Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 I am seeking help in framing a case of erectile dysfunction (ED) due to radiation. My first goal is to simply determine whether there is a role for Chinese herbs for this condition. Briefly, the patient underwent multiple courses of radiation in 1999 and 2000 for colorectal cancer that focused on his pelvis. Within 6 months he began losing the ability to get an erection. The diagnosis is primarily venous leak (direct tissue damage that leads to leakage of blood from the erectile bodies). Alprostadil, injected locally (which induces erection by relaxation of trabecular smooth muscle and by dilation of cavernosal arteries), is marginally effective for short periods of time. Some of my questions: - How do you classify radiation as a pathogen in ? (e.g. heat) - Given the etiology, and knowing that there is significant tissue damage, what are some possible treatment strategies? - Are there individual herb choices that would be recommended in this instance? - How can I begin to form a prognosis? I have treated this patient on a routine basis for a variety of other conditions for about 5 years. However, I hesitate to recommend that we concentrate on treating the ED since I do not know what the prognosis would be, and the patient has a variety of other conditions that require attention. I understand that I am not providing information that would lead to pattern discrimination. The etiology (radiation), the history of the condition (profound ED shortly after radiation), and the known tissue damage, seem to be the significant starting points in framing this case. Many thanks, Mike ________________________ Michael Short, Lic. Ac. Confidentiality: The information herein may contain confidential information which is legally privileged. This information is intended only for use by the intended recipient named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this emailed information, except its direct delivery to the intended recipient named above, is strictly prohibited. If you have received this email in error, please notify the sender by replying to this email. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 You are right, it is difficult with so little information but I would look at Yin Xu with a possible blood dryness issue. doug , mshort wrote: > > I am seeking help in framing a case of erectile dysfunction (ED) due to > radiation. My first goal is to simply determine whether there is a role > for Chinese herbs for this condition. > > Briefly, the patient underwent multiple courses of radiation in 1999 and > 2000 for colorectal cancer that focused on his pelvis. Within 6 months he > began losing the ability to get an erection. The diagnosis is primarily > venous leak (direct tissue damage that leads to leakage of blood from the > erectile bodies). Alprostadil, injected locally (which induces erection by > relaxation of trabecular smooth muscle and by dilation of cavernosal > arteries), is marginally effective for short periods of time. > > Some of my questions: > > - How do you classify radiation as a pathogen in ? (e.g. > heat) > - Given the etiology, and knowing that there is significant tissue damage, > what are some possible treatment strategies? > - Are there individual herb choices that would be recommended in this > instance? > - How can I begin to form a prognosis? > > I have treated this patient on a routine basis for a variety of other > conditions for about 5 years. However, I hesitate to recommend that we > concentrate on treating the ED since I do not know what the prognosis > would be, and the patient has a variety of other conditions that require > attention. > > I understand that I am not providing information that would lead to > pattern discrimination. The etiology (radiation), the history of the > condition (profound ED shortly after radiation), and the known tissue > damage, seem to be the significant starting points in framing this case. > > Many thanks, > Mike > > > > ________________________ > > Michael Short, Lic. Ac. > > > > > Confidentiality: The information herein may contain confidential > information which is legally privileged. This information is intended only > for use by the intended recipient named above. If you are not the intended > recipient, you are hereby notified that any disclosure, copying, > distribution or the taking of any action in reliance on the contents of > this emailed information, except its direct delivery to the intended > recipient named above, is strictly prohibited. If you have received this > email in error, please notify the sender by replying to this email. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 22, 2006 Report Share Posted November 22, 2006 You are right, it is difficult with so little information but I would look at Yin Xu with a possible blood dryness issue. doug , mshort wrote: > > I am seeking help in framing a case of erectile dysfunction (ED) due to > radiation. My first goal is to simply determine whether there is a role > for Chinese herbs for this condition. > > Briefly, the patient underwent multiple courses of radiation in 1999 and > 2000 for colorectal cancer that focused on his pelvis. Within 6 months he > began losing the ability to get an erection. The diagnosis is primarily > venous leak (direct tissue damage that leads to leakage of blood from the > erectile bodies). Alprostadil, injected locally (which induces erection by > relaxation of trabecular smooth muscle and by dilation of cavernosal > arteries), is marginally effective for short periods of time. > > Some of my questions: > > - How do you classify radiation as a pathogen in ? (e.g. > heat) > - Given the etiology, and knowing that there is significant tissue damage, > what are some possible treatment strategies? > - Are there individual herb choices that would be recommended in this > instance? > - How can I begin to form a prognosis? > > I have treated this patient on a routine basis for a variety of other > conditions for about 5 years. However, I hesitate to recommend that we > concentrate on treating the ED since I do not know what the prognosis > would be, and the patient has a variety of other conditions that require > attention. > > I understand that I am not providing information that would lead to > pattern discrimination. The etiology (radiation), the history of the > condition (profound ED shortly after radiation), and the known tissue > damage, seem to be the significant starting points in framing this case. > > Many thanks, > Mike > > > > ________________________ > > Michael Short, Lic. Ac. > > > > > Confidentiality: The information herein may contain confidential > information which is legally privileged. This information is intended only > for use by the intended recipient named above. If you are not the intended > recipient, you are hereby notified that any disclosure, copying, > distribution or the taking of any action in reliance on the contents of > this emailed information, except its direct delivery to the intended > recipient named above, is strictly prohibited. If you have received this > email in error, please notify the sender by replying to this email. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 22, 2006 Report Share Posted November 22, 2006 Radiation injures the yin, but also creates blood stasis: this is because radiation causes sclerosis of the tissue. Herbs such as mu dan pi, chi shao and dan shen are crucial in these cases. Cara O. Frank, R.Ac, Dipl Ac & Ch.H. President China Herb Company of the Chinese Herb Program Tai Sophia Institute of the Healing Arts 215-438-2977 Fax 215-849-3338 Wed, 22 Nov 2006 07:00:27 +0000 Re: radiation damage / ED You are right, it is difficult with so little information but I would look at Yin Xu with a possible blood dryness issue. doug <%40> , mshort wrote: > > I am seeking help in framing a case of erectile dysfunction (ED) due to > radiation. My first goal is to simply determine whether there is a role > for Chinese herbs for this condition. > > Briefly, the patient underwent multiple courses of radiation in 1999 and > 2000 for colorectal cancer that focused on his pelvis. Within 6 months he > began losing the ability to get an erection. The diagnosis is primarily > venous leak (direct tissue damage that leads to leakage of blood from the > erectile bodies). Alprostadil, injected locally (which induces erection by > relaxation of trabecular smooth muscle and by dilation of cavernosal > arteries), is marginally effective for short periods of time. > > Some of my questions: > > - How do you classify radiation as a pathogen in ? (e.g. > heat) > - Given the etiology, and knowing that there is significant tissue damage, > what are some possible treatment strategies? > - Are there individual herb choices that would be recommended in this > instance? > - How can I begin to form a prognosis? > > I have treated this patient on a routine basis for a variety of other > conditions for about 5 years. However, I hesitate to recommend that we > concentrate on treating the ED since I do not know what the prognosis > would be, and the patient has a variety of other conditions that require > attention. > > I understand that I am not providing information that would lead to > pattern discrimination. The etiology (radiation), the history of the > condition (profound ED shortly after radiation), and the known tissue > damage, seem to be the significant starting points in framing this case. > > Many thanks, > Mike > > > > ________________________ > > Michael Short, Lic. Ac. > > > > > Confidentiality: The information herein may contain confidential > information which is legally privileged. This information is intended only > for use by the intended recipient named above. If you are not the intended > recipient, you are hereby notified that any disclosure, copying, > distribution or the taking of any action in reliance on the contents of > this emailed information, except its direct delivery to the intended > recipient named above, is strictly prohibited. If you have received this > email in error, please notify the sender by replying to this email. > Quote Link to comment Share on other sites More sharing options...
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