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Foreword to the 2nd edition | |
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Foreword to the 1st edition | |
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About the Author | |
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Acknowledgments | |
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Introduction | |
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The Fundamentals | |
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A Tale of Two Clinics - The Treatment of Infertility with Chinese Medicine or Western Medicine | |
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The Menstrual Cycle | |
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Becoming a specialist in female infertility | |
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The Chinese and Western medicine approach | |
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The organs | |
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The Kidney, the Heart and the Uterus | |
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The other organs | |
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The substances | |
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Jing | |
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Yin | |
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Yang | |
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Blood | |
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Shen | |
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Qi | |
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The channels | |
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The Chong and the Ren vessels | |
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The Bao vessel and the Bao channel | |
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The Du and the Dai vessels | |
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How it all begins | |
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The menstrual cycle | |
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The length of the cycle | |
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Phases of the TCM menstrual cycle | |
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The Yin part of the cycle | |
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Follicular phase (proliferative or estrogenic phase) | |
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Midcycle phase (ovulation) | |
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The Yang part of the cycle | |
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Luteal phase (progestogenic or secretory phase) | |
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Back to the drawing board | |
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Parallels between TCM and Western parameters | |
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Charting the Menstrual Cycle | |
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Introduction | |
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The BBT chart | |
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The how's and why's of BBT measurements and other observations | |
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History of the BBT chart | |
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Charting the cycle from day | |
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The thermometer | |
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The urinary ovulation predictor kit | |
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The chart | |
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Fertile mucus | |
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Position of the cervix | |
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Putting it all together | |
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BBT charts and pattern diagnosis | |
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Pattern variations | |
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The follicular or low phase | |
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Ovulation | |
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The luteal or high phase | |
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More on discharges | |
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In the Clinic | |
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Diagnosis and Treatment of Female Infertility | |
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Making a Diagnosis | |
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Introduction | |
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The two key elements: ovulation and menstruation | |
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Taking a history | |
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The period | |
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Midcycle | |
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Pain in the ovary | |
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Breast tenderness | |
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Genital discomfort | |
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TCM categories of female infertility | |
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Kidney deficiency | |
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Heart and Liver Qi stagnation | |
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Blood stagnation | |
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Phlegm-Damp accumulation | |
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Traditional Chinese Medicine Treatments for Functional Infertility | |
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Same disease, different treatments | |
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Prescribing treatment | |
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Timing of treatments | |
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Prescriptions | |
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Problems in the follicular phase or at ovulation | |
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Menstrual phase - discharging the lining of the uterus | |
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Post-menstrual phase - building Kidney Yin and the Blood | |
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Preparing for ovulation | |
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Modifications and variations | |
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Midcycle phase - promoting movement of Qi and Blood | |
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Modifications and variations | |
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Midcycle bleeding | |
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Problems in the luteal phase or at implantation | |
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Post-ovulation phase - maintaining Kidney Yang | |
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Methods to boost the Yang | |
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Modifications and variations | |
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In the clinic: putting it all together | |
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Treatment during pregnancy | |
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Morning sickness | |
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Towards the end of pregnancy | |
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Gynecologic Disorders which can cause Infertility | |
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Introduction | |
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Diseases and disorders which cause or contribute to infertility | |
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Endometriosis, Pelvic Inflammatory Disease, Fibroids and Polyps | |
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Endometriosis | |
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Etiology | |
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The clinical picture | |
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Endometriosis and infertility | |
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Treatment with Western medicine | |
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TCM treatment of endometriosis | |
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Strategies for treating Endometriosis | |
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A simpler approach | |
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Pelvic inflammatory disease | |
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TCM analysis of pelvic inflammatory disease | |
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Treatment of pelvic inflammatory disease | |
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Fibroids and polyps | |
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Ovulatory Disorders and Polycystic Ovarian Syndrome | |
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Amenorrhea and disorders of ovulation | |
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Different types of ovulatory dysfunction | |
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Drugs used to induce ovulation | |
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TCM analysis of drugs | |
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TCM analysis of different types of ovulation disorders and amenorrhea | |
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Polycystic ovarian syndrome (PCOS) | |
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PCOS and TCM | |
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PCOS with weight gain | |
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PCOS without weight gain | |
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Research in PCOS and TCM | |
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Combining TCM and western medicine | |
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Blockage of the Fallopian Tubes | |
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Introduction | |
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Can Chinese medicine treat fallopian tube blockage? | |
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Diagnosis of tubal blockage | |
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The structure of the fallopian tubes | |
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Damage to the structure of the tube | |
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Treatment with Chinese medicine for early-stage structural blockages | |
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Diagnosis | |
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Functional blockages | |
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Treatment with Chinese medicine for functional blockages | |
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Additional treatments for structural blockages | |
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Flushing the tubes | |
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Application of herbal medicines per rectum | |
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Physiotherapy | |
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Acupuncture | |
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Male Infertility | |
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Introduction | |
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Where and how sperm are made | |
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The sperm factory | |
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Semen analysis | |
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Normal parameters | |
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Declining sperm counts | |
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Age and sperm | |
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Constriction and heat | |
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Antisperm antibodies, vasectomies, varicoceles, and other blockages | |
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Diagnosis of male infertility in TCM | |
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Kidney Yin deficiency | |
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Kidney Yang deficiency | |
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Damp-Heat | |
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Qi and Blood stagnation | |
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TCM treatment of infertility | |
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Kidney Yin and Yang deficiency | |
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Damp-Heat | |
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Qi and Blood stagnation | |
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IVF procedures | |
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Diet and lifestyle | |
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Pregnancy Loss, Miscarriage, Immune Infertility, and Ectopic Pregnancy | |
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Miscarriage | |
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Pre- and post-implantation loss | |
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Miscarriage and age | |
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Threatened miscarriage | |
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Causes of threatened miscarriage | |
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TCM treatment of threatened miscarriage | |
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Western medical treatment for threatened miscarriage | |
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Inevitable miscarriage | |
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Ensuring expulsion of all pregnancy products | |
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Control the amount of blood lost | |
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Recover the Qi and Blood | |
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Late-stage miscarriage | |
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Recurrent miscarriage | |
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Prevention of future miscarriage | |
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Causes of recurrent miscarriage | |
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TCM diagnosis and treatment of recurrent miscarriage | |
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Immune-related miscarriages | |
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Early pregnancy | |
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Missed abortion | |
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Male factor treatment | |
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Conception timing and miscarriage | |
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Ectopic pregnancy | |
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Preventing ectopic pregnancies | |
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Other ectopic pregnancies | |
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Conclusion | |
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Combining Chinese and Western Medicine | |
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Assisted Reproduction Technology and In Vitro Fertilization | |
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Introduction | |
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IVF statistics | |
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The ART clinic | |
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Artificial insemination (Al) | |
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In vitro fertilization (IVF) | |
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Assisted Reproduction Technology and Traditional Chinese Medicine | |
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Infertility patients and their treatment needs | |
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Comparing different infertility treatments | |
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IVF and TCM - different approach | |
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IVF and TCM - different techniques | |
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IVF and TCM - different emphasis | |
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In the clinic - combining TCM and ART | |
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TCM and IVF - points of influence | |
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Diagnosis of the IVF patient | |
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Traditional Chinese Medicine Treatment of the IVF Patient | |
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Using TCM in preparation for an IVF cycle | |
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Kidney deficiency (and egg quality) | |
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Heart and Liver Qi stagnation (and sleep and stress) | |
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Blood stagnation | |
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Phlegm-Damp (and weight loss) | |
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Preparation for IVF for men | |
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Treatment during the IVF cycle | |
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4-PhaseTCM treatment during the IVF cycle | |
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Ovarian hyper-stimulation syndrome | |
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The positive pregnancy test | |
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The negative pregnancy test | |
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Research on acupuncture and IVF | |
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Effects on implantation and pregnancy rate | |
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Acupuncture points used on the day of embryo transfer (ET) | |
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Effects on endometrium | |
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Conclusion | |
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Lifestyle and Fertility | |
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Diet and Lifestyle | |
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Introduction | |
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A Chinese medicine perspective | |
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Jing | |
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Yin | |
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Yang | |
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Qi and Blood | |
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Phlegm-Damp | |
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Fluid intake | |
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Preconception diets | |
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Nutritional supplements | |
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Weight | |
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Losing weight | |
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Exercise | |
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Stress | |
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Sleep | |
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Sleep and sex hormones | |
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Sleep and metabolism | |
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Sleep and stress | |
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Sleep and the immune system | |
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A good night's sleep | |
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Our daily drugs | |
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Caffeine | |
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Alcohol | |
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Nicotine | |
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Marijuana | |
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Junk food | |
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Other drugs | |
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Environmental pollutants | |
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Polychlorinated biphenyls (PCBs) | |
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Polybrominated diphenyl ethers (PBDEs) | |
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Phthalates | |
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Bisphenol A (BPA) | |
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Perfluorinated compounds (PFCs) | |
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4-vinylcyclohexene diepoxide (VCD) | |
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Trichloroethylene (TCE) | |
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Alkylphenol ethoxylates (APEs) | |
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Glycol ethers | |
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Heavy metals | |
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Electromagnetic fields | |
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Conclusions | |
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Herbs - Pinyin, Chinese, and Latin characters | |
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Herbs which move the Blood | |
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Herbs to beware of during pregnancy | |
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Summary of herbal formulas and their uses in this book | |
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Index | |