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Si Ni San Question

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On Wed, Apr 23, 2008 at 12:18 PM, Nancy S+13 <nancy

wrote:

 

> Is Si Ni San safe during pregnancy? If not, are there any formulas for

> Liver Qi stagnation which are safe?

>

 

 

 

 

Hi Nancy,

 

Si Ni San should be okay, but as with everything context matters. Context

includes questions such as a history of miscarriages or other

pregnancy/fertility issues, dosage, frequency, etc... so nothing I say here

should be construed as especially well-informed in regards to the patient's

needs.

 

Interesting story: this formula includes zhi shi which is an herb that

assists with the downward flow of qi, especially when that downward flow is

impeded by qi stagnation. This would generally translated to stress-induced

nausea, asthma, burping, or constipation. However, this herb in very high

dosages has been researched as a therapy for miscarriage.

 

I know someone who was privy to this therapy being tested in China. She said

that she found it somewhat scary to give an herb that has a downward

directionality to a pregnant woman. The reason for her concern was because

when you put downward directing herbs into a pregnant woman, it can generate

a miscarriage. However, the theory was that " ultimate yin becomes yang " and

an herb that has a downward directionality, if used in excess quantities

actually turns into an upward moving herb, thus assisting the pregnant woman

in withholding the child internally.

 

Apparently it worked. :)

 

--

, DAOM

Pain is inevitable, suffering is optional.

 

 

 

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As far as context, no history of miscarriage. I do have a Western

diagnosis of PCOS, which has caused infertility. I had a previous

successful pregnancy though when I was younger. I take 12 capsules per

day of the Sun Ten brand. The main issue that this addresses for me is

my hands fall asleep quite easily at night. 12 capsules is the minimum

amount that works, but it works like a charm. Currently I take 12

capsules per day of Rehmannia 8 and 3 capsules of Rehmannia 6--which

seems to be a good balance for my Kidney Yin/Yang deficiency--as well as

the Si Ni San. I have also been working on my diet. The reason I was

asking about pregnancy is my cycles have improved so much I think I

might actually be able to become pregnant now and wanted to know would

there be any issues with continuing the Si Ni San.

 

Thank you for being so willing to share your knowledge.

 

 

Al Stone wrote:

>

> On Wed, Apr 23, 2008 at 12:18 PM, Nancy S+13 <nancy

> <nancy%40schimelpfening.net>>

> wrote:

>

> > Is Si Ni San safe during pregnancy? If not, are there any formulas for

> > Liver Qi stagnation which are safe?

> >

>

> Hi Nancy,

>

> Si Ni San should be okay, but as with everything context matters. Context

> includes questions such as a history of miscarriages or other

> pregnancy/fertility issues, dosage, frequency, etc... so nothing I say

> here

> should be construed as especially well-informed in regards to the

> patient's

> needs.

>

> Interesting story: this formula includes zhi shi which is an herb that

> assists with the downward flow of qi, especially when that downward

> flow is

> impeded by qi stagnation. This would generally translated to

> stress-induced

> nausea, asthma, burping, or constipation. However, this herb in very high

> dosages has been researched as a therapy for miscarriage.

>

> I know someone who was privy to this therapy being tested in China.

> She said

> that she found it somewhat scary to give an herb that has a downward

> directionality to a pregnant woman. The reason for her concern was because

> when you put downward directing herbs into a pregnant woman, it can

> generate

> a miscarriage. However, the theory was that " ultimate yin becomes

> yang " and

> an herb that has a downward directionality, if used in excess quantities

> actually turns into an upward moving herb, thus assisting the pregnant

> woman

> in withholding the child internally.

>

> Apparently it worked. :)

>

> --

> , DAOM

> Pain is inevitable, suffering is optional.

>

>

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Nancy mentions hands falling asleep at night, which I guess goes along

with cold hands and/or feet and is part of the same syndrome. I am

glad that you are getting well with those Chinese herbs, Nancy.

 

Forgive me for butting in and hijacking this topic, but I wanted to

discuss the matter of cold hands & feet. I would like to know how

acupuncture doctors decide if you genuinely have a problem of cold

hands & feet. My own situation is that we live in a place with a

cold, cold winter (western Canada). We don't always have enough heat

in our house, and the daytime temperature in the house is maybe 50

deg. F. or less, and at night, a lot worse. So, quite often my hands

& feet will feel uncomfortably cold! Other times of the year, cold

extremities are rarely a problem.

 

But what are the standards? Were we intended to be able to maintain

warm hands & feet in these situations? Does this mean I have a poor

constitution or a curable condition, or what?

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I'm sure Al or someone will have a good answer for you, but my personal

experience with cold hands and feet was that I felt cold all the time,

even in situations where other people felt fine. I wasn't able to

comfortably visit other people's homes because I couldn't control the

thermostat and always felt cold. I felt cold all over though, not just

hands and feet. For me, that was Kidney Yang deficiency though. After

I started taking Rehmannia 8, I found that I could stay warm better,

even in cold situations. Like if I was outside on a cool evening, I

could tolerate it better as if my body was heating itself better. I

think cold hands and feet are more specific to Liver Qi stagnation

though and Si Ni San is supposed to be good for that. Rehmannia 8 did

warm up my hands and feet though, so I supposed it depends what is

causing your hands and feet to be cold.

 

 

Mrs. Barley wrote:

>

> Nancy mentions hands falling asleep at night, which I guess goes along

> with cold hands and/or feet and is part of the same syndrome. I am

> glad that you are getting well with those Chinese herbs, Nancy.

>

> Forgive me for butting in and hijacking this topic, but I wanted to

> discuss the matter of cold hands & feet. I would like to know how

> acupuncture doctors decide if you genuinely have a problem of cold

> hands & feet. My own situation is that we live in a place with a

> cold, cold winter (western Canada). We don't always have enough heat

> in our house, and the daytime temperature in the house is maybe 50

> deg. F. or less, and at night, a lot worse. So, quite often my hands

> & feet will feel uncomfortably cold! Other times of the year, cold

> extremities are rarely a problem.

>

> But what are the standards? Were we intended to be able to maintain

> warm hands & feet in these situations? Does this mean I have a poor

> constitution or a curable condition, or what?

>

>

 

--

Nancy S+13

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On Wed, Apr 30, 2008 at 2:47 PM, Mrs. Barley <chosenbarley wrote:

 

>

>

> But what are the standards [regarding cold hands and feet]? Were we

> intended to be able to maintain warm hands & feet in these situations? Does

> this mean I have a poor constitution or a curable condition, or what?

>

 

 

 

 

 

 

Again, I return to the idea of context. You live in a cold area, it is cold

in your house, hence your hands and feet feel cold. This isn't pathology,

this is somewhat normal. It is likely that as we grow older, we'll be more

sensitive to cold as a rule, but when it is winter, you can't always think

that having cold hands and feet is a problem.

 

Another context: it is summer, you living the Death Valley, and you're angry

at your partner for dragging you out to the middle of nowhere and your hands

and feet are uncharacteristically cold. Now, *there's* a pathological

symptom.

 

As for standards such as biomedicine enjoys with lab values, etc. TCM isn't

quite like that. We have to put everything into context. The only firm

number I've heard is still a topic of some disagreement - about when to call

a pulse rate " fast " . ( 80 or 90 bpm?).

 

-al.

 

--

, DAOM

Pain is inevitable, suffering is optional.

 

 

 

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