Primary lateral sclerosis case study

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Chinese Medicine wrote:

Message: 9

Tue, 2 Mar 2004 14:27:03 -0800 (PST)

John Garbarini

Re: case study

 

Hi, Molly: My cousins all live in Burlington, and work

in the medical community. Have you tried Kiiko's MS

tx? LV8, KD10, above TH8, and Bafeng? It will at least

help ward off the dizziness that accompanies the PLS.

JG

 

- Thanks John - I haven't tried this prescription of Kiko's, and appreciate

having it.

 

Molly

 

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Message: 10

Wed, 03 Mar 2004 00:14:18 +0000

" salvador march "

RE: case study

 

Hi Molly,

Whatever you are doing is clearly making your patient worse. Indiscriminate

use of acupuncture points at this juncture would be unhelpful.

 

I would be happy to help you come to a clearer understanding. I would need a

date of birth for your patient plus a list of any and all physical symptoms.

esp past symptoms like for example when your patient used to get stressed

where / how on the body did it manifest.

 

salvador

 

Hi Salvador,

 

I agree with you that indiscriminate use of acupuncture is unhelpful, and I

assure I would not continue to treat someone if what I was doing was not of some

benefit. I was being succinct in my synopsis of her case and didn't mention that

both her ongoing fatique and her depression are being relieved by the work that

I am doing with her at the moment, which is not insignificant given the slow

degenerative nature of her disease. After the first two treatments her balance

had been restored to 75% of its original levels, and her gait was about 50% less

rocking and stilted. However, we were especially puzzled that with no change in

tx protocol, within another couple of treatments she had regressed to where she

was at the time of intake, and now her balance and gait are worse (objectively

measured by how often she falls in a given week).

 

Her birthdate is 8/5/54 and in the past she has manifested her sx in her

neck/shoulders and lower back. She and her husband suffered a severe emotional

trauma about 15 years ago with the loss of their family farm, and this seems to

be stored in her mid and upper back (Bl 15).

 

I look forward to hearing your feedback, and would be happy to ask her other

questions that might come up.

 

Molly

 

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Message: 18

Wed, 03 Mar 2004 02:35:59 -0500

Pete Theisen

 

Re: case study

 

Hi Molly!

 

I use this history form on each patient: (A medical history is required by

law in Florida)

 

Observe:

 

Excess, rapid or jerky movement. ? (heat, often liver or heart)

Tongue color. Light purple.

Tongue shape. Puffy.

Tongue coating. Thick white with deep cracks.

Tongue moisture. Dry.

 

Inquire:

 

Pain that is diminished by heat. Yes.

 

Listen & smell:

 

 

Palpate:

 

Slow pulse less than 70 beats per minute. Yes. (cold or insufficient qi)

Hidden pulse is an extreme form of the sinking pulse. Yes. (Deficient Yang

if weak. If strong, Deficient Cold obstructing the meridians)

Cool skin. Yes. (yang deficiency)

 

(end of the finding report)

 

I notice that my form does not directly contain some of your findings, so I

am stretching a little to plug in the rocking, stilted gait as excess,

rapid or jerky movement. I wonder if you can see a deep pulse as " hidden " ,

if so we can say " Deficient Yang if weak. If strong, Deficient Cold

obstructing the meridians " .

 

I wonder if you have taken a larger case and have only shared a portion of it?

 

 

 

Hi Pete,

 

Your form is very thorough! Thank you for printing it all out for me. As I

mentioned to Salvador above, the information I gave was just the bare bones of

the intake and any ongoing information I have aquired since then.

 

Molly

 

At 05:05 PM 3/2/2004, you wrote:

>Hi, my name is Molly Beverage and I have been practicing acupuncture for a

>couple of years in rural Vermont. For a number of months, I have been

>working with a woman who has primary lateral sclerosis, and while

>initially we were both pleased with the reduction of her symptoms, at this

>point she seems to be getting worse fast. Primary lateral sclerosis

>causes degeneration of the upper motor neurons (as opposed to amyotropic

>lateral sclerosis - which affects both upper and lower motor neurons) and

>leads to a rocking, stilted gait, poor balance and slow, slurred speech

>with trouble swallowing. My client has deep, slow pulses overall, with the

>left chi position more xu. Her tongue is light purple, puffy and scalloped

>with deep cracks and a thick white dry coat. She is very cold all the time

>and cold and anxiety make her symptoms worse. I treat her with scalp and

>body points, along with an infrared heat lamp and moxa. I also put her on

>herbs, but she is hyperallergenic and has developed

> an allergic reaction to all the formulas I have given her.

>I would deeply appreciate any and all feedback that anyone has to give me

>on this case.

>

 

Regards,

 

Pete

 

 

 

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