Guest guest Posted March 10, 2007 Report Share Posted March 10, 2007 We had an interesting hiccough case come to the student clinic. Any secrets out there? The patient is a 45 year old male, HIV positive, who has been hiccoughing pretty much constantly for 7 years. It started with the diagnosis of his boyfriend with HIV, who has since died. (The students wanted to center on the grief and I couldn't disagree to some degree.) He has been through the gamut of Western tests and treatments and some acupuncture for many years. There were no findings except for h-pylori. He has lost 30 pounds over the years, is not on meds because anything he eats is pretty much vomited back up. His hiccoughing will only stop for an hour if he volunteerily vomits the contents of his stomach. In Shanghai, we would acu pressure on UB 1 for as long as an hour for chronic hiccoughs. (Many cases were surgically induced hiccoughs). We tried this yesterday and the hiccoughs subsided in intensity, i.e. they could not be heard in the next room, but did not completely go away. Someone also mentioned heavy needle stimulation on SJ 17. We tried this for several minutes to no effect. There was also some body acupuncture. Otherwise, at a distance he seems healthy although he appears tired, obviously, since it is hard to get more than a few hours sleep. His tongue is on the Yin Xu side. Pulse wiry. I gave him a powdered formula that he said he would probably throw up but he would try it anyway. Huang Lian, Sheng di, Xuan Fu Hua, Ban Xia, Mu Xiang and Gan Cao. Any ideas out there? doug Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 10, 2007 Report Share Posted March 10, 2007 I have often stopped hiccups by grasping the flesh firmly on the mid-back, just at B17 (diaphragm shu). I would simply squeeze both points simultaneously w/ thumb on one point and forefinger on the other (usually forefinger is bent so effectively squeezing b/w thumb and the 2 knuckles of the forefinger). I do this as hard as the person can tolerate until the hiccups stop. I've never used the technique on cases of such long duration, but perhaps it bears trying. Other ways of stimulating this point could of course be tried, such as needles, intradermal, etc. What about ding xiang, clove, the specific for hiccoughs? Check the MM for combos such as persimmon calyx. ann We had an interesting hiccough case come to the student clinic. Any secrets out there? The patient is a 45 year old male, HIV positive, who has been hiccoughing pretty much constantly for 7 years. It started with the diagnosis of his boyfriend with HIV, who has since died. (The students wanted to center on the grief and I couldn't disagree to some degree.) He has been through the gamut of Western tests and treatments and some acupuncture for many years. There were no findings except for h-pylori. He has lost 30 pounds over the years, is not on meds because anything he eats is pretty much vomited back up. His hiccoughing will only stop for an hour if he volunteerily vomits the contents of his stomach. In Shanghai, we would acu pressure on UB 1 for as long as an hour for chronic hiccoughs. (Many cases were surgically induced hiccoughs). We tried this yesterday and the hiccoughs subsided in intensity, i.e. they could not be heard in the next room, but did not completely go away. Someone also mentioned heavy needle stimulation on SJ 17. We tried this for several minutes to no effect. There was also some body acupuncture. Otherwise, at a distance he seems healthy although he appears tired, obviously, since it is hard to get more than a few hours sleep. His tongue is on the Yin Xu side. Pulse wiry. I gave him a powdered formula that he said he would probably throw up but he would try it anyway. Huang Lian, Sheng di, Xuan Fu Hua, Ban Xia, Mu Xiang and Gan Cao. Any ideas out there? doug Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 10, 2007 Report Share Posted March 10, 2007 Try acupressue on UB 17. It works quite often for me. - Bill ............................................. Bill Schoenbart, L.Ac. P.O. Box 8099 Santa Cruz, CA 95061 office phone: 831-335-3165 email: plantmed ............................................. >>>>We had an interesting hiccough case come to the student clinic. Any secrets out there? The patient is a 45 year old male, HIV positive, who has been hiccoughing pretty much constantly for 7 years. It started with the diagnosis of his boyfriend with HIV, who has since died. (The students wanted to center on the grief and I couldn't disagree to some degree.) He has been through the gamut of Western tests and treatments and some acupuncture for many years. There were no findings except for h-pylori. He has lost 30 pounds over the years, is not on meds because anything he eats is pretty much vomited back up. His hiccoughing will only stop for an hour if he volunteerily vomits the contents of his stomach. In Shanghai, we would acu pressure on UB 1 for as long as an hour for chronic hiccoughs. (Many cases were surgically induced hiccoughs). We tried this yesterday and the hiccoughs subsided in intensity, i.e. they could not be heard in the next room, but did not completely go away. Someone also mentioned heavy needle stimulation on SJ 17. We tried this for several minutes to no effect. There was also some body acupuncture. Otherwise, at a distance he seems healthy although he appears tired, obviously, since it is hard to get more than a few hours sleep. His tongue is on the Yin Xu side. Pulse wiry. I gave him a powdered formula that he said he would probably throw up but he would try it anyway. Huang Lian, Sheng di, Xuan Fu Hua, Ban Xia, Mu Xiang and Gan Cao. Any ideas out there? doug>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 10, 2007 Report Share Posted March 10, 2007 On a few occasiions, I have treated chronic reverse stomach Qi as food stagnation. I needled Lineiting, Ren12, St25, and whatever else the patient's immediate presentation indicated. This has helped my patients with chronic nausea, vomiting, reflux, burping, and hiccoughs within one or two treatments, allowing me to then concentrate on treating their root symptoms more effectively. Hope this helps. Judy Lemieux, M.S., L.Ac. In Denver & Centennial, Colorado (303) 964-1996 http://www.QingTingAcupuncture.com Acupuncture Association of Colorado President http://www.acucol.com On Mar 10, 2007, at 9:21 AM, wrote: > 9. hiccoughs > Posted by: " " > Sat Mar 10, 2007 8:21 am ((PST)) > > We had an interesting hiccough case come to the student clinic. Any > secrets out there? > The patient is a 45 year old male, HIV positive, who has been > hiccoughing pretty much > constantly for 7 years. It started with the diagnosis of his > boyfriend with HIV, who has > since died. (The students wanted to center on the grief and I > couldn't disagree to some > degree.) > > He has been through the gamut of Western tests and treatments and > some acupuncture > for many years. There were no findings except for h-pylori. He has > lost 30 pounds over > the years, is not on meds because anything he eats is pretty much > vomited back up. His > hiccoughing will only stop for an hour if he volunteerily vomits > the contents of his > stomach. > > In Shanghai, we would acu pressure on UB 1 for as long as an hour > for chronic hiccoughs. > (Many cases were surgically induced hiccoughs). We tried this > yesterday and the hiccoughs > subsided in intensity, i.e. they could not be heard in the next > room, but did not completely > go away. Someone also mentioned heavy needle stimulation on SJ 17. > We tried this for > several minutes to no effect. There was also some body acupuncture. > > Otherwise, at a distance he seems healthy although he appears > tired, obviously, since it is > hard to get more than a few hours sleep. His tongue is on the Yin > Xu side. Pulse wiry. > > I gave him a powdered formula that he said he would probably throw > up but he would try > it anyway. Huang Lian, Sheng di, Xuan Fu Hua, Ban Xia, Mu Xiang > and Gan Cao. > > Any ideas out there? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 10, 2007 Report Share Posted March 10, 2007 Hi Doug. Try 3 moxa cones on extra point Zhongkui (midpoint of the proximal interphalangeal joint of the middle finger, dorsal aspect). I have used acupressure there in a pinch and 8 times out of 10 it works like a charm... Also, try needling ST 13 (and maybe even ST12), where you can access the phrenic nerve which is the motor nerve to the diaphragm. That should help... Candace Jania , " " wrote: > > We had an interesting hiccough case come to the student clinic. Any secrets out there? > The patient is a 45 year old male, HIV positive, who has been hiccoughing pretty much > constantly for 7 years. It started with the diagnosis of his boyfriend with HIV, who has > since died. (The students wanted to center on the grief and I couldn't disagree to some > degree.) > > He has been through the gamut of Western tests and treatments and some acupuncture > for many years. There were no findings except for h-pylori. He has lost 30 pounds over > the years, is not on meds because anything he eats is pretty much vomited back up. His > hiccoughing will only stop for an hour if he volunteerily vomits the contents of his > stomach. > > In Shanghai, we would acu pressure on UB 1 for as long as an hour for chronic hiccoughs. > (Many cases were surgically induced hiccoughs). We tried this yesterday and the hiccoughs > subsided in intensity, i.e. they could not be heard in the next room, but did not completely > go away. Someone also mentioned heavy needle stimulation on SJ 17. We tried this for > several minutes to no effect. There was also some body acupuncture. > > Otherwise, at a distance he seems healthy although he appears tired, obviously, since it is > hard to get more than a few hours sleep. His tongue is on the Yin Xu side. Pulse wiry. > > I gave him a powdered formula that he said he would probably throw up but he would try > it anyway. Huang Lian, Sheng di, Xuan Fu Hua, Ban Xia, Mu Xiang and Gan Cao. > > Any ideas out there? > doug > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 11, 2007 Report Share Posted March 11, 2007 Thanks for all your responses. Looking it up, there are a lot of mentions of pressure to the eyeballs. I'll try the ST 13, I did K 27 which wasn't apparently not quite right. I should see him on Tuesday. Remember this has been going on for 7 years. doug , " candi1133cc " <candace1 wrote: > > Hi Doug. Try 3 moxa cones on extra point Zhongkui (midpoint of the > proximal interphalangeal joint of the middle finger, dorsal aspect). > I have used acupressure there in a pinch and 8 times out of 10 it > works like a charm... Also, try needling ST 13 (and maybe even ST12), > where you can access the phrenic nerve which is the motor nerve to > the diaphragm. That should help... > > Candace Jania > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 12, 2007 Report Share Posted March 12, 2007 " In enduring diseases, there must be stasis. " In Wang Qing-ren's Yi Lin Gai Cuo (Correcting the Errors in the Forest [or Field] of Medicine), he suggests either Xue Fu Zhu Yu Tang or Ge Xia Zhu Yu Tang. (I forget which one, but you can look it up in B & B.) In any case, for prolonged hiccups of seven years duration, this is what I would try. Blood stasis would also explain why using fine needles didn't work. Bob Quote Link to comment Share on other sites More sharing options...
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