AID patient with enzymes in muscles

[Guest guest]

-

" Karen S Vaughan " <creationsgarden

 

Cc: <herbalhall

Tuesday, June 26, 2001 4:00 PM

AID patient with enzymes in muscles

 

 

> Now he has asked us to treat painful muscle burning in his shoulders and

> knees. His doctor tells him that this is due to enzymes in his muscles

> caused by the virus. I am unfamiliar with the enzyme build-up and would

> appreciate anything about the disease mechanism or treatment

> suggestions.

>

Hi Karen,

 

Sounds like muscular myopathy:

 

http://www.aegis.com/hivinfoweb/library/ois/m/myopathy.html

HIV-associated myopathy/ AZT myopathy:

 

Symptoms:

Pain and aching in muscles, usually in thighs and shoulders. Weakness, with

difficulty arising from a chair or reaching

above shoulders .

 

Clinical Features:

Mild/moderate muscle tenderness. Weakness predominantly in proximal muscles

(i.e. deltoids, hip flexors). Normal sensory

exam/normal reflexes

 

Ancillary Studies:

 

Treatment:

Creatine phosphokinase (CPK) usually elevated. EMG/NCVs show evidence of an

irritable myopathy. If patient is on AZT,

discontinue AZT and follow every 2 weeks. Symptoms/signs/CPK should improve

within 1 month.

 

Greg

[Guest guest]

-

" Karen S Vaughan " <creationsgarden

 

Cc: <herbalhall

Tuesday, June 26, 2001 4:00 PM

AID patient with enzymes in muscles

 

 

> Now he has asked us to treat painful muscle burning in his shoulders and

> knees. His doctor tells him that this is due to enzymes in his muscles

> caused by the virus. I am unfamiliar with the enzyme build-up and would

> appreciate anything about the disease mechanism or treatment

> suggestions.

>

Hi Karen,

 

This one may be more up your street.

 

http://members.aol.com/HIVtcm/Myopathy.htm

 

Greg

[Guest guest]

I'm treating an AIDS patient, 49, male, 12 years known positive, on the

cocktail. He came in with severe atopic allergies to flowers, perfume,

dill aerosoles, latex, etc- many of which are occupational hazards as he

works in catering. Allergies have lasted for 12 years or so. The

allergic outbreaks used to occur a few times a year, but increased in

frequency and number of triggers to occur several times a month. Dx:

blood level heat with wind heat. He presented with severe hives all

over his body, swollen face, wheezing and digestive problems during acute

attacks. Dark red tongue with very dark tip, purplish sublingual veins,

greasy yellow tongue coat, partially peeled. Wiry thin pulse.

Self-treats with Benedryl which is of decreasing effectiveness. He has

neuropathy in both feet, which has responded to threading needles along

the channels from the hot areas to the cold areas. Yin vacuity signs.

He has responded to twice-weekly acupuncture and herbs to clear and drain

heat and generate fluids with reduced allergic outbreaks and lesser heat

signs in the tongue and skin.

 

Herbs included raw rhemannia, dang gui, leboredelia, zhi mu, chan tui, ku

shen, jing jie, burdock seeds, gypsum, licorice, sha shen and mai men

dong.

 

Now he has asked us to treat painful muscle burning in his shoulders and

knees. His doctor tells him that this is due to enzymes in his muscles

caused by the virus. I am unfamiliar with the enzyme build-up and would

appreciate anything about the disease mecchanism or treatment

suggestions.

 

Karen Vaughan

CreationsGarden

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[Guest guest]

While the links on myopathy are quite interesting, it seems to refer

more to progressive weakness of the muscles than the burning

sensation my patient has in the muscles, particularly on the

shoulders and begining in medial knee areas. (He may be getting

early stage myopathy too since he has trouble climbing stairs.) But

neither the western nor TCM explanations refer to a condition with

burning sensation in the muscles- some sort of stasis pain.

 

Any other ideas or knowledge of whether myopathy involves burning

sensations?

 

Karen Vaughan

[Guest guest]

-

<creationsgarden

 

Thursday, June 28, 2001 2:24 PM

Re: AID patient with enzymes in muscles

 

 

> While the links on myopathy are quite interesting, it seems to refer

> more to progressive weakness of the muscles than the burning

> sensation my patient has in the muscles, particularly on the

> shoulders and beginning in medial knee areas. (He may be getting

> early stage myopathy too since he has trouble climbing stairs.) But

> neither the western nor TCM explanations refer to a condition with

> burning sensation in the muscles- some sort of stasis pain.

>

> Any other ideas or knowledge of whether myopathy involves burning

> sensations?

>

Hi Karen,

 

With respect, I think the burning sensations are the muscles reacting to forces

in his body which involves elevated

levels of catabolic hormone driven enzymes breaking down his muscular protein

into animo acids.

 

The HIV myopathy reference talked about the shoulders and thighs, which is where

your patient was having the problems.

 

Greg

[Guest guest]

Thanks Greg-

 

You are probably right- I just didn't find references to burning pain

in either the eastern or western sources. Upon reflection, it seems

that the blood and fluids are not nourishing the muscles, which could

lead either to stasis pain or progressive weakness.

 

Karen Vaughan

, " Greg Watson " <gowatson@a...> wrote:

 

> > While the links on myopathy are quite interesting, it seems to

refer

> > more to progressive weakness of the muscles than the burning

> > sensation my patient has in the muscles, particularly on the

> > shoulders and beginning in medial knee areas. > >

> Hi Karen,

>

> With respect, I think the burning sensations are the muscles

reacting to forces in his body which involves elevated

> levels of catabolic hormone driven enzymes breaking down his

muscular protein into animo acids.

>

> The HIV myopathy reference talked about the shoulders and thighs,

which is where your patient was having the problems.

>

> Greg