Guest guest Posted June 30, 2006 Report Share Posted June 30, 2006 I have a patient I just started treating for thorasic outlet syndrome. Her condition seems to be--at least temporarily--responsive to acupuncture & cupping, but I would like to use herbs with her as well. However, she has been taking NSAIDs for 4 years now and has recently discovered she has elevated liver enzymes. My inclination would be to try to wean her off the NSAIDs using acupuncture, then do herbs if/when the enzyme levels improve. (She has PCOS and leaky gut which she also wants to address.) Does anyone else have other thoughts? Am I being overly conservative? Anyone have any experience lowering liver enzymes with herbs? Any thoughts? Thanks, Sarah Rivkin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2006 Report Share Posted June 30, 2006 Sarah, I suggest you google Milk Thistle AND liver enzymes. ann I have a patient I just started treating for thorasic outlet syndrome. Her condition seems to be--at least temporarily--responsive to acupuncture & cupping, but I would like to use herbs with her as well. However, she has been taking NSAIDs for 4 years now and has recently discovered she has elevated liver enzymes. My inclination would be to try to wean her off the NSAIDs using acupuncture, then do herbs if/when the enzyme levels improve. (She has PCOS and leaky gut which she also wants to address.) Does anyone else have other thoughts? Am I being overly conservative? Anyone have any experience lowering liver enzymes with herbs? Any thoughts? Thanks, Sarah Rivkin Messages in this topic (1) Reply (via web post) | Start a new topic Messages | Files | Photos | Links | Database | Polls | Calendar 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. You are receiving Individual Emails Change Delivery Settings Visit Your Group | Terms of Use | Un New Message Search Find the message you want faster. Visit your group to try out the improved message search. Share feedback on the new changes to Groups Recent Activity a.. 4New Members Visit Your Group Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2006 Report Share Posted July 1, 2006 Hi Sarah, You might want to contact Misha Cohen, L.Ac. in San Francisco. I know she offers workshops on treating patients who have hepatitis, and I believe one aspect of this is addressing the issue of liver enzymes. --- Sarah Rivkin <saydit wrote: > I have a patient I just started treating for thorasic outlet syndrome. Her > condition seems to > be--at least temporarily--responsive to acupuncture & cupping, but I would like > to use > herbs with her as well. However, she has been taking NSAIDs for 4 years now and > has > recently discovered she has elevated liver enzymes. > > My inclination would be to try to wean her off the NSAIDs using acupuncture, then > do > herbs if/when the enzyme levels improve. (She has PCOS and leaky gut which she > also > wants to address.) Does anyone else have other thoughts? Am I being overly > conservative? > Anyone have any experience lowering liver enzymes with herbs? > > Any thoughts? > > Thanks, > > Sarah Rivkin > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2006 Report Share Posted July 1, 2006 Hi Andrea: Thanks for mentioning the course. I have been meaning to respond to this thread with the info on the next Hepatitis C Professional Certification class coming up in September. Course info follows: Misha Ruth Cohen, OMD, L.Ac. presents the 10th Hepatitis C Professional Certification Course for Licensed Acupuncturists (Other medical professionals may apply as exceptions.) Continuing Education Training 33 CEUs (For details about CEUs, please contact us...see below.) Sponsored by Chicken Soup and Quan Yin Healing Arts Center (the Provider) September 8, 9, and 10, 2006, in San Francisco, California Faculty includes: Misha Ruth Cohen, OMD, L.Ac. (Director of Chicken Soup Chinese Medicine, Founder of Quan Yin Healing Arts Center, Asst. Researcher at UCSF Institute for Health and Aging) Robert G. Gish, MD (Medical Director, California Pacific Medical Center Liver Transplant Program, UCSF Faculty) Lyn Patrick, NMD (Naturopathic Physician, Hepatitis C Caring Ambassadors Program) The course modules include: * Review of Liver Physiology and Pathology (advance study) * Epidemiology, Natural History and Transmission * Reading Labs, Imaging and Biopsy Reports * Nutritional Considerations and Programs for Self-Care * Herbal Medicine * Co-Infection Issues * Medical Qi Gong * Comprehensive Western and Chinese Medical Diagnosis and Treatment Programs * Grand Rounds with Clients For more info go to: http://www.docmisha.com/applying/hepatitis_help/05-1certification.html Also, Sarah, just briefly, one might look at Ecliptex from Health Concerns for this specific issue--if it is the correct match to the client's diagnosis it is often very helpful for elevated enzymes associated with inflammation from drug or chemical injury. Acupuncture is very helpful as well (if you are interested you may want to get a copy of my book The Hepatitis C Help Book as it is useful in general about liver support) Yours, Misha , < wrote: > > Hi Sarah, > > You might want to contact Misha Cohen, L.Ac. in San Francisco. I know she offers > workshops on treating patients who have hepatitis, and I believe one aspect of this > is addressing the issue of liver enzymes. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2006 Report Share Posted July 1, 2006 Thank you, Misha. One can also check out Matthew Dolan's The Hepatitis C Handbook, North Atlantic Books. It has a 50 page chapter on TCM and although I hesitate when a generalist book gives out herbal advice for the consumer it is a solid foundation for the practitioner. doug , " Misha Cohen " <TCMPaths wrote: > > Hi Andrea: > Thanks for mentioning the course. I have been meaning to respond to > this thread with the info on the next Hepatitis C Professional > Certification class coming up in September. > > Course info follows: > > Misha Ruth Cohen, OMD, L.Ac. > presents the 10th > Hepatitis C Professional Certification Course > for Licensed Acupuncturists > (Other medical professionals may apply as exceptions.) > Continuing Education Training 33 CEUs > (For details about CEUs, please contact us...see below.) > Sponsored by Chicken Soup > and Quan Yin Healing Arts Center (the Provider) > September 8, 9, and 10, 2006, in San Francisco, California > > Faculty includes: > > Misha Ruth Cohen, OMD, L.Ac. (Director of Chicken Soup Chinese > Medicine, Founder of Quan Yin Healing Arts Center, Asst. Researcher at > UCSF Institute for Health and Aging) > > Robert G. Gish, MD (Medical Director, California Pacific Medical > Center Liver Transplant Program, UCSF Faculty) > > Lyn Patrick, NMD (Naturopathic Physician, Hepatitis C Caring > Ambassadors Program) > > The course modules include: > * Review of Liver Physiology and Pathology (advance study) > * Epidemiology, Natural History and Transmission > * Reading Labs, Imaging and Biopsy Reports > * Nutritional Considerations and Programs for Self-Care > * Herbal Medicine > * Co-Infection Issues > * Medical Qi Gong > * Comprehensive Western and Chinese Medical Diagnosis and > Treatment Programs > * Grand Rounds with Clients > > For more info go to: > http://www.docmisha.com/applying/hepatitis_help/05-1certification.html > > Also, Sarah, just briefly, one might look at Ecliptex from Health > Concerns for this specific issue--if it is the correct match to the > client's diagnosis it is often very helpful for elevated enzymes > associated with inflammation from drug or chemical injury. Acupuncture > is very helpful as well (if you are interested you may want to get a > copy of my book The Hepatitis C Help Book as it is useful in general > about liver support) > > Yours, > Misha > > > , > <@> wrote: > > > > Hi Sarah, > > > > You might want to contact Misha Cohen, L.Ac. in San Francisco. I > know she offers > > workshops on treating patients who have hepatitis, and I believe one > aspect of this > > is addressing the issue of liver enzymes. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2006 Report Share Posted July 2, 2006 Dear Sarah, My first question is what differential diagnosis have you come up with. The treatment plan will obviously depend upon that, as there could be a number of factors contributing to both TOS and elevated liver enzymes. A couple of ideas come to mind, though. 1. As a starting point look at the formulas that promote the movement of qi in the chest, (ie, Yue Ju wan, etc.) and modify according to symptoms. Remember that TOS can also result from blood stasis in the chest, phlegm obstruction in the chest, chest pain due to yang xu and/or cold coagulation, sensation of chest oppression(not pain)accompanied by sighing, hypochonidriac pain from blood stasis, hypochondriac pain from qi stagnation, and hypochonriac pain from phlegm and congested fluids. 2. When indicated, 2 very useful formulas in pill form are Li Gan Pian and Li Dan Pian. 3. My usual plug for CranioSacral Therapy. The thoracic outlet (or as Upledger calls it, the thoracic inlet,) is very satisfactorily addressed by a Respiratory Diaphragm release. Hope this helps a little, Yehuda Frischman, L.Ac, CST, SER, TJM --- snakeoil.works wrote: > Sarah, > I suggest you google Milk Thistle AND liver enzymes. > ann > > > I have a patient I just started treating for > thorasic outlet syndrome. Her condition seems to > be--at least temporarily--responsive to > acupuncture & cupping, but I would like to use > herbs with her as well. However, she has been > taking NSAIDs for 4 years now and has > recently discovered she has elevated liver > enzymes. > > My inclination would be to try to wean her off the > NSAIDs using acupuncture, then do > herbs if/when the enzyme levels improve. (She has > PCOS and leaky gut which she also > wants to address.) Does anyone else have other > thoughts? Am I being overly conservative? > Anyone have any experience lowering liver enzymes > with herbs? > > Any thoughts? > > Thanks, > > Sarah Rivkin > > > > > Messages in this topic (1) Reply (via web post) | > Start a new topic > Messages | Files | Photos | Links | Database | > Polls | Calendar > 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. > > > > > You are receiving Individual Emails Change > Delivery Settings > Visit Your Group | Terms of Use | > Un New Message Search > Find the message you want faster. Visit your group > to try out the improved message search. > > > > Share feedback on the new changes to Groups > > Recent Activity > a.. 4New Members > Visit Your Group > Quote Link to comment Share on other sites More sharing options...
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