Anti-Müllerian Hormone (AMH) is the molecular biomarker of the ovary relative amount of the ovarian reserve. Clinically, the quality of the ovum and the ovarian reserve decreases as the increasing of the women’s age. Thus, age is one of the predominant factors in infertility. According to the previous review, the capacity of fertility in 35 year-old- woman is one half of the 25 year-old-woman. The insufficiency of the ovarian reserve can be the predictor of the ovary aging, and this indicates the kidney yin vacuity and leading to both yin-yang vacuity in TCM theory.
This is a patient of 37 year-old woman who married more than three years and was diagnosed as infertility related to low level of AMH, and searching for the Western Medicine treatment with ovulation induction medicine for two times but in vain. She came to TCM clinic for help, and we found that she has the wind cold fettering the lung and both kidney yin yang vacuity pattern in TCM diagnosis. We nourished her kidney and adjusted the problem of the lung which contracting with cold and transforming into heat during the menstrual period, and finally she pregnant successfully. We provide the thinking process of the case and hope it can give a reference to other TCM doctors in clinical.