bone bruise Sp9

[Guest guest]

Hi Shanna,

 

I'm also left wondering how old is this patient and also how is his diet..?

How long since the original injury?

 

Bone bruises take a long time to heal, of course.. but whenever wounds are

markedly slow to heal, the question seems to me to be *why* is it taking so

long to heal. maybe this is the key. essence deficiency as you mentioned

comes to mind, but also other overall deficiencies. I'm concerned that

 

a) he's getting enough nutrients in his diet (and if not, perhaps diet

counseling or more tonification herbs) and

b) his Sp and SI are healthy enough to T & T and separate the pure from the

impure.. meaning actually utilize whatever nutrients he's injesting.

 

You mentioned that the patient easily catches cold, has an overall pallor..

Also.. the fact that you mentioned the patient to be a little " slow " (i'm

paraphrasing, I'm going from memory here :>).. Essence yes.. but a systemic

problem including Qi deficiency, and maybe Blood as well? The body has a

higher demand for nutrients when ill or healing from wounds and perhaps an

underlying Qi/essence deficiency led to being easily attacked by wind, etc..

causing his body to become more deficient. Is the patient perhaps Sp Qi

deficient? Sp Qi tonics.. Kidney tonics.. (Also the wound happens to be on

the Spleen channel.. interesting.)

 

Since Qi moves the Blood (get rid of the Blood stasis), and Blood is the

mother of Qi (Blood deficiency leading to not enough Qi to move the Blood),

perhaps focusing less on the hematoma itself and more on strengthening the

body (since he has no external pathogen now..?) might do the trick. Highly

nutritious foods for awhile and more Qi and possibly Blood tonics, depending

on the pulse/tongue/overall picture... also cutting out carbonated drinks

(if i remember correctly can interfere with the body's ability to utilize

Calcium), caffeine (which strongly moves the Qi without supplementing it..

easily leading to exhaustion of Qi.. also reduces appetite) The formula you

suggested sounded pretty right on based on what you described of the

Hematoma, but even dosage adjustments or like I said adding additional

tonifiers. It's so hard without the complete intake info.

 

Just some thoughts...

 

Regards,

Nadia

 

 

>Hi Shanna!

>

>The concern with massaging such an accumulation of blood stasis is that a

>bit of the clot could occlude an artery or vein, or travel to kidney,

>brain, heart or lung. Slow is better for the re-absorption of such a mass.

>How old is the patient? How active?

>

>The western guy offered to lance it, evidently the patient has decided

>against this. Needling it is sort of mini-lancing, in one sense. Might help

>it, unlikely to hurt anything if you use clean technique.

>

>At 01:47 PM 7/8/2004, you wrote:

> >Hi everybody

> >

> >I have a patient who presented about 3 weeks ago with a huge

> >(baseball sized) hematoma right on Sp 9.

>

>Regards,

>

>Pete

>

 

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