Diabetic Foot Neuropathy

[Guest guest]

In terms of acupuncture, I find where the neuropathy begins and put many needles

just

above that level. I might use say, 8 needles, at the level of Sp 6, GB 39,

Kidney 7 etc.... Be

careful about needling where there is lessened sensation. There will be less

ability for the

foot to repair any damage that your needles may cause (that normally would be

easily

responded to in a normal patient). For that reason I am careful about needling

in

neuropathic areas even if they look like they would benefit from moving the

blood and qi.

Patients often bleed from these areas also.

doug

 

 

 

, " heylaurag " <heylaurag@h...> wrote:

>

> Hi, does anyone have any feedback on treating this? I have a patient

> coming in tomorrow for the first time and I don't have experience

> with it. Thanks for any ideas!

>

> Laura

[Guest guest]

Hi, does anyone have any feedback on treating this? I have a patient

coming in tomorrow for the first time and I don't have experience

with it. Thanks for any ideas!

 

Laura

[Guest guest]

Hi, thanks for the response. His feet are burning from the ball of

the foot to the toes. The feet feel cold to the touch, but the pain

is burning. He likes to stand on a cold floor to help the pain, but

they also hurt more when the feet themselves are more cold. So there

is a mix of symptoms re: temp. Rarely numbness. He has a deep

central crack and some yellow coating on the back of his tongue. He

takes a lot of pain meds which only somewhat help.

 

Any ideas? Also, I was wondering if moxa or a plaster would be a

good idea.

 

Laura

 

 

, " "

wrote:

>

> In terms of acupuncture, I find where the neuropathy begins and put

many needles just

> above that level. I might use say, 8 needles, at the level of Sp 6,

GB 39, Kidney 7 etc.... Be

> careful about needling where there is lessened sensation. There

will be less ability for the

> foot to repair any damage that your needles may cause (that

normally would be easily

> responded to in a normal patient). For that reason I am careful

about needling in

> neuropathic areas even if they look like they would benefit from

moving the blood and qi.

> Patients often bleed from these areas also.

> doug

>

>

>

> , " heylaurag "

<heylaurag@h...> wrote:

> >

> > Hi, does anyone have any feedback on treating this? I have a

patient

> > coming in tomorrow for the first time and I don't have experience

> > with it. Thanks for any ideas!

> >

> > Laura

[Guest guest]

, " heylaurag "

<heylaurag@h...> wrote:

>

> Hi, thanks for the response. His feet are burning from the ball of

> the foot to the toes. The feet feel cold to the touch, but the pain

> is burning. He likes to stand on a cold floor to help the pain, but

> they also hurt more when the feet themselves are more cold. So there

> is a mix of symptoms re: temp. Rarely numbness. He has a deep

> central crack and some yellow coating on the back of his tongue. He

> takes a lot of pain meds which only somewhat help.

>

> Any ideas? Also, I was wondering if moxa or a plaster would be a

> good idea.

>

> Laura

 

Try some hit medicine. Even something as simple as the Five Photo's

Brand linament (die da jiu / dit da jow) can help restore circulation

to the extremities when applied both directly and over time.

 

Brian C. Allen

[Guest guest]

Hi Laura,

I have a few more thoughts having reread your post.

Have you done any gua sha? if not you ought to

consider doing some- on huatos, ST12, back shu points-

begin at the neck and work down. Also consider telling

him to do castor oil packs on the liver-to detox and

allow the liver to relax- especially since you say he

has been doing pain meds.

 

David.

--- heylaurag <heylaurag wrote:

 

>

> Hi, thanks for the response. His feet are burning

> from the ball of

> the foot to the toes. The feet feel cold to the

> touch, but the pain

> is burning. He likes to stand on a cold floor to

> help the pain, but

> they also hurt more when the feet themselves are

> more cold. So there

> is a mix of symptoms re: temp. Rarely numbness. He

> has a deep

> central crack and some yellow coating on the back of

> his tongue. He

> takes a lot of pain meds which only somewhat help.

>

> Any ideas? Also, I was wondering if moxa or a

> plaster would be a

> good idea.

>

> Laura

>

>

> ,

> " "

> wrote:

> >

> > In terms of acupuncture, I find where the

> neuropathy begins and put

> many needles just

> > above that level. I might use say, 8 needles, at

> the level of Sp 6,

> GB 39, Kidney 7 etc.... Be

> > careful about needling where there is lessened

> sensation. There

> will be less ability for the

> > foot to repair any damage that your needles may

> cause (that

> normally would be easily

> > responded to in a normal patient). For that reason

> I am careful

> about needling in

> > neuropathic areas even if they look like they

> would benefit from

> moving the blood and qi.

> > Patients often bleed from these areas also.

> > doug

> >

> >

> >

> > ,

> " heylaurag "

> <heylaurag@h...> wrote:

> > >

> > > Hi, does anyone have any feedback on treating

> this? I have a

> patient

> > > coming in tomorrow for the first time and I

> don't have experience

> > > with it. Thanks for any ideas!

> > >

> > > Laura

>

>

>

>

 

 

 

 

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[Guest guest]

heylaurag wrote:

>

>

> Hi, does anyone have any feedback on treating this? I have a patient

> coming in tomorrow for the first time and I don't have experience

 

Hi Laura!

 

I have experience. In each case I tried to get the patient to loose

weight, which I consider key to both the diabetes and the neuropathy. No

luck getting *any* diabetic patient to even *try* to loose weight.

 

Treatments have no/minimal effect on this. Herbs might help, if the

patients would take them, but they don't. They will eat candy right in

front of me, though.

 

Bah humbug . . .

 

Regards,

 

Pete

[Guest guest]

Hi Laura,

 

There are many factors that can influence the success of treating diabetic

neuropathy - several of which are common to any chronic disorder; how long has

the patient had the condition? How severe is it? Do they get any breaks in these

symptoms or are they constant? Ho wis their general health? Are they on several

medications? Are they overweight? In addition, the improvement of the underlying

diabetes itself is important. All that being said, I have helped several

diabetics for this condition although it takes regular treatments over several

weeks to see results. One early sign you are making progress is if your patient

is at first insensitive to needle stimulation (they will be more so the further

down the leg you needle) but then begins to feel the stimulation more with

treatment. After doing a CM differential diagnosis and addressing the underlying

diabetes, use several lower extremity points such a K1, Liv 3, Sp 6, 8, & 9

(important points), St 36 - all with fairly strong stimulation. Using a heat

(TDP) lamp on the feet is good also. Patients should be instructed to walk

regularly 20-30 mins at a time if they can physically do this. Good Luck - Matt

Bauer

-

heylaurag

Chinese Medicine

Wednesday, October 13, 2004 7:41 PM

Diabetic Foot Neuropathy

 

 

 

 

Hi, does anyone have any feedback on treating this? I have a patient

coming in tomorrow for the first time and I don't have experience

with it. Thanks for any ideas!

 

Laura

 

 

 

 

 

 

 

 

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