Guest guest Posted September 15, 2004 Report Share Posted September 15, 2004 Hi Everyone, I have a menopausal patient who has been using an insulin pump for her diabetes for many years. The diabetes is well-managed, but her hot flashes keep getting worse, despite various heat-clearing and yin-supplementing herb formulas. Has anyone had the experience of treating a patient with both of these conditions? Does having diabetes complicate menopause? I don't have my notes with me, but I recall her as having a lifelong history of feelng chilly with cold extremities, though now she is always hot. Hot flashes during throughout the day, with night sweats waking her 4-5x nightly. Her tongue is slightly puffy, pale to light red and without the herbs, it is dry with a thick dry white coat in the rear only; the rest of the tongue is bare, glossy and pebbly in texture. Her pulse is deep, weak, small, and alternates between thin and slightly slippery. She's in her late 50's, and works a very high stress office job. She's thin, pale, demure, and has dry skin and hair. She originally came to me for tendon contractures in her hands (trigger finger), and has had numerous surgeries for this on several of her fingers. She has also had other surgeries: steel plates in her head to close up holes in her sinuses and part of her tongue was removed and transplanted to her upper palate to close a hole there. In addition, she has a steel plate in her lower right leg, implanted to stabilize a fracture. The plate will be removed next month. I had diagnosed her with liver blood and yin deficiency, with liver qi stagnation. I only recently gleaned her history of always being cold, so there is also an element of yang deficiency that hasn't been apparent. This might be why her heat symptoms aren't more obvious in the tongue and pulse. Herb formulas we have tried include Tian Wang Bu Xin Dan and Da Bu Yin Wan. I also have her taking SPZM (mostly blood tonics) by Health Concerns, for tendon contractures in her hands. She has been using herbs for the last 3 months. With the herbs, her tongue is moist and less red, but her heat symptoms have not abated. Any suggestions? vote. - Register online to vote today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 In June the Blue Poppy newsletter discussed using Gui Zhi Tang for meno hot flashes due to its ability to " regulate and harmonize the constructive and defensive. " If you can't find the particular article, write me back personally and i will try to send you more excerpts. Might be useful when clearing heat & supplementing yin are not successful. Also note that cinnamon is now considered very useful for helping with insulin resistance. ab Hi Everyone, I have a menopausal patient who has been using an insulin pump for her diabetes for many years. The diabetes is well-managed, but her hot flashes keep getting worse, despite various heat-clearing and yin-supplementing herb formulas. Has anyone had the experience of treating a patient with both of these conditions? Does having diabetes complicate menopause? I don't have my notes with me, but I recall her as having a lifelong history of feelng chilly with cold extremities, though now she is always hot. Hot flashes during throughout the day, with night sweats waking her 4-5x nightly. Her tongue is slightly puffy, pale to light red and without the herbs, it is dry with a thick dry white coat in the rear only; the rest of the tongue is bare, glossy and pebbly in texture. Her pulse is deep, weak, small, and alternates between thin and slightly slippery. She's in her late 50's, and works a very high stress office job. She's thin, pale, demure, and has dry skin and hair. She originally came to me for tendon contractures in her hands (trigger finger), and has had numerous surgeries for this on several of her fingers. She has also had other surgeries: steel plates in her head to close up holes in her sinuses and part of her tongue was removed and transplanted to her upper palate to close a hole there. In addition, she has a steel plate in her lower right leg, implanted to stabilize a fracture. The plate will be removed next month. I had diagnosed her with liver blood and yin deficiency, with liver qi stagnation. I only recently gleaned her history of always being cold, so there is also an element of yang deficiency that hasn't been apparent. This might be why her heat symptoms aren't more obvious in the tongue and pulse. Herb formulas we have tried include Tian Wang Bu Xin Dan and Da Bu Yin Wan. I also have her taking SPZM (mostly blood tonics) by Health Concerns, for tendon contractures in her hands. She has been using herbs for the last 3 months. With the herbs, her tongue is moist and less red, but her heat symptoms have not abated. Any suggestions? vote. - Register online to vote today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 Even more interesting is when gui zhi fu zi wan is used for hot flashes, contemplate that one for a while... - > >snakeoil.works [snakeoil.works] >Thursday, September 16, 2004 12:07 AM > >Re: Diabetes and menopause > >In June the Blue Poppy newsletter discussed using Gui Zhi Tang for meno hot >flashes due to its ability to " regulate and harmonize the constructive and >defensive. " If you can't find the particular article, write me back >personally and i will try to send you more excerpts. Might be useful when >clearing heat & supplementing yin are not successful. Also note that >cinnamon is now considered very useful for helping with insulin resistance. > >ab > > Hi Everyone, > > I have a menopausal patient who has been using an insulin pump for her >diabetes for many years. The diabetes is well-managed, but her hot flashes >keep getting worse, despite various heat-clearing and yin-supplementing >herb formulas. Has anyone had the experience of treating a patient with >both of these conditions? Does having diabetes complicate menopause? > > I don't have my notes with me, but I recall her as having a lifelong >history of feelng chilly with cold extremities, though now she is always >hot. Hot flashes during throughout the day, with night sweats waking her >4-5x nightly. Her tongue is slightly puffy, pale to light red and without >the herbs, it is dry with a thick dry white coat in the rear only; the rest >of the tongue is bare, glossy and pebbly in texture. Her pulse is deep, >weak, small, and alternates between thin and slightly slippery. She's in >her late 50's, and works a very high stress office job. She's thin, pale, >demure, and has dry skin and hair. She originally came to me for tendon >contractures in her hands (trigger finger), and has had numerous surgeries >for this on several of her fingers. She has also had other surgeries: >steel plates in her head to close up holes in her sinuses and part of her >tongue was removed and transplanted to her upper palate to close a hole >there. In addition, she has a steel plate > in her lower right leg, implanted to stabilize a fracture. The plate >will be removed next month. > > I had diagnosed her with liver blood and yin deficiency, with liver qi >stagnation. I only recently gleaned her history of always being cold, so >there is also an element of yang deficiency that hasn't been apparent. >This might be why her heat symptoms aren't more obvious in the tongue and >pulse. > > Herb formulas we have tried include Tian Wang Bu Xin Dan and Da Bu Yin >Wan. I also have her taking SPZM (mostly blood tonics) by Health Concerns, >for tendon contractures in her hands. She has been using herbs for the >last 3 months. > > With the herbs, her tongue is moist and less red, but her heat symptoms >have not abated. Any suggestions? > > > > > > > vote. - Register online to vote today! > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 Gui Zhi Tang >>>I have used it many times for hot flashes alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 Hi I've also had success with Xiao Jian Zhong Tang (variation of GZT double Bai shao, add Yi Tang) which is traditionally for cold in the middle. IMO, it still helps regulate yin and yang but is more tonifying than GZT. Instead of thinking deficient heat, you might think yin/yang disharmony. Does she have trouble drinking cold liquids? Constipation? Slow pulse? The Bai Shao may help with the tendon trouble as well as Gui Zhi. Also, cinnamon (not sure if it's Rou Gui or Gui Zhi) is said to lower blood glucose. Not sure that Yi Tang is so good though in high doses with diabetes. Maybe a well picked substitute of some sort. Good Luck. Shanna , <snakeoil.works@m...> wrote: > In June the Blue Poppy newsletter discussed using Gui Zhi Tang for meno hot flashes due to its ability to " regulate and harmonize the constructive and defensive. " If you can't find the particular article, write me back personally and i will try to send you more excerpts. Might be useful when clearing heat & supplementing yin are not successful. Also note that cinnamon is now considered very useful for helping with insulin resistance. > > ab > > Hi Everyone, > > I have a menopausal patient who has been using an insulin pump for her diabetes for many years. The diabetes is well-managed, but her hot flashes keep getting worse, despite various heat-clearing and yin-supplementing herb formulas. Has anyone had the experience of treating a patient with both of these conditions? Does having diabetes complicate menopause? > > I don't have my notes with me, but I recall her as having a lifelong history of feelng chilly with cold extremities, though now she is always hot. Hot flashes during throughout the day, with night sweats waking her 4-5x nightly. Her tongue is slightly puffy, pale to light red and without the herbs, it is dry with a thick dry white coat in the rear only; the rest of the tongue is bare, glossy and pebbly in texture. Her pulse is deep, weak, small, and alternates between thin and slightly slippery. She's in her late 50's, and works a very high stress office job. She's thin, pale, demure, and has dry skin and hair. She originally came to me for tendon contractures in her hands (trigger finger), and has had numerous surgeries for this on several of her fingers. She has also had other surgeries: steel plates in her head to close up holes in her sinuses and part of her tongue was removed and transplanted to her upper palate to close a hole there. In addition, she has a steel plate > in her lower right leg, implanted to stabilize a fracture. The plate will be removed next month. > > I had diagnosed her with liver blood and yin deficiency, with liver qi stagnation. I only recently gleaned her history of always being cold, so there is also an element of yang deficiency that hasn't been apparent. This might be why her heat symptoms aren't more obvious in the tongue and pulse. > > Herb formulas we have tried include Tian Wang Bu Xin Dan and Da Bu Yin Wan. I also have her taking SPZM (mostly blood tonics) by Health Concerns, for tendon contractures in her hands. She has been using herbs for the last 3 months. > > With the herbs, her tongue is moist and less red, but her heat symptoms have not abated. Any suggestions? > > > > > > > vote. - Register online to vote today! > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2004 Report Share Posted September 20, 2004 Hi Shanna, Nice to hear from you again. Thanks for the input. She actually drinks a fair amount of cold liquids, and she does tend toward constipation. Thanks for this line of thought. Andrea Beth shannahickle <shannahickle wrote: Hi I've also had success with Xiao Jian Zhong Tang (variation of GZT double Bai shao, add Yi Tang) which is traditionally for cold in the middle. IMO, it still helps regulate yin and yang but is more tonifying than GZT. Instead of thinking deficient heat, you might think yin/yang disharmony. Does she have trouble drinking cold liquids? Constipation? Slow pulse? The Bai Shao may help with the tendon trouble as well as Gui Zhi. Also, cinnamon (not sure if it's Rou Gui or Gui Zhi) is said to lower blood glucose. Not sure that Yi Tang is so good though in high doses with diabetes. Maybe a well picked substitute of some sort. Good Luck. Shanna , <snakeoil.works@m...> wrote: > In June the Blue Poppy newsletter discussed using Gui Zhi Tang for meno hot flashes due to its ability to " regulate and harmonize the constructive and defensive. " If you can't find the particular article, write me back personally and i will try to send you more excerpts. Might be useful when clearing heat & supplementing yin are not successful. Also note that cinnamon is now considered very useful for helping with insulin resistance. > > ab > > Hi Everyone, > > I have a menopausal patient who has been using an insulin pump for her diabetes for many years. The diabetes is well-managed, but her hot flashes keep getting worse, despite various heat-clearing and yin-supplementing herb formulas. Has anyone had the experience of treating a patient with both of these conditions? Does having diabetes complicate menopause? > > I don't have my notes with me, but I recall her as having a lifelong history of feelng chilly with cold extremities, though now she is always hot. Hot flashes during throughout the day, with night sweats waking her 4-5x nightly. Her tongue is slightly puffy, pale to light red and without the herbs, it is dry with a thick dry white coat in the rear only; the rest of the tongue is bare, glossy and pebbly in texture. Her pulse is deep, weak, small, and alternates between thin and slightly slippery. She's in her late 50's, and works a very high stress office job. She's thin, pale, demure, and has dry skin and hair. She originally came to me for tendon contractures in her hands (trigger finger), and has had numerous surgeries for this on several of her fingers. She has also had other surgeries: steel plates in her head to close up holes in her sinuses and part of her tongue was removed and transplanted to her upper palate to close a hole there. In addition, she has a steel plate > in her lower right leg, implanted to stabilize a fracture. The plate will be removed next month. > > I had diagnosed her with liver blood and yin deficiency, with liver qi stagnation. I only recently gleaned her history of always being cold, so there is also an element of yang deficiency that hasn't been apparent. This might be why her heat symptoms aren't more obvious in the tongue and pulse. > > Herb formulas we have tried include Tian Wang Bu Xin Dan and Da Bu Yin Wan. I also have her taking SPZM (mostly blood tonics) by Health Concerns, for tendon contractures in her hands. She has been using herbs for the last 3 months. > > With the herbs, her tongue is moist and less red, but her heat symptoms have not abated. Any suggestions? > > > > > > > vote. - Register online to vote today! > > Quote Link to comment Share on other sites More sharing options...
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