Clinical Research On Regulating Liver And Acupuncture Combined Treatment Of Functional Hypothalamic Amenorrhea (FHA)

Background:Functional hypothalamic amenorrhea (FHA) is the most important secondary amenorrhea type of disease plagued by many women; The Chinese Medicine treatment of amenorrhea has thousands of years of history, to discover the treatment of Chinese Medical on this disease with significance.Objective:To analyze the Functional Hypothalamic Amenorrhea (FHA) with depression syndrome (Stagnation of the Liver on TCM) and its distribution. Observe Liver treatment efficacy and its advantages of this disease。Methods:1.76patients selected by Chuen Tak Tong Chinese Medicine Clinic (Hong Kong), A retrospective research methods summing up the clinical cases of Functional Hypothalamic Amenorrhea (FHA) on Chuen Tak Tong Chinese Medicine Clinic (Hong Kong), To acquisition, induction, consolidation with the clinical symptoms to analyze and explore Functional Hypothalamic Amenorrhea (FHA) mechanisms on Chinese Medicine with the main and relatived symptoms. Investigate and discuss the different factors related syndromes on this disease.2. The before and after treatment were prospectively evaluated of28patients by use of regulating Liver acupuncture combined Chinese Medicine treatment. Using "Chaihu Shugan Powder" plus related herbs with regulating liver and blood nourishing methods, selected six of acupunture points for the treatment, The clinical cases were selected by Chuen Tak Tong Chinese Medicine Clinc (Hong Kong). Observation on two courses (three months for one course).Results:1. Stagnation of the Liver on TCM is important syndromes on Functional Hypothalamic Amenorrhea (FHA). Which Kidney deficiency syndrome on TCM (21Cases,27.6%) and Stagnation of the Liver on TCM (19cases,25%) are the main syndromes and second syndromes followed by Stasis syndrome on TCM, Spleen deficiency syndrome and Phlegm damp syndrome (21.1%,14.5%and11.8%). Stagnation of the Liver on TCM not only the main syndrome, but also in other related syndromes of functional hypothalamic amenorrhea and is a variety of the most common and related syndromes in all types on Functional Hypothalamic Amenorrhea (FHA).2. In the analysis of distribution and related factors, younger patients showed Kidney deficiency syndrome on TCM, Stagnation of the Liver on TCM and Spleen deficiency syndrome on TCM more than the older patients, older patients with Phlegm damp syndrome on TCM and Stasis syndeome on TCM more than younger patients; Patients shown shorter durarion of Functional Hypothalamic Amenorrhea (FHA) most likely with Stagnation of the Liver on TCM, while patients with longer duration of Functional Hypothalamic Amenorrhea (FHA) that manifestations of Phlegm damp syndrome on TCM and Stasis syndeome on TCM. Predisposing factors of emotional factors as Functional Hypothalamic Amenorrhea (FHA) and the relationship of Stagnation of the Liver on TCM was closer.3. Regulating liver with acupuncture combined Chinese Medicine treatment of Functional Hypothalamic Amenorrhea (FHA) total effective rate was71.43%. Efficacy factors analysis found that different syndrome types and age differences may affect the efficacy. In comparison, patients with pure Stagnation of the Liver on TCM shown the best results on TCM treatment, total effective rate was71.43%. The treatment Relative decline with syndeome of Kidney deficiency syndrome on TCM and Stasis syndeome on TCM, for the young patients group with best result, the total effective rate was75%, older patients with relatively poor efficacy, total effective rate was66.67%; the differences in the course of the disease Regulating liver with acupuncture combined with Chinese Medicine treatment shown significantly on efficacy, the duration less than one year with received treatments patients is better than the course of the disease is over than1year patients, the total effective rate was80%.4. Regulating liver with acupuncture combined with Chinese Medicine treatment of Functional Hypothalamic Amenorrhea (FHA) therapy is improving the efficacy of obvious symptoms of Stagnation of the Liver on TCM, the result was significant (P<0.05). The above methods improve the level of FSH and LH, the result also significant. Regulating liver with acupuncture combined with Chinese Medicine treatment promoted the Basic Body Temperature (BBT) into a single phase after treatment with atypical way in8cases, improvement rate28.57%,12cases into a typical way improvement rate42.86%, the total effective rate was71.43%. The mean of temperature difference and the rate of increase was shown significantly (P<0.05). Conclusion:Stagnation of the Liver on TCM is important syndromes on Functional Hypothalamic Amenorrhea (FHA).The distribution of syndromes is relationed of the age, the course of the disease and the emotion.Regulating liver with acupuncture combined Chinese Medicine treatment of Functional Hypothalamic Amenorrhea (FHA) was effective.