Extract from Dr Zhai’s book
Excessive Heat in the Blood is not unusual in cases of infertility. It is most often associated with patients who show signs of:
• Peri-menopausal symptoms with short menstrual cycles
• Raised FSH levels
• A poor response to IVF stimulation (see below)
Signs and symptoms include:
A short menstrual cycle, heavy bleeding during menstruation, pain during menstruation, dark or bright red menstrual blood, a feeling of heat, thirst, skin rashes, constipation, yellow urine, aversion to heat, anxiety, mental restlessness, poor egg quality and a thin endometrium. Patients also exhibit a poor response to FSH during IVF: either the follicles grow very fast and very big but there is no egg inside, or ovulation takes place before egg collection.
The tongue is red and has a slim body.
The pulse is rapid and fine.
What this means
The symptoms and signs of Heat in the Blood depend on the organ involved. For example, in TCM the Heart is the house of the mind, so if Heart Blood has Heat it agitates the mind, causing anxiety and mental restlessness. When Blood Heat affects the womb and Penetrating Vessel, the Heat causes the Blood to ‘overflow’ from the vessel. This results in heavy and premature bleeding, and typically also a feeling of heat in the genital region during menstruation. Generally, Heat is not conducive to the development of good-quality eggs or a healthy womb lining, so it hampers fertilization and implantation. Blood Heat in the intestines or bladder will dry the stool and urine, causing constipation or yellow urine and there may even be blood in the stool or urine. When Liver Blood has Heat it is characterized by red and itching skin rashes. Heat in the Blood accelerates the Blood fl ow and empties fl uids, hence the pulse will be rapid or fine.
Clearing Heat, cooling the Blood and regulating menstruation.
Typical acupuncture points and explanation
Xue Hai (SP-10) and Ge Shu (UB-17): clear Heat and cool the Blood.
Tai Chong (LV-3): reduce Liver Heat downwards; regulate Blood and the gynaecological system.
Tai Xi (KID-3) and Zhao Hai (KID-6): cool the Blood, nourish yin and regulate the Blood and genitals.
Qu Chi (LI-11) and He Ku (LI-4): allow the Heat to expel from the outer body.
Leading herbal formula
Qing Jing Tang, Clear the menses formula.
Lifestyle and diet recommendations
• Avoid spicy, hot and drying foods like curry, pepper, ginger, garlic and cinnamon.
• Cooling foods are of great benefit, such as melon, banana, watermelon, cucumber, celery and lettuce.
• Try to eat lots of fresh fruit and vegetables.
• Eat a light breakfast.
• Reduce alcohol intake.
• Take light exercise.