detail in each cycle

Question 1

Phase I
menstruation

New endometrium is imp’t, we can flush ..

Herbal D n C
Acupu D n C

menses …related problem…always show up here..if there is stagnation..

Answer 1

yang to YIN
chong channel empties
regulate mov’t of qi n blood.

before building up the yin , make sure ovaries work well , before we start build up the uterine lining smooth and layered fashion.

Question 2

phase two: profilative YIN PHASE

WST:Estrogen to prime the endormerium : …
tcm: need blood and yin to fill the chong

Answer 2

• fill chong channel
• Nourish n invigorate blood
• Make new blood vessel

Ready

uterus side:
endometrium..rebuild the tissue…

Follicle side :
The development of the follicle depends on K jing and K yin
even if there is no any k yin sx , u r required to work on yin
nourish yin
10 to 30 follicules begin to grow
1 to 2 become dominant
Oestrogen output increases
Cervical secretions increase
If the pituitary gland that secrets FSH unable to stimulate the ovary that produces follicle ..we say K jing is seriously lacking..Western Medicine says that ovary is premature menopause .resistance is persisitent
TCM: if the signal itself is absent coming from the pituitary , we say there is something wrong with HT qi , may b the HT qi is not communicating well with the uterus through Bao Mai.
if one of the follicle is dominant ..produce estrogen …and sends -ve feedback on Pituitary …FSH..signal gets less..less..
if there is FSH, k YIN n blood , it takes only 5 days to the selection of dominate follicule to ovulation ..if it takes more than 5 days..often doesnt ..egg..not well, not produce a good embryo ..often ..not always

Question 3

phase 3
Ovulation

Pituitary Produces LH

rising Oesetrogen levels feedback and trigger the release of LH

LH causes the release of the egg

Answer 3

qn: r there enough YIN AND BLOOD
Is the egg ripen enough ? if all enough then
..yin switch to yang

Make sure Stabilize Ht QI , so the correct signal is reaching from the pituitary to the uterus, particulary from LH ..

Regulate Mov’t of Lv qi n blood

Clear damp,

promote Yang…detach from the follicle and implant in the endometrium

-

Question 4

steps

Answer 4

Hypothalamus 
GRH
Anterior Pituitary Gland
FSH N LH
Ovaries

1a Ovulation
1b Oestradior and progesterone
1.b. A…withdrawal of hormone..menses
1.b.b. Uterus Endometrial Proliferation and secretory change

Question 5

phase

after ovulation

egg enter fallopian tube ..to meet sperm..

Answer 5

progesterone rise ..secretion thin..

very good to give acup this time… to keep the qi moving in the pelvic areas
increase the yang herb…helps finall travel of the egg in the fallopian tube,,by thining of the mucus to secretion so the egg pass the uterus

Question 6

phase 4 yang stage

post ovulation secretory endometrium

start to enter the uterus

corpus luteum : once the egg out of the follicule…the follicle empty produce gland called corpus luteum which produce progesterone 2 maintain pregnancy

Answer 6

promote yang : to make sure the uterus warm enough to help implantation

nourish blood if necessary ..to make sure there is enough nutrient for the ovary …
drain damp : to make it move out of the tube and land the uterus

Corpus luteum function : by giving yang herbs…help to make progesterone ..