Polycystic ovary syndrome (PCOS) is one of the most common female endocrine disorders affecting approximately 5% to 10% of women of reproductive age. Main signs and symptoms range from bilaterally enlarged ovaries, hirsutism, oligomenorrhea, anovulation, obesity, infertility, virilism to insulin resistance. In this article, I would like to address the Traditional Chinese Medicine (TCM) approach of treating PCOS based on Dr. Giovanni Macioca, a world-renowned practitioner and author of many of the TCM textbooks.
 
According to Dr. Macioca, there are 4 phases of treatment principle for treating PCOS and they are as follows:
 
Phase 1 – Invigorate (“move”) blood and stops bleeding.
Phase 2 – Nourish blood and tonify the Kidneys (yin or yang) if there is a kidney deficiency. Almost always necessary in infertility, menorrhagia, endometriosis and PCOS.
Phase 3 – Tonify the Kidneys, strengthen Ren, Du and Chong Mai, if necessary, resolve dampness & tonify the Spleen.
Phase 4 – Move qi, invigorate blood and warm the uterus. If necessary expel cold, resolve damp-phlegm. This is also the best time to move qi and blood before the period and to warm the uterus to expel cold or to resolve damp-phlegm.
 
In addition, Dr. Macioca also recommends acupuncture for the treatment of different phases of PCOS as follows:
 
Phase 1: SP-4 (R), P-6 (L), KD-14, SP-10, SP-6, LV-3
Phase 2: LU-7 (R), KD-6 (L), Ren-4, KD-13, SP-6, BL-23
Phase 3: LU-7 (R), KD-6 (L), Ren-4, KD-13, SP-6, BL-23.  For dampness, add: ST-28, SP-9, Ren-9, BL-22
Phase 4: SP-4 (R), P-6 (L), SP-10, KD-14, LV-3, SP-6
 
He also explained PCOS is a deeper, more difficult condition than endometriosis from the Chinese point of view. So when treating patients with PCOS, you need to be patient and warn patients that it takes time to get results. I hope you find this treatment protocol useful and I’m keeping it in my treatment notebook for future reference. 
  
Reference
Giovanni Maciocia. The Use of the Three Treasures in Gynecology: Polycystic Ovary Syndrome. 2010. Eastern Currents. https://easterncurrents.adobeconnect.com/_a987661030/maciocia_20100921_pcos/