Anovulation from deficiency is due to a lack of one or more of the substances essential for the Ren and Chong Mai to function and we provide four differentiations. The other causes of anovulation come from dysharmonies of substances that then obstruct the transformation of Yin to Yang at ovulation.
Ovulation marks the point “double Yin” transforms to Yang, when the accumulation of Yin substances in the dominant follicle accelerates from the influence of the luteinising hormone surge. This encourages the egg to detach from the follicle wall and the volume of fluid in the dominant follicle increases rapidly, with the follicle swelling until it bursts and releases the mature egg in about 15ml of fluid: Yin has transformed to Yang and the structure that was the dominant follicle changes to become the corpus luteum, which now produces the Yang hormone progesterone and the luteal phase starts.
Deficiency can arise from:
i Professor Yuning Wu (Director of the Beijing Obstetrics and Gynecology Committee)
ii ‘Treatment of infertility with Chinese medicine’ Jane Lyttleton. Churchill Livingstone. 2004 (p201-202)