Infertility is an issue of worldwide concern for human reproductive health and a common and frequent disease in gynecology that is difficult to treat. After thousands of years of development, Chinese medicine has formed a complete theoretical system and accumulated rich clinical experience in the field of regulating menstruation and helping pregnancy. According to Chinese medicine, the physiological activities of human organs, meridians and qi and blood are closely related to the operation of the sun and moon and the changes of the four seasons. The menstrual cycle is a reflection of the rhythm of the changes of yin and yang, qi and blood in the physiological process of women. The kidney is the essence of yin and yang, the essence of the main reproduction, menstrual water out of the kidney, in the leading role of the kidney and the secretion to the role of the sky sebum, punching the uterus to occur in the cycle of yin and yang qi and blood changes. Only when the kidney is strong, the qi and blood are abundant, and the rushing of any passages is full, the menstruation is as scheduled, and the two sperms are fighting each other, can pregnancy occur. If the changes of Yin, Yang, Qi and Blood are disturbed, it will cause menstrual disorders and infertility. Chinese medicine treatment is based on the theory of Chinese medicine that “the kidneys store sperm”, “the kidneys are the master of reproduction”, “there is a time when a woman’s blood is in surplus and in deficit”, and “the kidney qi – tiankui – ramifications – uterus axis”. It has been reported that kidney tonic therapy has a biphasic effect on the function of the female gonadal axis, improving the reproductive endocrine hormone environment and the regulation of the hypothalamic-pituitary-ovarian axis. Kidney tonic therapy can improve ovarian reserve, increase the sensitivity of patients to gonadotropins, increase the number of eggs obtained, improve egg quality, and increase the implantation rate and pregnancy rate of assisted reproductive technology. In the book “Women’s Science”, it is said that “the male sperm is strong and the female menstruation is regulated, the way to have children.” As stated in the “Spiritual Pivot – Determining the Qi”, “two sperms will fight each other to form a union”, both of which refer to the fullness of the innate sperm of both men and women, and the ability to conceive when they have intercourse at the dense time of waiting. The fullness of innate sperm in both men and women is an important condition for conception and for ensuring the quality and developmental potential of the embryo. Chinese medicine believes that the kidneys store sperm and are the main source of reproduction, which is the origin of the innate nature; meanwhile, the stomach is the main source of reception and the spleen is the main source of transportation and transformation, which are the source of biochemistry of qi and blood, which is the origin of the postnatal nature. The medical words of Xiang Yi sugar said: “Women are good at pregnancy and more depression, and sex like bias, so the liver disease, especially a disease of the liver meridian, then the irregularities of the month, difficult to give birth.” The liver is a fundamental part of a woman’s nature, and the liver collects blood, and is the main organ for draining, so if the liver is depressed and stagnant, it can also contribute to the occurrence of infertility in women. In summary, infertility is closely related to the liver, spleen, kidneys and the three organs, so the treatment of infertility in Chinese medicine should be based on the security of the five organs, the circulation of qi and blood, and the regulation of menstrual seeds, so that pregnancy and fertility can be achieved. Combining the physiological viewpoints of Chinese and Western medicine, we use menstrual cycle therapy with the basal body temperature table to correctly use various Chinese medicines and adopt the method of tonifying the kidneys and regulating the week, that is, centering on the kidneys, and specifically dividing the treatment into four periods: postmenstrual, preovulatory, premenstrual and menstrual. (1) Menstrual period (1-5 days of the menstrual cycle): to regulate the Qi and move the blood mainly and nourish the blood at the same time. (2) Late menstruation (days 6-10 of the menstrual cycle): tonifying Kidney-Yin to promote endometrial growth. (3) Pre-ovulation (day 11-14 of the menstrual cycle): the follicles are maturing. In addition to tonifying Kidney-Yin, it is necessary to add products to warm Kidney-Yang and regulate Qi and invigorate Blood. (4) Pre-menstrual period (day 15-28 of the menstrual cycle): tonifying Kidney-Yang and tonifying Kidney-Yin to maintain luteal function. Clinical application of the above 4 phases of treatment, all need to be added and subtracted according to the symptoms (disease). However, clinical evidence shows that treatment for anovulation should focus on the late menstrual period to promote follicular maturation and ovulation, and for luteal insufficiency should focus on the premenstrual period to improve luteal function. Chinese medicine can often determine the symptoms of a woman’s body through the volume, color and cycle of her menstruation. Chinese gynecology believes that it is necessary for women with changes in menstrual volume and cycle to seek immediate treatment from a Chinese medicine doctor, not necessarily when they are ready to get pregnant. 2. Timely intercourse A woman’s ovulation date is usually around 14-16 days before her next menstrual flow. The egg can survive 1-2 days in the fallopian tube after being discharged from the ovary to wait for fertilization; the man’s sperm can maintain fertilization ability in the woman’s reproductive tract for 2-3 days, so intercourse is easy to conceive in the days before and after the egg is discharged. The normal human body temperature will rise by 0.3-0.5°C after ovulation under the effect of progesterone for 14 days, and then the body temperature drops. During the treatment period, basal body temperature is taken to know the ovulation situation, and combined with the observation of leukorrhea, urinary luteinizing hormone is checked to guide the arrangement of intercourse during the ovulation period. If the temperature only rises for three to five days and then drops, or if there is no sign of a rise all the time, this indicates that there may be a problem with ovulation. Then you need further examination and then treatment for the evidence. 3, warming the uterus There is a saying in Chinese medicine that a cold uterus is infertile. The uterus is like a warm room for the fetus if the coldness in the uterus is contained, then the fetus will not be able to grow. In order to prevent uterine cold, women should pay special attention to protect the small abdomen warm. Especially women who work under direct air conditioning, and those who sit still a lot, should pay more attention to keeping their abdomen and lower body warm. Chinese gynecology tips:Women love beauty by nature, but they should also pay attention to adjusting their dress according to the seasonal changes, and they should pay attention to keeping their lower body warm, especially their feet and abdomen. Do not let yourself get cold, only when the body is warm, the qi and blood will flow smoothly. The causes of infertility are diverse and not only limited to physiological dysfunction, but also involve the patient’s psychological factors and personality traits. In Chinese medicine, it is said that “women are jealous and infertile”. This means that narrow-mindedness, frequent anger and jealousy may lead to liver qi stagnation, which may affect the spleen and prevent conception. Don’t be too impatient about anything, as a strong temper can easily lead to qi stagnation. Keeping yourself calm and quiet at all times will help you conceive smoothly. The treatment of male infertility in TCM is usually of the type of qi deficiency or kidney essence deficiency. According to the type of evidence, we can use the treatment of tonifying Zhong Yi Qi Tang, Wuzi Yan Zong Wan, Ba Wei Di Huang Wan and Zuo Gui Drink to increase the number of sperm and sperm motility. Because of the different physical conditions of the patients, although the causes of infertility are the same, attention should be paid to the differentiation in the process of dietary management, which should be adjusted according to the evidence and the time of the patient. 1. The diet of the patient should be comprehensive and should not be partial or picky. At the same time, the diet should be regular and moderate, not to overeat and not to drink alcohol. 2, for patients with clinical manifestations of kidney yang deficiency, dietary measures such as mutton, pork loin, animal placenta can be taken to help patients warm yang and tonify the kidneys; for patients with clinical manifestations of kidney yin deficiency, appropriate supplementation of snapper, cuttlefish, black and white fungus and other foods can be used; tonify the kidneys and benefit essence and blood: leek, black beans, walnut, longan meat, Chinese wolfberry, sea cucumber, etc. For patients with clinical manifestations of liver depression, they should be instructed to eat as little sour and astringent food as possible, and a decoction of Buddha’s hand flower and acacia flower can be used to help them relieve liver depression; for patients with spleen deficiency and phlegm-dampness type, they should be prohibited from eating foods with high fat and sugar content, and take more spleen-strengthening and qi-enhancing types of grains, brown rice, gorgonians, wheat, dates, etc. Can also take related weight loss measures, but can not take weight loss drugs, so as not to trigger menorrhagia or amenorrhea. 3, uterine cold diet regimen uterine cold patients eat less cold food, such as watermelon, pear, pork, mung beans, rock sugar, bitter melon, etc., even after heating the essence is still cold. If you make it a habit, you can drink a cup of ginger tea (a piece of ginger, brewed with boiling water, drink it while it is hot) before meals, it can actively dissolve the cold food or cold food in the cold, in the diet for your uterus gatekeeper. ① Chicken cooked with motherwort: a chicken (black bones and white hair is good), motherwort 500g (divided into 4 parts, a wine, a vinegar, a ginger juice, a Chuanxiong juice each soaked and fried dry). Put the prepared motherwort into the chicken tang and boil it in clear soup, the chicken will eat it lightly, or send it down with wine. The chicken bones and the dregs of the medicine are roasted and dried to make a powder, add 120g of gingko, 60g of sequestra and 18g of ginger to make a powder, and make a pill with refined honey, each pill is 9g. take one pill in the morning, one in the afternoon and one in the evening daily. Mainly used in the treatment of prolonged infertility. Saffron pregnant egg: take 1 egg, beat a mouth, put saffron 1.5g, stir well and steam it. Then wait for the next day of the next menstrual period and start again, and continue to take it for 3 to 4 menstrual cycles. It mainly treats infertility with Qi deficiency and stasis. Chinese herbalists usually select two acupuncture points (Qi Hai point 1.5 inches straight down from the navel and Guan Yuan point 3 inches straight down from the navel) and use moxa sticks to smoke for 30 minutes daily. Exercise can improve the body’s constitution. Half an hour of walking every day can improve circulation. The foot can be soaked with mugwort, Chen Pi, ginger, safflower and cinnamon sticks on weekday evenings to stimulate the meridians and acupuncture points on the soles of the feet and warm the whole body by spreading cold and dampness. Infertility patients are anxious to have a baby and are physically and mentally stressed, but do not take drugs indiscriminately or abuse supplements on your own. The efficacy of treatment should be ensured under the guidance of a doctor.