Ji Mai San 蒺麦散: Case 4

from the practice of Dr. Qiu Xiao-mei

The relationship between the breasts and women’s disharmonies such as amenorrhea, dysmenorrhea and infertility.

Ms. Chang was twenty-five when she came for her first visit on December 13, 1976. She had been married for three years without becoming pregnant. Premenstrually she suffered from breast distention and pain each month and her menstruation was early or late without regularity. The amount was profuse and continued for six to seven days. During menstruation her bowels were sticky and each day moved repeatedly. Her pulse was sinking and thin and her tongue moss was sticky. Her pulse and pattern corresponded.

My differential diagnosis of Ms. Chang’s condition was Liver depression and Qi stasis and Spleen vacuity causing the Spleen to lose its ability to transport. The treatment needed to course the Liver and fortify the Spleen. I gave her seven packages of the following prescription:

Chai Hu                     Radix Bupleurum                       9gm.

Bai Ji Li                      Fructus Tribuli                          9gm.

Ba Yue Zha                Fructus Akebiae                        9gm.

Bo He                        Herba Mentha                           4gm.

Qing Pi                      Pericarpium Citri Immaturus       4.5 gm.

Wang Bu Liu Xing     Semen Vacarri                          9gm.

Ju He                          Semen Citri                             4.5 gm.

Ju Luo                        Vascularis Citri                     4.5 gm.

Chao Bian Dou     Stir-fried Semen Dolichoris Lablab     12gm.

Da Mai Ya                 Fructus Hordei Germinatis           15gm.

Shen Qu                    Massa Fermentata                   9gm.

Second Visit:

December 22, 1976. Ms. Chang’s case presented as before. I continued with the previous method with some additions and subtractions and gave her seven packages of the following prescription:

Chai Hu                     Radix Bupleurum               9gm.

Bai Ji Li                      Fructus Tribuli                   9gm.

Ba Yue Zha                Fructus Akebiae                 9gm.

Wang Bu Liu Xing     Semen Vacarri                9gm.

Ju He                          Semen Citri                 4.5 gm.

Ju Luo                        Vascularis Citri               4.5 gm.

Da Mai Ya                 Fructus Hordei Germinatis          15gm.

Shen Qu                    Massa Fermentata               9gm.

Jiao Dong Zhu            Scorched Rhizoma Atractylodis        4.5 gm.

Chao Chuan Xiong      Stir-fried Rhizoma Ligusticum      4.5 gm.

Zhi Ji Nei Jin        Honey fried Endothelium Galli Gigerii     9gm.

Hong Hua                   Flos Carthamis          9gm.

Chao Shan Zha             Stir-fried Fructus Cratagai         9gm.

Dang Gui Radix             Angelica Sinensis         9gm.

I gave Ms. Chang the above prescription with additions and subtractions according to her pattern for an interval of over two months. Her menstruation became regular and this year she became pregnant.

Discussion:

In terms of infertility and unsynchronized menstruation due to Liver depression and knotting, I use my proven prescription, Ii Mai San Tribulus Germinated Barley Powder. It has great, unsurpassed effectiveness for this category of pathology.

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