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I would mainly wonder about the mu dan pi.

>>>Todd as long as she continues to monitor bloods on at least a weekly bases

until you establish her reaction there is no problem even using other blood

moving herbs. I have given Dun Shen et al many times to patients on coumadin. I

do request 1-2 per week PT times at first.

Alon

 

 

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I agree with Alon. There are no studies indicating that mu dan pi is a

problem with coumadin, and as long as the patient is monitored, there

shouldn't be a problem. I'd only worry if the herb was taken solo in a

large dose (as dan shen is sometimes used).

 

 

On Nov 30, 2003, at 8:46 AM, Alon Marcus wrote:

 

> I would mainly wonder about the mu dan pi.

>>> as long as she continues to monitor bloods on at least a

>>>> weekly bases until you establish her reaction there is no problem

>>>> even using other blood moving herbs. I have given Dun Shen et al

>>>> many times to patients on coumadin. I do request 1-2 per week PT

>>>> times at first.

> Alon

>

>

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, " Alon Marcus " <

alonmarcus@w...> wrote:

I have given Dun Shen et al many times to patients on coumadin. I do request

1-2 per week PT times at first.

 

this is not possible. is it still OK to give LWDHW?

 

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I think it is. It sounds like LWDHW is supportive, 'constitutional'

treatment, and shouldn't interfere in any way. I often do like

treatment in similar situations. I think it is smart to avoid such

'active' prescriptions as tian ma gou teng yin, as you've done, in such

cases.

 

 

On Nov 30, 2003, at 9:33 AM, wrote:

 

> this is not possible. is it still OK to give LWDHW?

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I think it is smart to avoid such

'active' prescriptions as tian ma gou teng yin, as you've done, in such

cases.

 

>>>>I do not think there is any difference between giving Tian ma or LWDH, to

say this is a kind of feel good medicine theory. If there is a problem between

some herb and a drug it does not matter if it is " supportive constitutional " in

intent or active treatment in intent it will have the same reaction with the

drug

Alon

 

 

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Alon's comments reflect what I saw when observing in cardiology at

Scripps. Dr. Guarneri's philosophy is that patients can take or eat

just about anything as long as the dosage of coumadin is being adjusted

and monitored.

 

The main key is to control the coumadin dosage. The other key is to

maintain consistency in their intake of whatever is in question. In

other words, no dramatic changes in dosages of herbs or radical changes

in diet.

 

Laurie Burton

 

" Alon Marcus "

I would mainly wonder about the mu dan pi.

>>>Todd as long as she continues to monitor bloods on at least a weekly

bases until you

establish her reaction there is no problem even using other blood moving

herbs.

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Why not consider taking even the less potentially problemsome, yet quite

effective approach of ER ZHI WAN?

 

Regards,

 

Yehuda

On Sun, 30 Nov 2003 09:38:07 -0800 " " <zrosenbe

writes:

> I think it is. It sounds like LWDHW is supportive, 'constitutional'

> treatment, and shouldn't interfere in any way. I often do like

> treatment in similar situations. I think it is smart to avoid such

> 'active' prescriptions as tian ma gou teng yin, as you've done, in

> such

> cases.

>

>

> On Nov 30, 2003, at 9:33 AM, wrote:

>

> > this is not possible. is it still OK to give LWDHW?

>

>

>

>

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So, " constitutional " formulas are safer for those on dangerous drugs as

there are less interaction issues?

 

What is a constitutional formula and what is an active formula?

 

Those that treat excess versus deficiency?

 

-al.

 

On Nov 30, 2003, at 9:38 AM, wrote:

 

> I think it is. It sounds like LWDHW is supportive, 'constitutional'

> treatment, and shouldn't interfere in any way. I often do like

> treatment in similar situations. I think it is smart to avoid such

> 'active' prescriptions as tian ma gou teng yin, as you've done, in such

> cases.

>

>

> On Nov 30, 2003, at 9:33 AM, wrote:

>

>> this is not possible. is it still OK to give LWDHW?

>

>

>

>

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There are a few approaches one can take with drug-herb interactions.

 

1) If the drugs are very toxic, one can treat a 'drug disease' with

complimentary herb prescriptions. An example would be steroid syndrome

or cushing's syndrome, where one chooses prescriptions to treat the

patterns produced by use of such drugs as prednisone. For example,

prednisone in early to middle stages (depending on the patient

tolerance and dosage) will usually produce in average patients yin

vacuity, complicated by heat toxin, or liver yang ascending, for

example. There may be simple kidney yin vacuity, dual kidney-liver

yang vacuity, or kidney-heart yin vacuity with heart fire. One then

treats the pattern accordingly. Some patients after long-term steroid

use, especially after discontinuing treatment, suffer with kidney yang

vacuity patterns, and should be treated accordingly.

 

2) One can use the ben and biao/root and tip (branch) approach. In

some cases, the patient takes a medication to treat the symptom of

headache, so one looks at treating the underlying pattern rather than

the symptoms that are being medicated. This is what I call

'constitutional'. There are many variables, however, with this

approach. It will depend on the specific symptoms being treated, the

strength and dosage of the medication, duration of treatment, and how

many drugs are being used. One may also have to attempt to 'reframe'

the effects of the medication in a Chinese medical differentiation,

seeing them as part of one's prescription, in a sense. And, of course,

in some circumstances, the drug is treating the 'root' of a disease

pattern, and if herbs are used, they may be treating more 'branch'.

 

One example of this approach is with patients receiving conventional

cancer treatment such as chemotherapy, radiation, surgery, and or

'vaccines'. While primary cancer treatment in Chinese medicine uses

large amounts of anti-cancer medicinals (which we largely don't do in

the West), many which are toxic, we can eliminate these ingredients and

concentrate on the root pattern of the patient, or treating the 'drug

disease' pattern, whichever is more appropriate in clinical

circumstances. Eliminating the anti-cancer medicinals greatly reduces

the chances of enhanced toxicity by combinations of toxic chemotherapy

drugs and toxic Chinese ingredients.

 

 

On Dec 1, 2003, at 10:52 AM, Al Stone wrote:

 

> So, " constitutional " formulas are safer for those on dangerous drugs as

> there are less interaction issues?

>

> What is a constitutional formula and what is an active formula?

>

> Those that treat excess versus deficiency?

>

> -al.

>

> On Nov 30, 2003, at 9:38 AM, wrote:

>

>> I think it is. It sounds like LWDHW is supportive, 'constitutional'

>> treatment, and shouldn't interfere in any way. I often do like

>> treatment in similar situations. I think it is smart to avoid such

>> 'active' prescriptions as tian ma gou teng yin, as you've done, in

>> such

>> cases.

>>

>>

>> On Nov 30, 2003, at 9:33 AM, wrote:

>>

>>> this is not possible. is it still OK to give LWDHW?

>>

>>

>>

>>

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  • 2 years later...

Help!

I have asked for advice before, and you have been quite helpful.

I am a person with AIDS. Last year my Docter put me on a low fat diet,

due to chronic pancreatitis. Now my Doctor is putting on coumadin, he

did not however discuss the food restrictions with me. How am I going

to survive without garlic and spinach and such?

Wayne

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WAYNE --- YOU CAN HAVE THE SPINACH AND EAT IT TOO. WHAT YOU WANT TO DO IS NOT

ELIMINATE ALL GREENS AND OTHER THINGS YOU'VE BEEN TOLD ARE BAD FOR YOU WHEN YOU

ARE ON COUMADIN. YOU WANT TO KEEP A " STEADY DIET " OF " WHATEVER " YOU EAT

(ESPECIALLY THE WRONG THINGS!). IF YOU HAVE SPINACH TWICE A WEEK ALWAYS HAVE IT

TWICE A WEEK, IF YOU HAVE A DRINK ONCE A WEEK ALWAYS HAVE A DRINK ONCE A WEEK.

DON'T HAVE THOSE THINGS YOU KNOW ARE BAD FOR YOU EVEN ONCE A WEEK UNLESS YOU ARE

POSITIVE YOU ARE GOING TO CONTINUE THE ONCE A WEEK REGIMEN. OF COURSE YOU WANT

TO ALSO STAY WITHIN THE LIMITS OF YOUR LOW FAT DIET FOR YOUR PANCREATITIS.

TEHYA

 

 

 

Wayne <wayxes99

 

Sunday, October 22, 2006 7:59:30 AM

Coumadin

 

 

Help!

I have asked for advice before, and you have been quite helpful.

I am a person with AIDS. Last year my Docter put me on a low fat diet,

due to chronic pancreatitis. Now my Doctor is putting on coumadin, he

did not however discuss the food restrictions with me. How am I going

to survive without garlic and spinach and such?

Wayne

 

 

 

 

 

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