Guest guest Posted May 21, 2006 Report Share Posted May 21, 2006 Hi Nora and all! I just wanted to spare you a long Case reading….but here it goes :-) The issue with the 55 years old is that 5 years ago her periods started to behave as if she was in her menopause and then finally, 4 years ago, stopped. However, the period then returned twice a month a year ago. This bleeding was very excessive (2 weeks out of 4 per month) and she also had problems one week before the first bleeding, which meant that 3 weeks out of every month was were hard for her. Add to this a mental depression and fear connected to bleeding because of a trauma as a child, and you have a woman that did not leave her house even to go shopping next door for every 3 weeks out of 4 each month! The MDs did a total ultrasound check and so on, and she had/has no fibroids or change in her Uterus. But since some MDs said that it was pathological to bleed as much, even though they could not find what was wrong, they suggested (more than suggested, almost demanded) a Hysterectomy. Another MD suggested that she might be in the middle of her menopause, but still wanted to perform a Hysterectomy. So this patient came to me because she wanted all bleeding to stop and to be able to live a good life and not sit at home with anxiety all the time. My strategy has been from the first, to lessen the bleeding gradually and try to improve her mental state to achieve an attitude in her were she can cope with her bleeding mentally and feel ok even if she still has some bleeding. During the treatment stopping the bleeding has been my second priority while my first has been to make her feel comfortable whether or not she has the bleeding. After we have accomplish this goal, which we now have, my goal has shifted to lessen the bleeding as much as possible and maybe to stop it totally. And it is here my question regarding Yunnan Baiyao came in……..would Yunnan Baiyao stop her bleeding ONLY if it was pathological because she was not in her menopause, but if she truly is in her menopause and the bleeding still is natural, while Yunnan Baiyao not stop it? Her CM diagnose is Kid Yin and Yang def with mostly yin def and HE yin def (Kid and He not harmonized). By using Er xiang tang with additional herbs and some blood stopping herbs, I have been able to limit her bleeding to 4 days per month, normal red colour blood in a “normal” amount, without clots and no pain before, during or after. No PMS or tiredness after bleeding. She now has no problems mentally with her bleeding, but because of her age, her energy will be drained in the long run, and the MD still want to perform a Hysterectomy. Our goal has therefore shifted lately to stop her bleeding totally if this is possible without causing any side effects. This last goal is only a goal since I am working on the hypothesis that her bleeding is not natural, but she has in fact already passed her menopause years ago, and once again her was my question regarding Yunnan Baiyao…….Since no one knows if she is in her menopause, I was wondering if Yunnan Baiyao could help me answer that question by showing that she was in her menopause by not stopping the bleeding i.e. the bleeding she now has is natural = she is in her menopause and the bleeding will finish by it self! Many regards and hope you have the strength to read my e-mail!!!!! By the way….SP1 with moxa does not effect her bleeding at all……this we have done since the first day and now it has no effect what so ever.. BR Carl -----Ursprungligt meddelande----- Från: För Nora Madden Skickat: den 21 maj 2006 05:59 Till: Ämne: Re: The use of Yunnan Baiyao Hi Carl, A few questions: Do the docs want to perform the hysterectomy because of fibroids? What's their dx, do you know? Does the patient want her periods to be stopped? Or just to be more " normal " (normal frequency, quantity, etc.) What are you diagnosing as the cause of the bleeding? What are the other aspects of her menses (how far apart, color of the blood, are there clots, what is the history, etc.)? How long did you treat the patient before she started bleeding only once a month, instead of twice? Is her cycle regular (in terms of time between periods)? Four days of menstrual flow doesn't sound excessive to me, depending on how heavy it is. I can see (have seen) Yunnan Bai Yao (or some such) being used to stanch " extra " bleeding (e.g. from fibroids), but menstrual " bleeding " isn't really bleeding, right? -that is, it's not normally the kind of traumatic bleeding one usually uses Yunnan Bai Yao for. Indeed, interfering with the normal " sloughing " of the uterine lining/menstrual fluid could presumably cause stasis. In the 25 year old you're imagining, what is the cause of the heavy bleeding? Stasis? Heat? Spleen Qi not holding Blood? Because Yunnan Bai Yao wouldn't really be indicated in all of those cases...indeed, in this case there may be be also be a combination of any/all of those factors. I look forward to hearing others' responses... cheers, Nora On 5/20/06, Carl Henryk Wallmark <carlhenryk.wallmark wrote: > > Hi all > > I have a question regarding the function of Yunnan Baiyao and will > illustrate it by a Case example. > > I treat a patient at the age of 55 with problems at " period " time. With > this I mean that she still has her period and quite a lot of bleeding > for about 5 days. When I started to treat her she had bleedings two > times per month, which now has been limited to once a month. According > to her MD she is in the middle of menopause and for sure has both Kid > yin and yang def. Even though her doctors say that she is in her > menopause, they have told her that she needs to perform a Hysterectomy > because of her bleeding. > > I have therefore tried to limit/end the bleeding with the use of > different blood stopping herbs and for the last 3 months with Yunnan > Baiyao, including the trauma pill. The last bleeding she had, she used > Yunnan Baiyao capsules 4 days before the bleeding was scheduled, and > when the bleeding started took 2 red trauma pills. This stopped the > bleeding for that day, but it started the next day again and continued > for 4 more days. > > So my question is, why does Yunnan Baiyao not stop the bleeding? Might > this be because Yunnan Baiyao is an " intelligent " herb formula and would > only stop the bleeding if it was pathological, in that sense, that if > this woman still is in her menopause and the bleeding is still natural, > Yunnan Baiyao will not stop the bleeding because it is natural? Would > Yunnan Baiyao stop the period bleeding in a healthy 25 years old woman? > What if this 25 years old woman had period bleeding for 10 days, would > Yunnan Baiyao stop the " extra " bleeding and limit the bleeding to a more > " natural " bleeding? > > Bets regards > Carl > > > Quote Link to comment Share on other sites More sharing options...
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