Kaleb’s Hot type PCOS (Lower Burner Damp Heat)



Lian Qiao – forsythia fruit – Fructus Forsythiae Suspensae
Pu Gong Ying – dandelion – Herba Taraxaci

Bai Hua She She Cao – oldenlandia/heydyotis – Herba Hedyotis Diffusae

Hou Po – magnolia bark Cortex Magnolia Officinalis
Zhi Shi – unripe bitter orange – Fructus Aurantii Immaturus
Da Huang – rhubarb root and rhizome – Radix et Rhizome Rhei

Rou Gui cinnamon bark – Cortex Cinnamoni
Sheng Di – Chinese foxglove root – Radix Rehmania Glutinosa
Suan Zao Ren – sour jujube date seeds – Semen Ziziphi Jujube Spinosae
Yuan Zhi – thinleaf milkwort/Chinese senega – Radix Polygalae
Dan Shen – salvia Root Radix Salviae Miltorrhizae

Gan Cao – licorice root – Radix Glycyrrhiza

Polycystic Ovarian Syndrome is a multifaceted complex problem. Its incidence is also on the rise. In my practice I work mainly with female reproductive system problems. Over the years I have seen a lot of PCOS! At times over 1/2 of my patients can have PCOS.

As you know there are 2 general types of PCOS, heavy type and thin type. On one hand these woman do not seem to have much in common besides the PCOS. The heavy type usually present with extra weight, thinning hair, and blood sugars that are in diabetes-like range. Generally the thin-type aren’t overweight and have normal blood sugars. The one connection they have is often acne.

 This got me thinking about Heat as a major involvement in their patterns. As you know heat can create dampness. It’s like the body encapsulates the heat in dampness, creating cysts, in order to protect the body from the Heat. Often these women also have fibrocystic breasts and history of other cysts (mumps, sore throats, fibroids, cysts etc)

So I used skin formula ideas with clearing toxic heat herbs and moving and clearing the Lower Jiao to create this beauty:)


As with most skin diseases in which the Heat is lodged deeper in the body (eg Blood), often this can make the skin condition worse for 1 – 3 months, until the body clears out the accumulated Heat. IT IS VERY IMPORTANT to tell your patient this before giving this formula to them. Managing patient expectations is key to keeping your patients happy and willing to continue taking the treatment! This formula clears her internal heat and Lower Jiao Blood Stasis out through the bowels, so warn her it could make her bowels loose and more frequent but this is a good thing.

If you get the pattern correct, this can get a non-ovulating PCOS woman with no periods back having a period in a month or two! Might need to combine with other formulas if there is significant Yang Deficiency.


Contraindicated – this clears excess heat and Blood Stasis from the Lower Jiao so combine  with other formulas if there is significant Deficiency of any of Qi, Blood, Yin or Yang

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