Pregnant Patient

[Guest guest]

Hi Tom,

 

Interesting patient! It seems that there are a lot of obvious Kidney

Yang deficient signs and what sounds like it might be false heat

symptoms you are picking up on. Take a look at the indications for Si

Ni Tang and let me know what you think. Remember that pulses in

pregnant women tend to be slippery so it makes the pulse a bit

trickier. If it is a case of Kidney Yang deficiency then it might be

coupled with some Kidney Yin deficiency as well Yu Nu Jian (Jade Woman

Decoction) would address the bleeding gums, headache, red tongue sx's.

Dairy as I understand it is a very hot damp substance which leeds me to

think of stomach heat so Yu Nu Jian might not be the right thing if it

is an excess condition.

Those are my thoughts anyway I hope that it helps. I'm pretty new to

the herbal thing so I expect to be corrected, rather quickly hopefully,

if I am way off. You could possibly ad Ai Ye or another fetus calming

herb if that is a main issue.

 

~Markus Bergman

 

Si Ni Tang:

Fu Zi 6-9g

Gan Jiang 4.5g

Zhi Gan Cao 6g

 

Yu Nu Jian:

Shi Gao 15-30g

Shu Di Huang 9-30g

Zhi Mu 3-6g

Mai Men Dong 6-9g

Niu Xi 3-6g

 

On Nov 15, 2004, at 1:48 AM, wrote:

 

> " Tom Verhaeghe " <verhaeghe_tom

> pregnancy with diabetes

>

>

> Hi, a case study!

>

> I will see a woman today, pregnant 7 months, tang niao bing has been

> diagnosed this week.

> She is constitutionally weak. Now she feels tired, has severe

> insomnia, back

> pain, water swelling in the legs and wrists with painful ankles (diff

> to

> walk). Nausea and a little vomiting. Gums are sensitive and swollen.

> Headache, but only slightly. Polyuria, and even more at night. Restless

> fetus, some abdominal pain. Feels hot in the head and back, but lower

> body

> and arms are very cold since a few weeks. Pulse weak and slippery,

> tongue

> short, stiff and with very red tip. Coating thick, greasy, white. Diet

> hasn

> t been that good before, ate lots of ice-cream and now still drinks 4

> cups

> of milk per day, which I suspect she does not digest very well.

>

> My diagnosis: yin yang dual vacuity, with yin more vacuous than yang.

> sugar

> urine disease.

>

> The formula I chose mainly nourishes yin and clears heat, calms the

> fetus.

> (zeng ye tang he bai hu tang jia jian):

>

> sheng di 24g

> xuan shen 30g

> mai dong 24g

> shi he 15g

> zhi mu 9g

> huang qin 9g

> huang lian 6g

> tian hua fen 9g

> zhu ma gen 15g

> xu duan 15g

> tu si zi 12g

> shan zhu yu 9g

> shou wu 15g

>

> However, this does not take care of the yang vacuity and water

> swelling.

> shen qi wan might be able to take care of that. What do you people

> think ,

> could I give shen qi qan as pills and let her take those together with

> the

> above formula (although not at the same moment)? I don't have enough

> experience to compose a formula that complex that would take care of

> all her

> symptoms.

>

> Any comments are welcome,

>

> Tom.

>

>

[Guest guest]

, djkyu@g... wrote:

>

> Hi Tom,

>

> Interesting patient! It seems that there are a lot of

obvious Kidney

> Yang deficient signs and what sounds like it might be false heat

> symptoms you are picking up on. Take a look at the indications for

Si

> Ni Tang and let me know what you think. Remember that pulses in

> pregnant women tend to be slippery so it makes the pulse a bit

> trickier. If it is a case of Kidney Yang deficiency then it might

be

> coupled with some Kidney Yin deficiency as well Yu Nu Jian (Jade

Woman

> Decoction) would address the bleeding gums, headache, red tongue

sx's.

> Dairy as I understand it is a very hot damp substance which leeds

me to

> think of stomach heat so Yu Nu Jian might not be the right thing

if it

> is an excess condition.

> Those are my thoughts anyway I hope that it helps. I'm

pretty new to

> the herbal thing so I expect to be corrected, rather quickly

hopefully,

> if I am way off. You could possibly ad Ai Ye or another fetus

calming

> herb if that is a main issue.

>

> ~Markus Bergman

>

> Si Ni Tang:

> Fu Zi 6-9g

> Gan Jiang 4.5g

> Zhi Gan Cao 6g

>

> Yu Nu Jian:

> Shi Gao 15-30g

> Shu Di Huang 9-30g

> Zhi Mu 3-6g

> Mai Men Dong 6-9g

> Niu Xi 3-6g

>

Hi Nort,

 

thanks for taking the time to reply.

Seems like your choice of herbs are appropriate (2 formulas

together); they do address both yin and yang xu, and some heat

clearing.Similar to my choice of herbs, actually. I did indeed add

fetus calming medicinals that at the same time also tonify kidneys.

Probably would need more heat clearing, and more kidney

tonification? which is the root of her problems.