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69 year old PN patient

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Hi All,

 

I forgot to mention, sciatica has been eliminated. Also all blood tests show no

deterioration in nerve conduction over the 10 year period, no question of

diabetes, no chemotherapy, and no familial history of this nature, and last but

not least the immune system is not compromised.  So... all in all an absolute

mystery !!

 

Thanks

Andy Colombini BSc. (Hons) TCM  MBAcC MAcSCA

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I'm not Mr. Neurology here, but what about a local nerve being damaged by

the hernia operation, and then that nerve refers pain down the leg? The

one-day-on, one-day-off is perhaps associated with bowel movements? Does he

poop every other day?

 

Just thinking...

 

On Mon, Apr 5, 2010 at 12:20 PM, Andrew Colombini <andycolombini

> wrote:

 

>

>

> Hi All,

>

> I forgot to mention, sciatica has been eliminated. Also all blood tests

> show no deterioration in nerve conduction over the 10 year period, no

> question of diabetes, no chemotherapy, and no familial history of this

> nature, and last but not least the immune system is not compromised. So...

> all in all an absolute mystery !!

>

> Thanks

> Andy Colombini BSc. (Hons) TCM MBAcC MAcSCA

>

> _

>

 

 

 

--

, DAOM

Pain is inevitable, suffering is optional.

http://twitter.com/algancao

 

 

 

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Hi all, I saw the 69 year old PN patient on Tuesday afternoon. He didn't have

any reaction to my needling REN 1 last week, so this week I continued withe same

point prescription with the addition of Electro acupuncture for 4 minutes on

REN1, GB30, BL54, and an ashi point locally. I also added SJ5 bilaterally as

suggested by Al.

 

It appears that he does not open his bowels every other day, and it would appear

that on bad days as he refers to his pain and burning sensations, he does not

not open his bowels. I'm not sure what to make of this, but Al's reference to

Shao Yang Bing made me take a look at Maciocia's thoughts on the lesser yang,

where there is an alternation between chills and fever, unfortunately it didn't

clarify anything for me. I have asked the patient to try and see if there is

anything else which happens every other day, no matter how insignificant he

thinks it is.

 

I will be back next Tuesday, with more thoughts in my head.

 

Thanks

Andy BSc. (Hons) TCM  MBAcC MAcSCA

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On Wed, Apr 7, 2010 at 8:57 AM, Andrew Colombini

<andycolombiniwrote:

 

>

>

> It appears that he does not open his bowels every other day, and it would

> appear that on bad days as he refers to his pain and burning sensations, he

> does not not open his bowels.

>

Kampo medicine would be all over this. If not having a bowel movement

aggravates the pain, then he would get a formula that includes the purgative

Da Huang.

 

Da Chai Hu Tang (Major Bupleurum Decoction) assumes a Shao Yang problem with

constipation (Yang Ming Fu Bing or Large Intestine Organ Syndrome). I'm not

sure if this is right for your guy, but if you can find that he has other

Shao Yang pattern symptoms, this may fly for you, herbally.

 

> I'm not sure what to make of this, but Al's reference to Shao Yang Bing

> made me take a look at Maciocia's thoughts on the lesser yang, where there

> is an alternation between chills and fever, unfortunately it didn't clarify

> anything for me.

>

The reasoning is this: in the 1800 years since Shao Yang Bing was first

mentioned, the formulas have been used for many " alternating " symptoms that

come and go with some regularity. Maciocia is correct to mention fever and

chills. This is the original application, but in the 1800 years since, this

has been extended to symptoms that alternate with some regularity such as

pain every other day.

 

However, if nothing else fits, then you may choose not to consider this any

further. We always have to consider all signs and symptoms, not just one.

 

> I have asked the patient to try and see if there is anything else which

> happens every other day, no matter how insignificant he thinks it is.

>

You might ask about the other Shao Yang symptoms such as nausea. He may not

actually experience nausea, but you can ask about the sensation of food not

moving out of his stomach or lack of appetite.

 

>

> I will be back next Tuesday, with more thoughts in my head.

>

Where else would one's thoughts be? ha.

 

-al.

 

--

, DAOM

Pain is inevitable, suffering is optional.

http://twitter.com/algancao

 

 

 

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