Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Does anybody know for how long we can use " Shu Gan Wan " ? For one month two or more.My patient has pancreatitis and problem with his gallblader and liver.When he has dull, distending pain on the right hypochondrial are he has at the same time a strange feeling on his tongue: some kind of burning sensation like after drinking a hot tea. His tongue is purplish with thin greasy white (sometimes slightly yellow) color. Tip is red/ The body of the tongue is flabby.Pulse - choppy, slippery.He feels distention usually after meal, and I gave him Shu Ganwan. He feels better with the formula, but I am not sure for how long he can take it. Any idea and explanation? Yuri Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Yuri Shu gan san I think addresses more specifically liver qi stasis /period pain type problems. Your patient with the red tongue tip would indicate some heart fire /heat etc,the flabby indicating possible damp and purple :blood stasis which shu gan san doesn't address ,in fact the drying nature of the formula may damage the yin xu if there is any. The symptom of the strange burning sensation is interesting > the closest thing that I could think of is that it is due to liver and kidney yin deficiency with concurrent liver qi stasis .Have a think about the formula yi guan jian which can address stuff like distention with concurrent dry mouth . Heiko Lade Registered Acupuncturist / Chinese Herbalist 2 Jenkins St. Green Island, Dunedin New Zealand Tel: (03) 488 4086, Fax: (03) 488 4012 http://www.lade.com/heiko Email: heiko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 on 9/26/00 1:06 PM, yuriovi at yuriovi wrote: > Does anybody know for how long we can use " Shu Gan Wan " ? For one month > two or more.My patient has pancreatitis and problem with his > gallblader and liver.When he has dull, distending pain on the right > hypochondrial are he has at the same time a strange feeling on his > tongue: some kind of burning sensation like after drinking a hot tea. > His tongue is purplish with thin greasy white (sometimes slightly > yellow) color. Tip is red/ The body of the tongue is flabby.Pulse - > choppy, slippery.He feels distention usually after meal, and I gave > him Shu Ganwan. He feels better with the formula, but I am not sure > for how long he can take it. Any idea and explanation? > Yuri > Questions: 1) what part of the tongue is effected? 2) What are the GB/Liver problems? 3) What are his digestive symptoms? If the pulse is truly choppy and slippery, it would indicate possible liver blood depression and dampness. In which case, another prescription should be considered. You seem to have a pattern here of mixed vacuity and repletion, so you probably need to stop the formula soon and use a prescription that is more appropriate. Quote Link to comment Share on other sites More sharing options...
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