longterm use of jin gui shen qi wan

[Guest guest]

 

 

Hello everyone,

 

Speaking of the longterm use of certain herbs, I have a 40 y.o. patient who donated a kidney to her husband 6 months ago. Outwardly, she is in pretty good shape, considering, but her left chi pulse is practically not there and her tongue is quite pale, puffy and tender. My dx for her is K yin/yang xu, with damp accumulation in the lower jiao, Sp qi xu and a retained pathogen in the Lungs. So I have prescribed her a variation of jin gui shen qi wan/Kidney Qi pill in granulated extract form. I imagine that this will be her basic formula for a long time.

Now, a few years ago at a seminar with Dr. Yitian Ni, Dr. Ni warned against using liu wei di huang wan for prolonged periods, over 6 months, as a study in China showed that prolonged use can lead to nephropathy. Has anybody ever heard of this? What kind of regimes do people put their patients on when they know that they will have to be taking supplementing herbs for a long time? Do you occasionally replace herbs- say replace the shu di with a han lian cao and nu zhen zi combo for a while? Do you have the patient take herbs 3 weeks on and 1 week off during the month?

Any feedback would be appreciated.

Thanks.

 

Kristin Wisgirda, MTOM, Lic.Ac.

[Guest guest]

Would Gui Liu Er Xian Jiao work better ?

(Lu Jiao, Gui Ban, Gou Qi Zi, Ren Shen)(Benskey p. 280).

This would change the strategy a bit from draining/tonifying to tonifying

and maybe sub Dang Shen for Ren Shen if you need to focus more on Spleen and Lung Qi.

 

I also believed that 6 days of herbs one day rest for 3 weeks then a few days of rest and repeat AND always to monitor and adjust weekly as the body responds/fails to respond as thought.

 

However, I am not sure about "retained pathogen in the Lungs" and the strategy should address that as primary.

 

Also I have assumed - among other things - that she has been on a variation of jin gui shen qi wan for some time.

 

 

Thank you for listening,

Ed Kasper L.Ac., Santa Cruz, California

 

 

 

 

kwisgirda [kwisgirda]Tuesday, June 13, 2000 9:43 AM Subject: longterm use of jin gui shen qi wan

 

 

 

Hello everyone,

 

Speaking of the longterm use of certain herbs, I have a 40 y.o. patient who donated a kidney to her husband 6 months ago. Outwardly, she is in pretty good shape, considering, but her left chi pulse is practically not there and her tongue is quite pale, puffy and tender. My dx for her is K yin/yang xu, with damp accumulation in the lower jiao, Sp qi xu and a retained pathogen in the Lungs. So I have prescribed her a variation of jin gui shen qi wan/Kidney Qi pill in granulated extract form. I imagine that this will be her basic formula for a long time.

Now, a few years ago at a seminar with Dr. Yitian Ni, Dr. Ni warned against using liu wei di huang wan for prolonged periods, over 6 months, as a study in China showed that prolonged use can lead to nephropathy. Has anybody ever heard of this? What kind of regimes do people put their patients on when they know that they will have to be taking supplementing herbs for a long time? Do you occasionally replace herbs- say replace the shu di with a han lian cao and nu zhen zi combo for a while? Do you have the patient take herbs 3 weeks on and 1 week off during the month?

Any feedback would be appreciated.

Thanks.

 

Kristin Wisgirda, MTOM, Lic.Ac.

 

 

 

Chronic Diseases Heal - Chinese Herbs Can Help

[Guest guest]

Hi there,

Just an FYI. I have noticed that all your submission to the have been infected by a virus. Might want to update your virus software...?

 

Take care,

Sean

 

kwisgirda [kwisgirda]Tuesday, June 13, 2000 12:43 PM Subject: longterm use of jin gui shen qi wanThis file was infected with a virus. The file was quarantined by Norton AntiVirus. Wednesday, June 14, 2000 10:21

[Guest guest]

Who's files are infected?

[Guest guest]

<Who's files are infected?>

 

Everything I have received from " kwisgirda " was quarantined by

my Norton Antivirus, which said they contained the Trojan Horse virus...

 

Sean