Guest guest Posted May 16, 2006 Report Share Posted May 16, 2006 Hello all, 29yo male presents with a large ulcerated lesion (from a ruptured abscess) located on the upper left anteriolateral thigh due to a black widow spider bite that occurred 2 weeks ago. Tissue necrosis and white exudate is present, however some granulated tissue is beginning to form. The surrounding area is pruritic, red and very painful. He denies abdominal pain, n/v, muscle cramps, dizziness, tremors or chest pain. Patient has received 2 antibiotic injections IM d/t secondary infection as well as 1 10 day course of antibiotics po. I'm making an herbal poultice out of granules (b/c that's what I've got handy) – herbs that regen flesh, relieve tox, clear heat & stop itch. 1. Curious to see what others have used for this (or similar) situations, perhaps some herbs I'm not considering or other treatment options that you have tried w/ good results (or not good results?). 2. Anyone have experience using granules as a poultice? I've received mixed information on the matter. I'm more than willing to place a fed-ex order for some ground herbs if that is the best course of action (although from what I understand purity of uncooked powdered herbs is also in question - although not sure if this applies to Spring Wind and MayWay products). I'd appreciate any and all input! Joy ________ Joy Keller, LAc, Dipl.OM Board Certified in Acupuncture & Oriental Medicine Ramona Acupuncture & Oriental Medicine Clinic Phone: (760) 654-1040 Fax: (760) 654-4019 www.RamonaAcupuncture.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 18, 2006 Report Share Posted May 18, 2006 Joy, There's a few things I would suggest from experience. First, the use of charcol is very important. You can add it to a poultice or use it as a simple. Second, I also like to use green clay mixed into a poultice for this. Third, I also think Echinacea, both internally and externally is EXCEPTIONALLY important. Frankly, I think it may be the best herb for this situation. When it comes to this situation I would dose the tincture at 3 ml every hour for the first 2-5 days according to the condition. I tend to also use the tincture when making the poultice, changing it two to four times a day accordingly. I don't see any reason not to use the powdered extracts externally. I have used them, but tend to use ground herbs, just my habit not necessarily the " right " way. Lastly, I wouldn't worry to much about generating flesh at this point. You need to focus on resolving toxin, clearing heat, and treating whatever else shows itself. I have seen remarkable results with a poultice of clay, charcol, echinacea, and adding pu ji xiao du yin with echinacea, zhi zi, ceanothus, and jin yin hua; and occationally other jia wei when appropriate. Good luck, Thomas P.S. Be sure to keep a close eye on it as these things can get out of hand and surgery may be necessary. " jmk6142000 " JKellerLAc Toxic Spider Bite Hello all, 29yo male presents with a large ulcerated lesion (from a ruptured abscess) located on the upper left anteriolateral thigh due to a black widow spider bite that occurred 2 weeks ago. Tissue necrosis and white exudate is present, however some granulated tissue is beginning to form. The surrounding area is pruritic, red and very painful. He denies abdominal pain, n/v, muscle cramps, dizziness, tremors or chest pain. Patient has received 2 antibiotic injections IM d/t secondary infection as well as 1 10 day course of antibiotics po. I'm making an herbal poultice out of granules (b/c that's what I've got handy) ?herbs that regen flesh, relieve tox, clear heat & stop itch. 1. Curious to see what others have used for this (or similar) situations, perhaps some herbs I'm not considering or other treatment options that you have tried w/ good results (or not good results?). 2. Anyone have experience using granules as a poultice? I've received mixed information on the matter. I'm more than willing to place a fed-ex order for some ground herbs if that is the best course of action (although from what I understand purity of uncooked powdered herbs is also in question - although not sure if this applies to Spring Wind and MayWay products). I'd appreciate any and all input! Joy ________ Joy Keller, LAc, Dipl.OM Board Certified in Acupuncture & Oriental Medicine Ramona Acupuncture & Oriental Medicine Clinic Phone: (760) 654-1040 Fax: (760) 654-4019 www.RamonaAcupuncture.com Chair Department of Herbal Medicine Institute of Clinical Acupuncture and Oriental Medicine Adjunct Faculty Department of Complimentary and Alternative Medicine John Burns School of Medicine University of Hawai'i Manoa Honolulu, HI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 Thank you, Thomas, for those great suggestions. Per your recommendation, I added the Echinacea (internally & externally) and the charcoal last week (I was already using bentonite clay). As for the other poultice herbs, I used a modification of Wu Wei Xiao Du Yin - to which I added Bai Hua She She Cao, Ban Zhi Lian, Qing Dai, Di Yu, Bai Ji, Bai Xian Pi, and Tu Fu Ling. To the surrounding area, I had the patient apply a 30% dilution of Helichrysum essential oil (using organic EVOO as the carrier). I also recommended homeopathic Ledum 30c to be taken TID for the first 4 days. I should also mention that, on his own, the patient was drinking a tea made from fresh Aloe Vera plant upon the recommendation of a friend (by soaking two large spears of aloe in water and drinking the resulting liquid). I saw no reason not to continue this practice, so I told him I was fine with this if he wanted to continue - which he did. Prior to seeing me, he had also been applying the fresh aloe inner pulp/gel directly to the wound. He came in for a re-check today (I've seen him almost every day since he came into the clinic for treatment), and I'm very pleased with the results. There is no necrotic tissue or exudate present. The granulated tissue is filling in quite nicely and is a healthy fresh pink color. The surrounding reddness is significantly reduced (both in color and spread) and there is now a slight bruising discoloration visible. This is now just a little over 3 weeks since the bite and 10 days since I first saw the patient. ________ Joy Keller, LAc, Dipl.OM Board Certified in Acupuncture & Oriental Medicine Ramona Acupuncture & Oriental Medicine Clinic Phone: (760) 654-1040 Fax: (760) 654-4019 www.RamonaAcupuncture.com On 5/17/06, wrote: > > Joy, > > There's a few things I would suggest from experience....[remaining text > deleted from this reply] Quote Link to comment Share on other sites More sharing options...
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