the background, odds favor improved balance in
other aspects of wellness from bowel movements to sleep quality.
Our tip, as always, is to seek out a Licensed Acupuncturist to
ensure you are working with someone who has been through the most
rigorous and complete education and practical programs for
Traditional Chinese Medicine in its entirety, rather than a
provider from another field who has "added on" some hours in
acupuncture training. Happy needling!
Further Reading: Treating Infertility with Traditional Chinese
Medicine (Infertility Awareness Association of Canada)
When they ask you why you
came in for an appointment today, go ahead and let them know that
your urine is coming out in long, clear streams, and that your
dreams have been creepily vivid this week. Tell them that your
bowel movements are light brown, formed, and coming with ease twice
per day in forearm lengths that would make Dr. Yurasek proud.
Mention that you've been feeling kind of cold and that you can't
stand being out in the wind. That heaviness in your arms? Mention
Dive straight into the rest of Oriental Medicine's famed "Ten
Questions," noting whether you've been extra hungry, not so
thirsty, frigidly anti-sexual, exhausted from periods with
quarter-sized black clots, or muzzy-headed in the afternoons. It
all matters. If you're in an AOM clinic, these are the types of
things you can expect to be asked by your acupuncturist or
herbalist. No one here bats an eye when patients share the color
and consistency of their bowel movements. In fact, if you withhold
that information, we can't really help you very well.
Here they are, in detail but translated by me:
The Ten Questions
Your acupuncturist or herbalist not only wants to know these
things, but also actuallyneedsto know many of these things in order
to properly diagnose your condition and begin a treatment plan. If
you have long, clear streams of urine, loose stool, weak knees, a
sore lower back, and feel cold all the time...well, we know what's
going on. No, I'm not going to tell you here. Look it up. Better
yet, visit an acupuncturist!
So, if you're in an AOM clinic, have your thoughts on these
vital topics prepared beforehand. Otherwise, you might be so thrown
off guard by some of the Ten Questions that you can't formulate
sentences. That's actually fine, because none of the 10 questions
directly correlate to grammar skill level. Thank goodness, right?
However, if you find yourself in the office of an MD, keep in mind
that you might not want to just jump right in with details about
where you are in your menstrual cycle and how gassy you've been, if
your chief complaint is seasonal allergies. Just a tip, from me to
Think it's too difficult for you? I think you're wrong. File
this post away under the "if I can do it, you can do it" series.
Unfortunately, this practical how-to post is the result of someone
actually needing to use raw Chinese herbs to feel better--and that
someone is me.
Remember that whole "damp-heat
in the gall bladder" thing from a couple of weeks ago? Yep, me
too. Turns out, I still have that going on. Yes, I self-diagnosed
and self-treated in near silence. Did I say I was good at this? I'm
sorry. No. I'm a student. I know close to nothing. In my defense,
upon an actual visit to the NUHS AOM clinic to exercise my
student-access-to-free-care privilege, I learned that I nailed my
diagnosis and was only one off in my acupoints selection plan.
Ingredients for Treatment
I was indeed on my way towards getting back to normal, but not
quite there yet. No. What I needed was a boost -- a big powerful
boost in the health direction. I needed herbs from Dr. Cai. After
showing my tongue and displaying my pulsating wrists to the masses
of interns, I left the clinic with my trusty sack of Chinese herbs.
At Dr. Cai's request, I also needed to add in a slice of fresh
ginger and three red dates with each batch, which I happened to
have on hand.
Many people would peer into this bag thinking, "What the heck do
I do with this pile of roots, bark, mushrooms, berries, and other
unidentifiables? Technically, there could be geckos and cicada
shells in there...shudder. In fact I refuse to look up everything
in the formula shown on my receipt just in case therearegeckos and
cicada shells in there.... So, here it is--your pictorial
step-by-step guide to using raw Chinese herbs in a decoction. This
is the instruction sheet that goes home with the patient.
Instructions for Cooking Chinese Herbal Formula
What this is trying to say is dump one batch of the herbs into a
pot, soak it, bring it to a boil, then simmer to reduce the liquid
to a drinkable amount. Now, you'll want to find the perfect balance
between "disgusting taste" and "effective dose," and that
isnoteasy. You know you want to concentrate the liquid for potency,
but you also know that you're increasing the taste by the same
Before Cooking and After Cooking
Most herbal decoctions do not taste good. Face it. Most of us
are damp. We eat dairy and fried foods (mmmm...fried dairy), and we
end up with damp-heat. Thus, we need bitter herbs much of the time.
Who's the lucky fella who gets a simple Spleen Qi deficiency
diagnosis that results in a sweet licorice and berries formula to
take home? Not this guy!
So, I soak my bitter herbs, I boil my bitter herbs, I simmer my
bitter herbs. I drink my powerful decoction, and I go to sleep to
let my body do its thing. I wake up a little better, and I know I
have five more nights of chugging down my "bedtime tea" before my
tongue can register just how gross it really tastes.
I could avoid much of the "hard work" in this process by
requesting my herbs in granule form (like a dusty powder that you
stir in warm water to dissolve). But then I'd lose a little
potency. I could avoid all the work and the taste
by requesting a patent pill formula, but then I'd lose even more
potency. No thanks, weak sauce. I need the most full-strength
option known to man -- ancient Chinese man, specifically. I need to
decoct my raw herbs!
Over the past four weeks in my "Nutrition and Food Therapy of
Oriental Medicine" course, I've been frustrated and slightly
puzzled over the subject matter. I'm usually more a
go-with-the-flow student in class; I'm sure the instructor knows
what we need to cover and how to cover it. This time around, I
still think he knows what we need to cover and how to lay it out,
but I'm not as easy going about the whole thing for some
Maybe it's because it's springtime, so my Liver wind is swirling
and I'm irritable. Perhaps I'm overly critical because dietetics is
my personal favorite element of oriental medicine. Maybe I'm just a
jerk. I don't know. I want to study therapeutic properties of
foods, and I want to right now!
Let me start by saying how much I like this professor and every
class I've had with him to date. The theory behind where we stick
these needles and which herbal formulas we recommend is absolutely
mind blowing. He taught me two years ago that winter has a color
and a flavor -- black and salty, for the record. Yet each week, we
seem to review the basics -- flavors and temperatures of
substances. The course title indicates that the focus of the
classwork will be nutrition and food therapy within the framework
of oriental medicine, so I keep wanting more -- more detail, more
examples, more ideas of how to alter a person's diet in order to
As we approach the famed Week Five Quiz that now makes an
appearance in most classes, I'm starting to second-guess myself.
Have we been just reviewing the basics of five-phase
theory, or did the professor slip pages of new detail into the
lectures when I wasn't looking? I'm sure he worked new information
into the framework so smoothly that my associate learning didn't
even know what was happening.
My frustration with this class is that I love the topic so much
that I can't reach a satiation point. I will never have enough
detail about food therapy to be content. I want more, I want it
now, and I want to share it with everyone I know...and some people
I don't even know yet.
Once again, springtime has
duped me. I'm irritable, I'm impatient, and my Liver is out of
control. Feel my pulse, second position on the left wrist. Can you
As I do from time to time, I realize now it's time to reread the
Dao de Jing, or the Tao Te Ching. Same book. Oh,
pinyin, you are a beast that cannot be pinned down. The point is
that this book, this short, easy to read, little book, can save
your sanity. Whenever I feel overwhelmed, overstressed, over Livery
in any way, I know it's time to pick it up.
Look at this thing. Lao Tzu, you genius!
"Those who know do not
Those who speak do not know."
I, and just about everyone else, could learn a little something
from that eloquent one-liner (two-liner?).
"Rushing into action, you fail.
Trying to grasp things, you lose them.
Forcing a project to completion, you ruin what was almost
I don't even like poetry, but this stuff is literally
So, why I am frustrated in
Nutrition class? Why do I want to rush it? Why am I desperately
grasping at the next piece of information? It's that "forcing a
project to completion" part, that part I love for personal reasons.
My procrastination has been vindicated!
As a professor, I often wait until the deadline to return
students' papers; as a student, I expect my professors to grade my
paper today! Actually, I don't think Lao Tzu would like that
• So What Is Chinese Medicine?
• Jabbing Nerves with Needles
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