habitual miscarriage

May 1, 2007

I have a question for other acupuncturists regarding their treatment of habitual

miscarriage. One of my patients is a 32 year old woman who has had 3

miscarriages in the past 2 years. They have been between week 6-10 and with no

other symptoms (abdominal pain, back pain, etc.). She was coming to see me for

fertility and to prevent future miscarriages. She is now pregnant again and

wants help keeping it and going to term.

I have been referencing the Obstetrics and Gynecology TCM book which lists

patterns, points and formulae but was wondering how others would handle a

situation like this.

Thanks!

--A.J. Sarrat, L.Ac

May 1, 2007

Hi AJ,

The formula that comes to mind always in the case of threatened miscarriage is

Tai Shan Pan Shi San. But as always, you need to determine the pattern and

treat the person not the condition. TSPSS treats specifically Qi and Blood

vacuity, but it's a great basic formula to prevent miscarriage and just needs to

be modified to reflect the individual patient.

Good luck,

Yehuda

Allan Sarrat <aj_sarrat wrote:

I have a question for other acupuncturists regarding their treatment

of habitual miscarriage. One of my patients is a 32 year old woman who has had 3

miscarriages in the past 2 years. They have been between week 6-10 and with no

other symptoms (abdominal pain, back pain, etc.). She was coming to see me for

fertility and to prevent future miscarriages. She is now pregnant again and

wants help keeping it and going to term.

I have been referencing the Obstetrics and Gynecology TCM book which lists

patterns, points and formulae but was wondering how others would handle a

situation like this.

Thanks!

--A.J. Sarrat, L.Ac

May 1, 2007

Mr. Serrat,

In a case like this it is almost impossible to rely on syndromes/patterns.

As Mr. Frischman states It is crucial that the cause for the spontaneous

abortion is established - most likely a constitutional problem with

additions of emotional and maybe environmental/lifestyle issues.

In the MaiJing, Wang Shu He suggests a system in which individual meridians

control a certain periods of a pregnancy. The time for your patients

spontaneuos abortion lies around the the 3rd and 4th month of pregnancy

(rember that in Asia a pregnancy is considered to last ten month)

corresponding to PC and SJ respectively implying a Ming Men problem.

Constitution is then most likely to be in the Kidney system (guessing Kid

Yin def heat with kidney Yang def). Can be verified through pulseexamination

and symptoms/signs.

If the above is the case then Needling Yüan source points would probably be

good (ie Lu9, Kid 3, Ht7, Sp3, St42,) with fairly superficial and short

needleretention - only till pulses change. But avoid needling PC and SJ

channels since they are likely to be deficient and can be rather delicate

during pregnancy, I find.Moxabustion on the channels (SJ/PC) at deficient

(points that the finger " fall into " when meridian is palpated) would

probably be a good disposition - a fairly large number of small cones will

probably be alright - check pulses..

The immediate purpose - if there are no other symptoms - in treatment here

is to get as close as possible to getting a pulse which is even in rythm and

distribution, slightly slippery and slightly rapid, fairly strong in the Kid

and Ming Men positions all moderated by ST Qi. If you manage to bring out

this pulseimage she should be alright.

....from an acupoint of view...

Hope this helps

Best regards,

Thomas Sorensen

---

Althea Akupunktur & Massage

Albanigade 23A, Kld.

5000 Odense C

Denmark

Tlf.: (+45) 31 25 92 26

info

www.orientalskmedicin.dk

May 1, 2007

These may be intesesting links for you.

_http://news.bbc.co.uk/2/hi/health/3971855.stm_

(http://news.bbc.co.uk/2/hi/health/3971855.stm)

_http://en.wikipedia.org/wiki/Human_chorionic_gonadotropin_

(http://en.wikipedia.org/wiki/Human_chorionic_gonadotropin)

In a message dated 5/1/2007 1:11:09 AM Eastern Daylight Time,

aj_sarrat writes:

I have a question for other acupuncturists regarding their treatment of

habitual miscarriage. One of my patients is a 32 year old woman who has had 3

miscarriages in the past 2 years. They have been between week 6-10 and with no

other symptoms (abdominal pain, back pain, etc.). She was coming to see me for

fertility and to prevent future miscarriages. She is now pregnant again and

wants help keeping it and going to term.

I have been referencing the Obstetrics and Gynecology TCM book which lists

patterns, points and formulae but was wondering how others would handle a

situation like this.

Thanks!

--A.J. Sarrat, L.Ac

************************************** See what's free at http://www.aol.com.

May 1, 2007

A.J.:

As I read this I was a first thinking SP, the ability to hold things up. This

would need to be strengthened. Then of course KI comes to mind - continue to

reinforce (This is all predicated, of course on your tongue and pulse

diagnosis).

The other big issue here is LU and LI, the Metal element. This woman has been

through a lot of loss in 2 years. I would check into it, in her presentation,

and integrate these points if you feel it fits her picture.

Anne

-------------- Original message ----------------------

Allan Sarrat <aj_sarrat

> I have a question for other acupuncturists regarding their treatment of

habitual

> miscarriage. One of my patients is a 32 year old woman who has had 3

> miscarriages in the past 2 years. They have been between week 6-10 and with no

> other symptoms (abdominal pain, back pain, etc.). She was coming to see me

for

> fertility and to prevent future miscarriages. She is now pregnant again and

> wants help keeping it and going to term.

>

> I have been referencing the Obstetrics and Gynecology TCM book which lists

> patterns, points and formulae but was wondering how others would handle a

> situation like this.

>

> Thanks!

> --A.J. Sarrat, L.Ac

>

May 1, 2007

i think Lifang's book (AC and IVF) has a " protocol " for once the woman has

concieved to prevent miscarriage

something like GV 20 Gv24.5 SiShen Cong and the auricular point half way

between the LR and SP points?

anyone think this sounds familiar? anyone have success with this?

Beth Grubb

Licensed Acupuncturist

Certified Animal Acupuncturist

410-591-2644

beth

www.bethgrubb.com

************************************** See what's free at http://www.aol.com.

May 1, 2007

I've treated two cases where there was clear heart spleen patterns and the

treatment rational I came up with was insufficient heart blood leading to a

failure to nourish the fetus via bao mai. Both cases carried to term and had

healthy children. Both of these people were otherwise fairly healthy, a bit of

blood vacuity and a little liver-spleeny, anxiety that was obviously focused

around their pregnancy but no other major complaints. Pretty much all of the

fertility cases I've treated have ended up with some variation of this

presentation... and most if given a chance to relax and get there feet under

themselves either get pregnant or get OK with the idea of not getting pregnant

right away. That said, I don't do fertility as a specialty, but the people I

know who do end up using xiao yao san variations a good portion of the time.

Assuming that there is not an incompetent cervix (which I don't think should be

a factor that early anyway) think about heart blood and see if it fits.

Par Scott

-

Allan Sarrat

Chinese Traditional Medicine

Monday, April 30, 2007 11:00 PM

habitual miscarriage

I have a question for other acupuncturists regarding their treatment of

habitual miscarriage. One of my patients is a 32 year old woman who has had 3

miscarriages in the past 2 years. They have been between week 6-10 and with no

other symptoms (abdominal pain, back pain, etc.). She was coming to see me for

fertility and to prevent future miscarriages. She is now pregnant again and

wants help keeping it and going to term.

I have been referencing the Obstetrics and Gynecology TCM book which lists

patterns, points and formulae but was wondering how others would handle a

situation like this.

Thanks!

--A.J. Sarrat, L.Ac

May 2, 2007

I'm always surprised when someone writes in to query about a

patient's main complaint and they have not given us a diagnosis or

enough information to help diagnose. I am then further surprised

when there are suggestions for what to do without this diagnosis!

Isn't the first step to do differential diagnosis? How could we

begin to make suggestions when we have no idea why this particular

patient is habitually miscarrying? How can we know this without an

intake? What's up with this? AJ, did you actually diagnose this

patient or are you looking to treat habitual miscarriage without a

diagnosis?

in confusion,

Sharon

I have a question for other acupuncturists regarding their treatment

of habitual miscarriage. One of my patients is a 32 year old woman

who has had 3 miscarriages in the past 2 years. They have been

between week 6-10 and with no other symptoms (abdominal pain, back

pain, etc.). She was coming to see me for fertility and to prevent

future miscarriages. She is now pregnant again and wants help keeping

it and going to term.

I have been referencing the Obstetrics and Gynecology TCM book which

lists patterns, points and formulae but was wondering how others

would handle a situation like this.

Thanks!

--A.J. Sarrat, L.Ac

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com

May 2, 2007

Ms Weizenbaum,

Good call!

Best rergards,

Thomas Sorensen

--

Althea Akupunktur & Massage

Albanigade 23A, Kld.

5000 Odense C

Denmark

Tlf.: (+45) 31 25 92 26

info

www.orientalskmedicin.dk

May 2, 2007

Sharon:

Of course you are right that a differential diagnosis is needed. Suggestions

are merely offering some advice to trigger ideas about the diagnosis. My main

training is in 5E. Coming to a CF conclusion is not always immediate. Any

suggestions or ideas I have not thought about are helpful. AJ is the one in

front of the patient, but I don't think there is harm in offering him

suggestions to think about.

Anne

-------------- Original message ----------------------

sharon weizenbaum <sweiz

> I'm always surprised when someone writes in to query about a

> patient's main complaint and they have not given us a diagnosis or

> enough information to help diagnose. I am then further surprised

> when there are suggestions for what to do without this diagnosis!

> Isn't the first step to do differential diagnosis? How could we

> begin to make suggestions when we have no idea why this particular

> patient is habitually miscarrying? How can we know this without an

> intake? What's up with this? AJ, did you actually diagnose this

> patient or are you looking to treat habitual miscarriage without a

> diagnosis?

>

> in confusion,

>

> Sharon

>

> I have a question for other acupuncturists regarding their treatment

> of habitual miscarriage. One of my patients is a 32 year old woman

> who has had 3 miscarriages in the past 2 years. They have been

> between week 6-10 and with no other symptoms (abdominal pain, back

> pain, etc.). She was coming to see me for fertility and to prevent

> future miscarriages. She is now pregnant again and wants help keeping

> it and going to term.

>

> I have been referencing the Obstetrics and Gynecology TCM book which

> lists patterns, points and formulae but was wondering how others

> would handle a situation like this.

>

> Thanks!

> --A.J. Sarrat, L.Ac

>

> Sharon Weizenbaum

> 86 Henry Street

> Amherst, MA 01002

> 413-549-4021

> sweiz

> www.whitepinehealingarts.com

>

May 2, 2007

Anne,

There is certainly no problem in helping our fellow practitioners

in reaching a more comprehensive diagnosis. It is our obligation to

do so. However, I think what Sharon is suggesting is very

important. If we look at the inquiries on this e-mail list and

others that serve our profession, there seems to be a glaring

inability for a high percentage of practitioners to diagnose

comprehensively using the tools of our profession. Somehow, we are

not getting it in our training. This is a serious state of affairs

indeed.

On May 2, 2007, at 6:40 AM, anne.crowley wrote:

> Sharon:

>

> Of course you are right that a differential diagnosis is needed.

> Suggestions are merely offering some advice to trigger ideas about

> the diagnosis. My main training is in 5E. Coming to a CF conclusion

> is not always immediate. Any suggestions or ideas I have not

> thought about are helpful. AJ is the one in front of the patient,

> but I don't think there is harm in offering him suggestions to

> think about.

>

> Anne

> -------------- Original message ----------------------

> sharon weizenbaum <sweiz

> > I'm always surprised when someone writes in to query about a

> > patient's main complaint and they have not given us a diagnosis or

> > enough information to help diagnose. I am then further surprised

> > when there are suggestions for what to do without this diagnosis!

> > Isn't the first step to do differential diagnosis? How could we

> > begin to make suggestions when we have no idea why this particular

> > patient is habitually miscarrying? How can we know this without an

> > intake? What's up with this? AJ, did you actually diagnose this

> > patient or are you looking to treat habitual miscarriage without a

> > diagnosis?

> >

> > in confusion,

> >

> > Sharon

> >

> > I have a question for other acupuncturists regarding their treatment

> > of habitual miscarriage. One of my patients is a 32 year old woman

> > who has had 3 miscarriages in the past 2 years. They have been

> > between week 6-10 and with no other symptoms (abdominal pain, back

> > pain, etc.). She was coming to see me for fertility and to prevent

> > future miscarriages. She is now pregnant again and wants help

> keeping

> > it and going to term.

> >

> > I have been referencing the Obstetrics and Gynecology TCM book which

> > lists patterns, points and formulae but was wondering how others

> > would handle a situation like this.

> >

> > Thanks!

> > --A.J. Sarrat, L.Ac

> >

> > Sharon Weizenbaum

> > 86 Henry Street

> > Amherst, MA 01002

> > 413-549-4021

> > sweiz

> > www.whitepinehealingarts.com

> >

May 3, 2007

Yes, I agree with Z'ev. It seemed clear to me in AJ's query that

she (he?) probably didn't have a solid diagnosis. Did you? If AJ is

wanting help, then isn't it expedient to give more information? I

think so. We are pretty limited as responders without that

information and our answers are vague. I appreciate that several

responders (Yehuda and Thomas) reiterate that a diagnosis is key.

Anne says that perhaps our answers will " trigger a diagnosis " . I

don't get this. Does this mean that we take for granted that AJ

can't diagnose this woman and needs triggers? Wouldn't having the

rest of the information regarding this patient be more helpful for

coming to a diagnosis then offering triggers? If AJ can't diagnose,

then wouldn't we do better to help AJ diagnose this patient with the

additional aspects of the case.

I know that in 5 element style acupuncture being with the patient is

key to diagnosis. But, on a list like this, we can't be in front of

the patient so we need the information the practitioner has

gathered. Perhaps in Anne's tradition, diagnosing through " triggers "

is also common?

As an educator I see practitioners jumping from diseases (like

habitual miscarriage) to treatment without knowing how to come to and

articulate a comprehensive diagnosis. We are pretty much taught to

go from the disease to look for the disease in a book. We skip

diagnosis and go straight to a book like Obstetrics and Gynecology

TCM book AJ referred to. We look up habitual miscarriage and try to

find our patient. When we see that our patient doesn't fit any of

the patterns listed, or fits several, sort of.....we are at a loss.

But we have skipped the step of diagnosing our patient. Looking in a

book for the right pattern for habitual miscarriage is not the same

as coming to a diagnosis.

I'd love to see the standards of this list be raised. If we put

forward a case, let's actually do , which involves

diagnosing based on our looking, touching, asking, and listening/

smelling. Let's share our experience of, not just try this or that,

but of in depth diagnosis and treatment. If we don't know how to

diagnose, then ask for help with that.

So, AJ, could you give us more information? Could you let us know

what you gathered in your intake and perhaps how you diagnosed the

woman. I have had a lot of experience with habitual miscarriage and

would be happy to help.

Best

Sharon

Z'ev wrote

Anne,

There is certainly no problem in helping our fellow practitioners

in reaching a more comprehensive diagnosis. It is our obligation to

do so. However, I think what Sharon is suggesting is very

important. If we look at the inquiries on this e-mail list and

others that serve our profession, there seems to be a glaring

inability for a high percentage of practitioners to diagnose

comprehensively using the tools of our profession. Somehow, we are

not getting it in our training. This is a serious state of affairs

indeed.

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com

May 5, 2007

Hello all. I would like to thank you for your input so far with my patients

case, I found Mr. Sorensen's first post regarding pulse balancing very

interesting. This is my first time writing to a group like this so please

excuse me if I am not familiar with the process. I apologize if I appeared to

be lowering the standards of the list as Sharon stated. I was just trying to

start a dialogue to learn more about how some of you might have treated your own

cases like this, I didn't know that I would be reprimanded for leaving out

information. Again I apologize.

That being said (last week's presentation), 32 year old Latino female, 5'4 "

150 lbs. She will be 6 weeks pregnant on Monday 5/8. She is a school teacher

who has had 3 miscarriages in the past 2 years all between 6-10 weeks with her

current husband. She has 2 children from a previous marriage who are 10 and 6

years old. Tongue body is pale, dusky to red sides and a thin white coat.

Pulse is generally thin and weak. Overall the patient looks strong and robust

but the pulse and tongue state otherwise.

She is understandably concerned because of her previous miscarriages with her

current husband who is 41 and wants his own children badly. Her hormones were

just checked and are all in the normal range. I will have them checked again in

the next couple of weeks to see how her placental hormones are coming along.

Her previous miscarriages have had no symptoms whatsoever, no abdominal or back

pain, fever, etc. She just started bleeding suddenly. She is warm to the touch,

especially her feet. Her hands do get cold sometimes, but her feet are always

warm. Generally dry stools that tend toward constipation (1 BM every 1-2 days).

Insomnia that seems to be due to excess worry--work related previously, work and

pregnancy related now.

She drinks 1 cup of coffee a day and also takes prenatal vitamins, aspirin and

a stool softner. Patient also has bloating/distention after eating and

irregular BM. Frenquent urination and UTI also common.

I had diagnosed her with general Qi & Xue Xu and prescribed Tai Shan Pan Shi

San + Tu Si Zi in powder form at a small dosage of 1g, 3X/day (she started

taking Rx on Wed 5/2).

I am using a relatively small # of needles at Du20, Yintang, Ren12, ST36, KD3,

KD6 to raise the Qi, tonify SP/ST which should help her generate more Qi & Xue,

while tonifying the KD & generating fluids

Today Sleeping much better, BM more regular, patient is not as warm to the

touch and has noticed that she feels cooler (temperature has dropped outside as

well).

Pulse has changed Right side=thready/weak/rapid Left side=slippery, full,

rapid.

Tongue is more dusky, slightly scalloped with purple veins underneath and a

thin, moist coat.

I increased her formula dosage to 2g, 3X/day until Wednesday when we will

increase to 3g, 3X/day. I also added HT7 to the points used.

After today's treatment, her right and left pulses were more equal, but on the

deficient side. The right had increased slightly in amplitude and the left had

decreased a substantial amount. Both were slightly slippery.

--AJ

May 5, 2007

And I hope your bum is very sore.

Hugo

Allan Sarrat <aj_sarrat

about how some of you might have treated your own cases like this, I didn't

know that I would be reprimanded for leaving out information. Again I

apologize.

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_________

Switch an email account to Mail, you could win FIFA World Cup tickets.

http://uk.mail.

May 6, 2007

Thanks for the information AJ.

What about her menstrual cycle? Is is totally normal?

Thanks

Sharon

Chinese Medicine , Allan Sarrat

<aj_sarrat

wrote:

>

> Hello all. I would like to thank you for your input so far with my patients

case, I found

Mr. Sorensen's first post regarding pulse balancing very interesting. This is

my first time

writing to a group like this so please excuse me if I am not familiar with the

process. I

apologize if I appeared to be lowering the standards of the list as Sharon

stated. I was just

trying to start a dialogue to learn more about how some of you might have

treated your

own cases like this, I didn't know that I would be reprimanded for leaving out

information.

Again I apologize.

>

> That being said (last week's presentation), 32 year old Latino female, 5'4 "

150 lbs. She

will be 6 weeks pregnant on Monday 5/8. She is a school teacher who has had 3

miscarriages in the past 2 years all between 6-10 weeks with her current

husband. She

has 2 children from a previous marriage who are 10 and 6 years old. Tongue body

is pale,

dusky to red sides and a thin white coat. Pulse is generally thin and weak.

Overall the

patient looks strong and robust but the pulse and tongue state otherwise.

>

> She is understandably concerned because of her previous miscarriages with

her current

husband who is 41 and wants his own children badly. Her hormones were just

checked

and are all in the normal range. I will have them checked again in the next

couple of

weeks to see how her placental hormones are coming along. Her previous

miscarriages

have had no symptoms whatsoever, no abdominal or back pain, fever, etc. She just

started

bleeding suddenly. She is warm to the touch, especially her feet. Her hands do

get cold

sometimes, but her feet are always warm. Generally dry stools that tend toward

constipation (1 BM every 1-2 days). Insomnia that seems to be due to excess

worry--

work related previously, work and pregnancy related now.

>

> She drinks 1 cup of coffee a day and also takes prenatal vitamins, aspirin

and a stool

softner. Patient also has bloating/distention after eating and irregular BM.

Frenquent

urination and UTI also common.

>

> I had diagnosed her with general Qi & Xue Xu and prescribed Tai Shan Pan Shi

San +

Tu Si Zi in powder form at a small dosage of 1g, 3X/day (she started taking Rx

on Wed

5/2).

>

> I am using a relatively small # of needles at Du20, Yintang, Ren12, ST36,

KD3, KD6 to

raise the Qi, tonify SP/ST which should help her generate more Qi & Xue, while

tonifying

the KD & generating fluids

>

> Today Sleeping much better, BM more regular, patient is not as warm to the

touch and

has noticed that she feels cooler (temperature has dropped outside as well).

> Pulse has changed Right side=thready/weak/rapid Left side=slippery, full,

rapid.

> Tongue is more dusky, slightly scalloped with purple veins underneath and a

thin,

moist coat.

> I increased her formula dosage to 2g, 3X/day until Wednesday when we will

increase to

3g, 3X/day. I also added HT7 to the points used.

> After today's treatment, her right and left pulses were more equal, but on

the deficient

side. The right had increased slightly in amplitude and the left had decreased

a

substantial amount. Both were slightly slippery.

>

> --AJ

>

May 6, 2007

Hi AJ,

Sorry my comments felt like a reprimand. If they were, they were not

to you personally but more to the tendency for the lists

conversation's to be about diseases rather than real people and real

Chinese medical treatment. It's very common on this list for there

to be lots of suggestions about how to treat things without the

practitioners ever having the patient information or a diagnosis.

It is not that you are not familiar with " the process " it is more

that there is no process so you were simply following suit. I don't

think it's a problem to ask about experienced practitioner's

experience with a particular disease - someone just asked about sleep

apnoea - but if it is regarding a specific patient than I do feel our

need to have the information regarding the patient is just a given.

My motivation is that I want to help and I just can't if the

information isn't there. Your motivation is also to help your

patient. The information you have provided is great and I hope my

thoughts and experience, which I can now access, help.

Assuming her menstrual history is normal here are some of my thoughts:

First - why does she take aspirin?

In terms of your patient's diagnosis - you diagnosed " general Qi and

Blood Xu " . Given your intake information, I don't agree with this.

Here's why -

1. Pale tongue definitely means deficiency - but deficiency of what?

She has no other signs or symptoms of blood Xu. As for Qi Xu, it's

not really generalized. She has digestive symptoms so we know her

spleen is involved. For habitual miscarriage, in addition to the

diagnosis, one must always implicate the Kidney Qi. the function of

the Kidney Qi is to hold stuff in in the lower warmer. My teacher,

as well as other experienced gynecologists, as a rule supplement the

Kidney Qi for habitual miscarriage to increase this holding power.

So in this case there is Spleen and Kidney Qi Xu

2. There are aspects of your intake that are pretty much ignored in

your diagnosis that are probably important.

Dusky tongue with swollen sublingual veins - blood stasis

Frequent urination with tendency to UTI - we have to assume that she

gets concentrated yellow urine with the UTI. Frequent urination

could be from heat or Kidney Qi not holding - since we don't know the

color and concentration of it we can't tell. In any case she has a

tendency to heat in the lower warmer which is important to know.

Red sides to the tongue - liver heat

Insomnia - This insomnia may in part be related to the Qi Xu but also

the liver qi stagnation and heat. It's important to help her spirit

rest for the health of the pregnancy. It's worse with stress so it

is liver related.

Bloating and distention after eating is a sign of excess in the

Spleen/stomach. The deficiency of the Spleen makes it vulnerable to

invasion by the Liver. In spite of the deficiency, there is also

excess in the form of Qi stasis and accumulation.

Based on the above, the diagnosis should be

Spleen and Kidney Qi deficiency

Liver Qi stagnation with depressive liver heat and blood stasis.

Liver invading Spleen. Heat effecting the lower warmer.

For treatment one must Supplement the Spleen and Kidney Qi, regulate

the liver and Spleen and clear heat, gently vitalize blood and calm

the spirit.

Here's what I would suggest based on my teachers formula Shen Qi Jiao

Ai Tang:

Chao Dang Shen 15 gm (not ren shen- as is Tai Shan Pan Shi San-

because it is warm and heats the lower warmer)

Zhi Huang Qi 30

Ai Ye 2

Tu Si Zi 12

Sang Ji Sheng 12

Shan Yao 12

Sang Ye 30 (clear liver heat, stops bleeding and calms the fetus)

Zhi Zi 4 (clear heat through the urine a bit)

Huang Qin 9

Zi Su Geng 12 (regulates liver Qi and calms the fetus)

Da Fu Pi 9 (Qi regulator that is safe in pregnancy)

Dang Gui 9 (very lightly harmonize the blood)

Rou Cong Rong 12 (supplement Kidney Qi and moisten the bowel)

I think a nice tea of mei gui hua would be nice too. as a beverage

twice a day to help calm her spirit.

My teacher, Dr. Qiu, specifically warned against the use of Xu Duan

in the first trimester, saying it was too moving (it's in Tai Shan

Pan Shi San - obviously not all doctors agree with this)

It sounds to me, given how robust she is and her signs and symptoms,

that regulating her liver is a key. This will help calm her spirit

which you can also do with the acupuncture. In my experience, when

the digestion is blocked above, combined with Kidney Qi dropping

below - you have to help the descending in order for the ascending to

occur. Zi Su Geng and Da Fu Pi should help a lot and are common

pregnancy herbs.

I hope this helps

Sharon

On May 5, 2007, at 5:28 AM,

Chinese Medicine wrote:

> Hello all. I would like to thank you for your input so far with my

> patients case, I found Mr. Sorensen's first post regarding pulse

> balancing very interesting. This is my first time writing to a

> group like this so please excuse me if I am not familiar with the

> process. I apologize if I appeared to be lowering the standards of

> the list as Sharon stated. I was just trying to start a dialogue to

> learn more about how some of you might have treated your own cases

> like this, I didn't know that I would be reprimanded for leaving

> out information. Again I apologize.

>

> That being said (last week's presentation), 32 year old Latino

> female, 5'4 " 150 lbs. She will be 6 weeks pregnant on Monday 5/8.

> She is a school teacher who has had 3 miscarriages in the past 2

> years all between 6-10 weeks with her current husband. She has 2

> children from a previous marriage who are 10 and 6 years old.

> Tongue body is pale, dusky to red sides and a thin white coat.

> Pulse is generally thin and weak. Overall the patient looks strong

> and robust but the pulse and tongue state otherwise.

>

> She is understandably concerned because of her previous

> miscarriages with her current husband who is 41 and wants his own

> children badly. Her hormones were just checked and are all in the

> normal range. I will have them checked again in the next couple of

> weeks to see how her placental hormones are coming along. Her

> previous miscarriages have had no symptoms whatsoever, no abdominal

> or back pain, fever, etc. She just started bleeding suddenly. She

> is warm to the touch, especially her feet. Her hands do get cold

> sometimes, but her feet are always warm. Generally dry stools that

> tend toward constipation (1 BM every 1-2 days). Insomnia that seems

> to be due to excess worry--work related previously, work and

> pregnancy related now.

>

> She drinks 1 cup of coffee a day and also takes prenatal vitamins,

> aspirin and a stool softner. Patient also has bloating/distention

> after eating and irregular BM. Frenquent urination and UTI also

> common.

>

> I had diagnosed her with general Qi & Xue Xu and prescribed Tai

> Shan Pan Shi San + Tu Si Zi in powder form at a small dosage of 1g,

> 3X/day (she started taking Rx on Wed 5/2).

>

> I am using a relatively small # of needles at Du20, Yintang, Ren12,

> ST36, KD3, KD6 to raise the Qi, tonify SP/ST which should help her

> generate more Qi & Xue, while tonifying the KD & generating fluids

>

> Today Sleeping much better, BM more regular, patient is not as warm

> to the touch and has noticed that she feels cooler (temperature has

> dropped outside as well).

> Pulse has changed Right side=thready/weak/rapid Left side=slippery,

> full, rapid.

> Tongue is more dusky, slightly scalloped with purple veins

> underneath and a thin, moist coat.

> I increased her formula dosage to 2g, 3X/day until Wednesday when

> we will increase to 3g, 3X/day. I also added HT7 to the points used.

> After today's treatment, her right and left pulses were more equal,

> but on the deficient side. The right had increased slightly in

> amplitude and the left had decreased a substantial amount. Both

> were slightly slippery.

>

> --AJ

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com

May 6, 2007

Dear Sharon,

I want to thank you so much for taking the time to take the case " apart " and put

it back together in a TRUE TCM style. This has been a great learning for

me...and I imagine for others as well. I do hope that one day you will consider

coming to California to teach. Your style and grace with the formulas is

refreshing to see and hear. As you are one of the senior practitioners I think

it would be Fantastic to hear more from you in this way. Thank you again.

With great respect and appreciation,

Linda

-

sharon weizenbaum<sweiz

To:

Chinese Medicine <Chinese Medicine\

@>

Sunday, May 06, 2007 3:57 AM

Re: habitual miscarriage