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Toxic Spider Bite

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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

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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

 

 

 

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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]

 

 

 

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