ngmatthews: October 4, 2021, 5:15pm
I had a new patient last night who is preparing for egg retrieval. Severe PCOS. Collecting eggs to freeze. Last time
had 82 ova gathered but produced only 5 viable embryos. Time before that they gathered around 60 and none of
them survived to viability. 41 year old. At 42 they won’t work with her any more here at the university fertility
clinic. She hopes to end up with two children from all of this. I decided to use Saam. I’ll be seeing her daily for 3-4
days till her retrieval. She has seen another acupuncturist where she lives two hours away for a while now. Long
Hx of AI stuff since childhood, beginning with UC, Hashi’s. Bright eyes, talkative. Came in with sunglasses on a
rainy evening……Hx of visual migraines for many years and migraines with photophobia. She reports being fairly
unaware of body stuff and not connecting symptoms to possible causes in the past. Or not noticing symptoms for a
while after they begin. (sounds like excess SJ) Also terrible night blindness and terrible floaters, irregular menst
cycles her whole life, fr 14 days to 40 (Lv Blood def). Fatigue after menses. Skin neither dry nor oily. Symmetrical
features, very pretty, long history of infertility, terrible fear of cold, cold extremities, cold tips of ears (Ki def).
Long history of life frustrations and illnesses that have made her insecure, though now she is an atty who works 55
to 65 hrs per week doing corporate litigation, trying to please her firm, which has 237 attys. She is among the 12
hardest workers there. Great marriage. Abd palp shows tension and discomfort under LEFT rib margin and a little
midline chopstick/density/swelling from CV 11 to CV 13 and a kind of weak place at CV 14-15. That is all she
showed on the abd which was surprising given how many health problems. Pulse is disorganized (each position is
different), tending toward soft, thin and deep. So, I had to choose between Liver Deficient and Kidney Deficient.
Because of the subcostal tension/discomfort I chose Liver deficient for first treatment.
I had been tempted to bring dampness or Earth/Metal into this, assuming that her overweight lower body and
history of cystic ovaries indicated internal dampness. However her bowels with alternating constipation and
diarrhea and gas are the only things that point toward that. Skin neither dry nor damp/oily. No allergies despite the
fact that everyone here is sneezing a lot these days with blooming trees. She does struggle a bit financially due to
grad school debt and early life huge medical bills, but again these signs were not more prominent than the SJ/Lv
dynamic at this point.
I plan to alternate tonification of Liver and Kidney daily since I only have 3-4 days before her egg retrieval.
KristinWisgirda: April 26, 2019, 12:34pm
ngmatthews:
terrible fear of cold, cold extremities,
Makes me consider supplementing H31/01/2024, 11:30Infertility Case Diagnostic – Sa’am Clinical Insights – Qiological Community
https://forum.qiological.com/t/infertility-case-diagnostic/162/print2/2
michaelmax: April 26, 2019, 5:00pm
@ngmatthews and @KristinWisgirda, I can see using HT here to bring in a some heat, and consider that the
kidney also has an aspect of yang fire in it and doing treating the HT/KD shaoyin axis could be helpful in this
situation as well