Guest guest Posted February 22, 2006 Report Share Posted February 22, 2006 A patient of mine has had her entire large intestine removed. She still has a well functioning small intestine leading to a colostomy bag. Her chief complaint is that " things run through her too quickly, especially liquids. " She wants to slow it down. She also has nutritional issues for which she receives IV nutrition from an MD. I am not quite sure how to precede here. I was thinking the disease category would be Diarrhea. She has some other confirming signs and symtpoms that would push me towards a KI yang xu pattern for that disease. If this is a reasonable idea, then would an appropriate herbal formula work? Would the formula be absorbed enough in the small intestine to do it's job? Does anyone here have experience with something similar? Please advise. I already have what seems to be a decent acupuncture protocol in place, so I am only interested in herbal information. Thanks in advance. Brian C. Allen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2006 Report Share Posted February 22, 2006 Herbs will work, but her diarrhea will never stop: she has no colon to absorb fluids. She can manage it with psyllium husks. Most people often resort to Imodium as well. Herbs can help to slow down her transit time, which will improve her nutrition. I have had some success using a product called Florastor, which is a form of nonpathogenic yeast. If she has intestinal spasms, then I have had success with variations of shao yao gan cao tang or xiao jian zhong tang, modified for the situation. Cara > A patient of mine has had her entire large intestine removed. She > still has a well functioning small intestine leading to a colostomy > bag. > > Her chief complaint is that " things run through her too quickly, > especially liquids. " She wants to slow it down. She also has > nutritional issues for which she receives IV nutrition from an MD. > > I am not quite sure how to precede here. I was thinking the disease > category would be Diarrhea. She has some other confirming signs and > symtpoms that would push me towards a KI yang xu pattern for that > disease. > > If this is a reasonable idea, then would an appropriate herbal > formula work? Would the formula be absorbed enough in the small > intestine to do it's job? > > Does anyone here have experience with something similar? > > Please advise. I already have what seems to be a decent acupuncture > protocol in place, so I am only interested in herbal information. > Thanks in advance. > > Brian C. Allen Chinese Herbal Medicine offers various professional services, including board > approved continuing education classes, an annual conference and a free > discussion forum in Chinese Herbal Medicine. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2006 Report Share Posted February 23, 2006 I was in school clinic with a partner who had a case like this, she got much better but still had to take extreme care with what she ate, and without herbs it was still very problematic, but the patient felt like it was worth staying on herbs. I don't recall a lot of Kidney vacuity, it was more water moving stuff like che qian zi, and astringents for bowel (e.g. shan yao (OK yes, arguably a kidney supp.)). This patient also cooked herself a lot of congee with yi yi ren and shan yao and avoided greasy food like the plague. Another case with partial resection didn't do as well, but her diet was out of control and she wasn't ready to do anything about it. Par - " Cara Frank " <herbbabe Wednesday, February 22, 2006 3:19 PM Re: herbs vs. coloectomy > Herbs will work, but her diarrhea will never stop: she has no colon to > absorb fluids. She can manage it with psyllium husks. Most people often > resort to Imodium as well. > Herbs can help to slow down her transit time, which will improve her > nutrition. I have had some success using a product called Florastor, which > is a form of nonpathogenic yeast. > If she has intestinal spasms, then I have had success with variations of > shao yao gan cao tang or xiao jian zhong tang, modified for the situation. > > Cara > > > > >> A patient of mine has had her entire large intestine removed. She >> still has a well functioning small intestine leading to a colostomy >> bag. >> >> Her chief complaint is that " things run through her too quickly, >> especially liquids. " She wants to slow it down. She also has >> nutritional issues for which she receives IV nutrition from an MD. >> >> I am not quite sure how to precede here. I was thinking the disease >> category would be Diarrhea. She has some other confirming signs and >> symtpoms that would push me towards a KI yang xu pattern for that >> disease. >> >> If this is a reasonable idea, then would an appropriate herbal >> formula work? Would the formula be absorbed enough in the small >> intestine to do it's job? >> >> Does anyone here have experience with something similar? >> >> Please advise. I already have what seems to be a decent acupuncture >> protocol in place, so I am only interested in herbal information. >> Thanks in advance. >> >> Brian C. Allen >> >> >> >> >> >> >> Chinese Herbal Medicine offers various professional services, including >> board >> approved continuing education classes, an annual conference and a free >> discussion forum in Chinese Herbal Medicine. >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
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