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use herbal medicine (Beiji, Zhenzhu...), you can get great result.

Judy

In a message dated 1/6/2004 12:44:38 AM Eastern Standard Time,

mish1232242 writes:

Does anyone have any experience treating fissure?....Michele

 

 

 

 

 

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In a message dated 1/6/04 8:37:22 AM Eastern Standard Time,

drjudyhou writes:

 

Does anyone have any experience treating fissure?....Michele

Hi,

I assume you are referring to an anal fissure but I am not sure. Also more

information on the person and a diagnosis by pattern would be helpful. Anal

fissures are pretty common but sometimes a bit recalcitrant to treatment. GV1

and points along the fissure can be helpful and regular pattern treatment and

the use of herbs are necessary.

Bobbi

 

 

 

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  • 2 months later...
Guest guest

Chinese Medicine , " mish1232242 "

<mish1232242> wrote:

> Does anyone have any experience treating fissure?....Michele

-----------------------

 

Michele,

 

I just joined the TCM group and was reviewing past comments when I

noticed your question.

 

Any condition that causes dry stools, and the straining that

accompanies chronic constipation, can lead to an anal fissure.

Treatment is based upon maintaining a soft stool so as to avoid

repeatedly opening the fissure and keeping the area clean (ie:

washing the anus with soap and water after defecation.

 

So various patterns that cause constipation w/dry stool are the most

likely to contribute to anal fissure (my understanding is to try TX

for 4-6 weeks; if no apprciable result after that time then the

surgical option should be considered...)

 

Heat/Fire

Zeng Ye Cheng Qi Tang (increase the fluids & order the qi decoction)

 

Topical therapies:

after washing/drying the anus

Jing Wan Hong (Ching Wan Hung)

Gang Lie Gao (grind equal amts of hu zhang, long gu, bai ji into a

fine powder and mix with vaseline (non-petrolium type).

 

Sitzbath - mang xiao 30g, huai jiao 15g, boiled in 2 litres of water

until reduced by 25%. 10 day course.

 

patents

Qing Fei Yi Huo Pian

Niu Huang Qing Huo Want

Run chang Wan

 

Acupuncture

SJ 6

ST 25

SP 15

DU 1

BL 30

BL 57

ST 37

BL 25

KID 6

(systemic heat add LI ll and 4

Liv heat add LIV 2

severe bleeding add er bai, PC 4

severe pain (DU 1) and SI 5

 

ear points: anus hemorrhoids, constipation area, LI, distal segment

rectum, shen men

---------

 

Damp Heat

Zeng Ye Cheng Qi Tang

 

Topical

Jing Wan Hong

Gang Lie Gao

if itching, burning and local irritation -- 30 grams each of Ku Shen,

She chuang zi, huang bai, da huang in 2-3 litres of water for 30

mins. discard herb residue, and soak in remaining liquid once or

twice daily (sitzbath or large bowl)

 

patent

long dan xie gan wan

bei xie sheng shi wan

huang lian jie du wan

niu huang qing huo wan

jing wan hong

 

acupuncture

ST 25

SP 15

DU 1

BL 30

BL 57

ST 37

BL 31-34

LI 11

redness, swelling, pain add BL 58, 54

perineal itch add SP 10

DH in LIV add LIV2

 

ear points

constipation, anus, hemorrhoids, LI, distal segment rectum, Shen Men

 

-------

 

Blood & Yin Xu

Run Chang Bu Xue Want

 

Patent

Run Chang Wan

Gui Pi Wan

Ba Zhen Wan

Dang Gui Ji Jing

 

Acupuncture

DU 1

BL 30

ST 25

REN 4

SP 6

ST 36

SP 10

BL 20, 23, 25

Kid Yin Xu add KID 6

 

Ear points

as above

 

Hope this helps...

Kathleen Mathews

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In addition to Kathleen Mathew's exhaustive post and useful details:

>

>

The anus is the Gate of Po, and stands sentinel on the this lifetime soul as

it comes in

and out, riding the breath.

 

It is housed in Metal, and lives in the yang Dry colon portion.

 

If things come to a fissure, Dry has become pathogenic. It is very likely

that

there is an assault from the HT, where a yin xu may have caused the SI-UB

pair to

run excess.

 

SI-UB also run in tandem with DU, which in turn has a connect to the yang

wei.

 

In that sense the anal area is intimately ruled by the DU and the adjoining

near channel

and particularly the point UB 35.

 

Thus fissure can be reversed by allaying the SI-UB, which can be done by

balancing

HT-SI.

 

A 4-needle prescription, if all the above bears out, is:

 

1. One or the other UB 62 as a Master point.

Palpate para-coccygial area, and see if tenderness is reduced by massaging

UB 62,

Once you get the right spot, find the right angle, and insert a 38 gauge 1 "

needle to

the depth of .2 or .3 feng.

 

No further stimulation is necessary.

 

2. Find the " open " horary Wood point on channel running at the time of

treatment.

Use similar thin needle, and place in tendermost spot in line with the run

of the

channel.

 

Stimulate twice in 20 mts for 30 secs.

 

3. Find similar Metal yang point on open channel.

 

Reduce twice in 20 mts for 30 secs.

 

4. The 4th point could be:

a. LI 20, if there is vascular injection and redness.

b. LI 4 if there is tenderness.

c. ST 25 if there is tenderness and tightness.

 

Needle appropriately.

 

This approach may take away most pain on 1st visit, and the matter can be

entirely contained

by the 5ht session.

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

-

" Kathleen Mathews " <kthmathews2003

<Chinese Medicine >

Monday, April 05, 2004 4:47 PM

Re: fissure

 

 

Chinese Medicine , " mish1232242 "

<mish1232242> wrote:

> Does anyone have any experience treating fissure?....Michele

-----------------------

 

Michele,

 

I just joined the TCM group and was reviewing past comments when I

noticed your question.

 

Any condition that causes dry stools, and the straining that

accompanies chronic constipation, can lead to an anal fissure.

Treatment is based upon maintaining a soft stool so as to avoid

repeatedly opening the fissure and keeping the area clean (ie:

washing the anus with soap and water after defecation.

 

So various patterns that cause constipation w/dry stool are the most

likely to contribute to anal fissure (my understanding is to try TX

for 4-6 weeks; if no apprciable result after that time then the

surgical option should be considered...)

 

Heat/Fire

Zeng Ye Cheng Qi Tang (increase the fluids & order the qi decoction)

 

Topical therapies:

after washing/drying the anus

Jing Wan Hong (Ching Wan Hung)

Gang Lie Gao (grind equal amts of hu zhang, long gu, bai ji into a

fine powder and mix with vaseline (non-petrolium type).

 

Sitzbath - mang xiao 30g, huai jiao 15g, boiled in 2 litres of water

until reduced by 25%. 10 day course.

 

patents

Qing Fei Yi Huo Pian

Niu Huang Qing Huo Want

Run chang Wan

 

Acupuncture

SJ 6

ST 25

SP 15

DU 1

BL 30

BL 57

ST 37

BL 25

KID 6

(systemic heat add LI ll and 4

Liv heat add LIV 2

severe bleeding add er bai, PC 4

severe pain (DU 1) and SI 5

 

ear points: anus hemorrhoids, constipation area, LI, distal segment

rectum, shen men

---------

 

Damp Heat

Zeng Ye Cheng Qi Tang

 

Topical

Jing Wan Hong

Gang Lie Gao

if itching, burning and local irritation -- 30 grams each of Ku Shen,

She chuang zi, huang bai, da huang in 2-3 litres of water for 30

mins. discard herb residue, and soak in remaining liquid once or

twice daily (sitzbath or large bowl)

 

patent

long dan xie gan wan

bei xie sheng shi wan

huang lian jie du wan

niu huang qing huo wan

jing wan hong

 

acupuncture

ST 25

SP 15

DU 1

BL 30

BL 57

ST 37

BL 31-34

LI 11

redness, swelling, pain add BL 58, 54

perineal itch add SP 10

DH in LIV add LIV2

 

ear points

constipation, anus, hemorrhoids, LI, distal segment rectum, Shen Men

 

-------

 

Blood & Yin Xu

Run Chang Bu Xue Want

 

Patent

Run Chang Wan

Gui Pi Wan

Ba Zhen Wan

Dang Gui Ji Jing

 

Acupuncture

DU 1

BL 30

ST 25

REN 4

SP 6

ST 36

SP 10

BL 20, 23, 25

Kid Yin Xu add KID 6

 

Ear points

as above

 

Hope this helps...

 

 

 

 

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spam messages,flame another member or swear.

 

To change your email delivery settings,

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membership' on the right hand side and adjust accordingly.

 

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Guest guest

I have found that moxa and tonification on Du20 works a treat - 2 treatments

and a long standing fissure due to childbirth healed.

Susie

>

>

That's fantastic.

 

I get phobia puting moxa on someone who may have latent Phlegm Fire

or is Dry and all set to go off into a Fire state.

 

Can you say something more on this?

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

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Guest guest

Dear Holmes, I'm not sure what you want me to comment on - your phobia

(which seems fair enough to me) or my original post?

Susie

 

 

> I have found that moxa and tonification on Du20 works a treat - 2

> treatments

> and a long standing fissure due to childbirth healed.

> Susie

> >

> >

> That's fantastic.

>

> I get phobia puting moxa on someone who may have latent Phlegm Fire

> or is Dry and all set to go off into a Fire state.

>

> Can you say something more on this?

>

> Dr. Holmes Keikobad

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Guest guest

That you may have come across a situation where there is Heat and phlegm

and may have had occasion to moxa the point.

 

Can one get away with it? Just wanted your experiences which could teach.

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

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Guest guest

I see what you mean. I haven't come across that situation where a fissure

is involved. The fissures have tended to be where there is some Spleen Yang

Xu.

If there was also phlegm and heat, then I would have to weigh up the

situation very carefully, but I wouldn't categorically say that phlegm/heat

would stop me doing the tx.

 

Susie

 

>

> That you may have come across a situation where there is Heat and phlegm

> and may have had occasion to moxa the point.

>

> Can one get away with it? Just wanted your experiences which could teach.

>

> Dr. Holmes Keikobad

> MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

> www.acu-free.com - 15 CEUS by video.

> NCCAOM reviewed. Approved in CA & most states.

>

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