cervical dysplasia

[Guest guest]

As a response to Z'ev Bob and Julie, there a few considerations I would

like to review.

 

The mission of this group states: 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. My expectation is that the entry

requirements to this group would allow us to get beyond the basic

conversations about pattern differentiation, which is the hallmark of

what we do. Also - my original post specified a caveat for the

appropriate use of these formulas.

 

There is a long-standing tradition both in old family styles and among

current highly respected practitioners from China regarding the use of

specifics. This is true whether it is a single herb or a formula. It is

assumed that the entry-level requirements to this forum would ensure

that proper consideration is given to the underlying patterns and the

constitution.

 

One case in which Vagistatin (which is a vaginal suppository) was used

for had a diagnosis of Spleen Qi vacuity. The patient's symptoms

included fatigue, loose stools, dizziness, and afternoon fevers. The

signs were pale tongue with teethmarks, and the pulse was slightly deep

and slippery. The guiding prescriptions were Bu Zhong Yi Qi Tang and

Shen Ling Bai Zhu San. The clinical entities of TCM were being managed

well and the case was going in the right direction. When the patient

arrived in my office with a diagnosis of HPV and condylomata,

I prescribed Vagistatin as a specific.

 

After 6 months of the initial diagnosis the pap was normal. Yes, paps

can revert to normal after 6 months, often as a result of the pap or

colposcopy used to diagnose. Clearly, the diagnosis would have not been

possible without biomedical means. It is reasonable thought that

continued treatment using TCM methods alone could possibly place this

patients life in danger. Based on the clinical results this was clearly

a correct course of action. Based on my experience, Vagistatin is

effective for treating patients with the biomedical diagnosis of

condyloma when combined with the correct formula that addresses the

underlying pattern. Another formula the Bob wrote for Health Concerns

called Unlocking Formula is also effective under these circumstances and

with the appropriate confirmation.

 

As for the Reishi or Jiaogulan, I apologize, I did not mean to say

moderate. They are more an addition to the program. I like to use these

herbs for many reasons. They are anti-cancer, anti-inflammatory,

immunomodulatory, among others. I mentioned Reishi specifically as it is

also good for calming the shen, as is often needed when a woman is told

she has a condition that may cause cancer in her reproductive organs and

thus potentially alter her ability to bear children.

 

I hope that in the future we can freely and briefly give our

experiences on cases with out having to go into great detail. We are

all professionals here with a great deal of knowledge and ability.

That said, I have faith that anyone who asks for direction on a case

will not use a formula, herb or technique without researching it

further and ensuring that it fits in with the diagnosis of the

patient.

 

Colleen

 

 

In recommending these several formulas to Doug, you make no mention of

pattern discrimination. These various formulas are for very different

patterns. So I'm wondering why you didn't say anything about this. Are

you saying that you prescribe or that Dough should prescribe these

formulas on the basis of a disease diagnosis (i.e., cervical

dysplasia)? The way you present these formulas, it sounds pretty hit

or miss, trial and error. If not, is there anything more helpful you

might share with Doug to help him make the right choice?

 

My point here is, Who knows who's listening in on this dialogue out

there? I'd hate for some visiting member of another health care

profession or regulatory agency to come away with the idea that we

just try this or that and see what happens. Seems to me that, as

professional practitioners of Chinese medicine, we have a very well

structured, step-by-step prescriptive methodology of which we can be

justifiably proud, if we use it.

 

In other words, how can Doug or I know when to use Vagistatin as

opposed to Clear Heat or Long Dan Xie Gan Tang as opposed to Gui Zhi

Fu Ling Wan for the treatment of cervical dysplasia?

 

Bob

 

Is it possible to share some cases using these formulas, listing the

pattern diagnosis? Or do you just use disease diagnosis and prescribe

formulas for that?

 

When you suggest 'moderating with Reishi or Jiaogulan', I assume that

has to do with the amount of cold or heat. . . but if you get the

pattern correctly, you shouldn't have to use different prescriptions to

'balance' out the effects of other prescriptions. You should choose the

prescription to treat the appropriate pattern, and then such

'balancing' shouldn't be necessary.

 

Z'ev

 

I very much appreciate the pointed questions that Z'ev and Bob Flaws

have been asking in regards to diagnosis and pattern differentiation.

While these questions may cause some discomfort, they remind us that

we need to be more diligent and less laissez-faire in our work. " A

little of this and a little of that " is not a professional way for us

to practice. We must take a distinct and judicious position on our

patients' conditions, and strike out in a direction!

 

Julie