Follow up on endometriosis case study

March 21, 2002

Hello all

my patient was on the herbs that I prescribed for one month (a slightly different formula each week, depending where she wsa in her cycle). SHe had no pain during her period, but it was still quite heavy. Unfortunately, she was traveling during her bleeding and didn't take her herbs with her, which may have stemmed some of the excess bleeding. She was still tired during her bleeding.

An interesting thing occured, and any insight would be appreciated: Around day 22, she began very light spotting. Her normal period came on time on Day 27. During the time she experienced light spotting, she was on a fairly moving formula of blood and qi, which also had some tonics to deal with her deficiency. (Contained herbs such as rou gui, wu yao, pao jiang, huang qi, dang gui, chuan xiong, yi mu cao, small amt of san leng, --sorry I don't have the formula in front of me at the moment!) Could such a formula insitgate this spotting, and if so, is that neccesarily a bad thing given that we are trying to "move" the endometrial cyst (which, by the way, I found out is very tiny)?

I am on the fence as to whether this very light spotting is a positive or negative sign, or perhaps neuttral. SHe had never experienced spotting before.

Hillary