Questions about cysts, tea pills, and liver enzymes

So first, without knowing the brand I can’t comment much on the relative safety of the teapills you are using. That said, your doctors arguments are generally not based in science or any obvious understanding of how Chinese Medicine formulations are created. Regardless if you are in the US, the controls are quite significant for the formulas sold by companies based here, so properly prescribed there is essentially no known cause for concern on the level of liver or kidney damage.

It seems like your practitioner is likely on track, maybe a little meandering, but on track all the less. Technically wen jing wan is from the invigorate the blood and dispel blood stasis category. So outside of the english “warm the cycle” - it’s actually more moving than warming per se - in short I would defer to the experience of your practitioner whether or not it is too moving, etc. for you. Certainly an off cycle or two when working with fibroids is not uncommon.

All that said, many of your deeper issues from my read of it should have been in much better shape after 1.5 years of treatment had the practitioner had a good idea of the way they tie together. No real judgement on your current practitioner, but it might be worthwhile to see if there is someone with more experience in your area. Within 1.5 years, without a wild family history or a complete lack of any dietary/exercise control, you shouldn’t still have all of those metabolic issues. This is important to regulate because, generally speaking, pcos is more of a metabolic issue than it is anything else. Accordingly, to treat it you have to treat all of you - that’s just how Chinese Medicine works. I get the sense from what you are describing that your practitioner has been doing reasonably well, but maybe staying too near the surface and not getting deep enough.