Guest guest Posted June 7, 2000 Report Share Posted June 7, 2000 I am interesting in starting a string to discuss treatment strategies for fibromyalgia. And I would like to say at the outset that fibromyalgia is not my diagnosis, rather it is the one they come in with. I am not interested to have a debate about the question of what is the real medicine, simply some discussion of treatment strategy. Specifically I am interested to know what people have tried with respect to formulas which are helpful to decrease the pain sx's and improve sleep patterns. Sleep disturbances seem to be a common component of the presentations. In my clients there seems to be a consistant pattern of dampness, liver qi stagnation and lingering heat, spleen xu, perhaps we could say " Heart and Kidney not communicating. " Unresolved issues from earlier in life, with some chronic resentments. Moving blood does not seem to work well for pain with these types, so how does one effectively move dampness to reduce pain? Tonification seems important for chronic types such as these, but I find that there is often significant difficulty with taking herbal formulas due to the weakness in the digestion. There frequently seems to be an environmental sensitivity problem as well. Reactions to perfumes, chemicals, bad air, obnoxious persons and situations, etc. Are some herbs more likely to set off such types of problems? Also I heard from one of my clients that 60% of women with a diagnosis of fibromyalgia were sexually abused when younger, compared with stats of 30-35% of the female population in general in the US. Can anyone comment on this? How do the emotional and psychological factors effect the course of treatment, and are they relevant for the herbal strategy? I generally would describe the condition as one in which there are " permeability issues, " problems with boundaries and weakness in relation to life. From this perspective I would like to say that there is some Small Intestine, and Pericardium involved, but this would not be a Standard TCM sort of viewpoint. My practise typically involves acupuncture and herbs, understanding psychological factors is almost always a key to effective treatments. My herbal skill is not equal to my acupuncture, and I am interested to know what people have to comment on the emotional and spiritual dynamic of specific herbs and formulas. Is there anyone who is doing research or who can recommend good sources for such information? I understand it to be a basic premise of this medicine that the mind and body are the manifestation of a single indivisible phenomenon but sometimes it seems that this principle gets short changed in the parameters of the diagnostics. Quote Link to comment Share on other sites More sharing options...
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