Guest guest Posted March 17, 2009 Report Share Posted March 17, 2009 Hello everyone, I wonder if anyone would care to add thier two cents to this case. I am treating a person with COPD/emphysema. He is tall, pale, thin man in his late 60s who has smoked his entire life. Chief complaint: inability to take a breath, and fatigue. His Tongue: is deep red, perhaps crimson, short and wet and swollen. MANY CRACKS, both horizontal and vertical, no coat. Pulse: Lung is mostly weak, empty with some heat on deepest level. Stomach: Roaring tidal heat. He loves spicy food. Both kidney postions are weak, empty. Heart: also tidal heat. Besides chief complaints of SOB and fatigue, he is cold all the time but this s/x may be improving. Formula: I was thinking of going with Jin Gui Shen Qi Wan as a base formula even tho his tongue is so red. I think there is empty Kidney yin and kidney yang. with modifications: For Lung Qi def: ren shen and wu wei zi, To clear stomach heat: Zhi Mu, Zhu Ru, Huang Qin, and perhaps some gecko for good luck. Questions: is it better to forget the JGSQW and go with a yin nourishing formula like Mai Wei di huang wan as a base? What yardstick does one use as a baseline in treating pts with COPD? Although he feels fine sitting and works, he feels too tired to mop the floor of his kitchen. we discussed this as a possible baseline. He takes no inhaler. If I give him the above formula in powder form, how long before he will begin to feel its effect? thank you for your input,,Matt Haug LAc Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2009 Report Share Posted March 17, 2009 I've found Cordyceps works very good for a condition like this. Doug , " matthaug2002 " <matthaug2002 wrote: > > Hello everyone, I wonder if anyone would care to add thier two cents to this case. I am treating a person with COPD/emphysema. He is tall, pale, thin man in his late 60s who has smoked his entire life. > Chief complaint: inability to take a breath, and fatigue. > > His Tongue: is deep red, perhaps crimson, short and wet and swollen. MANY CRACKS, both horizontal and vertical, no coat. > Pulse: Lung is mostly weak, empty with some heat on deepest level. Stomach: Roaring tidal heat. He loves spicy food. Both kidney postions are weak, empty. Heart: also tidal heat. > > Besides chief complaints of SOB and fatigue, he is cold all the time but this s/x may be improving. > > Formula: I was thinking of going with Jin Gui Shen Qi Wan as a base formula even tho his tongue is so red. I think there is empty Kidney yin and kidney yang. with modifications: For Lung Qi def: ren shen and wu wei zi, To clear stomach heat: Zhi Mu, Zhu Ru, Huang Qin, and perhaps some gecko for good luck. > > Questions: is it better to forget the JGSQW and go with a yin nourishing formula like Mai Wei di huang wan as a base? > > What yardstick does one use as a baseline in treating pts with COPD? Although he feels fine sitting and works, he feels too tired to mop the floor of his kitchen. we discussed this as a possible baseline. He takes no inhaler. > > If I give him the above formula in powder form, how long before he will begin to feel its effect? > > thank you for your input,,Matt Haug LAc > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2009 Report Share Posted March 23, 2009 The usual " baseline " in western medicine would be spirometry and arterial blood gases, which are still useful in an integrative sense for the practitioner. If your patient is having regular spirometry done as part of his usual medical care, see if you can get him to bring a copy in with him. In a pinch you could go with oximetry results if you have access to one, otherwise, I agree that you will probably have to go with the extent of his exertional dyspnoea as a baseline, in the absence of the above. Happily, this is also the thing that is probably most pertinent from the patient's perspective. Cheers, Lea. , " " wrote: > > I've found Cordyceps works very good for a condition like this. > Doug > > > > > , " matthaug2002 " <matthaug2002@> wrote: > > > > Hello everyone, I wonder if anyone would care to add thier two cents to this case. I am treating a person with COPD/emphysema. He is tall, pale, thin man in his late 60s who has smoked his entire life. > > Chief complaint: inability to take a breath, and fatigue. > > > > His Tongue: is deep red, perhaps crimson, short and wet and swollen. MANY CRACKS, both horizontal and vertical, no coat. > > Pulse: Lung is mostly weak, empty with some heat on deepest level. Stomach: Roaring tidal heat. He loves spicy food. Both kidney postions are weak, empty. Heart: also tidal heat. > > > > Besides chief complaints of SOB and fatigue, he is cold all the time but this s/x may be improving. > > > > Formula: I was thinking of going with Jin Gui Shen Qi Wan as a base formula even tho his tongue is so red. I think there is empty Kidney yin and kidney yang. with modifications: For Lung Qi def: ren shen and wu wei zi, To clear stomach heat: Zhi Mu, Zhu Ru, Huang Qin, and perhaps some gecko for good luck. > > > > Questions: is it better to forget the JGSQW and go with a yin nourishing formula like Mai Wei di huang wan as a base? > > > > What yardstick does one use as a baseline in treating pts with COPD? Although he feels fine sitting and works, he feels too tired to mop the floor of his kitchen. we discussed this as a possible baseline. He takes no inhaler. > > > > If I give him the above formula in powder form, how long before he will begin to feel its effect? > > > > thank you for your input,,Matt Haug LAc > > > Quote Link to comment Share on other sites More sharing options...
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