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RE: a difficult case returns

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I had a patient come back to me after nearly 2 years. This post may be long.

Sorry

 

 

 

2 years ago 52 year old man came to me in severe pain in his neck. He told

me he had a prolapsed disk between c6 and c7. His right arm was in horrible

pain with tingling to his fingers. I did mostly acute pain local points. He

got some short term relief, but I felt something else was going on and

should be checked out, so I sent him to a Chiropractor friend for X-rays.

 

 

 

We saw the prolapsed disk, but we also saw what looked like bubbles about ¼”

in diameter at the base of the skull. We all sent him to a neurologist. The

old CYA rule.

 

 

 

Well this poor man has gone from the neurologist to different doctors for

all kinds of tests. In the meantime, the pain is now in the left arm which

is now so numb he can no longer use it. He has to work minimally from home,

his insurance has been cancelled, and is in horrible pain. They want him to

go for surgery which he was told had only has a 50% chance of a good

outcome. In the interim, he has also had a heart attack and now has High

Blood Pressure. He also falls down and injures himself more.

 

 

 

He came back to me this week in desperation.

 

 

 

He said he now has bone spurs pressing on the nerves in his neck around

c3-c7. The prolapse is still there.

 

 

 

He is extremely depressed, weepy (tells me he cries for several hours at a

time), agitated, very scared and jumps every time I touch him from fright

that I may hurt him. (I am very gentle.) He also has symptoms of damp

accumulation in his spleen although he does not have a thick tongue coat.

(His tongue in pink with center deep cracks. He has a dark purple patch on

the left side in the Liver/GB position and very swollen in front to nearly

the middle).

 

 

 

When treating, I do mostly local points for pain, calming points for shen,

and spleen dampness points. I tend to use many needles very lightly. I think

I used about 40 in his last treatment.

 

 

 

Any suggestions? Formulas?

 

 

 

HELP!

 

 

 

Lee Tritt

 

 

 

 

Version: 7.5.476 / Virus Database: 269.10.14/912 - Release 7/22/2007

7:02 PM

 

 

 

 

 

Version: 7.5.476 / Virus Database: 269.10.16/914 - Release 7/23/2007

7:45 PM

 

 

 

 

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Dear Lee,

 

The first thing that comes to my mind is treat Kidney... and maybe forget a bit

points for pain. Sorry if I am stating the obvious. Patient is jumpy and scared,

bone problems. He has had the problem for long enough that Kidney is bound to be

affected by now anyway.

 

Artemis

 

 

 

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Hi Lee,

This case is a very challenging case. First, I think we should know if

this injury was from an accident or spontaneousness. The treatment

will be different. The deficiency. excess or inury !!!!!!!!

The damp you mention, we may ignore it at this time. We are

concentrating on the pain and mental disturb.

If this is a spontaneous and caused a prolapsed dics.

What causes prolapse ? Qi deficiency, Qi sinking? or the cushion

itself get too thin ( yin /jing def ? ). We must access through the

body constitution, the energy, the responses.

When will the pain trigger ? HOw doe it get the worst pain or get no

pain ? by lying down, turning side to side, bending forward or backward ?

If the pain start numbing or weakening the arm or hand, some nerves

have been injured ( twisted, pinched, blocked, torn, pressed ? ).

Severe pain = blocked by blood stagnation

Dull pain, of and on = Qi deficiency, Qi stagnation.

Damp or phlegm = I do not think so. ( Damp causes heaviness and

sticky , phlegm cause obstruction but no pain. Why TCM refer pain as

of phlegm or damp ? ).

 

The deficiency treatment of this type is slow. How do we lift the

Cervical up so the nerve do not get pressed or blocked?

Patient lying down on his back. Ask the patient to move his head or

move his torso until the pain is triggered, then stop right there.

We try to stretch the cervical by hands slowly to avoid causing pain.

Allow the patient to move again to see if it alleviates the pain. Each

action we do we must observe the patient and his condition. Then

press and find the tender point, THE MOST TENDER POINT and relate it

to its meridian, choose distant point first. THe distant pt locate on

the finger / toe, but for the cervical usually is on the fingers.

After needling, manipulate the needle and allow the patient to move

until the pain is gone.

The bone spur can be treated with honey and apple cider vinegar. It

will dissolve the extra calcium deposit, from its mild acid. After

this, the bone meal can be taken to support calcium-phosphate, vitamin

D, A for stronger bone. Bone meals I use for arthiritis,

osteoarthritis are good, but add herbs to make profit " Bu Zhong Y Qi

Tang , to raise Yang Qi " then activate the blood " Tao Hong Si Wu

Tang " . I never mix the formular together.

I prescribe one in the morning, one in the evening. But make sure

there is no more stagnation by needling.

 

GOOD LUCK !

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Hi Lee,

 

My name is William and im a Licensed Acupuncturist and Herbalist. Ive

personally stepped away from needling, as an experiment, and have been using my

hands for the past 4 months. To great success, may I add. So I feel qualified

to give you an alternative tx therapy. Im utilizing trigger point therapy on

the majoritiy of my patients, in combination with the many chinese theories for

evalutation and diagnosis of the patients condition. There may be a bit of a

root - branch dilemma...but my point is the allevation of pain first........

 

What I see is this....

 

Do some research on the subject, trigger points...as if you know nothing of

Acupuncture or the meridians...we may we call these the acupuncture points

within the structure of the muscle...or we could just call these strained or

blown fuse-boxes within the individual muscle fiber...that have basically blown

an internal fuse and are in contraction....henceforth inhibiting the flow of Qi

therough the channel...but more importantly...shortening the actual muscle fiber

to restrict movement because of trauma...which ive also found can be emotional

as well as physically based..........

 

Trigger points refer pain...sometimes along the exact dermatone patterns youve

learned in school and many times not......basically because once triggered it

often refers the pain to another muscle group......and creates a domino effect

of flipped switches till they end at a joint or end of extremity.

 

Soooooooooooooooooo,

 

What im seeing is this..........

 

Scalenes........left scalenes refer down the left arm etc.......

 

the triggers.and it sounds like your client has many...along the entire

muscle from origin to insertion...are very active....the pain referall pattern

is the lateral uper shldr.......li 15 ish....to li four area.......sj 8 to sj 4

and the thumb and index finger.......

 

ALso ub 11- 14 may be affected and the pain felt in these areas too........

 

THis will also trigger many of the triggers within these muscle groups and start

the domino effect we so often see.......in the treatment of chronic pain.

 

SO just for a start.........

 

Have your patient lie face up on the table........use a sparing few drops of oil

on your fingers........and feel for active trigger points in the

scalenes........they feel like a little swollen gb40 or the the egglike

gb31....just smaller......

 

You are looking for the point that active....that means its referring the pain

directly to the areas youve previously spoken about....especially the arm and

hand....ask youre patient during the process....dont intuit

 

Once you find the trigger that cause the pain, and believe me, if you try youll

easily find the culprit or culprits.....then gently smooth the area with your

extended fingers.....for 8 to 12 strokes....although an ostepath will tell you

for 80 seconds....my experiences show that this often retriggers the

trigger.......

 

Anyway........explore all three grouping of the scalenes....be gentle and make

sure to keep in mind that the treatment here is short and often painful....as

the area is chronic in excess and to release or untrigger it....you need to move

blood through it to remind it to relax....which will alllow the muscle to

'remember its proper length and strecth out ....this will inherently resolve the

symptoms.....unless of course there are other muscles triggered that need to be

released also....as they associate with your clients pain........

 

Start here.........as I truly know this treatment will have great effect....

 

Once done....ask for feedback.......and either stop or continue tx upon the next

grouping triggered by the condition.

 

SO theres a start for the branch........I would also loosen both scalenes as

well and look for the definetely active triggers just a cun or so out from the

affected vertebra........look for the ones that refer the pain and leave the

others

 

The root of the problem can be soooo many things and im sure you can figure it

out......but really loook to the clients habitual posture as this can shorten

and lengthen the muscle groups of any part of the body in ways that will always

create the same patterns.........

 

About the herbs........Plenty of good formulas in bensky for that....bone spurs.

 

 

Try this treatment with some research on the subject first....google the

@trigger point therapy work book by Clair Davies....he has a site with

instructions and diagrams of basic pain referall patterns.

 

Ok....thats it

 

Please contact me with any questions

 

All the Best

 

WIlliam

 

nolandinternacional

 

 

 

 

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how much apple cider vinegar and how much honey

how many times a day? for how long or this ok to continue long term?

thanks

 

Beth Grubb

Licensed Acupuncturist

Certified Animal Acupuncturist

410-591-2644

beth

www.bethgrubb.com

 

 

 

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Is the apple cider vinegar and honey to dissolve bone spurs topical

or internal?

 

The bone spur can be treated with honey and apple cider vinegar. It

will dissolve the extra calcium deposit, from its mild acid. After

this, the bone meal can be taken to support calcium-phosphate, vitamin

D, A for stronger bone. Bone meals I use for arthiritis,

osteoarthritis are good, but add herbs to make profit " Bu Zhong Y Qi

Tang , to raise Yang Qi " then activate the blood " Tao Hong Si Wu

Tang " . I never mix the formular together.

I prescribe one in the morning, one in the evening. But make sure

there is no more stagnation by needling.

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Apple cider vinegar and honey is consuming by intake, not topical

applied. Actually , this will remove extra calcium deposit and will be

excreted by urination. There is no harm , but good.

This formular is referred by some of vitamin book or natural heathfood

book. I have used and it works most of the time. But do not expect an

overnight result.

Good for gouts, arthritis, High blood pressure and cholesterol level.

Anything related to Heart functioning and circulation will be good.

 

REMEMBER : They key is to make income. So herbs should be prescribed

to enhance the therapy and provide extra income.

 

 

 

Chinese Medicine , " "

wrote:

>

> Is the apple cider vinegar and honey to dissolve bone spurs topical

> or internal?

>

> The bone spur can be treated with honey and apple cider vinegar. It

> will dissolve the extra calcium deposit, from its mild acid. After

> this, the bone meal can be taken to support calcium-phosphate, vitamin

> D, A for stronger bone. Bone meals I use for arthiritis,

> osteoarthritis are good, but add herbs to make profit " Bu Zhong Y Qi

> Tang , to raise Yang Qi " then activate the blood " Tao Hong Si Wu

> Tang " . I never mix the formular together.

> I prescribe one in the morning, one in the evening. But make sure

> there is no more stagnation by needling.

>

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