Bhorn Fert Ln Tcmwt

  • Published on
    11-Dec-2015

  • View
    6

  • Download
    2

Embed Size (px)

DESCRIPTION

fert

Transcript

  • TCM Wisdom TubeTM

    Treating Infertility in Advance Aged Women Using the 8 Extra Meridians

    by Brandon Horn

    PhD, JD, LAc, FABORM

    LEARN THE SCIENCE PRACTICE THE ART HEAL

  • Our Mission

    Our Vision

    Our Promise

    LEARN THE SCIENCE PRACTICE THE ART HEAL

    To provide the highest quality,

    clinically relevant information readily

    accessible to the TCM community.

    All TCM practitioners operate in the highest level of

    efficiency and effectivity in the healing of patients

    and the professional practice becoming an active,

    vital and integral resource in the health needs of

    the community.

    To help you maximize clinical success and to make

    TCM the first choice when it comes to healthcare.

  • READ FIRST Welcome to our TCM Wisdom Tube

    Before watching the recording, please read through the following information.

    TCM Wisdom TubeTM COPYRIGHT AND CONSENT

    1. Consent and Disclaimer Part I (Copyrighted Information) a. Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715.

    Tel: 626-780-7182. Fax: 626-609-2929. Website: www.eLotus.org. Email: info@eLotus.org b. Taping of webinars, online video recordings, and online audio recordings is not allowed. All

    the relevant information given (oral, written, or in any other format) are copyrighted and intended for personal and professional use in your clinical practice only. The information you receive shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine.

    c. Any information shall not be shared with any other organization for any purpose. Association and/or affiliation with any other organizations that may be viewed as a competitor, i.e. organizations providing CEU seminars, distance or live; herbal manufacturer or distributor, instructors, schools, educational organization, shall be disclosed to our staff at the site.

    2. Consent and Disclaimer Part II (Copyright)

    a. Multimedia images used in this presentation are obtained from various internet sources. No infringement of copyright is intended in the usage of any multimedia images in this presentation. Any multimedia images used are purely for educational purposes by the instructor and the Lotus Institute of Integrative Medicine.

    3. Consent and Disclaimer Part III (Speaker/Author)

    a. Where expressly indicated, Lotus Institute is engaged in providing a forum to the participants for information exchange purposes only. Lotus Institute does not make any representations or warranties (express or implied) as to the accuracy, currency or authenticity of the information, services and materials presented at its seminars, webinars, or publications written by any of its speakers.

    b. Lotus Institute, its employees and agents, do not accept any liability to any person for the information, service, materials or advice (including the use of such information, services, or material or advice) which is provided by any of the speakers at Lotus seminars, webinars, or the speakers publications. Any such information, service, materials or advice provided by any of the speakers at Lotus seminars, webinars, or from their publications, shall remain the sole responsibility of the speaker.

    LEARN THE SCIENCE PRACTICE THE ART HEAL

  • Services and Products by Lotus Institute Of Integrative Medicine For years, Lotus Institute has taken pride in the presentation of the most qualified and experienced speakers and practitioners of Oriental Medicine in their respective specialties. This allows us to fulfill our mission of providing the highest quality, clinically relevant, and readily available information to the TCM community. Most of our speakers have over twenty-five years of clinical experience. They have preserved and developed clinically effective approaches that now serve as testaments to their longevity of successful practice. Our speakers are individuals who are respected by their peers, beyond the readily apparent scholastic and professional achievements, but more so by their willingness to share their highly-valued insights so you will be able to utilize them immediately, the very next day in your practice.

    Like Lao-tzu's adage - when you do better, we all do better

    Lotus Website: www.eLotus.org

    LotusCEUSEMINARS Lotus hosts 8-hour live CEU seminars in a city near you! LotusCEUWEBINARS Cant make it to a live seminar? Get live CEU webinars (web-based seminars) streamed right to your computer, wherever you are! Lotus OnlineCEUVIDEOS Missed a seminar or webinar? Enjoy on-demand CEU video recordings that you can view anytime, anywhere, at your convenience.

    Lotus OnlineCEUAUDIOS Missed a seminar or webinar? Enjoy on-demand CEU audio recordings that you can listen to anytime, anywhere, at your convenience. Lotus OnlineCEUARTICLES Get CEUs with articles that you can read anytime, anywhere, at your convenience!

    LEARN THE SCIENCE PRACTICE THE ART HEAL

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.orgShall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 1

    Treating Infertility in Advance Aged Women Using the

    8 Extra Meridians

    Brandon HornPhD, JD, LAc, FABORM

    Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

    Tel: (626) 780-7182 Fax: (626) 609-2929Web: www.elotus.org Email: info@elotus.org

    Sources of Information

    Main Teachers Jeffrey C Yuen Chang Qing Fred Wu Paul Yan

    Research/PhD Dissertation at the American University of Complementary Medicine (AUCM.org)

    What is Aging?

    Aging is the unfolding of Jing Jing unfolds through movement (Yang) Aging is Yang consuming Yin Yang elements can be:

    Physiological (e.g. Yang Qi) or Pathological (e.g., fire toxins)

    The primary (not only) 8EVs involved in the process of aging are the Wei Channels

    Aging Ovaries Illustrated (actual picture of human ovaries)

    (c) 2007 Slide reproduced with permission from Seminar Optimizing Ovarian ReserveLotuscenter.com/publications

    Characteristics of Aging Ovaries(slide taken from ovarian reserve seminar)

    Lusterless and wrinkled Decreased in volume Increasing fibrosis with accumulation of scar

    and connective tissue Reduced vascular network, sclerosis of vessel

    walls Increased apoptotic and necrotic cells

    (c) 2007 Slide reproduced with permission from Seminar Optimizing Ovarian ReserveLotuscenter.com/publications

    The Aging Ovary

    Older ovaries show evidence of greater oxidative damage than those in younger women Follicular depletion accelerates during the last

    decade of reproductive life

    (c) 2007 Slide reproduced with permission from Seminar Optimizing Ovarian ReserveLotuscenter.com/publications

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.orgShall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 2

    Mitochondrial Dysfunction (could be physiological or pathological) Decreased number of mitochondria Increased mitochondrial density Increased incidence of mitochondrial membrane rupture in granulosa cells

    Smooth endoplasmic reticulum (SER) dysfunction Increased frequency of dilated SER in granulosa cells (oxidative damage) SER synthesizes lipids, metabolizes CHO, detoxifies drugs, attaches

    receptors to cell membrane proteins Golgi complex dysfunction

    Increase in dilation of golgi complex (oxidative damage) Golgi processes proteins for secretion by the cell

    Increase in vacuole fraction Vacuole functions include containing waste

    Overall follicle quality scores were NOT associated with age-related ovarian decline

    MorphologyofAgingvs.YoungOvariesBiol Reprod. 2004 Feb;70(2):419-24. Epub 2003 Oct 15

    (c) 2007 Slide reproduced with permission from Seminar Optimizing Ovarian ReserveLotuscenter.com/publications

    Other Abnormalities Associated with Aging Ovaries

    Increased meiotic non-disjunction in oocyte Age-related damage due to oxidative stress Reduced microcirculation around follicles Hypooxygenation of preovulatory follicle

    Deletions in mtDNA Acupuncture, herbs and nutrition can reduce

    oxidative damage, increase microcirculation to the ovaries, protect mtDNA and improve follicular oxygenation.

    (c) 2007 Slide reproduced with permission from Seminar Optimizing Ovarian ReserveLotuscenter.com/publications

    General Causes of Oocyte Aging: Deficiency and Excess

    Deficiency Weakness or Deficiency of DNA or cellular

    structures (8EV) Deficiency of Protective factors

    Excess Excess of insulting factors (e.g., oxidative stress)

    (8EV+) Insulting factors can be:

    Endogenous (e.g., byproducts of energy production, etc.) Exogenous (e.g., environmental toxins, microbes, etc.)

    (c) 2007 Slide reproduced with permission from Seminar Optimizing Ovarian ReserveLotuscenter.com/publications

    8EV and Ovarian Aging

    8EV can Strengthen the Jing (including DNA and cellular

    structures) Release deeply held PFs (including environmental

    toxins, microorganisms, etc.)

    (c) 2007 Slide reproduced with permission from Seminar Optimizing Ovarian ReserveLotuscenter.com/publications

    What are/are not the 8EV

    8EV are the vessels or conduits of Jing Jing is the fundamental material component of life

    Qi Jing Ba Mai: Why are they strange?

    8EV Meridians are conceptual inventions

    Chapter 27 of the Nan Jing: 8EV are beyond the reach of the primary channels. Note: all of the 8EV share common points and/or trajectories

    with the PM

    Are the 8EV present in an embryo? Embryogenesis is the unfolding of Jing Conduits of Jing must be present in an embryo Where is Chong mai, etc. in an embryo?

    Strange Channels Strange because they have trajectories or aspects

    (like other meridians), but no defined path (unlike other meridians)

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.orgShall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 3

    8EV Meridians are only one strategy for accessing the true 8EV

    Slowing Aging: an 8EV Perspective

    Energetics of structural integrity comes primarily from the Wei vessels Wei vessels:

    Maintain structural integrity (morphology) Assist in the removal of PFs located at the Jing

    level Help remove scar tissue and other morphological

    factors stagnating the Jing Increase the longevity of cells

    Yinwei Mai

    Governs susceptibility to aging Strengthens integrity of Jing to protects from both

    exogenous and endogenous insults Governs time and the keepers of time (e.g.,

    telomeres) Prolongs life of ovaries.

    Yinwei Treatment Protocol for Ovarian Aging

    Consolidate and strengthens oocytes Pair with Dai Mai (Tonification) for added effect on

    protecting DNA Sample Point Prescription: Sp13(+), Kd9(+), Pc6, Pc7, GB1,

    KD7(+), Sp10(-), Sp6(+) Note: Dont need to use all of these points

    Caution: Overtreatment may increase risk of non-disjunction If pulses begin to deviate medially or new signs of

    stagnation develop you may have over-treated. If so, treat Yangwei mai and pulses should balance.

    Yangwei Linking Mai

    Important for proper DNA replication Controls disjunction Helps prevent aneuploidy (e.g., Down Syndrome)

    Assists with removal of toxins and other PFs from the Jing level

    Yangwei treatment protocol for Ovarian Aging

    Sample point prescription for optimal disjunction: UB63(-), GB35(-), GB29(-), GB15(-), TH4, TH5(-), Sp 6(+) Caution: Overtreatment can deplete yin and

    destabilize Jing Always assess the state of yin and blood during

    treatments. If deficiency begins to arise, stop treatment until yin stabilizes then continue.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.orgShall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 4

    Diagnostic suggestions for using Wei Mai

    Pulses Simplified: Normal pulses should have a straight trajectory Deviations are assessed from proximal to distal Inward deviations: yinwei excess/ yangwei deficiency Outward deviations: yangwei excess/yinwei deficiency Both Inward and Outward: treat both channels and treat the

    liver PM Neither Inward or Outward (i.e., no deviations): treat yinwei

    (+)

    Case Study

    Female 42 y/o G3P0A3 5 rounds of IVF: 2 chem +, 1 fhb aborted due to

    trisomy 21 Hx: Smoker for 10 years (tobacco + cannabis),

    one glass of wine with dinner, stressful job WDx: Advanced maternal age.

    Recommendation egg donor

    Case Study

    Pulses: rapid, flooding and deviated medially in the Lr position. Lu x diff, sl. Rapid. Kd choppy and rapid, Pc sl. Flooding and tight Tongue: Red tip, swollen on the right side,

    yellow coating in the back with red papules visible. Inspection: nails had several dark vertical

    stripes. Luo vessels apparent at Sp 21 and Lr14.

    Case Study

    Dx: Lr fire. Yinwei excess (Yinwei trying to contain the heat)

    Tx: UB63, GB35, GB27 St 28 (30hz for 10 min), TH3, TH5, Kd 10, Lu6 Drain Lr fire

    Result: After 6 treatments the choppiness and heat in the pulses began to subside but was replaced by an emptiness in the liver position. Pulse less deviated.

    Tx: kd7, kd9 sp15 (2 hz for 5 minutes), kd10, pc7, Lu5 Add herbal medicine: Han Lian Cao 9g, Nu Zhen Zi 9g,

    Fu Pen Zi 6g, Wu Wei Zi 6g, Zhi Ke 3g, Zhi Zi 4.5g, no alcohol for 3 weeks

    Result: After 3 treatments (3 weeks) the pulses filled out. Lu began diffusing, TH reduced, Lr not rapid.

    Case Study

    Tongue remained swollen on right side. Papules @ root became a dull red. Pulses: intermittently choppy at blood level in

    guan position Tx: Lr5 (bled), Lr 8, Sp9, CV9, CV4

    Case Study

    Result: After 8 treatments pulses completely balanced except liver pulse slippery and sl. Rapid. Tongue still swollen on the right side. Requested patient stop alcohol completely. After 4 more treatments pulses normalized with only a slight deviation in guan remaining.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.orgShall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 5

    Case Study

    R...