4 yr. old ulcerative colitis patient

[Guest guest]

Any help with this case would be greatly appreciated....

 

Moderate to Severe Pancolitis Ulcerative Colitis Case:

 

4 year old female. Onset July 2009.

 

To date, the patient has had 3 UC " flares " 2 of which were handled in the

hospital (prednisone, prevacid, pentasa, IV steroids…) with this last one being

solely handled with chinese herbs and diet.

 

Flares: Have all been preceded by viral pathogen. Constipation has also

preceded flares. One flare also had introduced bifidus just before flare.

 

Patient has seen Naturopaths, Dieticians, DOM's, GI's…The next step from the GI

specialist is to go on sulfasalazine, immuron and 6mg prednisone every other day

for up to 1 year. If that didn't work they will recommend surgery.

 

History:

Vaginal birth

IV antibiotics for 3 days when first born

Full vaccinations

Severe cradle cap as child

Reflux as baby, colic, burping curdled formula (Enfamil/SMA) (breastfed 4

months)

Started solids at 6 months

Always picky eater

Diaper rash which was treated with hydrocortisone

Eczema. No asthma. Allergic to cats (itchy on abdomen).

Diagnosed with stomach erosion

Anemic

Recent stool analysis positive for unknown taxonomy parasite and low levels of

pancreatic enzymes

Last year had odd limping which doctor said was from virus and would go away and

did.

 

 

Presentation:

 

Dark circles under eyes

Pale complexion

Cold hands/nose

Night sweats (worse with prednisone, but there presently as well without

medications)

Low appetite

Parents report: Some what fearful. More so now with doctors and treatments.

Has become quieter.

3 small bumps in a line on index finger (I have thought they were flat

warts/viral)

GI: 1-2 bm's/day. Will occasionally skip a day. Not much abdominal pain.

BM's vary between mushy and fully formed. Have become more formed with Chinese

herbs and diet. Parents report stomach bloating. Increased burps, bloating and

hiccups recently. Some blood streaked bm's for past month. Some mucus with

stool. Stool often comes out formed at first and then mushy at the end.

 

Patient came to my office Jan. 2010. I have only seen her in person 1 time.

She lives in Canada. She was not in a flare when she came in. She was on

prednisone, prevacid and pentasa. She finished her taper of prednisone on

2/17/2010. On 2/19/2010 she had blood streaked bm. Parents also reported that

she had slight cold at this time and had been sniffling on and off for 2 weeks.

(They reported that during the last flare she had bled a small amount for 1 week

and then blood started pouring out). She has basically had a low lying cold for

past month. The bleeding has just been drops and will go days without any

blood. When her bm is harder, the bleeding will come back. When her stool is

mushy, there is usually no bleeding.

 

Herbal Treatments:

 

Acute bleeding:

Yunnan paiyao

Kan: Hemorrease (Huai Jiao Wan) stop bleeding, disperse wind, clear heat and

damp

Far East Summit: Hemostatic

Coptis root

7 Forests: Imperata (stop bleeding, clear heat)

7 Forests: Picrorrhiza (similar Bai Tou Weng formula)

 

External Wind-cold:

Gentle Warriors: Windbreaker, Chest Relief, Pipe Cleaner

 

Chronic UC tx:

7 Forests Atractylodes (based on Jianpi Ling)

Gentle Warriors: Grow and Thrive

 

Pain:

7 Forests Peony formula as needed for pain (really helps)

 

She is currently taking yunnan baiyao, hemorrease, atractylodes, imperata, and

picrorrhiza. She continues to have small amounts of blood but not a full flare

with diarrhea and severe bleeding.

 

I was treating her with the idea that I needed to nurture spleen qi and not be

too draining. Since going to Alex Tiberi's pediatric seminar last month, I

started her on the picrorrhiza formula with the idea of clearing more heat. I

would like to get her off of the yunnan paiyao as I'm not sure how long it is

safe to keep her on it or if it is even necessary. I have again recommended

that they see someone regularly for treatments and do herbal enemas.

 

Update 3/26/2010: When we decrease the yunnan paiyao the bleeding increases.

She is now having increased amounts of blood with every stool (still 1

stool/day) and today there was a large clot. Not much mucus.

They are now willing to try an herbal enema tonight.

[Guest guest]

 Hi, I don't understand why you would not want her to be on Yunnanbaiyao? It

seems to me that it is a necessary, required aspect of her treatment.

 I agree with the idea of boosting the Sp Qi...depending on her presentation,

Gui Pi, Bu Zhong Yi Qi, Bu Pi Yi Chang or some similar formula might act as a

base rather than Bai Tou Weng...What is your reasoning for the Bai Tou Weng (and

other heat-clearing formulas)? I do not see, in your report, any heat signs.

Everythign you have reported is deficient cold and damp with qi stagnation.

 What colour is her stool? What colour is the mucous? What type of smell does

her stool have? As a minimum does the stool have a foul smell? Does she have

irritation aorund her anus?

 

 Does she have a visible blood vessel on the palmar aspect of either index

finger? If so, how far does it extend and what colour is it?

 

 In any case, without heat signs I wouldn't be able to justify the formulas

you've chosen...but I am probably missing something. But be careful, I agree

that you'd want to be very careful of depleting this child further.

 

 Thanks!

 Hugo

 

________________________________

Hugo Ramiro

http://middlemedicine.wordpress.com

http://www.middlemedicine.org

 

 

 

 

 

[Guest guest]

If you choose to stop the Yunnan bai yao....you may want to try just straight

Tian Qi or even more gentle...the Steamed Tian qi.

I'm not familiar with the 7 forest formulas and you do have the coptis in

there...but seems like there is a critter still trapped in there that needs to

come out....what was the cause of onset? I assume you have also looked at food

sensitivities and the diet in general.

 

Be well,

Bob

Robert Linde, AP, RH

Professional Herbalists Training Program

Acupuncture & Herbal Therapies

901 Central Ave

St. Petersburg, FL 33705

www.acuherbals.com

727-551-0857

 

--- On Sat, 3/27/10, hjohantgen <hjohantgen wrote:

 

 

hjohantgen <hjohantgen

4 yr. old ulcerative colitis patient

Chinese Medicine

Saturday, March 27, 2010, 5:01 PM

 

 

 

 

 

 

Any help with this case would be greatly appreciated. ...

 

Moderate to Severe Pancolitis Ulcerative Colitis Case:

 

4 year old female. Onset July 2009.

 

To date, the patient has had 3 UC " flares " 2 of which were handled in the

hospital (prednisone, prevacid, pentasa, IV steroids…) with this last one

being solely handled with chinese herbs and diet.

 

Flares: Have all been preceded by viral pathogen. Constipation has also preceded

flares. One flare also had introduced bifidus just before flare.

 

Patient has seen Naturopaths, Dieticians, DOM's, GI's…The next step from the

GI specialist is to go on sulfasalazine, immuron and 6mg prednisone every other

day for up to 1 year. If that didn't work they will recommend surgery.

 

History:

Vaginal birth

IV antibiotics for 3 days when first born

Full vaccinations

Severe cradle cap as child

Reflux as baby, colic, burping curdled formula (Enfamil/SMA) (breastfed 4

months)

Started solids at 6 months

Always picky eater

Diaper rash which was treated with hydrocortisone

Eczema. No asthma. Allergic to cats (itchy on abdomen).

Diagnosed with stomach erosion

Anemic

Recent stool analysis positive for unknown taxonomy parasite and low levels of

pancreatic enzymes

Last year had odd limping which doctor said was from virus and would go away and

did.

 

Presentation:

 

Dark circles under eyes

Pale complexion

Cold hands/nose

Night sweats (worse with prednisone, but there presently as well without

medications)

Low appetite

Parents report: Some what fearful. More so now with doctors and treatments. Has

become quieter.

3 small bumps in a line on index finger (I have thought they were flat

warts/viral)

GI: 1-2 bm's/day. Will occasionally skip a day. Not much abdominal pain. BM's

vary between mushy and fully formed. Have become more formed with Chinese herbs

and diet. Parents report stomach bloating. Increased burps, bloating and hiccups

recently. Some blood streaked bm's for past month. Some mucus with stool. Stool

often comes out formed at first and then mushy at the end.

 

Patient came to my office Jan. 2010. I have only seen her in person 1 time. She

lives in Canada. She was not in a flare when she came in. She was on prednisone,

prevacid and pentasa. She finished her taper of prednisone on 2/17/2010. On

2/19/2010 she had blood streaked bm. Parents also reported that she had slight

cold at this time and had been sniffling on and off for 2 weeks. (They reported

that during the last flare she had bled a small amount for 1 week and then blood

started pouring out). She has basically had a low lying cold for past month. The

bleeding has just been drops and will go days without any blood. When her bm is

harder, the bleeding will come back. When her stool is mushy, there is usually

no bleeding.

 

Herbal Treatments:

 

Acute bleeding:

Yunnan paiyao

Kan: Hemorrease (Huai Jiao Wan) stop bleeding, disperse wind, clear heat and

damp

Far East Summit: Hemostatic

Coptis root

7 Forests: Imperata (stop bleeding, clear heat)

7 Forests: Picrorrhiza (similar Bai Tou Weng formula)

 

External Wind-cold:

Gentle Warriors: Windbreaker, Chest Relief, Pipe Cleaner

 

Chronic UC tx:

7 Forests Atractylodes (based on Jianpi Ling)

Gentle Warriors: Grow and Thrive

 

Pain:

7 Forests Peony formula as needed for pain (really helps)

 

She is currently taking yunnan baiyao, hemorrease, atractylodes, imperata, and

picrorrhiza. She continues to have small amounts of blood but not a full flare

with diarrhea and severe bleeding.

 

I was treating her with the idea that I needed to nurture spleen qi and not be

too draining. Since going to Alex Tiberi's pediatric seminar last month, I

started her on the picrorrhiza formula with the idea of clearing more heat. I

would like to get her off of the yunnan paiyao as I'm not sure how long it is

safe to keep her on it or if it is even necessary. I have again recommended that

they see someone regularly for treatments and do herbal enemas.

 

Update 3/26/2010: When we decrease the yunnan paiyao the bleeding increases. She

is now having increased amounts of blood with every stool (still 1 stool/day)

and today there was a large clot. Not much mucus.

They are now willing to try an herbal enema tonight.

 

 

 

 

 

 

 

 

 

 

 

 

[Guest guest]

Hello Bob,

 

Thank you. That is very helpful.

 

I agree there is a critter in there still trapped. Her stool analysis came back

with a positive parasite. I'm concerned about the treatment for this and her

spleen qi.

 

I believe the cause of onset is viral.

 

Yes, she is on a strict diet and doing well with it.

 

Again, I appreciate all of your help with this.

 

Sincerely,

 

Holly

 

Chinese Medicine , " Bob Linde, AP, Herbalist "

<boblindeherbalist wrote:

>

> If you choose to stop the Yunnan bai yao....you may want to try just straight

Tian Qi or even more gentle...the Steamed Tian qi.

> I'm not familiar with the 7 forest formulas and you do have the coptis in

there...but seems like there is a critter still trapped in there that needs to

come out....what was the cause of onset? I assume you have also looked at food

sensitivities and the diet in general.

>

> Be well,

> Bob

> Robert Linde, AP, RH

> Professional Herbalists Training Program

> Acupuncture & Herbal Therapies

> 901 Central Ave

> St. Petersburg, FL 33705

> www.acuherbals.com

> 727-551-0857

>

> --- On Sat, 3/27/10, hjohantgen <hjohantgen wrote:

>

>

> hjohantgen <hjohantgen

> 4 yr. old ulcerative colitis patient

> Chinese Medicine

> Saturday, March 27, 2010, 5:01 PM

>

>

>  

>

>

>

> Any help with this case would be greatly appreciated. ...

>

> Moderate to Severe Pancolitis Ulcerative Colitis Case:

>

> 4 year old female. Onset July 2009.

>

> To date, the patient has had 3 UC " flares " 2 of which were handled in the

hospital (prednisone, prevacid, pentasa, IV steroids…) with this last one

being solely handled with chinese herbs and diet.

>

> Flares: Have all been preceded by viral pathogen. Constipation has also

preceded flares. One flare also had introduced bifidus just before flare.

>

> Patient has seen Naturopaths, Dieticians, DOM's, GI's…The next step from the

GI specialist is to go on sulfasalazine, immuron and 6mg prednisone every other

day for up to 1 year. If that didn't work they will recommend surgery.

>

> History:

> Vaginal birth

> IV antibiotics for 3 days when first born

> Full vaccinations

> Severe cradle cap as child

> Reflux as baby, colic, burping curdled formula (Enfamil/SMA) (breastfed 4

months)

> Started solids at 6 months

> Always picky eater

> Diaper rash which was treated with hydrocortisone

> Eczema. No asthma. Allergic to cats (itchy on abdomen).

> Diagnosed with stomach erosion

> Anemic

> Recent stool analysis positive for unknown taxonomy parasite and low levels of

pancreatic enzymes

> Last year had odd limping which doctor said was from virus and would go away

and did.

>

> Presentation:

>

> Dark circles under eyes

> Pale complexion

> Cold hands/nose

> Night sweats (worse with prednisone, but there presently as well without

medications)

> Low appetite

> Parents report: Some what fearful. More so now with doctors and treatments.

Has become quieter.

> 3 small bumps in a line on index finger (I have thought they were flat

warts/viral)

> GI: 1-2 bm's/day. Will occasionally skip a day. Not much abdominal pain. BM's

vary between mushy and fully formed. Have become more formed with Chinese herbs

and diet. Parents report stomach bloating. Increased burps, bloating and hiccups

recently. Some blood streaked bm's for past month. Some mucus with stool. Stool

often comes out formed at first and then mushy at the end.

>

> Patient came to my office Jan. 2010. I have only seen her in person 1 time.

She lives in Canada. She was not in a flare when she came in. She was on

prednisone, prevacid and pentasa. She finished her taper of prednisone on

2/17/2010. On 2/19/2010 she had blood streaked bm. Parents also reported that

she had slight cold at this time and had been sniffling on and off for 2 weeks.

(They reported that during the last flare she had bled a small amount for 1 week

and then blood started pouring out). She has basically had a low lying cold for

past month. The bleeding has just been drops and will go days without any blood.

When her bm is harder, the bleeding will come back. When her stool is mushy,

there is usually no bleeding.

>

> Herbal Treatments:

>

> Acute bleeding:

> Yunnan paiyao

> Kan: Hemorrease (Huai Jiao Wan) stop bleeding, disperse wind, clear heat and

damp

> Far East Summit: Hemostatic

> Coptis root

> 7 Forests: Imperata (stop bleeding, clear heat)

> 7 Forests: Picrorrhiza (similar Bai Tou Weng formula)

>

> External Wind-cold:

> Gentle Warriors: Windbreaker, Chest Relief, Pipe Cleaner

>

> Chronic UC tx:

> 7 Forests Atractylodes (based on Jianpi Ling)

> Gentle Warriors: Grow and Thrive

>

> Pain:

> 7 Forests Peony formula as needed for pain (really helps)

>

> She is currently taking yunnan baiyao, hemorrease, atractylodes, imperata, and

picrorrhiza. She continues to have small amounts of blood but not a full flare

with diarrhea and severe bleeding.

>

> I was treating her with the idea that I needed to nurture spleen qi and not be

too draining. Since going to Alex Tiberi's pediatric seminar last month, I

started her on the picrorrhiza formula with the idea of clearing more heat. I

would like to get her off of the yunnan paiyao as I'm not sure how long it is

safe to keep her on it or if it is even necessary. I have again recommended that

they see someone regularly for treatments and do herbal enemas.

>

> Update 3/26/2010: When we decrease the yunnan paiyao the bleeding increases.

She is now having increased amounts of blood with every stool (still 1

stool/day) and today there was a large clot. Not much mucus.

> They are now willing to try an herbal enema tonight.

>

>

>

>

>

 

[Guest guest]

Any usage of probiotics and other nutrients. She started off her life with

antibiotics, no?

 

Michael W. Bowser, DC, LAc

 

 

 

Chinese Medicine

hjohantgen

Sat, 27 Mar 2010 21:01:20 +0000

4 yr. old ulcerative colitis patient

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Any help with this case would be greatly appreciated....

 

 

 

Moderate to Severe Pancolitis Ulcerative Colitis Case:

 

 

 

4 year old female. Onset July 2009.

 

 

 

To date, the patient has had 3 UC " flares " 2 of which were handled in the

hospital (prednisone, prevacid, pentasa, IV steroids…) with this last one being

solely handled with chinese herbs and diet.

 

 

 

Flares: Have all been preceded by viral pathogen. Constipation has also

preceded flares. One flare also had introduced bifidus just before flare.

 

 

 

Patient has seen Naturopaths, Dieticians, DOM's, GI's…The next step from the GI

specialist is to go on sulfasalazine, immuron and 6mg prednisone every other day

for up to 1 year. If that didn't work they will recommend surgery.

 

 

 

History:

 

Vaginal birth

 

IV antibiotics for 3 days when first born

 

Full vaccinations

 

Severe cradle cap as child

 

Reflux as baby, colic, burping curdled formula (Enfamil/SMA) (breastfed 4

months)

 

Started solids at 6 months

 

Always picky eater

 

Diaper rash which was treated with hydrocortisone

 

Eczema. No asthma. Allergic to cats (itchy on abdomen).

 

Diagnosed with stomach erosion

 

Anemic

 

Recent stool analysis positive for unknown taxonomy parasite and low levels of

pancreatic enzymes

 

Last year had odd limping which doctor said was from virus and would go away and

did.

 

 

 

Presentation:

 

 

 

Dark circles under eyes

 

Pale complexion

 

Cold hands/nose

 

Night sweats (worse with prednisone, but there presently as well without

medications)

 

Low appetite

 

Parents report: Some what fearful. More so now with doctors and treatments.

Has become quieter.

 

3 small bumps in a line on index finger (I have thought they were flat

warts/viral)

 

GI: 1-2 bm's/day. Will occasionally skip a day. Not much abdominal pain.

BM's vary between mushy and fully formed. Have become more formed with Chinese

herbs and diet. Parents report stomach bloating. Increased burps, bloating and

hiccups recently. Some blood streaked bm's for past month. Some mucus with

stool. Stool often comes out formed at first and then mushy at the end.

 

 

 

Patient came to my office Jan. 2010. I have only seen her in person 1 time.

She lives in Canada. She was not in a flare when she came in. She was on

prednisone, prevacid and pentasa. She finished her taper of prednisone on

2/17/2010. On 2/19/2010 she had blood streaked bm. Parents also reported that

she had slight cold at this time and had been sniffling on and off for 2 weeks.

(They reported that during the last flare she had bled a small amount for 1 week

and then blood started pouring out). She has basically had a low lying cold for

past month. The bleeding has just been drops and will go days without any

blood. When her bm is harder, the bleeding will come back. When her stool is

mushy, there is usually no bleeding.

 

 

 

Herbal Treatments:

 

 

 

Acute bleeding:

 

Yunnan paiyao

 

Kan: Hemorrease (Huai Jiao Wan) stop bleeding, disperse wind, clear heat and

damp

 

Far East Summit: Hemostatic

 

Coptis root

 

7 Forests: Imperata (stop bleeding, clear heat)

 

7 Forests: Picrorrhiza (similar Bai Tou Weng formula)

 

 

 

External Wind-cold:

 

Gentle Warriors: Windbreaker, Chest Relief, Pipe Cleaner

 

 

 

Chronic UC tx:

 

7 Forests Atractylodes (based on Jianpi Ling)

 

Gentle Warriors: Grow and Thrive

 

 

 

Pain:

 

7 Forests Peony formula as needed for pain (really helps)

 

 

 

She is currently taking yunnan baiyao, hemorrease, atractylodes, imperata, and

picrorrhiza. She continues to have small amounts of blood but not a full flare

with diarrhea and severe bleeding.

 

 

 

I was treating her with the idea that I needed to nurture spleen qi and not be

too draining. Since going to Alex Tiberi's pediatric seminar last month, I

started her on the picrorrhiza formula with the idea of clearing more heat. I

would like to get her off of the yunnan paiyao as I'm not sure how long it is

safe to keep her on it or if it is even necessary. I have again recommended

that they see someone regularly for treatments and do herbal enemas.

 

 

 

Update 3/26/2010: When we decrease the yunnan paiyao the bleeding increases.

She is now having increased amounts of blood with every stool (still 1

stool/day) and today there was a large clot. Not much mucus.

 

They are now willing to try an herbal enema tonight.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________

Hotmail: Trusted email with Microsoft’s powerful SPAM protection.

http://clk.atdmt.com/GBL/go/210850552/direct/01/

 

 

[Guest guest]

Yes, she has been on several different probiotics.

 

Other: Vitamin D, floradix liquid iron, multivitamin, chlorophyll, fish oil

 

She has taken l-glutamine, psyllium seed, zinc, omega 3's in the past

 

She is also going to start with some metagenics inflammex and some caprylic

acid.

 

Yes, she began her life on 3 days of IV antibiotics.

 

 

 

Chinese Medicine , mike Bowser

<naturaldoc1 wrote:

>

>

> Any usage of probiotics and other nutrients. She started off her life with

antibiotics, no?

>

> Michael W. Bowser, DC, LAc

>

>

>

> Chinese Medicine

> hjohantgen

> Sat, 27 Mar 2010 21:01:20 +0000

> 4 yr. old ulcerative colitis patient

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

Any help with this case would be greatly appreciated....

>

>

>

> Moderate to Severe Pancolitis Ulcerative Colitis Case:

>

>

>

> 4 year old female. Onset July 2009.

>

>

>

> To date, the patient has had 3 UC " flares " 2 of which were handled in the

hospital (prednisone, prevacid, pentasa, IV steroids…) with this last one being

solely handled with chinese herbs and diet.

>

>

>

> Flares: Have all been preceded by viral pathogen. Constipation has also

preceded flares. One flare also had introduced bifidus just before flare.

>

>

>

> Patient has seen Naturopaths, Dieticians, DOM's, GI's…The next step from the

GI specialist is to go on sulfasalazine, immuron and 6mg prednisone every other

day for up to 1 year. If that didn't work they will recommend surgery.

>

>

>

> History:

>

> Vaginal birth

>

> IV antibiotics for 3 days when first born

>

> Full vaccinations

>

> Severe cradle cap as child

>

> Reflux as baby, colic, burping curdled formula (Enfamil/SMA) (breastfed 4

months)

>

> Started solids at 6 months

>

> Always picky eater

>

> Diaper rash which was treated with hydrocortisone

>

> Eczema. No asthma. Allergic to cats (itchy on abdomen).

>

> Diagnosed with stomach erosion

>

> Anemic

>

> Recent stool analysis positive for unknown taxonomy parasite and low levels of

pancreatic enzymes

>

> Last year had odd limping which doctor said was from virus and would go away

and did.

>

>

>

> Presentation:

>

>

>

> Dark circles under eyes

>

> Pale complexion

>

> Cold hands/nose

>

> Night sweats (worse with prednisone, but there presently as well without

medications)

>

> Low appetite

>

> Parents report: Some what fearful. More so now with doctors and treatments.

Has become quieter.

>

> 3 small bumps in a line on index finger (I have thought they were flat

warts/viral)

>

> GI: 1-2 bm's/day. Will occasionally skip a day. Not much abdominal pain.

BM's vary between mushy and fully formed. Have become more formed with Chinese

herbs and diet. Parents report stomach bloating. Increased burps, bloating and

hiccups recently. Some blood streaked bm's for past month. Some mucus with

stool. Stool often comes out formed at first and then mushy at the end.

>

>

>

> Patient came to my office Jan. 2010. I have only seen her in person 1 time.

She lives in Canada. She was not in a flare when she came in. She was on

prednisone, prevacid and pentasa. She finished her taper of prednisone on

2/17/2010. On 2/19/2010 she had blood streaked bm. Parents also reported that

she had slight cold at this time and had been sniffling on and off for 2 weeks.

(They reported that during the last flare she had bled a small amount for 1 week

and then blood started pouring out). She has basically had a low lying cold for

past month. The bleeding has just been drops and will go days without any

blood. When her bm is harder, the bleeding will come back. When her stool is

mushy, there is usually no bleeding.

>

>

>

> Herbal Treatments:

>

>

>

> Acute bleeding:

>

> Yunnan paiyao

>

> Kan: Hemorrease (Huai Jiao Wan) stop bleeding, disperse wind, clear heat and

damp

>

> Far East Summit: Hemostatic

>

> Coptis root

>

> 7 Forests: Imperata (stop bleeding, clear heat)

>

> 7 Forests: Picrorrhiza (similar Bai Tou Weng formula)

>

>

>

> External Wind-cold:

>

> Gentle Warriors: Windbreaker, Chest Relief, Pipe Cleaner

>

>

>

> Chronic UC tx:

>

> 7 Forests Atractylodes (based on Jianpi Ling)

>

> Gentle Warriors: Grow and Thrive

>

>

>

> Pain:

>

> 7 Forests Peony formula as needed for pain (really helps)

>

>

>

> She is currently taking yunnan baiyao, hemorrease, atractylodes, imperata, and

picrorrhiza. She continues to have small amounts of blood but not a full flare

with diarrhea and severe bleeding.

>

>

>

> I was treating her with the idea that I needed to nurture spleen qi and not be

too draining. Since going to Alex Tiberi's pediatric seminar last month, I

started her on the picrorrhiza formula with the idea of clearing more heat. I

would like to get her off of the yunnan paiyao as I'm not sure how long it is

safe to keep her on it or if it is even necessary. I have again recommended

that they see someone regularly for treatments and do herbal enemas.

>

>

>

> Update 3/26/2010: When we decrease the yunnan paiyao the bleeding increases.

She is now having increased amounts of blood with every stool (still 1

stool/day) and today there was a large clot. Not much mucus.

>

> They are now willing to try an herbal enema tonight.

>

>

>

>

>

>

>

>

>

>

>

>

_______________

> Hotmail: Trusted email with Microsoft's powerful SPAM protection.

> http://clk.atdmt.com/GBL/go/210850552/direct/01/

>

>

[Guest guest]

Hi,

 

what's her diet like?

 

Thomas

 

tir, 30 03 2010 kl. 14:26 +0000, skrev hjohantgen:

 

>

>

> Yes, she has been on several different probiotics.

>

> Other: Vitamin D, floradix liquid iron, multivitamin, chlorophyll,

> fish oil

>

> She has taken l-glutamine, psyllium seed, zinc, omega 3's in the past

>

> She is also going to start with some metagenics inflammex and some

> caprylic acid.

>

> Yes, she began her life on 3 days of IV antibiotics.

>

> Chinese Medicine , mike Bowser

> <naturaldoc1 wrote:

> >

> >

> > Any usage of probiotics and other nutrients. She started off her

> life with antibiotics, no?

> >

> > Michael W. Bowser, DC, LAc

> >

> >

> >

> > Chinese Medicine

> > hjohantgen

> > Sat, 27 Mar 2010 21:01:20 +0000

> > 4 yr. old ulcerative colitis patient

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> > Any help with this case would be greatly appreciated....

> >

> >

> >

> > Moderate to Severe Pancolitis Ulcerative Colitis Case:

> >

> >

> >

> > 4 year old female. Onset July 2009.

> >

> >

> >

> > To date, the patient has had 3 UC " flares " 2 of which were handled

> in the hospital (prednisone, prevacid, pentasa, IV steroidsÂ…) with

> this last one being solely handled with chinese herbs and diet.

> >

> >

> >

> > Flares: Have all been preceded by viral pathogen. Constipation has

> also preceded flares. One flare also had introduced bifidus just

> before flare.

> >

> >

> >

> > Patient has seen Naturopaths, Dieticians, DOM's, GI'sÂ…The next step

> from the GI specialist is to go on sulfasalazine, immuron and 6mg

> prednisone every other day for up to 1 year. If that didn't work they

> will recommend surgery.

> >

> >

> >

> > History:

> >

> > Vaginal birth

> >

> > IV antibiotics for 3 days when first born

> >

> > Full vaccinations

> >

> > Severe cradle cap as child

> >

> > Reflux as baby, colic, burping curdled formula (Enfamil/SMA)

> (breastfed 4 months)

> >

> > Started solids at 6 months

> >

> > Always picky eater

> >

> > Diaper rash which was treated with hydrocortisone

> >

> > Eczema. No asthma. Allergic to cats (itchy on abdomen).

> >

> > Diagnosed with stomach erosion

> >

> > Anemic

> >

> > Recent stool analysis positive for unknown taxonomy parasite and low

> levels of pancreatic enzymes

> >

> > Last year had odd limping which doctor said was from virus and would

> go away and did.

> >

> >

> >

> > Presentation:

> >

> >

> >

> > Dark circles under eyes

> >

> > Pale complexion

> >

> > Cold hands/nose

> >

> > Night sweats (worse with prednisone, but there presently as well

> without medications)

> >

> > Low appetite

> >

> > Parents report: Some what fearful. More so now with doctors and

> treatments. Has become quieter.

> >

> > 3 small bumps in a line on index finger (I have thought they were

> flat warts/viral)

> >

> > GI: 1-2 bm's/day. Will occasionally skip a day. Not much abdominal

> pain. BM's vary between mushy and fully formed. Have become more

> formed with Chinese herbs and diet. Parents report stomach bloating.

> Increased burps, bloating and hiccups recently. Some blood streaked

> bm's for past month. Some mucus with stool. Stool often comes out

> formed at first and then mushy at the end.

> >

> >

> >

> > Patient came to my office Jan. 2010. I have only seen her in person

> 1 time. She lives in Canada. She was not in a flare when she came in.

> She was on prednisone, prevacid and pentasa. She finished her taper of

> prednisone on 2/17/2010. On 2/19/2010 she had blood streaked bm.

> Parents also reported that she had slight cold at this time and had

> been sniffling on and off for 2 weeks. (They reported that during the

> last flare she had bled a small amount for 1 week and then blood

> started pouring out). She has basically had a low lying cold for past

> month. The bleeding has just been drops and will go days without any

> blood. When her bm is harder, the bleeding will come back. When her

> stool is mushy, there is usually no bleeding.

> >

> >

> >

> > Herbal Treatments:

> >

> >

> >

> > Acute bleeding:

> >

> > Yunnan paiyao

> >

> > Kan: Hemorrease (Huai Jiao Wan) stop bleeding, disperse wind, clear

> heat and damp

> >

> > Far East Summit: Hemostatic

> >

> > Coptis root

> >

> > 7 Forests: Imperata (stop bleeding, clear heat)

> >

> > 7 Forests: Picrorrhiza (similar Bai Tou Weng formula)

> >

> >

> >

> > External Wind-cold:

> >

> > Gentle Warriors: Windbreaker, Chest Relief, Pipe Cleaner

> >

> >

> >

> > Chronic UC tx:

> >

> > 7 Forests Atractylodes (based on Jianpi Ling)

> >

> > Gentle Warriors: Grow and Thrive

> >

> >

> >

> > Pain:

> >

> > 7 Forests Peony formula as needed for pain (really helps)

> >

> >

> >

> > She is currently taking yunnan baiyao, hemorrease, atractylodes,

> imperata, and picrorrhiza. She continues to have small amounts of

> blood but not a full flare with diarrhea and severe bleeding.

> >

> >

> >

> > I was treating her with the idea that I needed to nurture spleen qi

> and not be too draining. Since going to Alex Tiberi's pediatric

> seminar last month, I started her on the picrorrhiza formula with the

> idea of clearing more heat. I would like to get her off of the yunnan

> paiyao as I'm not sure how long it is safe to keep her on it or if it

> is even necessary. I have again recommended that they see someone

> regularly for treatments and do herbal enemas.

> >

> >

> >

> > Update 3/26/2010: When we decrease the yunnan paiyao the bleeding

> increases. She is now having increased amounts of blood with every

> stool (still 1 stool/day) and today there was a large clot. Not much

> mucus.

> >

> > They are now willing to try an herbal enema tonight.

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> > ________

> > Hotmail: Trusted email with Microsoft's powerful SPAM protection.

> > http://clk.atdmt.com/GBL/go/210850552/direct/01/

> >

> >

[Guest guest]

She has followed the SCD diet. Now, she is basically on a strict " candida

diet " . No gluten, sugar, dairy. Antibiotic and steroid free chicken, meat,

fish. Warming soups. The whole deal.

 

Holly

 

Chinese Medicine , Thomas Sørensen

<> wrote:

>

> Hi,

>

> what's her diet like?

>

> Thomas

>

> tir, 30 03 2010 kl. 14:26 +0000, skrev hjohantgen:

>

> >

> >

> > Yes, she has been on several different probiotics.

> >

> > Other: Vitamin D, floradix liquid iron, multivitamin, chlorophyll,

> > fish oil

> >

> > She has taken l-glutamine, psyllium seed, zinc, omega 3's in the past

> >

> > She is also going to start with some metagenics inflammex and some

> > caprylic acid.

> >

> > Yes, she began her life on 3 days of IV antibiotics.

> >

> > Chinese Medicine , mike Bowser

> > <naturaldoc1@> wrote:

> > >

> > >

> > > Any usage of probiotics and other nutrients. She started off her

> > life with antibiotics, no?

> > >

> > > Michael W. Bowser, DC, LAc

> > >

> > >

> > >

> > > Chinese Medicine

> > > hjohantgen@

> > > Sat, 27 Mar 2010 21:01:20 +0000

> > > 4 yr. old ulcerative colitis patient

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > > Any help with this case would be greatly appreciated....

> > >

> > >

> > >

> > > Moderate to Severe Pancolitis Ulcerative Colitis Case:

> > >

> > >

> > >

> > > 4 year old female. Onset July 2009.

> > >

> > >

> > >

> > > To date, the patient has had 3 UC " flares " 2 of which were handled

> > in the hospital (prednisone, prevacid, pentasa, IV steroidsÂ…) with

> > this last one being solely handled with chinese herbs and diet.

> > >

> > >

> > >

> > > Flares: Have all been preceded by viral pathogen. Constipation has

> > also preceded flares. One flare also had introduced bifidus just

> > before flare.

> > >

> > >

> > >

> > > Patient has seen Naturopaths, Dieticians, DOM's, GI'sÂ…The next step

> > from the GI specialist is to go on sulfasalazine, immuron and 6mg

> > prednisone every other day for up to 1 year. If that didn't work they

> > will recommend surgery.

> > >

> > >

> > >

> > > History:

> > >

> > > Vaginal birth

> > >

> > > IV antibiotics for 3 days when first born

> > >

> > > Full vaccinations

> > >

> > > Severe cradle cap as child

> > >

> > > Reflux as baby, colic, burping curdled formula (Enfamil/SMA)

> > (breastfed 4 months)

> > >

> > > Started solids at 6 months

> > >

> > > Always picky eater

> > >

> > > Diaper rash which was treated with hydrocortisone

> > >

> > > Eczema. No asthma. Allergic to cats (itchy on abdomen).

> > >

> > > Diagnosed with stomach erosion

> > >

> > > Anemic

> > >

> > > Recent stool analysis positive for unknown taxonomy parasite and low

> > levels of pancreatic enzymes

> > >

> > > Last year had odd limping which doctor said was from virus and would

> > go away and did.

> > >

> > >

> > >

> > > Presentation:

> > >

> > >

> > >

> > > Dark circles under eyes

> > >

> > > Pale complexion

> > >

> > > Cold hands/nose

> > >

> > > Night sweats (worse with prednisone, but there presently as well

> > without medications)

> > >

> > > Low appetite

> > >

> > > Parents report: Some what fearful. More so now with doctors and

> > treatments. Has become quieter.

> > >

> > > 3 small bumps in a line on index finger (I have thought they were

> > flat warts/viral)

> > >

> > > GI: 1-2 bm's/day. Will occasionally skip a day. Not much abdominal

> > pain. BM's vary between mushy and fully formed. Have become more

> > formed with Chinese herbs and diet. Parents report stomach bloating.

> > Increased burps, bloating and hiccups recently. Some blood streaked

> > bm's for past month. Some mucus with stool. Stool often comes out

> > formed at first and then mushy at the end.

> > >

> > >

> > >

> > > Patient came to my office Jan. 2010. I have only seen her in person

> > 1 time. She lives in Canada. She was not in a flare when she came in.

> > She was on prednisone, prevacid and pentasa. She finished her taper of

> > prednisone on 2/17/2010. On 2/19/2010 she had blood streaked bm.

> > Parents also reported that she had slight cold at this time and had

> > been sniffling on and off for 2 weeks. (They reported that during the

> > last flare she had bled a small amount for 1 week and then blood

> > started pouring out). She has basically had a low lying cold for past

> > month. The bleeding has just been drops and will go days without any

> > blood. When her bm is harder, the bleeding will come back. When her

> > stool is mushy, there is usually no bleeding.

> > >

> > >

> > >

> > > Herbal Treatments:

> > >

> > >

> > >

> > > Acute bleeding:

> > >

> > > Yunnan paiyao

> > >

> > > Kan: Hemorrease (Huai Jiao Wan) stop bleeding, disperse wind, clear

> > heat and damp

> > >

> > > Far East Summit: Hemostatic

> > >

> > > Coptis root

> > >

> > > 7 Forests: Imperata (stop bleeding, clear heat)

> > >

> > > 7 Forests: Picrorrhiza (similar Bai Tou Weng formula)

> > >

> > >

> > >

> > > External Wind-cold:

> > >

> > > Gentle Warriors: Windbreaker, Chest Relief, Pipe Cleaner

> > >

> > >

> > >

> > > Chronic UC tx:

> > >

> > > 7 Forests Atractylodes (based on Jianpi Ling)

> > >

> > > Gentle Warriors: Grow and Thrive

> > >

> > >

> > >

> > > Pain:

> > >

> > > 7 Forests Peony formula as needed for pain (really helps)

> > >

> > >

> > >

> > > She is currently taking yunnan baiyao, hemorrease, atractylodes,

> > imperata, and picrorrhiza. She continues to have small amounts of

> > blood but not a full flare with diarrhea and severe bleeding.

> > >

> > >

> > >

> > > I was treating her with the idea that I needed to nurture spleen qi

> > and not be too draining. Since going to Alex Tiberi's pediatric

> > seminar last month, I started her on the picrorrhiza formula with the

> > idea of clearing more heat. I would like to get her off of the yunnan

> > paiyao as I'm not sure how long it is safe to keep her on it or if it

> > is even necessary. I have again recommended that they see someone

> > regularly for treatments and do herbal enemas.

> > >

> > >

> > >

> > > Update 3/26/2010: When we decrease the yunnan paiyao the bleeding

> > increases. She is now having increased amounts of blood with every

> > stool (still 1 stool/day) and today there was a large clot. Not much

> > mucus.

> > >

> > > They are now willing to try an herbal enema tonight.

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > > ________

> > > Hotmail: Trusted email with Microsoft's powerful SPAM protection.

> > > http://clk.atdmt.com/GBL/go/210850552/direct/01/

> > >

> > >