Ashermans Syndrome

[Guest guest]

Hello group

My name is julie. I have an interesting case that I was hoping to get some

herbal feedback on. I will share western diagnosis as well as TCM

I have a client who recently miscarried and had a subsequent D & C. As a

result of this D & C she has been diagnosed with Ashermans syndrome which is

uterine scarring that form on the uterine wall. In severe cases - the

uterine wall adhers. The primary sx becomes reduction or lack of

menstruation.

From a TCM perspective - she presents with symptoms of blood deficiency -

including very light menstraul cycle with pale blood, fatigue, poor sleep.

She has no pain in the uterus and no cramping or other stasis symptoms. Her

bowel movements lean toward loose.

Her Pulses are very minute and think, her tounge is scalloped, puffy, pale

and quivery. I recognize that, although she is deficient, the asymptomatic

stasis in her lower abdomen needs to be addressed without depleting her

further. I do not create my own formulas and work with herbs periodically. I

would like to help her the best I can. Any feedback is most appreciated

-

<Chinese Medicine >

<Chinese Medicine >

Thursday, September 18, 2003 12:52 AM

Digest Number 195

 

 

 

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[Guest guest]

Dear Julie,

 

I think the first thing to establish is your diagnosis. What is it?

In my practice I treat what I see. I have patients that have been

diagnosed with this or that WM syndrome and although I'm not

suggesting one should ignore pt's primary care provider's diagnosis,

I'm more inclined to follow my assessement of the patient as they

present themselves to me during our session.

 

If your patient's signs and symptoms are of blood xu, then you should

treat that, blood xu. Based on your post, I do not see any signs of

stasis (remember, I'm not taking the WM diagnosis under consideration

at this time). Bear in mind that qi vacuity can lead to blood vacuity

and to stasis and it is very possible that the mere act of

supplementing and regulating qi could lead to a removal of any stasis

secondary to qi vacuity.

 

You may want to think in lines of Ba Zhen Tang with modifications to

fit your pt's pattern. Keep in mind the loose stool, the absence of

pain, the color of the menses the puffy, pale tongue, fatigue, etc.,

when adding or subtracting ingredients. A few blood/qi regulating

herbs would not hurt if carefully chosen with appropriate dosage.

 

Regards,

 

~Fernando

 

 

 

 

As a

> result of this D & C she has been diagnosed with Ashermans syndrome

which is

> uterine scarring that form on the uterine wall. In severe cases -

the

> uterine wall adhers. The primary sx becomes reduction or lack of

> menstruation.

> From a TCM perspective - she presents with symptoms of blood

deficiency -

> including very light menstraul cycle with pale blood, fatigue, poor

sleep.

> She has no pain in the uterus and no cramping or other stasis

symptoms. Her

> bowel movements lean toward loose.

> Her Pulses are very minute and think, her tounge is scalloped,

puffy, pale

> and quivery. I recognize that, although she is deficient, the

asymptomatic

> stasis in her lower abdomen needs to be addressed without depleting

her

> further. I do not create my own formulas and work with herbs

periodically. I

> would like to help her the best I can. Any feedback is most

appreciated