5 elements theory is one of the technique used by TCM practitioner to diagnosis the imbalance causes of infertility, it contains the diagnosis of "wind", "cold", "heat" "dry" and "damp" pathogens, in order to find out the underlying causes in treating infertility
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A. "Wind"
I. Definition
It is defined as qi obstruction in the body causing pain such as headache, sudden pain or blood obstruction including stroke and heart diseases.
III. Diagnosis
Wind-pathogen ( An agent that causes disease ), is belongs to the yang pathogen. It has the tendency expansing outward and upward and intruding the yang positions of the body. As wind, it moves quickly through out the body if there is any abnormal body motion leading to all the exogenous diseases the major cause of female infertility.
1. Sluggish Liver
Sluggish liver is caused by toxins accumulation over a long period of time leading to liver yin deficiency or blood deficiency resulting in obstruction of normal menstrual cycle, thereby increasing the risk of infertility in women. In men, the malfunction of the liver leading to reproductive disorder and pain in the testicle region.
2. Immune system
Weakened immune system is the main cause of extreme heat as resulting in infection and inflammation leading to sudden convulsions and high fever. The wind caused by extreme heat also interferes with sperm production in men. In women extreme heat wind may cause immune system to recognize sperm as foreign invasion and kill it.
3. Blood Deficiency
Wind which is caused by blood deficiency may cause over active of the uterine muscle leading to abnormal pain and cramps and increase the risk of infertility in both women and men alike.
Women who is diagnosis with infertility with explained causes, may have a wind problem in the abdominal region causing uterus muscle to contract leading to inability of uterine lining in fertilized egg implantation resulting in infertility and miscarriage.
B. "Cold"
I. Definition
Cold belongs to the Yin pathogen and it tends to impair yang qi causing coagulation and stagnation in blood and muscle contraction as well as a weakened immune system, kidney function, and slowing heart beat as a result of slow qi and lack of energy flow.
II. Diagnosis
1. Weakened immune system
Since cold is the prevalent climate in winter, it often obstructs defensive yang qi, leading to a weakened immune system in fighting against the forming of radicals, bacteria, and virus resulting in an increased risk of the production of an antibody antigen. In men, it increases the abnormal functions of the reproductive system in sperm production as a result of the immune system attacking the body's own sperm.
2. Blood stagnation and coagulation
According to traditional Chinese medicine yang qi is vital in regulating blood and fluid in the body. As cold invasion, it causes low temperature in the body leading to sluggish blood flow and body fluid causing blood coagulation and fluid retention in men. In women, cold pathogen increases the risk of abnormal muscle contraction and pain.
3. Toxins accumulation
As the cold strikes, it causes the muscular striae and the sweat pores to close leading to difficult movements of the muscle and increasing the risk of toxins accumulating resulting in sluggish liver and immune system which are vital for regulating abnormal cell growth such as tumour, adhesion, and implants in the uterus and testes.
C. "Heat"
I. Definition
According to traditional Chinese medicine heat-pathogen prevails in summer and pertains certainly to Yang. It tends to move upward and outward, impairs the body qi and fluid and is often accompanied by damp-pathogen
II. How heat pathogen effects fertility
Expose yourself in heat may increase the risk of energy overflow as well as speed up your body function leading to infection, inflammation and abnormal bleeding. Patient is considered heat are diagnosis with over flow of energy, skin diseases, qi interruption or inability of the body's organs to discharge enough toxins.
1. Kidney function
Since kidney is a second line defence of the body, accumulating heat in the body not only causes lost of fluid but also increasing the risk of kidney stone and abnormal function of kidney, if it is not treated. According to traditional Chinese medicine, kidney plays an important role in men and women reproductive function, deficiency of kidney yin, increasing the risk of sperm production and quality of sperm in men and distorting the normal menstrual cycle in women.
2. Liver function
Liver plays a vital role in regulating the production of certain hormone in the prostaglandins family, fire liver as abundant yang qi causes abnormal function of liver and wakes up the liver diseases leading to menstrual pain and cramps for women, distorting the menstrual hormone production and decreasing the chance of infertility. In men, it may cause abnormal ejaculation and sperm count.
Abnormal liver function also causes abnormal function of spleen, the vital organ for the reproductive system which plays an important role for conception.
3. Blood flow
Heat pathogen interferes with blood circulation in the body, most people with heat pathogen have symptoms of high blood pressure. Since it increases the blood flow uncontrollably, it causes not only nervous tension that can disturb women menstrual cycle, but also increases the risk of abdominal swelling and breaking off of the small vein leading to vagina abnormal bleeding in women. In men, it causes low sperm count.
4. Immune system
Since heat pathogen increases the heat in the body which causes lack of the yin and out flow of energy, leading to weakened immune system resulting in increasing the risk of infection and inflammation that cause accumulation of free radicals and irregular cells growth, thereby increasing the risk of infertility.
D. "Dry"
I. Definition
Pathogenic dryness prevails in autumn. This pathogen is dry in nature, tends to impair body fluid and the lung.
II. How dryness pathogen effects fertility
1. Lymphatic and kidney problem
Since dry is considered as dehydration, it causes abnormal lymphatic and kidney function, leading to more fluid loss, thereby, increasing the risk of dry skin, cervical mucus production, risk of kidney stone and infection of the urinary tract.
2. Respiratory system
Our lung requires moisture to function better, dryness decreases the lung function in oxygen absorption leading to weakened immune system in fighting the forming of free radicals, bacteria and virus and increasing the risk of nervous tension in hormone secretion, thus distorting the menstrual cycle and lowering sperm count.
3. Immune system
It may also increases the risk of abnormal white blood cells production, leading to over production antigen antibody attacking a man's own sperm and increasing the abnormal allergic reaction resulting in thickening cervical mucus.
4. Heart problem
Dryness pathogen makes the blood thicker than normal, thereby besides causing the heart to work harder leading to heart disease, but also making the blood to enter the capillaries more difficult resulting in interfering with ejaculation in men and abdominal blood stagnation in women.
E. "Damp"
I. Definition
Damp-pathogen is defined as a yin pathogen, it obstructs the flow of qi and damages the yang qi.
II. How damp pathogen effects fertility
1. Lymphatic and kidney function
Damp pathogen besides decreases the lymphatic function in regulating the body's fluid, leading to fluid remaining in the body tissue and causing weigh gain and breast tenderness as resulting of over production of certain hormones which distort the menstrual cycle in women. It also increases the abnormally urinary secretion causing weakened kidney that has directly effected in reproduction of sperm and erection.
2. Digestive system
Deficiency of yang qi increases the risk of digestive disorder that causes digestive system abnormality in absorbing vital vitamins and minerals resulting in nutrients deficiency, leading to hormone imbalance and increasing the risk of irregular menstrual cycle in women and test functions in sperm production.
3. Spleen qi deficiency
According to traditional Chinese medicine damp also attacks the yin localities, leading to spleen qi deficiency that causes damp pathogen symptoms resulting in insulin production disorder symptoms such as loss of energy, dizziness, decreases the production of red blood cell and increases the risk of abdominal pain and cramps in women and distorts the function of reproductive system in men.
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