Guest guest Posted October 27, 2000 Report Share Posted October 27, 2000 Steven's case Thanks for that 5 element imput James I had a quick look at the case... sharp pain -blood stasis also some cold stagnation ...lower jiao You said she gets sick quite a bit...I presume you mean colds and flu......ie wei qi weak, headaches worse at period time....liver blood xu....check if she has dream disturbed sleep or other signs liv bld xu Firstly I would omit da huang and tao ren if she has loose stools.There are other blood movers more gentle in action... eg dang gui wei ,chuan xiong,hong hua Don't quite understand her taking bu zhong yi qi tang at the same time...do you mean with gui zhi fu ling tang or that she takes one formula at night and one in the morning She likes heat on the abdomen...cold stagnation ...ai ye comes to mind with xiang fu and gan jiang I'd try a few gently spleen tonics and astringents ...eg bai zhu,shan yao,qian shi and possibly tu su zi Sorry I can't comment about the insect herbs But I'd be interested to hear from the others. 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 October 28, 2000 Report Share Posted October 28, 2000 > Steve Snydes wrote: > > > Hi group, looking for some insights into a case of a > > 29 year old female with cc of endrometriosis. Patient > > came in with constant abdominal pain in the area of > > both of her ovaries. Pain is sharp and localized > > during > > period and dull most of the rest of the time. > She has > > had two surgeries for endrometrosis and was put on > > a medication that makes the body think it's in > > menopause. She was also put on the pill for 3 years. > > She was taking the pill for heavy periods, however she > > > > stopped taking it earlier this year. > At that time, her > > periods were irregular with one cycle in 5 months. She > > > > had spotting between periods. Tends to have lite and > > heavy periods, lite one's are more painful, relieved > > by passing clots, which are dark red. > Patient has cold > > hands and feet, also heat feels good on lower > > abdominal area. Energy was low, no dizziness or lite-headedness. > > Lots of gas and has loose stools. Brusies easily.She > > also gets headaches worse at period time and has > > intermitant back pain. Can have pms sx too. Gets sick > > quite a bit. > Pulses are generally weak, and slightly > > wiry. Tongue is moist, pale,scallops. > I have seen this > > patient since Feb of this year. > My dx is Blood Stag, > > Sp & Kd Xu. > I have been using Cinamon & Poria, with > > rhubarb,chaio shao,salvia, and san leng (from golden > > flower). > Loose stools got worse patient also takes > > bu zhong yi qi tong. Over the course of about a half > > year she now has regular periods, pain only at period > > time, no spotting, energy is better. Main problem is > > she still has bad period pain, also has trouble taking > > a lot of blood moving herbs, due to loose stools.I > > read that Endrometriosis can lead to stagnation in the net- > > work vessels, and insect medicinals can help to clear > > this out. Is this too drastic, any suggestions? Snydez99 > > -- Chinese Herbal Medicine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2000 Report Share Posted October 29, 2000 While you are generally correct in your diagnosis, there is more detail to consider because the condition cycles in time. View her case 5-elementally, using the Kd, Lv, Sp triangle. While there is always deficiency (xu) and blood stasis, the condition can swing to excessive (shi) because ectopic endometrial tissue responds cyclically to ovarian hormones. You have to follow and respond to that change. In the excessive phase or when the condition is more acute, the deep left proximal pulse position (you find pulse qualities specifically related to the reproductive organs at approximately the bottom third of this position) should clearly show some binding quality with more damp and heat. That movement may be copied in the right proximal pulse position. When deficient, the pulse quality can be more stringlike. When her condition becomes worse around her period you should be able to see the overstressed liver sending a movement back to the kidney in the pulse (liver is " connected " to the uterus because it is so muscular), and the kidney is more active along the shen cycle back to the liver. At that time, you will have to make more efforts to control her liver movement. Another point to consider is how much pain may be contributed by peritoneal adhesions or intestinal obstruction. A Rolfer may helpful to break up the adhesions and scar tissue. Because there are two general types of endometriosis (internal and external to the myometrium) consider targeting your formula for her type. Extrauterine endometriosis is probably more closely thought of as " stagnation in the luo network. " It's more useful to consider what internal channels the endo follows (usually Chong mai). So strong blood moving herbs may not always be a good idea, and her reaction to them suggests already that. Health Concerns has a good general formula which can be combined with other formulas for supporting her general vitality---still another issue to contend with because someone chronically ill for that long will be slow to heal. A good general acupuncture formula for endometriosis is Sp6 (stick deep and downward to sedate), Sp9, Sp10, Cv9 (stick upward to control fluids and in order to mix and neutralize any residual heat or inflammation from the lower jiao into Ren), LI4 (stick deep and tonify); other points can be added depending on what you find in her pulses at a particular time. This treatment strategy is designed to control hormones and send down vital yang (wei) qi to warm and control her lower jiao. You should see some improvement in 1-2 weeks. I hope this is of some help. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2000 Report Share Posted October 29, 2000 , " heiko " <heiko@l...> wrote: > Steven's case > > > Sorry I can't comment about the insect herbs But I'd be interested to hear > from the others. > I believe the general rule of thumb is to use insect medicinals after milder therapy has failed. I personally limit myself to the nontoxic di long and jiang can, but others like wu gong, lu feng fang and also the snakes, like wu shao she. I believe one of our new members likes these animal medicinals. Min, if you are out there, let us know what you think. todd Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2000 Report Share Posted November 17, 2000 EPHEDRA EDUCATION COUNCIL RESPONDS TO NEJM STUDYThe Ephedra Education Council, headquartered in Washington, DC, released onTuesday a response to a recent study, conducted on behalf of the US Foodand Drug Administration, that determined that the herb ephedra can causelife-threatening complications.http://primarycare.medscape.com/29731.rhtml?srcmp=pc-111000<a href="http://primarycare.medscape.com/29731.rhtml?srcmp=pc-111000"> ReadAlon Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.