Guest guest Posted September 10, 2007 Report Share Posted September 10, 2007 Dear friends, colleagues and teachers, Your assistance is needed in success modalities to treat a patient with varicose veins and leg ulcers. Sixty two year old very tall female (6' 11/2 " ), whose primary complaint was varicose veins. They are itchy as well. I bled and cupped the most superficial of them, and was able to extract thick sticky clots, but unfortunately, rather than helping, it actually exacerbated the swelling and itching. She also has a few spots where ulcerations have developed. Some flaking of the skin on her legs. There is no issue of blood sugar nor peripheral neuropathy. Other symptoms: dry skin, cold fingers and toes, frequent clear urination, small volume, nocturia, swollen ankles, no thirst, abdominal bloating after meals, leg cramps, fatigue, but only at the end of the day. BM soft and formed. Clear thinking. good appetite. Tongue: pale, slightly purple body, moist, thin white coat in the back, no coat in the front with a slightly red tip. On the right hand, proximal pulse is generally, thready slippery and slightly choppy. Middle pulse is slippery thready and a little wiry, and distal pulse is a little thready and slippery. on the left, proximal and middle pulses are thready slippery and a little weak, and distal pulse is slippery weak and a little choppy. my differential diagnosis is blood stasis caused by underlying blood vacuity. concurrent spleen qi vacuity, and kidney yin and yang vacuity. I treated her for about 3 months using herbs, acupuncture and moxa with little benefit. I realize after the fact, now, that, at least in my opinion, it is contraindicated to bleed varicose veins when there is an underlying blood and qi vacuity. Miraculously, she still would like me to help. Any and all ideas would be very appreciated. SIncerely, Pinpoint customers who are looking for what you sell. Quote Link to comment Share on other sites More sharing options...
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