Guest guest Posted April 29, 2010 Report Share Posted April 29, 2010 Hi all, Long-time lurker here, first-time poster. I just graduated from acupuncture school in Arizona, and am specializing in men's health and chronic auto-immune diseases. I'm seeing more and more men coming in with chronic PID or other testicular inflammation patterns, usually as a post-surgical complication related to inguinal hernia or other traumas. I usually have some pretty good success managing these conditions with modified versions of Shao Fu Zhu Yu Tang, as well as acupuncture and e-stim applied either from GB 28 or 29 linked to ST30, or in severe cases have used a current between Ren 1 and Ren 3 -- not fun for the patient particularly, but it seems to consistently produce good results in terms of relieving pain. However, I'm having a particularly challenging case in front of me and would welcome any insights that anyone could provide. This is a 27-year-old male who had an endoscopic mesh repair of a bilateral inguinal hernia about a year and a half ago, and who has had severe testicular sensitivity and pain ever since. The inguinal ring and associated fascia of the spermatic cord are tight and inflamed, which is at the mesh site, along with radiant pain to yaoyan and the lower L-spine. I've tried direct pain treatments with e-stim at the points mentioned above, as well as several herbal variations to work with this, all to basically no avail or with minimal results. He's presenting constitutionally as extremely Kidney and Liver Yin deficient with heat, as well as damp-heat in the middle and lower jiao with underlying Liver Qi Constraint and Spleen Qi Deficiency. This is highly complex, and I'm honestly just having a bit of a tough time even figuring out where to start with this. Any thoughts on this would be much appreciated, and if there's any need for any clarifications or further detail I'd be glad to provide. Thank you all for providing a much-needed forum for discussion of our medicine, I look forward to hearing the response. Thanks again, Blake Beeston, ABT, Dipl.OM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2010 Report Share Posted April 30, 2010 You might want to look into some ideas of Kiiko Matsumoto, such as treating the surgical scar. It appears obvious that this got started following a surgery. As there is inflammation and swelling, you might want to check fire points on channels that go to the area, best if you can also palpate the scar for tenderness. Then look for metal and water points that decrease this. This case may also be complicated with other reactions such as blood stagnation, immune reactions and even adrenal insufficiency. I like her clinical case studies texts for this information but she has also written many other books. She also shares some home remedies, such as nasal irrigation, to help with immune issues. Hope this helps. Michael W. Bowser, DC, LAc Chinese Medicine bmbeestone Thu, 29 Apr 2010 13:46:28 -0700 Male Pelvic Inflammatory Disease Hi all, Long-time lurker here, first-time poster. I just graduated from acupuncture school in Arizona, and am specializing in men's health and chronic auto-immune diseases. I'm seeing more and more men coming in with chronic PID or other testicular inflammation patterns, usually as a post-surgical complication related to inguinal hernia or other traumas. I usually have some pretty good success managing these conditions with modified versions of Shao Fu Zhu Yu Tang, as well as acupuncture and e-stim applied either from GB 28 or 29 linked to ST30, or in severe cases have used a current between Ren 1 and Ren 3 -- not fun for the patient particularly, but it seems to consistently produce good results in terms of relieving pain. However, I'm having a particularly challenging case in front of me and would welcome any insights that anyone could provide. This is a 27-year-old male who had an endoscopic mesh repair of a bilateral inguinal hernia about a year and a half ago, and who has had severe testicular sensitivity and pain ever since. The inguinal ring and associated fascia of the spermatic cord are tight and inflamed, which is at the mesh site, along with radiant pain to yaoyan and the lower L-spine. I've tried direct pain treatments with e-stim at the points mentioned above, as well as several herbal variations to work with this, all to basically no avail or with minimal results. He's presenting constitutionally as extremely Kidney and Liver Yin deficient with heat, as well as damp-heat in the middle and lower jiao with underlying Liver Qi Constraint and Spleen Qi Deficiency. This is highly complex, and I'm honestly just having a bit of a tough time even figuring out where to start with this. Any thoughts on this would be much appreciated, and if there's any need for any clarifications or further detail I'd be glad to provide. Thank you all for providing a much-needed forum for discussion of our medicine, I look forward to hearing the response. Thanks again, Blake Beeston, ABT, Dipl.OM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2010 Report Share Posted May 1, 2010 Mike, Thanks so much for the insights, I'll try them out. I'm rather thinly read with Dr. Matsumoto's work, but am familiar with scar reduction and have been applying it with some success related to his pain. Fire points have been helping, but I've also been trying to add Xi points to the equation to see if clearing the respective channels will be helpful. I find it interesting that you bring up immunity issues, the patient in question is a lifelong kidney-deficiency asthmatic, it would be an interesting theoretical approach to work with his kidneys and lungs to see what systemic relief he might get. The only other thing I've tried that's been helpful is the Chi Nei Tsang technique called " Opening the Wind Gates " adapted to needling, doing slightly oblique insertion on 8 points equilaterally located about .25 cun out from the navel and then applying needle moxa, which I'm looking at as a combined equivalent of salt-ginger moxa on Ren 8 and a release of the abdominal fascia. Thanks again for the help, it's much appreciated! -Blake Beeston, Dipl.OM --- On Fri, 4/30/10, mike Bowser <naturaldoc1 wrote: mike Bowser <naturaldoc1 RE: Male Pelvic Inflammatory Disease Chinese Traditional Medicine Friday, April 30, 2010, 5:01 PM You might want to look into some ideas of Kiiko Matsumoto, such as treating the surgical scar. It appears obvious that this got started following a surgery. As there is inflammation and swelling, you might want to check fire points on channels that go to the area, best if you can also palpate the scar for tenderness. Then look for metal and water points that decrease this. This case may also be complicated with other reactions such as blood stagnation, immune reactions and even adrenal insufficiency. I like her clinical case studies texts for this information but she has also written many other books. She also shares some home remedies, such as nasal irrigation, to help with immune issues. Hope this helps. Michael W. Bowser, DC, LAc Chinese Medicine bmbeestone Thu, 29 Apr 2010 13:46:28 -0700 Male Pelvic Inflammatory Disease Hi all, Long-time lurker here, first-time poster. I just graduated from acupuncture school in Arizona, and am specializing in men's health and chronic auto-immune diseases. I'm seeing more and more men coming in with chronic PID or other testicular inflammation patterns, usually as a post-surgical complication related to inguinal hernia or other traumas. I usually have some pretty good success managing these conditions with modified versions of Shao Fu Zhu Yu Tang, as well as acupuncture and e-stim applied either from GB 28 or 29 linked to ST30, or in severe cases have used a current between Ren 1 and Ren 3 -- not fun for the patient particularly, but it seems to consistently produce good results in terms of relieving pain. However, I'm having a particularly challenging case in front of me and would welcome any insights that anyone could provide. This is a 27-year-old male who had an endoscopic mesh repair of a bilateral inguinal hernia about a year and a half ago, and who has had severe testicular sensitivity and pain ever since. The inguinal ring and associated fascia of the spermatic cord are tight and inflamed, which is at the mesh site, along with radiant pain to yaoyan and the lower L-spine. I've tried direct pain treatments with e-stim at the points mentioned above, as well as several herbal variations to work with this, all to basically no avail or with minimal results. He's presenting constitutionally as extremely Kidney and Liver Yin deficient with heat, as well as damp-heat in the middle and lower jiao with underlying Liver Qi Constraint and Spleen Qi Deficiency. This is highly complex, and I'm honestly just having a bit of a tough time even figuring out where to start with this. Any thoughts on this would be much appreciated, and if there's any need for any clarifications or further detail I'd be glad to provide. Thank you all for providing a much-needed forum for discussion of our medicine, I look forward to hearing the response. Thanks again, Blake Beeston, ABT, Dipl.OM Quote Link to comment Share on other sites More sharing options...
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