that area. Underlying these two conditions, there was also a deficiency
of the Kidneys.Treatment principle This patient's condition was very complex due to the presence of
endometriosis, ovarian cyst and uterine myoma. The ovarian cyst was
too large to be dissolved with herbal treatment but she did not want an
operation. I therefore agreed to treat her in order first of all to tonify the
general body condition, secondly to treat the endometriosis, and thirdly
to attempt to shrink the cyst. The treatment principle was to move
Liver-Blood, eliminate stasis in the uterus, resolve Damp-Heat and
tonify the Kidneys.
She was treated only with herbs and the formula used was a variation of
the two formulae Gui Zhi Fu Ling Wan Ramulus Cinnamomi-Poria Pill
and Si Miao Tang Four Wonderful Decoction:Gui Zhi Ramulus Cinnamomi cassiae 6 g
Fu Ling Sclerotium Poriae cocos 9 g
Chi Shao Radix Paeoniae rubrae 6 g
Mu Dan Pi Cortex Moutan radicis 6 g
Tao Ren Semen Persicae 6 g
Huang Bo Cortex Phellodendri 6 g
Cang Zhu Rhizoma Atractylodis lanceae 6 g
Yi Yi Ren Semen Coicis lachryma jobi 10 g
Niu Xi Radix Achyranthis bidentatae seu Cyathulae 6 g
Dang Gui Radix Angelicae sinensis 6 g
E Zhu Rhizoma Curcumae zedoariae 4 g
Tu Si Zi Semen Cuscutae 6 g
Lu Lu Tong Fructus Liquidambaris taiwanianae 4 gExplanation The first 9 herbs constitute the two root formulae.
Dang Gui was added to nourish and move Blood.E Zhu strongly moves Blood and dissolves masses.Tu Si Zi was added to tonify Kidney-Yang.Lu Lu Tong moves Qi and Blood, resolves Dampness and dissolves
masses. It is specific for ovarian cysts.This formula was used, with some variations, for about 9 months. After
this time, her condition improved in so far as her periods were more
regular, not painful and the blood was not clotted. The ovarian cyst also
was reduced in size. Afterwards, the prescription was changed,
introducing more tonifying herbs such as Bai Zhu Rhizoma Atractylodis
macrocephalae and Dang Shen Radix Codonopsis pilosulae. This