Guest guest Posted October 2, 2001 Report Share Posted October 2, 2001 > hello group, I need some ideas as to how to treat a patient that I am treating.She has what is called Vistibulitis or vulvar pain. she is experiancing for 10 years vulvar pain and pain in the lower abdomen. The pain resticts her from sexual intercourse. She has been trying all the possible treatments , non with significate results ( now she is on trican- which is originally for vaginal yeast, but is giving her some ease).She is also doing bio-feedback, which also helps a bit with the pain. Now she is trying with me acupuncture and herbs. The pain is 24 hours a day, more painful when sitting, and during her period.Now she is on birth control pills which somewhat reduces the pain. When she was not on the pill her period was not regular , apearing sometimes only once in 3 month, and lasting for 15 days, with much more pain. She is also complaining of nausa, reduced appetite, usually feels hot.,a bit of hair loss, spots in the vision , tiredness, dry throat. she is 28 years old, usually in good spirits. her tongue is red at tip, and yellow coating in the in the lower jiao, pale sides. Get your FREE download of MSN Explorer at http://explorer.msn.com This issue has given me great thought.I think that different climates call for different diets.Further , different constitutional type people call for different diets. A few years ago a book was written on different diets for different blood types. I live in the middle east ( Israel ). Here , the traditional diet consists of alot(!) of fresh raw salads, olive oil ,wheat goat cheeses, and different spices( and ofcourse lamb). The question I always ask myself is wheather the diet tips in china (and for chinese ) are suitable for those in different parts of the world. When I was in china , the patterns I saw most often where of damp pathologies. As here, I incounter more liv-sp -lu disharmonies ( especially liver.......I wonder why.......). I once went to a very old arab healer, and he told me that the secret for long and healthy life is lots of salad and olive oil.This was while I was studing TCM, and my teachers where saying no no no to raw salads. It is a great quest to find the reasons for the many things that where taught from generation to generation. One thing that I don't understand is that in many very hot climates ( middle east, mexico africa) very very hot spices are a major part of the diets. any thoughts ? boaz >Todd > >cha > diet >Sat, 29 Sep 2001 16:08:47 -0700 > >I know I have long argued the case that cooked foods are more healthy >than raw foods. Just search our archives under diet, raw foods, etc. to >see past posts and debate on this subject. there is even modern >scientific data to support this position. However, after living in hot >san diego for a year after living in cooler climes all my life, I >wonder..... My students frequently take their patients to task for >eating salads, but I am beginning to wonder how bad this really is. >Obviously cold foods are hard on the GI tract, i.e. frozen or fresh out >of the fridge. But how about room temperature salads and fruit. In >Fundamentals of CM, it is noted that the term generally translated as >raw may actually refer to unclean foods. Since uncooked meat is clearly >dangerous, this is one obvious connection between raw and unclean. But >the Chinese still fertilize their fields even today with uncomposted >feces (night soil) in peasant areas. This means that freshly picked >veggies are also contaminated. Everyone knows one should not eat raw >veggies in many third world countries because they are contaminated, not >merely because they are raw. On the other hand, food borne infections >from salads are rare (but not unheard of) in the West. My Ayurveda >teacher, Robert Svoboda, suggests that raw foods are suitable for >certain types and in certain climates. So does macrobiotics. What >evidence is there that TCM actually prohibits uncooked food rather than >merely unclean food? > >The reason I bring this up is because I always tell my students that >disease is not caused by a deficiency of acupuncture and herbs, but by >the internal, external and miscellaneous causes of disease, amongst >which I consider diet to be a very prominent factor. So what we tell >our patients in this area of the utmost importance. My concern is >this. We all want our patients to eat an abundance of veggies. Yet the >truth of the matter is that most folks get a significant amount of their >meals outside the home. Thus they are at the mercy of what is available >in local eateries to satisfy this goal. So the question is whether it >is better to eat salads, which are widely available or the type of >cooked veggies one can get outside the home. Even if we can prove that >raw salads are inherently worse than steamed veggies, are they worse >than chinese, thai, and indian food that is commonly available. Studies >have shown these latter three to be very high in fat and the fat they >are prepared with is generally rancid polyunsaturated oils that been >subjected to heat and light and oxygen, making them massive free radical >producers, thus implicating them heavily in cancer and heart disease. >Such foods absolutely violate the TCM prohibition against overly greasy, >spicy foods. So are we doing our patients a disservice when we just >tell them to avoid salads if this results in them eating truly dangerous >foods or just avoiding veggies altogether. Be clear, this is not a call >for veganism. I consider animal protein to be a vital part of a healthy >diet. But is a salad with olive oil, lemon juice and mild aromatic >spices really a problem or is it even (dare I say it) good for you. As >a final thought, I would just point out that the japanese who exhibit >the best health in the world as a population eat both raw veggies >(albeit often marinated) and raw fish. Thoughts? Facts? > > >-- >Chinese Herbs > >VOICE: (858) 946-0070 >FAX: (858) 946-0067 Get your FREE download of MSN Explorer at http://explorer.msn.com Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2001 Report Share Posted October 2, 2001 > hello group, I need some ideas as to how to treat a patient that I am treating.She has what is called Vistibulitis or vulvar pain. she is experiancing for 10 years vulvar pain and pain in the lower abdomen. The pain resticts her from sexual intercourse. She has been trying all the possible treatments , non with significate results ( now she is on trican- which is originally for vaginal yeast, but is giving her some ease).She is also doing bio-feedback, which also helps a bit with the pain. Now she is trying with me acupuncture and herbs. The pain is 24 hours a day, more painful when sitting, and during her period.Now she is on birth control pills which somewhat reduces the pain. When she was not on the pill her period was not regular , apearing sometimes only once in 3 month, and lasting for 15 days, with much more pain. She is also complaining of nausa, reduced appetite, usually feels hot.,a bit of hair loss, spots in the vision , tiredness, dry throat. she is 28 years old, usually in good spirits. her tongue is red at tip, and yellow coating in the in the lower jiao, pale sides. any ideas????? Get your FREE download of MSN Explorer at http://explorer.msn.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2001 Report Share Posted October 2, 2001 , " boaz colodner " <b_colodner@h...> wrote: > vulvar pain.... Has she had an abortion? Sounds like she has some dampheat among other things, but I also would suspect blood stasis if there is etiology of this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2001 Report Share Posted October 2, 2001 , " boaz colodner " <b_colodner@h...> wrote: > vulvar pain... Also sounds like qi and blood xu underlying. What is your diagnosis? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2001 Report Share Posted October 2, 2001 She has what is called Vistibulitis or vulvar pain. >>>>First if this is truly what she has it can be very difficult to treat and usually there is a history of sexual trauma. A pudantal (? spelling) nerve block and intravenous procaine can be helpful. Also, treating all trigger points in the pelvic floor sometimes is of at help. This requires great trust from her as you may need to do some of them per virginal, including massaging the anterior SI ligaments. more painful when sitting >>>>>>>The fact that this changes her pain suggest that her problem is mechanical and not a primary Vistibulitis or vulvar pain. I have seen this in several patients. The first thing I would rule out is some kind on internal disc problem. She will need a discogram done by somebody very good. A disorder at the T12 level often refers pain to the genital area and should be ruled out. Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2001 Report Share Posted October 3, 2001 boaz colodner wrote: I need some ideas as to how to treat a patient that I am treating.She has what is called Vistibulitis or vulvar pain. <<she is experiancing for 10 years vulvar pain and pain in the lower abdomen. >> Regarding the pain in the lower abdomen, is the pain aggravated by palpation? Or by a full bladder? Any possibility that the pain both in the vestibule and lower abdomen can be replicated by digital pressure on the thoracic/lumbar region, thus leading to some referred pain from the back as has been suggested? Do Kegel ( or the deer in Qi Gong) exercises cause pain? And if so, where? <<<She is also complaining of nausa, reduced appetite, usually feels hot.,a bit of hair loss, spots in the vision , tiredness, dry throat.>>> I wonder what her thirst level is. Perhaps a diagnosis of Sjogren's syndrome should be ruled out. In this syndrome, dryness is a symptom that can affect the salivary glands and the Bartholins glands in the vagina and decrease the natural moisture of this region. << ( now she is on trican- which is originally for vaginal yeast, but is giving her some ease)>> Does she have a yeast hx, symptoms of a yeast infection and vulvar pain flare-ups mimic each other almost identically. And last, what is her pulse like? Fernando Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2001 Report Share Posted October 3, 2001 Regarding the pain in the lower abdomen, is the pain aggravated bypalpation? Or by a full bladder? Any possibility that the pain both inthe vestibule and lower abdomen can be replicated by digital pressure onthe thoracic/lumbar region, thus leading to some referred pain from theback as has been suggested? >>>>>>Not being aggravated by pressure in the thoracic/lumber region does not exclude internal disc referred pain Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2001 Report Share Posted October 3, 2001 alonmarcus wrote: >>>>>>Not being aggravated by pressure in the thoracic/lumber region does not exclude internal disc referred painAlon Agree, I'm only seeking for more clues. Fernando Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education. 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.