Integrative_approach by HC111111094127

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									Integrative Fertility Enhancement
              Cathryn Hu, Ph.D., O.M.D., L.Ac.
       Conflict of Interest and Financial
                   Disclosure


Integrative Fertility Enhancement

    Cathryn Hu, Ph.D., O.M.D., L.Ac.
  President of Advanced Acupuncture, Inc.
Professor of Advanced Acupuncture Institute

                  None
Celebrating A New Life




     The miracle baby
Human Reproductive System




  Human Sexuality: Conception from www.abuhmed.org
Hormones involves in
               the Menstrual Cycle
Basal Temperature Record
Eggs maturation and travel process
Ovulation Process




    www. newscientist.com
               Fertility Enhancement Program
                                   -an integrative approach
Two phases of treatment in our integrative program:
 1. Preparation phase:
       Treating the causation of infertility, nourishing the reproductive
    organs and their functions.
     2. Trial phase:
       Promoting the ovarian functions of follicle maturation and
    increasing the lining of the uterus.
     The objectives of Preparation Phase

   Stress relief
   Causation of infertility
   PMS treatment
   Endometriosis
   Hormone balancing
   Increasing mucus secretion
   Sperm quality & quantity improvement
    The objectives of Trial Phase

 Stimulating follicles maturation
 Promoting the ovulation
 Balancing FSH, Estrogen, LH and
  Progesterone
 Integrative with IVF procedures
 Integrative with IUI procedures
The Hormonal Imbalanced Conditions

 High FSH level
 Polycystic Ovarian Syndromes (PCOS)
 Luteal phase defect
 Endometriosis
 Assistant Reproductive Technology
  (ART)
       Other Causations of Infertility
   Stress-
    -Flight-or-fight response
    -Glucocorticoids can raise its level and weaken the
    reproductive system, potentially making infertility
    condition worse. (Prolactin)
   Age-
    Conception rate: 30’yrs, 40’yrs, decline 5-10 % each year
    Developing chromosomal abnormalities:
      < 35yrs -the rate of is 1:2000 compare to >35yrs,1: 400
    Miscarriage:   <30 yrs = 15 %,   >40yrs =40 %
            The Causations of Infertility
             in Traditional Chinese Medicine
    Male-                        Female-
1.   Kidney yin deficiency    1.   Kidney deficiency
2.   Kidney yang deficiency   2.   Cold uterus
3.   Liver qi stagnation      3.   Blood deficiency
4.   Spleen qi deficiency     4.   Liver depression
5.   Blood stagnation         5.   Stagnant heat
                              6.   Phlegm dampness
             Kidney Yin deficiency
                         signs & symptoms
   Scanty, dark discharge at the end
    of the period or amenorrhea
   Severe lumbago, dizziness,
    tinnitus
   Cold sensation in the lower
    abdomen, loose stools, copious,
    clear urine
   Dark facial complexion
   Tongue is pale with thin white
    coating
   Pulse is deep, thread and weak
Cold Uterus

                 Prolonged menstrual
                  discharge but scanty in
                  volume and mixed with
                  dark clots
                 Cold lower abdominal pain
                  relieved by warmth
                 The tongue coating is thin
                  and white
                 The pulse is deep and slow
         Blood deficiency
                        signs & symptoms
   Withered, sallow
    complexion
   Scanty menstrual discharge
    during the last days of the
    period but light in color,
    dizziness, blurred vision,
    dry skin, constipation
   Insidious pain after
    menstruation.
   Tongue is pale
   Pulse is thready and weak
Liver depression
             signs & symptoms
               Early or late menstruation,
                scanty in volume and dark in
                color
               Abdominal distention
               Premenstrual breast
                distention
               Mental depression, eructation
                and sighing
               Tongue is red with a thin
                coating
               Pulse is wiry and rapid
           Stagnant Heat
                        signs & symptoms
   Scanty menstrual volume, red
    purplish in color and mixed with
    clots.
   Distention and pain in the lower
    abdomen, especially along the
    sides, which refuses palpation.
   History of lumbar soreness
   Distension & pain of the chest and
    hypochondrias
   Tongue is red with a thin coating
   Pulse is wiry and rapid
Phlegm dampness
           signs & symptoms

               An obese constitution
               History of excessive phlegm
               Pallor or puffiness
               Delayed menstruation or
                amenorrhea and excessive
                leucorrhea
               Tongue has a thin, white
                coating
               Pulse is wiry and slippery
Individualized Treatment Plan
                Individualized treatment plan
                      based on etiology
                Acupuncture:
                        EA for follicle phase
                        MA for Luteal phase
                Herbal formula: Individualized
                      Raw herbs
                      Granules
                      Pills/tablets
                      Decoctions
                     Moxibustion
                     Cupping
           Frequencies & Lengths of
                  Acupuncture Treatment
   Cumulative effect of series
   10-12 sessions to begin cellular
    change.
   Pre-cycle: 1-2/wk X 3-6 cycles
   Trial phase: 2-3/wk X 6-9 cycles
   Average: 6-12 cycles
   Less frequency with herbal
    prescription
   Speed of improvement
    proportional to the length of
    time of imbalance
        Mechanisms of Acupuncture (1)
                         a clinical observation in Shanghai, China


   Highly increase of the          90
    egg production                  80
                                    70
   Regulate the function of        60                   egg pro.
    hormone levels                  50
                                    40                   Hormon
   Influence in the gene           30                   e
    expression in the brain,        20                   Brain
    normalizing secretion of        10
                                     0
    GnRH, LH, and E2.                    1st   3rd
                                         Qtr   Qtr
                     Researches for acupuncture that
                                 benefits the fertility
Sandra Emmons, M.D:                        Cornel University’s
     -Oregon Health Science University     Weil Medical College:
   Acupuncture before the IVF,             Summed up acupuncture’s

    improve the success rate of pregnant     positive effect o infertility issues.
    woman.
   Rate significantly higher in the          There is sufficient evidence of
                                               acupuncture’s value to expand its
    patients combine the herbal
                                               use into conventional medicine
    treatment.                                 and treatment of female
                                               infertility.
           Mechanisms of acupuncture (2)
                                  - a study in Harvard,

   Endorphins releases
     Mitigate one’s response to
    stressful stimuli, enhance
    the possibility of
    conception
   Minimize prolactin
    Elevated prolactin could
    cause irregular ovulation
                   Treatment Protocols (1)
                                  Stress-relieve
    Objectives:
1.   Reduces stress and minimizes prolactin
2.   By release certain chemicals and neuron-
     transmitter, such as endorphin, ekenephilin
     and serotonin, specially benefits the ART
     patient go through their procedure smoothly

    Tx Protocols:
         Acupuncture: Shenmen, P 6, Sp-6
     Herbal formula: Suan Zao Ren Tang
     (Sour jujube decoction)
    Frequency:
     Combine with other treatment
          Integrative Acupuncture Tx
   Reduces stress
   Enhances hormone regulation
   Regulates the menstrual cycle
   Promotes the ovarian functions
   Invigorate the sperm qualities
   Treats PMS, Amenorrhea, Endometriosis and blocked
    fallopian tubes
   Increases the effectiveness of IVF, GIFT, ZIFT, and ET.
    Procedures
   Protects the fragile embryo
   Strengthen the immune system
Acupuncture & IVF procedures
  -Research in Christian Lairize Institute in Germany

                           160 women getting IVF
                           Acupuncture before & after the
                            embryo transfer
                           50% of the patients increased
                            successful implantation.
                           IVF group= 26.3 %
                           IVF plus acupuncture
                           = 42.5 %
                           AAI successful rate is 64.9 %
                           of integrative IVF patients at
                            December, 2007.
      Acupuncture on the day of
      Embryo Transfer
                     Acu1= 95, on the day                                    36%/34%
100                  Acu2 =91, on the day and 2 days after                   36%/26%
                     Control=87, no acupuncture.                             26%/22%
 80
                     Conclusion:
 60                  1.Acupuncture on the day of ET significantly improves
          Series 1   the reproductive outcome of IVF/ ICSI. Compare to no
 40                  acupuncture.
          Series 2
 20                  2. Repeating acupuncture on ET day and 2 days after
          Series 3
                     provided no additional benefit
  0
                       Westergaard LG, Mao Q, Krogslund M, Sandrini S, Lenz S, Grinsted J.
                                                Fertility Clinic Tranglen, Hellerup, Denmark.
                                     Fertil Steril. 2006 May;85(5):1341-6. Epub 2006 Apr 5.
                 Pain Relieve During Oocyte Retrieval

   EA has proven analgesic
    effect
   Frequency at 80/20/2 Hz
   Study of 152 cases
    Conclude that
    No differences in EA
    Frequencies.
            Humaidan P. Brock K Bungum L. Stener-Victorin E.
      The fertility clinic, Vyborg Hospital, Skive, DK7800 Skive,
                                                        Denmark,
                  Reprod Biomed. Online, 2006 Jul; 13, (1):120-S.
       Acupuncture &
                  Protection of Embryo
 Acupuncture boost blood flow to women’s
  reproductive organs and providing better
  nourishment.
 Improve the lining of the uterus, enhance the
  embryo becomes embedded after conception.
 Improve implantation and prevent the risk of
  miscarriage.
                  Herbal Treatment
                                  Affects many parts of the
                                   reproductive cycle by triggering
                                   the bodies own natural
160                                processes.
140                               Trigger the hypothalamus and
120                                pituitary to release hormones that
                     FSH
100                                stimulates the production of FSH
 80                                and LH
                     Estroge
 60                  n
                                  Individualized herbal formula
 40                                is most effective
                     Progest
 20                                Follow up monthly objective
  0                                 evaluation of hormone test.
      1st   3rd
                                   Aware of the ART treatment and
      cyl   cyl
                                    drug interactions.
      Individualized Herbal Treatment

   Mainly to nourish the reproductive organs,
    enhance ovarian function, promote follicles
    maturation and increase linings of the uterus.
   Classic Herbal formula
   Individualized herbal formula modification
   Length of treatment various from 2 to 6 cycles
   Safe for early pregnancy and prevent
    miscarriage.
               Herbs that Benefits
                    Fertility
Angelicae       Asini Gelatinum   Astragali         Condonopsis
Sinensis         ( E Jiao)        (Huang Qi)        (Dang Shen)
(Dang Gui)

Amomi           Eucommiae         Lycii Chinensis   Dioscoreae
(Sha Ren)       (Du Zhong)        (Gou Qi Zi)       Oppositae
                                                    (Huai Shan)

Carculiginis    Epimenddi         Sm. Cuscutae      White Paeoniae
(Xian Mao)      (Xian Ling Pi)    (Tu Si Zi)        (Bai Shao)

Hetrophylii     Actinolitum       Epimedii          Gecko
(Yi Mu Cao)     (Yang Qi Shi)     (Yin Yang Huo)    (Ge Jie)
      Classic Herbal Formulas
                     Benefits Fertility
   1. Yu Lin Zhu- kidney deficiency
   2. You Gui Wan- kidney deficiency
   3. Wu Zi Yan Zong Wan-kidney deficiency
   4. Ai Fu Nuan Gong Wan-cold uterus
   5. Ren Shen Yang Rong Tang-Blood deficiency
   6. Yang Jing Zhong Yu Tang-Blood deficiency
   7. Chai Hu Shu Gan San-liver depression
   8. Kai Yu Zhong Yu Tang-liver depression
   9. Qi Re Xiao Yu Tang- Stagnant heat
   10. Xiao Zhi Mo Dao Tan Tang-Phlegm dampness
   11. Qi Gong Wan-Stagnant heat
Herbal Treatment Prevents Miscarriage
         -a Study from Fudan University of Shanghai, 2001
                          The process of conception and
                           pregnancy involves a
                           suppression of the T-help
                           immune response
                          Herbal medicine could inhibit
                           specific immune injury,
                           reprogram the immune system to
                           not react to self-tissue, allow the
                           normal suppression involved in
                           implantation to occur.
                          Individualized herbs: Du zhong
                          Classical Formulas: Dingxiang
                           shi di tang (Clove and
                           Persimmon Calyx decoction)
                           Objective Evaluations

    Initial evaluation                         Follow up evaluation:
1.   Infertility -causation                     Monthly hormonal tests:
2.   Consider the etiology in TCM                    Day 2/3: FSH, Estrogen, prolactin
                                                     During ovulation: Basal temperature
3.   Refer to fertility specialist                    chart, mucus and ovulation kits
4.   Evaluates partner’s health conditions           Day 21 or 7 days post ovulation:
5.   Release medical records for the                  Progesterone
     history of illness                         Ultrasound:
                                                     Day 2:      # of follicles & size
                                                     Day12/13:   sizes of follicles
                                                Follow up with fertility physician’s
                                                 plan closely and report any
                                                 unexpected reactions.
          Food Flavors Recommendation
   Sweet-Tonifies and harmonizes and relaxes.
   Pungent- Dispersing and invigorating, promote circulation,
    moves Qi, blood, & body fluid.
   Sour Astringent-Absorbing, consolidating
   Bitter- Dries damp, disperses, often clears, damp, edema
    and heat
   Salty-softens and dissolves hard masses. Moistens and
    lubricates the intestines
   Bland- diuretic, promotes urination and relieves edema
Foods that Invigorates Blood

Eggplant         Peanuts


Red Bean          Dates
     Foods Nourishes Blood

 Beef         Chicken eggs

Grapes           Lamb

Chicken           Fish
      Foods that Benefits the lining
      growth

Kale                   Spinach
Apple                  Appricot
Cherry                 Chinese Date
Lemon                  Asian Pear
Sesame seed ( brown)   Sesame seed ( black)
            Food for clear the heat
Papaya        Lemon    Cucumber   Cantaloupe   White rice

Asparagus     Carrot   Sweet      Fig          Lenti
                       potato
Bok choy      Celery   Cucumber   Peach        Mung bean


Red/green     Chard    Banana     Pineapple    White
cabbage                                        fungus
          Food for drain dampness

Alfalfa    Chinese   Onion or   Parsnip   Pumpkin
sprout     Chive     leek                 and winter
                                          squash
Turnip     Winter    Dried      Barley    Rice bran
           melon     papaya

Wheat      Adzuki    Beef       Fish      Cardamom
bran       bean                           seed
           Foods that detoxifies

Shitake    Snow pea   Pumpkin   Sunflower
mushroom              seeds     seed


Soybean    Olive      Rice      Tea
                      vinegar
        Foods that Relieves Food Retention
Bamboo shoots         Bell pepper

Daiko radish          Howthone Berry

Plums                 Tomato

Oats                  Pea

Parsley               Barley Malt syrup
   Foods that benefits
                   kidney deficiency
Green beans   Mulberry    Raspberry



Black beans   Chestnut    Lotus seed


  Walnut       Honey
   Food that Strengthen Digestion



Arise seed   Brown sugar   Cinnamon

  Clove      Fennel seed   Ginger root
Molasses
    Prenatal Vitamins-Woman
   Folic Acid- 400mg/day- development of baby’s
    brain and spinal cord (fortified cereals, green
    leafy vegetables, citrus, grapefruit)
   Calcium- bone develop
   Iron-prevent anemia ( green leaf vegetable, red
    meat)
   Fibers- 30-35g/day (unrefined grains, whole
    wheat, beans, fruits and vegetables
Part II: Male Factors
           Infertility isn’t just the
           woman’s problem anymore
   40-50 % male infertility
   Inadequate # of sperm
   Inhibited ejaculation
   Retrograde ejaculation
   Failure of descend into the
    scrotum
   Antibodies to the sperm
          Male Factors of infertility
   Spermophlebectasia
   Sperm dysfunction
   Sexually transmitted
    disease
   Physical damage
   Genetic disease
   Auto immune disease
Male Reproductive Anatomy
Male Reproductive Organs


            Testes (gonads):
                Sperm (exocrine)
                Testosterone
                 (endocrine)
              Ducts
              Glands
          I. Male Organs-Testes
   Size: 4 cm X 2.5 cm
   Connective tissue capsule
   Tunica albuginea
   Seminferous tubules
   Rete testis
   Duct system
   Epididymis
   Interstitial cells-produces
    androgens & testosterone.
             Testosterone Production

 Produced by interstitial cells
 Stimulated by LH
 Testosterone stimulate the male reproductive
  organs develop & 2nd male characteristics
 Lack of the testosterone will result in sexual
  infantilism & sterility.
Testes Malfunction
       II. Male organs- Duct System
    Transport sperm
     from the body:
1.   Epididymis
2.   Ductus deferens
3.   Urethra
Male Organs- Epididymis
             Highly coiled tube 6M
             Caps superior of testes
             1st part of male duct
             Storage site of immature
              sperm
             Mature in 20 days
             Ability to swim
             Walls of epididymis
              contract to expel the
              sperm to ductus deference
             Male organs
                    - Ductus Deferens
   Enclosed tube along with blood
    vessels & nerves in sperm cord
   Propel live sperm into urethra
    by peristaltic waves rapidly
    squeeze the sperm forward
   Scrotal Sac
   Vasectomy- cauterizing the vas
    deferens. Sperm is still
    produced but no longer reach
    the outside
   Sterile- testosterone still
    produced and libido remained.
Sperm Ascending
Vas Deferens Blockage
                  Male Organs- Urethra
   3 main regions
    1.   Prostate Urethra
    2.   Membranous urethra
    3.   Spongy urethra
   Carry urine and sperm
    to exterior
   Ejaculation
             Male Organs-Scrotum
   Providing the testes
    with a temperature
    that is below body
    temp.
   Cold->scrotum
    wrinkled ->testes
    closer to the body to
    maintain viable
    sperm production
Male Organs- Penis
          To deliver sperm into
           the female
           reproductive tract
          Circumcision-
           surgically removed
           after birth
          3 enlarged eretile
           tissue
          Erection-blood flow
            Good Sperm Formation
    Sperm takes 100 days to develop (70/30)
    3 main factors:
1.   Sperm count: > 20 million/ml/ejaculate
2.   Morphology (shape of the sperm)
3.   Motility (How fast and straight the sperm swim)
Spermatogenesis
Functions of Sperm
Macho Sperm Theory

           Damage fertilized eggs.
           Some toxins may alter the
            sperm’s DNA. Damaged
            chromosomes still carry
            genetic information
           Results in infertility,
            miscarriage, birth defects,
            learning disabilities,
            childhood cancer and
            kidney cancer.
       Male Infertility Assessment

 Sperm count < 10 million/ml (200 million)
 Volume < 5 ml per ejaculate
 Sperm motility < 60 %
 Sperm Morphology < 50 % normal
                            Getting Tested
   Urologist evaluation
   Sperm analysis 2-3 Tx
   Defect factors:
    1.   Azoospermia
    2.   Oligiospermia
    3.   Sperm motility
         decreases
    4.   Sperm morphology
         abnormalities
             Normal Sperm Analysis
   Volume= 3 ml (2-6ml)
   Concentration=20M/ml
   Motility: 50 %> 2 hrs
   Morphology: >60 %
   Viscosity
   Ejaculate normally
    liquefies < 1hr
   pH= 7-8
             Sperm abnormalities
   Adequate
   Aspermia
   Azoospermia
   Oligospermia
   Poor motility & forward
    movement
   High percent of abnormal
    sperm morphology
   Anti-sperm antibodies
          Diagnosis of Male infertility

 Medical History
  Physical Examination-structure
 Secondary sex characteristics evaluation
 Endocrine function test
 Sperm analysis and morphology
            Causes of Male Infertility
   Radiation               Alcohol, nicotine,
   Environment toxins       marijuana, cocaine
                             Prolonged fever
   Undescended testis      Endocrine disorders
   Varicocele              Congenital abnormalities
   Traumatic injury        Surgery of the lower
   Infectious injury        abdominal region
   Testicular atrophy      Tight underwear
   Drug effects            Stress, lack of sleep
Acupuncture Treatment

           Acupuncture can stimulate
            histamine release to dilate the
            blood vessels, therefore to
            improve the blood circulation,
            thus reduces varicose veins in
            the region
           Most commonly selected points
            are located on the back and leg
            areas.
           Frequency at 1-2 tx/wk or
            based individualized treatment
            plan
                                     Responses of
                                    TCM treatment
   Case report:
      A 43 male with 3 months of combined
       treatment
      Sperm count:
       From < 18 million/ml to 93 million
      Motility : from < 50 % to 97%
      Morphology: from normal <20 % to 45 %




                    Hu,C. etl. Advanced Acupuncture, Inc. 2006
                                           Los Angels, U.S.A
Acupuncture & Sperm Quality
      Improvement
                Acupuncture effects on sperm
                 production and quality without
                 causing any changes in behavior
                 and sexual desire.
                Study of 28 men who ere
                 diagnosed with idiopathic
                 infertility received acupuncture
                 twice a week over 5 weeks,
                 significantly increase the
                 quantities of normal sperm and
                 equally reduces in structural
                 defects.
                                                            Hu,C. etl
                 Advanced Acupuncture, Inc. 2006, Los Angeles, U.S.A.
Effect of Acupuncture on
                      Sperm Parameters
                     16 subject were coanalyzed before
                      & 1 month after treatment
                      (Two times/week for 5 weeks)
                     16 subject of controlled, untreated
                      for comparison
                     Evaluated by semen analysis and
                      ultramorphyological observations.
                     Conclusion;
                 1.   The fertility index increased
                      significantly in the treatment
                      group (p<or =0.5)
                 2.   Sperm motility and axonema
                      intactness were highly correlated
                       (corr:= 0.50, p< or = 0.5)
                                       Siterman S, Israel, 1997
             Protocols improves
                   sperm count and motility
   Electro-acupuncture:
       Points: UB-23, 25, K5, Sp 6        60
       Frequencies: 2 tx/wk X 5 weeks.
                                           50
       Lengths: 2-3 courses until sperm
        analysis become normalized         40                     acup.
   Herbal formulas:                       30
       Jin Gui Shen Qi Wan                                       herbs
                                           20
   Evaluation:                            10                     combined
       by repeat Sperm analysis between
        the acupuncture course.            0
                                                1st   3rd   5th
           Chinese Medicine improves
           semen morphology, motility, & count
   Randomized clinical trial in
    Sydney, Australia, 2004
   Acupuncture and herbal
    medicine
   Improve sperm normal form:
    p<0.038
   Improve semen motility:
    p<0.008
   Improve count: mean increase
    220 million sperm
         Acupuncture in the treatment of
         Psychogenic Erectile Dysfunction

50
                                     Randomized placebo-
45                                    controlled pilots study,
40                                    Austria, 2003
35
30                                   22 patients, satisfactory
25                     Hormone        response =68.4%
20                     IIEF
15                     Regiscan      Acupuncture can be
10                                    effective option >2/3 of
 5                                    PED
 0
     1st 2nd 3rd 4th
     Qtr Qtr Qtr Qtr
             Artificial Insemination (IUI)
•The sperms are collected
and send to sperm wash
•More concentrated sperm
count without semen.
•Inject to female, let sperm
surround with egg to
penetration.
•Option for male infertility
•Alternative procedure when
IVF did not respond well.
          Intracytoplasmic sperm injection
                             ICSI
   For low sperm count
    & male infertility
   Sperm & eggs are
    retrieved
   Inject 1 sperm into an
    egg
   Fertilized egg is then
    implanted
                                    www. medfix.com
 Spermophlebectasia
(varicose vein of the spermatic cord)
               •Increases blood in the vein
               of the spermatic cord
               increases temp. in testicle
               decrease live sperm count
               and activity

               •Prolonged presence of the
               varicosity can result in poor
               blood circulation to the area
               & shrinkage/or dysfunction
               of the testicle unable to
               produce healthy sperm
                         Symptoms of
                      Spermophlebectasia
   Male age 20-30                    Signs: Scrotum enlarged
   Chief complain-pain                and loose
   Heaviness of scrotum              Vein is enlarged and
   Pain at testicles, groin and       purple
    lower abdomen                     Varicose veins are also
   Standing and walking               present in the groin and
    aggravates.                        inner thigh
   Resting in supine position        Press vein, it shrinks or
    alleviates                         disappears
TCM treatment for
Spermophelebectasia
             Acupuncture
              Acupuncture can stimulate histamine
              release to dilate the blood vessels to
              improve the blood circulation, thus
              reduces varicose veins in the region

             Herbal Formula
              Individualized formulas based on the
              etiology to improve blood
              circulation, resolve blockage, and
              promote healthy sperm
TCM Treating
          Male Immune Infertility
                   Observation of “Yikang Tang”
                    (decoction) to treat 100 pt with
                    immune infertility
                   Compare with 100 cases treated with
                    prednisone
                   Results:
               1.   AsAb decreased significantly,
                    (p<0.01)
               2.   The sperm density and motile
                    spermatozoa increased significantly
               3.   The sperm agglutination rate
                    decreased
               4.   The improvement rate of the
                    symptoms and stability of the
                    therapeutic effect were more dramatic
                    in the treatment group.
                          Has more stable effect for male
                     immune infertility than Prednisone.
                             -Sun Z. Bao Y. 2006,Honzhong, China
       Herbs That Benefits for Sperm

Ginseng        Tribulus        Epimedii
(Ren Shen)     ( Bai Ji Li )   (Yin Yang Huo)

Sm. Cuscutae   Curculiginis    Actinolitum
(Tu Si Zi)     Orchioidis      ( Yang Qi Shi)
               (Xian Mao)
Fr. Rubi       Fr. Rosae       Eucommiae
(Fu Peng zi)   Laevigatae      Ulmoidis
               (Jing Yin Zi)   (Du Zhong)
               Classic Herbal Formulas
Modified Jin Gui Shen Qi Wan         Modified Jin Suo Gu Jin Wan
   Main ingredients: Ginseng,          Main ingredients:
    Deer horn, Sea horse, Hokuo,
    Epimedii, Angelica, Cinnamomi,       Eucommiae, Epimedii,
    Poria cocos                          Achyrabthis,Cistanches,
                                         Cynomorii, Cuscutae.

   Used for low sperm count, low
    motility and morphology             Used for impotency, low
                                         libido and early ejaculation
Modified Jin Gui Shen Qi Wan
(Kidney Qi Pill from Golden Cabinet)
                     87 male pts. were treated and
                      observed in our clinic
                     Comparison made before and
                      after treatment 3-6 months.
                     Measured by routine semen
                      analysis
                     3 months enhanced function
                      significantly, spouse pregnant rate
                      =56% (49/87)
                     Sperm analysis improvement after
                      6 months= 68.40%
                     This formula influences
                      regulatory function in FSH, LH,
                      Testosterone, Coticosterone level
                                                                 Hu C. Etl
                      Advanced Acupuncture, Inc. 2006, Los Angeles, U.S.A.
     Modified Jin Suo Gu Jin Wan
     (Mental lock pill to stabilize the essence)
70                              82 male patients were
60                               treated and observed
50
                                The length of treatment is
                                 3-6 months
40
                  S.Count       The sperm count improves
30                Motility       67.4 %
20                Morphy.
                                The activity rate of sperm
10                               markedly improved after
0
                                 treatment.
                                                                            Hu,C. etl
  1st 3rd 5th                    Advanced Acupuncture, Inc. 2006, Los Angeles, U.S.A.
 Mon. Mon. Mon.
            Making Good Sperm
   Eating Healthily          Liver Detox
   Taking Vitamins           Weekly acupuncture
   Drinking more water       Stop smoking
   Copping Stress            Cut down alcohol
   Staying active            Avoid drug intake
   Enjoying regular sex      Minimize caffeine
   Sleeping enough
                        Things to avoid
    High temperature                          Drugs ( reduces
    ( best at 32 degrees C)                     testosterone & libido)
    Stress ( testes malnourished)             Caffeine (impair sperm
    Alcohol ( interferes of testosterone       production & cause
     secretion)                                 chromosomal
    Smoking (40 % sperm damage by              abnormalities)
     free radicals)                            Toxins (pesticides, heavy
    Environmental Estrogen                     metals)
     (meat, microwave plastics)                Pollutants
      Nutrients for Sperm
       Altern Med Rev. 2000 Feb;5(1):28-38. Green Valley Health, Hagerstown, MD 21742, USA


Amino Acids      Vitamin A                Vitamin B6             Vitamin B12
500 mg           700mcg                   1.4-500mg              1.5mcg



Folic Acid       Vitamin C    Vitamin E                          Selenium
200-400mcg       500- 1000 mg 400 IU                             75 mcg


Manganese        Zinc                     Coenzyme Q Essential
1.4 mg           10-30 mg                 10- 90 mg  Fatty Acids
                                                     2000 mg
                 Pro-vitamin for Men


   Zinc -15 mg/day, (oyster)
   Vitamin E 100-400IU (Olive oil, wheat germ)
   Calcium 1000mg
   Vitamin D 10 mcg
              Good Sperm Diet
Black berries Blue        Rosen      Kale
              berries     berries

Strawberries Brussels     Broccoli   Red peppers
             sprouts

Grape seed    Pink bark   Garlic     Oyster
extract       extract
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Questions?

          Contact information

  Cathryn Hu, Ph.D., O.M.D., L.Ac.

         Phone: 310-458-2848
         Fax: 310-458-2899
   Web: www. Advancedacupuncture.com
 Email: Advanced_Acupuncture @ Yahoo.com

								
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