allergic reaction to Tian Ma

[Guest guest]

Dear colleagues,

 

I wanted to report on an interesting finding.  I have been treating a

complicated 71 year old patient for the past two weeks specifically for vertigo

and low back pain.  My differential diagnosis is Kidney Yin and Yang vacuity,

fluid accumulation with Liver Qi stagnation and liver Yang rising at the root. 

I prescribed Zhen Zhu Wu Tang and Tian Ma Gou teng Yin. The patient initially

felt significant improvement in his symptoms for a day or so, and then they

returned.  When he came in for his second treatment on Monday of this week, his

wife noticed what appeared to be the beginning of a rash on his left arm, but no

where else.  The next day, yesterday,  huge purple welts appeared on his left

arm, which burned.  I just had them come in and check all the herbs in these two

formulas for possible allergic reactions in Chen and Chen.  The only herb

which was listed as presenting rash as a possible side effect was Tian Ma.  I

told him

to stop the two formulas immediately, and gave him Qing Dai San to mix with

sesame oil and make into a Gao, and to take internally, Lian Qiao Bai Du Pian

for two days.  Also I encouraged him to drink diluted luke warm lemon juice and

water (1/4 lemon to 8oz of water) to help the liver expel the pathogen.  I will

report on the results.  Has anyone ever seen such a reaction to Tian Ma.  BTW,

this is the second time in my years of practice that I have seen such a

reaction.  The other time it was from Huang Bai.

 

Respectfully,