(Disclaimer: This article is for popular science purposes only, and the relevant information in the following content has been processed to protect patient privacy.) Abstract: Do not be overly alarmed by infertility after miscarriage, and try Chinese medicine treatment. In this case, the patient was depressed due to multiple miscarriages, resulting in damage to kidney qi and subsequent infertility. After consultation, the doctor promptly treated the patient with a combination of Chinese and Western medicine sequential therapy to tonify the kidney essence, regulate the qi and blood, and de-stress the liver and qi, resulting in a successful pregnancy. After the pregnancy, she was treated with a combination of traditional Chinese and Western medicine and actively preserved the fetus with definite results. [Basic information] Female, 30 years old [Disease type] Infertility, recurrent miscarriage [Attending hospital] Affiliated Hospital of Shanxi University of Traditional Chinese Medicine [Attending time] July 2021 [Treatment plan] Combined Western and Chinese medicine sequential therapy: for the first 3 months, tonifying kidney essence, regulating qi and blood, and draining liver and qi (Radix Angelicae Sinensis, Rhizoma Ligustici Chuanxiong, Cornu Cervi Pantotrichum, Fructus Lycii, Radix Rehmanniae Praeparata, Radix Ligusticum Ligusticum, Acetic Acid Turtle A, Radix Bupleurum, Radix Paeoniae Alba)) + folic acid tablets; After 3 months of treatment, folic acid tablets + Chinese herbal medicine (fried Atractylodes, fried yam, Eucommia, Sequoia, Sambucus, Epimedium, Radix Codonopsis, Radix Codonopsis, Radix Paeoniae Alba, Radix Bupleuri, Radix Rehmanniae Sinensis, Radix Rehmanniae Sinensis, Radix Rehmanniae Sinensis, Radix Cuscutae, Radix Bupleuri); after pregnancy, tonifying the spleen and kidneys, consolidating the flush and calming the fetus (fried Atractylodes, fried yam, Eucommiae Sinensis, Sequoia, Cuscutae, Radix Bupleuri) + progesterone injection to preserve the fetus [Treatment cycle] 3 months of outpatient treatment, regular outpatient checkup after pregnancy [Treatment effect] regulation After 3 months, she conceived successfully and is now 7 months pregnant. I. Initial interview This is a 30-year-old female patient who first visited the clinic on July 15, 2021. We asked the patient about her past medical history and learned that she was found to be pregnant for 3 months 1 year ago and had an abortion, followed by 3 months of contraception after abortion. The patient reported regular menstruation with a 25-day menstrual cycle lasting 6 days each time, medium volume, red color with a small amount of blood clots, and also slight dysmenorrhea. The patient had one spontaneous miscarriage in 2018 and this last menstruation was on July 13, 2021. At the time of consultation, the patient’s tests were completed, including sex hormone six, eugenics five, immune antibody four and genetic testing for folate metabolism, homocysteine, and ultrasound. Physical examination: the patient was depressed, with a red tongue, thin white fur and thin pulse. The patient was considered to be suffering from infertility and recurrent miscarriage due to deficiency of spleen and kidney, and liver qi stagnation. After the patient’s laboratory results came out one after another, it was found that the patient’s sex hormone six items, eugenics five items and immune antibody four items were all normal, and the results of folic acid metabolism gene test were CT type and homocysteine level was increased to 4.6 mg/L. We explained the situation to the patient and her family that this kind of infertility was a complicated disease and needed to take traditional Chinese medicine (Angelica sinensis, Chuanxiong rhizome, JiuYuYuMi, Fructus lucidum, Fructus lucidum) first, After 3 months of treatment, the patient’s homocysteine level returned to normal. She continued to take folic acid tablets and traditional Chinese medicine (fried Atractylodes, fried yam, Eucommia, Radix et Rhizoma, Radix et Rhizoma, Epimedium, Radix Codonopsis, Radix Paeoniae Alba, Radix et Rhizoma Chai Hu, Radix et Rhizoma Chrysanthemi, Radix et Rhizoma Lutong), and started to monitor her follicles. The result was a successful conception. After pregnancy, the patient was given herbs for kidney consolidation and fetus stabilization (fried white atractylodes, fried yam, eucommia, sequestra, cuscuta and bacopa monniera) and progesterone injection to preserve the fetus until 12 weeks, and the medicine was stopped after the fetus and the pregnant woman were checked to be normal. In summary, the patient was successfully conceived after 3 months of treatment, and is now 7 months pregnant. After the treatment, the patient successfully conceived and experienced the feeling of being a parent, and we are sincerely happy for the patient. However, the patient still needs to pay attention to the following points in the future: 1.Scheduled maternity checkups, once any discomfort occurs, such as abnormal fetal movement, abdominal pain, vaginal bleeding and other symptoms, do not take it lightly and go to the hospital promptly; 2.If you are planning to have a second child, before your next pregnancy, you should pay attention to endocrine and uterine malformation examinations to exclude the interference of the above factors, and you should also pay attention to avoid the time period of previous miscarriages to prepare for pregnancy to avoid The patient should also pay attention to avoid the time period of the previous miscarriage to prepare for the pregnancy to avoid the recurrence of miscarriage. V. Personal insight Infertility due to miscarriage is a common clinical condition in fertile women, and this case is due to multiple miscarriages. According to Chinese medicine, the kidney is the essence of reproduction, and the innate essence stored in the kidney originates from the reproductive essence of the parents, which is the original material that constitutes the development of the embryo, and the strength of the kidney essence determines the potential of the embryo. This case of two miscarriages indicates that the patient’s congenital deficiency of kidney essence, coupled with the heavy burden of two miscarriages, has led to infertility. Therefore, the treatment should first replenish kidney essence, regulate qi and blood, and dredge liver qi, and wait until kidney essence is sufficient and liver qi conditions are met before preparing for pregnancy, which can improve the chances of pregnancy and may even lead to conception in one go.