Guest guest Posted June 20, 2002 Report Share Posted June 20, 2002 46 yo female chief complaint 1: colon cancer prevention cc2: hair thining This patient initially came into my office complaining of receding hair one month ago. She has changed her priority in light of her mothers 2nd diagnosis of colon cancer to colon cancer prevention due to its hereditary nature and she has suffered from internal hemoroids and continues to as evidenced by occasional blood in the stool coinciding with heavy lifting or constipation. She is also on a regiment from her MD to treat heavy metals. She haas high Lead in her blood and is taking the following until July when she is tested again. Multiple, C-Estra, B-5, Oral Chelation, Lipoic Acid, Thyodex, Cholerest for 2 months. Other meds: Zoloft: 1/4 dose due to her " high sensitivity " to medications of all kinds. Career: Conserves paintings and architecture and is exposed to solvents etc. Does not always wear gloves and or mask. Sleep: wnl Emotions: " black moods " once per month. Zoloft has helped Energy: 2 years ago = exhaustion,. Went to endocrinologist = WNL Appetite: sometimes low but overall OK GI: some tuberous gas Diet:Balanced***open for suggestions for colon BM: 1 per day = formed Urination = WNL Menses: some pain before, little heavy, red blood, no clots, Circulation = WNL Other notes : Cholic as child Pulse: Qi: tight Blood: heat Organ: tense, slippery Rate : 70bpms Diaphragm: Left =yes, Right=NO Esophagus: tense, tight = patient reports tight St-9 area Spleen: Inflated Lower jiao: Left: tight Right: tight Lower body: Right :Absent?? Muffled?…fibroids removed Left: deep Tongue: Small body, Pale, slightly puffy, central crack to lung area where it stops and another crack starts and runs to the tip. Heart area: red spots..not too excesive Lower jiao : dry sticky coat..almost like antibiotics with Fur that runs into the central crack Formula 1: Complained too sour made stomach upset almost immediately. I focesd on the hair loss primarily. Liu Wei di huang wan + Gou ji zi He shou wu Tu si zi Ce bai ye Han lian cao Nu zhen zi Sang shen Gan cao This formula was in GRAULAR FORMULATION. I want to shift to focus more on the colon cancer prevention Thank you for your time and attention to this case. Kelly CASE 2: Patient 2: 65 yo female Cc: rt shoulder/neck pain Cc2:borderline high bp Morning: 159/95 Evening: 127/79 Cc3: short term memory fading All signs WNL except: Excessive urination..numerous times per night Pulse: Qi: tense, tight Blood: heat?? Possibly thick Organ:tense, ropey, slow Upper: tense slippery Mid:slippery, yield, slow Lower: tight Left: slow, rolling? Right: tight, vibration Pc = present Middle jiao: left: borders= hard, easily discernable Middle: right: tight, inflated Spleen: tense, inflated pounding Lower jiao: left: deep tight Right: tight tense Lower body: right, left, muffled, slippery = full hysterectomy, fibroids removed Tongue: deeply carved scallops, deep central crack Ideas: massive sp qi def, blood heat or thick and the walls of the artery are hardening (see middle jiao) and narrowing reducing blood supply to the brain affecting memory. Is this " idea " part realistic or am I off the deep end crossing paradigms?? Herbs: Tian Ma gou teng yin? Acupuncture: weekly for 3 months? What do you all think? Thanks for your time and reflection, Kelly _______________ Chat with friends online, try MSN Messenger: http://messenger.msn.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2002 Report Share Posted June 20, 2002 Kelly, what is WNL?? Eti --- Kelly Welch <kdwelch25 wrote: > 46 yo female > chief complaint 1: colon cancer prevention > cc2: hair thining > > This patient initially came into my office > complaining of receding hair one > month ago. She has changed her priority in light of > her mothers 2nd > diagnosis of colon cancer to colon cancer prevention > due to its hereditary > nature and she has suffered from internal hemoroids > and continues to as > evidenced by occasional blood in the stool > coinciding with heavy lifting or > constipation. > > She is also on a regiment from her MD to treat heavy > metals. She haas high > Lead in her blood and is taking the following until > July when she is tested > again. > > Multiple, C-Estra, B-5, Oral Chelation, Lipoic Acid, > Thyodex, Cholerest for > 2 months. > Other meds: Zoloft: 1/4 dose due to her " high > sensitivity " to medications of > all kinds. > > Career: Conserves paintings and architecture and is > exposed to solvents etc. > Does not always wear gloves and or mask. > > Sleep: wnl > Emotions: " black moods " once per month. Zoloft has > helped > Energy: 2 years ago = exhaustion,. Went to > endocrinologist = WNL > Appetite: sometimes low but overall OK > GI: some tuberous gas > Diet:Balanced***open for suggestions for colon > BM: 1 per day = formed > Urination = WNL > Menses: some pain before, little heavy, red blood, > no clots, > Circulation = WNL > Other notes : Cholic as child > > Pulse: > Qi: tight > Blood: heat > Organ: tense, slippery > Rate : 70bpms > Diaphragm: Left =yes, Right=NO > Esophagus: tense, tight = patient reports tight St-9 > area > Spleen: Inflated > Lower jiao: Left: tight Right: tight > Lower body: Right :Absent?? Muffled?…fibroids > removed > Left: deep > > Tongue: Small body, Pale, slightly puffy, central > crack to lung area where > it stops and another crack starts and runs to the > tip. > Heart area: red spots..not too excesive > Lower jiao : dry sticky coat..almost like > antibiotics with Fur that runs > into the central crack > > Formula 1: Complained too sour made stomach upset > almost immediately. I > focesd on the hair loss primarily. > Liu Wei di huang wan + > Gou ji zi > He shou wu > Tu si zi > Ce bai ye > Han lian cao > Nu zhen zi > Sang shen > Gan cao > > This formula was in GRAULAR FORMULATION. > I want to shift to focus more on the colon cancer > prevention > > Thank you for your time and attention to this case. > > Kelly > > > CASE 2: > Patient 2: 65 yo female > Cc: rt shoulder/neck pain > Cc2:borderline high bp > Morning: 159/95 > Evening: 127/79 > Cc3: short term memory fading > > All signs WNL except: > Excessive urination..numerous times per night > > Pulse: > > Qi: tense, tight > Blood: heat?? Possibly thick > Organ:tense, ropey, slow > Upper: tense slippery > Mid:slippery, yield, slow > Lower: tight > Left: slow, rolling? > Right: tight, vibration > Pc = present > Middle jiao: left: borders= hard, easily discernable > Middle: right: tight, inflated > Spleen: tense, inflated pounding > Lower jiao: left: deep tight > Right: tight tense > Lower body: right, left, muffled, slippery = full > hysterectomy, fibroids > removed > Tongue: deeply carved scallops, deep central crack > > Ideas: massive sp qi def, blood heat or thick and > the walls of the artery > are hardening (see middle jiao) and narrowing > reducing blood supply to the > brain affecting memory. > > Is this " idea " part realistic or am I off the deep > end crossing paradigms?? > > Herbs: Tian Ma gou teng yin? > Acupuncture: weekly for 3 months? What do you all > think? > > Thanks for your time and reflection, > Kelly > > > > > > > _______________ > Chat with friends online, try MSN Messenger: > http://messenger.msn.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2002 Report Share Posted June 20, 2002 Kelly, what is WNL >>>Within normal limits i assume alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2002 Report Share Posted June 20, 2002 , " Kelly Welch " < kdwelch25@h...> wrote: Kelly > internal hemoroids and continues to as > evidenced by occasional blood in the stool coinciding with heavy lifting or > constipation. strain, bearing down causing blood loss makes me think qi sinking and not holding, but I suspect dampheat a factor, too (see below) > > Sleep: wnl > Emotions: " black moods " once per month. Zoloft has helped > Energy: 2 years ago = exhaustion,. Went to endocrinologist = WNL > Appetite: sometimes low but overall OK > GI: some tuberous gas pulse, tongue coat suggest dampheat or phlegm heat. dampheat is a very common complication in many patients. I expect to see a symptom that could involve dampheat (like bleeding hemorrhoids). Something is up with the moods. pulse suggests liver qi, but it could be liver blood xu as the cause. The fact that they not constant further suggests liver involvement. With the fatigue, gas, hemorrhoids, it seems there is some spleen involvement. At 46, if she has not been attending to her diet all along, spleen xu is almost inevitable. The formula leans towards cooling and nourishing. I don't think it sufficiently regulates the liver/spleen or addresses a potential pathogen (dampheat?). Failure to do this will result in her being unable to digest the herbs and they will upset her stomach. To focus on colon cancer prevention, I think you need to identify the essential patterns that need to be addressed. In the early stages, emphasis should be on regulating digestion and removing pathogen. Then you can get a clearer picture of what type and how much tonification needs to be done. However, at the first stage you must consider how to protect the yin and qi. Because the vacuity is clear. And at the later stages, you must consider how to keep the system free of pathogens. It is more of a shifting emphasis over time than a complete change of strategies. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2002 Report Share Posted June 21, 2002 Hi Kelly, I'll give you an 'experience' gastritis formula we used in clinic for a gastritis patient, of course, modify or throw out at your discretion! I thought it might be interesting since this gastritis patient had abd. pain after eating and family hx of cancer in the digestive system - and the supervisor made a point of asking about that with gastritis patients. She also told the patient that she should use 2 bags of the herbs forever to keep the gastrits in control and to prevent cancer. tai zi shen 30gm yi yi ren 15 e zhu 15 huang qin 10 xian he cao 15 - this herb is good for Spleen Damp! I never heard that before either.. omit these two if has ulcers (sour flavor not good for ulcers): *shan zha 20 *mu gua 15 bai shao 24 gan cao 9 add for cancer prevention: * pu gong ying 15 * bai hua she she cao 15 cheers, Geoff > ____________ > __________ > > Message: 6 > Thu, 20 Jun 2002 10:00:37 -0700 > " Kelly Welch " <kdwelch25 > Subject: > > 46 yo female > chief complaint 1: colon cancer prevention > cc2: hair thining > > This patient initially came into my office complaining of > receding hair one > month ago. She has changed her priority in light of her mothers 2nd > diagnosis of colon cancer to colon cancer prevention due to > its hereditary > nature and she has suffered from internal hemoroids and > continues to as > evidenced by occasional blood in the stool coinciding with > heavy lifting or > constipation. > > She is also on a regiment from her MD to treat heavy metals. > She haas high > Lead in her blood and is taking the following until July when > she is tested > again. 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.