Contents. 1 Introduction Fertility Treatment Its Social and Cultural Context Ethics Guanyin Goddess of Fertility...

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1 Contents 1 Introduction Fertility Treatment Its Social and Cultural Context... 2 Reduced Fertility Epidemiology Causes.. 2 Reproduction and Sexuality... 4 In the West Christianity, Enlightenment, and the Pill... 4 In the East Confucianism, Buddhism, Daoism, and Modern China... 5 Integration: TCM Ethics... 8 Human Dignity... 8 Circumstances of Conception Criteria... 8 Instrumentalization Intervention in Fertility Treatment Love, Sex, and Reproduction Developments Guanyin Goddess of Fertility Introduction Starting a Family in China Legend Who is Guanyin and Where Does She Come From? Goddess of Compassion Guanyin A Mother Goddess Song Zi Niang Niang The Woman Who Can Bestow Children Times of Prayer Willingness and Openness Transmitting Symbolism to the West The Wish for Sons Woman and Family in Imperial China Qiu Zi ( 求子 ) The Status of Women The Family Transition to Patriarchy Legitimization by the Philosophers Rules for Women Physically Tied by Bound Feet The Life of a Girl Continuation of the Family in the Afterlife. 21 The Economic Aspect Who Would Want Girls? Men s Special Privileges No Escape for the Woman Causes of Childlessness Conception and Sexuality Couldn t It Have Been Different? IX

2 5 Advice on Successful Sexual Intercourse from the Medical Classics How Often is the Man Allowed? Containing the Damage in Spite of Jing Loss The Soldier is not Ready for Action When She Can t Do as She Wants The When and Where Must be Heeded as Well No Offspring Even Though Everything Was Done Correctly? Pregnant at Last Now How to Avoid Mistakes? Fertility Treatment and Pregnancy Reproductive Medicine and TCM in Meaningful Cooperation Fertility Treatment and Pregnancy Reproductive Medicine and TCM in Meaningful Cooperation Introduction Requirements for a Successful Pregnancy.. 42 Causes of Subfertility and Infertility in Women and Men The Four Phases of the Menstrual Cycle from the Western and TCM Perspective Probabilities of Pregnancy Causes of Subfertility and Infertility in Women and Men Diagnosis of Subfertility, Infertility, and Sterility Symptothermal Method of Natural Family Planning Biomedical Methods for the Treatment of Infertility and Sterility Hormone Therapy for Cycle Optimization.. 52 Intrauterine Insemination In Vitro Fertilization Intracytoplasmatic Sperm Injection Methods to Complement IVF and ICSI Risks of Treatment with Reproductive Medicine Risks to the Woman in the Stimulation Phase Risks to the Woman during Punction Risks to the Woman after the Embryo Transfer Multiple Pregnancies Risks to Children Born after Assisted Reproduction Summary of the Risks Options of TCM in the Treatment of Infertility and Sterility Special Characteristics of TCM Diagnosis and Therapy Diagnostic Procedures in TCM Therapeutic Options of TCM when Assisting Reproductive Medicine Cooperation between TCM and Biomedicine 65 Case Histories Case History 1: Female patient, 38 years (IUI) Case History 2: Female patient, 42 years (IUI) Case History 3: Female patient, 38 years (IUI) Case History 4: Female patient, 39 years (IVF) Case History 5: Female patient, 38 years (ICSI) Conclusion X

3 3 Fertility Treatment and Pregnancy Foundations of TCM Physiology and Pathology of Fertility and Reproduction from the TCM Perspective The Energies Jing, Qi, and Xue The Extraordinary Vessels The Energetic Interplay of the Extraordinary Vessels The Viscera and Bowels Physiology and Pathology of the Kidney Physiology and Pathology of the Liver Physiology and Pathology of the Spleen Physiology and Pathology of the Heart Physiology and Pathology of the Lung The Physiology of Menstruation from the TCM Perspective Conception Key Patterns of Female Infertility Pregnancy Causes for a Miscarriage The Pathology of Infertility from the TCM Perspective Summary of Infertility in Tables Worth a Thousand in Gold The Quest for Perfect Children in Early China Introduction Sun Simiao and the Bei Ji Qian Jin Yao Fang. 92 Fertility Treatments in the Qian Jin Fang Summary Pregnancy Treatments in the Qian Jin Fang Options and Methods in Fertility Treatment Qi Gong Qi Gong and its Medical Applications Qi Gong for Fertility Treatment in China The Exercises Exercise and Therapy Plan Qi Gong as Treatment by the Practitioner Qi Gong as Self-treatment Tui Na Therapy Effect and Application in Infertility Description of a Tui Na Technique and its Effect Self-massage in Infertility XI

4 11 Moxibustion General Effect Forms of Moxibustion Range of Applications for Moxibustion Treatment Principles of Moxibustion The Use of Moxibustion in Fertility Treatment Cold Stagnating in the Lower Abdomen ( Cold Lower Abdomen ) in Women Localization and Application The Most Important Points in the Treatment of Infertility Problems in the Application of Moxa Therapy Application in the Hospital or Clinic Application at Home Dangers Acupuncture Points on the Pubic Line 5 Cun below the Navel Points on the Line 4 Cun below the Navel. 129 Points on the Line 3 Cun below the Navel. 131 Points on the Line 2 Cun below the Navel. 132 Points on the Line 1 Cun below the Navel. 134 Important Points on the Liver Channel Chinese Dietetics Food Culture and Dietetics To Preserve and Protect Jing Certified Organic Food and its Preparation. 141 Chinese Dietetics Thermal Nature Yang, Warmth, and Food Recommended Diet for Boosting Kidney Yin 144 Recommended Diet for Building Blood Dampness, Phlegm, and Food Recommended Diet for Transforming Dampness and Phlegm Blood Stasis and Food Recommended Diet for Blood Stasis Chinese Medicinal Therapy in Threatened or Recurrent Miscarriage and in Pregnancy Miscarriage and Recurrent Pregnancy Loss from the Perspective of Western Medicine. 151 Threatened Abortion Missed Abortion Incomplete Abortion Incipient Abortion Septic Abortion Habitual Abortion Miscarriage and Recurrent Pregnancy Loss from the TCM Perspective Threatened Abortion Missed, Septic, or Incomplete Abortion Habitual Abortion Concluding Remarks Chinese Medicinal Therapy during Pregnancy Contraindications for Chinese Medicinals Concluding Remarks Appendix To be Used with Caution During Pregnancy 160 Contraindicated during Pregnancy XII

5 15 Formula Shao Fu Zhu Yu Tang Decoction for Treating Infertility. 162 Introduction The Traditional Formula Shao Fu Zhu Yu Tang 162 Formula Analysis Acrid and Hot Substances The Application of Shao Fu Zhu Yu Tang in Modern Clinical Practice The Treatment of 41 Female Infertility Patients The Treatment of Infertility Caused by Blocked Fallopian Tubes The Treatment of 40 Female Infertility Patients The Treatment of 12 Female Infertility Patients The Treatment of Immune Infertility Caused by Endometriosis The Treatment of 20 Patients with Semen Liquefaction Problems Case Studies Case Study 1: Infertility with Dysmenorrhea 171 Case Study 2: Infertility Case Study 3: Infertility Case Study 4: Male Infertility Case Study 5: Infertility with Amenorrhea. 173 Conclusion Fertility Disorders and Treatment Concepts Menstrual Disorders Yue Jing Bing Physiology of the Menstrual Cycle The Female Menstrual Cycle from the Biomedical Perspective Female Physiology from the TCM Perspective 179 Distinctive Features in Diagnosis and Treatment Distinctive Features in Diagnosis Distinctive Features in Therapy General Pathology Excessive Bleeding Abbreviated Cycle Yue Jing Xian Qi ( 月经先期 ) Profuse Menstruation Yue Jing Guo Duo ( 月经过多 ) Dysfunctional Bleeding Acyclic Bleeding Beng Lou ( 崩漏, Flooding and Spotting) Intermenstrual Bleeding Jing Jian Qi Chu Xue ( 经间期出血 ) Insufficient Bleeding Delayed Menstruation Yue Jing Hou Qi ( 月经后期 ) Scant Menstruation Yue Jing Guo Shao ( 月经过少 ) Amenorrhea Bi Jing ( 闭经 ) Menstruation at Irregular Intervals Liver Qi Stagnation Gan Qi Yu ( 肝气郁 ) Dysmenorrhea Menstrual Pain from Qi Stagnation Qi Zhi ( 气滞 ) Blood Stasis Xue Yu ( 血瘀 ) Commonly Used Acupuncture Points and their Combinations in Modern TCM Case Studies Case Study 1: Female Patient, Age 24 (Amenorrhea) Case Study 2: Female Patient, Age 36 (Infertility with Dysmenorrhea and Tendency to Miscarriage) Early Menopause Introduction Western Diagnosis Symptoms Differentiation from the TCM Perspective. 220 XIII

6 Vacuity Patterns Insufficiency of Kidney Yin Insufficiency of Kidney Yang Insufficiency of Essence Repletion Patterns Liver Qi Stagnation Blood Stasis Damp-heat in the Lower Burner Phlegm Accumulation Conclusion Infertility and Sexual Disorders The Three Dimensions of Sexuality Disorders of Male Fertility Exhaustion of Water (Kidney) and Wood (Liver) Disorders in the Sexuality of Men and Women Always under Pressure Liver Qi Congestion 234 Pondering and Reflection Weakness of Spleen Qi Missing Clarity Dampness and Damp-heat 238 Additional Blockages: Heat and Dampness in the Liver and Gallbladder The Source Dries Up Kidney Vacuity Weakness of Kidney Yang with Cold and Dampness A Limp Lumbus Weakness of Kidney Qi Strengthless Weakness of Lung Qi Chilled Weakness of Heart Yang Differentiation between Patterns The Treatment of Male Infertility with TCM Infertility a Special Challenge Causes of Male Infertility Diagnostics and Diagnoses of Male Infertility 253 Western Diagnostics and Diagnoses TCM Diagnostics and its Most Relevant Diagnoses Treatment of Male Infertility Biomedical Therapies TCM Therapies Combined TCM Therapy in Accordance with TCM Diagnoses TCM Therapy in Accordance with a Spermiogram Case Studies Case Study Case Study Case Study Case Study Practical Experiences Conclusion Endometriosis Nei Ji Causes and Pathogenesis from the Biomedical Perspective Endometriosis and Fertility Clinical Picture and Therapy from the TCM Perspective Treatment Prior to any Attempt to Become Pregnant Treatment by Means of Medicinal Enemas. 267 Important Disease Patterns Liver Qi Congestion and Blood Stasis Stasis due to External Cold Insufficiency of Kidney Yang with Internal Cold (Blood Stasis) Damp-heat in the Lower Burner (with Blood Stasis) Damp-heat in the Lower Burner (with Blood Heat) Treatment during Menstruation Case Study Infertility due to Endometriosis XIV

7 21 PCO Syndrome and Fertility How Does PCOS Arise? Treatment with Biomedicine Treatment with TCM Differential Diagnosis Kidney Vacuity Phlegm-damp Liver Fire Qi Stagnation with Blood Stasis Supplementary Chinese Medicinal Therapy in IVF/ET Treatments History of Fertility Treatment in TCM Preliminary Results When and For Which Patients is IVF/ET or ICSI/ET Treatment Appropriate? Complications in IVF/ET or ICSI/ET Treatments Which Method for an Infertile Couple? Who is an Appropriate Candidate for IVF/ET or ICSI/ET Treatments? How Can We Support IVF/ET Treatment? Case Studies Case Study 1: Thin Endometrium Case Study 2: Thin Endometrium, PCOS, OATS in the Partner Case Study 3: Weak Ovarian Reaction Case Study 4: Advanced Age and Infertility 291 Case Study 5: Endometriosis and Adenomyomatosis Case Study 6: Five Failed IVF/ET Treatments, OHSS Case Study 7: Six Unresolved, Failed IVF/ET Treatments Case Study 8: Pronounced Endometriosis Why Can TCM Support In Vitro Fertilization? 296 The Gonads are Supported to Improve the Number and Quality of Egg and Sperm Cells The Receptiveness of the Endometrium and the Embryo Implantation Rate are Improved Embryonal Development is Promoted Cooperation with Biomedicine Reduces the Side-effects of IVF/ET Treatment Miscarriages are Avoided and Pregnancy Rates Improved Conclusion Patient Support Inviting the Heavenly Spark Shen in the Support of Couples in Fertility Treatment Shen as Consciousness and Mindfulness of the Practitioner Shen as Self-knowledge Shen as Clarity between Practitioner and Patient Shen in the Treatment Situation Shen as Power of the Heart and Spiritual Connection of the Couple Shen as Expression of a Shared Will The Shen Contact between the Partners during Treatment Shen as Heavenly Spark during Conception 307 Correct Timing Internal Self-cultivation Acceptance of Natural Cycles and Laws Erotic Passion Shen and Jing Discussion Concluding Remarks XV

8 24 Stress and Infertility What Causes Stress? Authenticity How do we Achieve it? Ideas, Concepts, Feelings Where Do They Come From? What is the Benchmark for our Actions and the Pursuit of Happiness? The Motor Ming Men The End of Pushing Losing and Gaining Identity Strategies for Harmonizing Self-awareness and Partnership The Wood Phase and the Liver The Fire Phase and the Heart The Earth Phase and the Spleen The Metal Phase and the Lung The Water Phase and the Kidney Supporting the Couple in Successful and Failed Fertility Treatment Supporting Pregnancy First and Second Month The Wood Phase. 324 Third and Fourth Month The Fire Phase Fifth and Sixth Month The Earth Phase Seventh and Eighth Month The Metal Phase Ninth and 10th Month The Water Phase. 328 Support in Failed Fertility Treatment When Can the Woman Become Pregnant Again? Fertility Treatment and Couple Dynamics. 329 Alternatives Adoption and Accepted Childlessness Appendix List of Photos and Illustrations General Index Prescriptions Index XVI

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