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Hi Feroz!

 

I got your answer long ago, but I would like to ask you some additional

questions regarding your treatment protocol below:

 

Why do you not want to bleed the varicosity directly?

Why should the patient have an empty stomach when being treated?

How long would you expect before seeing any results?

According to your experience, what is the course of events after

bleeding the patient (bruises and so on..)

 

Looking forward to your answers!

 

Best regards

Carl

 

-----Ursprungligt meddelande-----

Från: folatib [folatib]

Skickat: den 19 november 2004 03:29

Till: Chinese Medicine

Ämne: Re: treating varicose veins

 

 

 

Hi

 

I have some experiece with varicose veins. I taught a class a year

ago on bloodletting techniques anmd its use in TCM. Some of the

material was from " Japanese Acupuncture: A Clinical Guide " by Stephen

Birch and Junko Ida.

 

Firstly it has to be differentiated.

 

The branch is almost always blood stasis in this condition but the

root can be many patterns viz.

 

1. Spleen qi sinking

2. General Blood stasis

3. Blood vacuity

4. Liver qi stagnation and others depending on the patient's signs

and symptoms

 

Whatever the root it should be treated concurrently. As for the

varicose veins themselves, there is nothing better than bloodletting

if your patient is ready for it. I once had a chinese lecturer who

said that bloodletting was 'ten treatments in one' and then she

sighed because it is so rarely used in the west.

 

If your patient is willing then you may adopt the following procedure

1. Search for small superficial venules (approximately from 1-7 hairs

thickness) close to the varicosity.

2. Swab the area with whatever you use

3. then prick the thickest portion of the venule with a three-edged

needle/lancet/surgical blade being careful only to open one side of

the venule i.e dont go through the venule making two openings as this

will cause a bruise.

4. when done correctly dark, almost black blood should pour out. let

it continue pouring without obstructing it until it either stops on

its own or the blood changes in color to more reddish fresh blood at

which point you should stop it by using a cotton wool or whatever you

like to use maintaining proper hygenic procedures. NB: The patient

should have this procedure done on an empty stomach, this is very

very important.

5. if the patient's constitution is strong you may repeat this

procedure at 7-9 places on one visit.

6. if the patient's constitution is not good then do it at 2-3 places

and remove only 3-5 drops of blood at each point + burn a little

moxa/ or hold a moxa stock over the bled point for a few seconds.

7. Do not bleed the varicosity directly, very NB!

8. You should see the patient about 3 times a week for a few weeks

and then do it once a week for another few weeks while combining

herbs and other treatment to address the root.

 

Keep in mind the following saying from the sayings from the classics:

 

" if there is stagnation, it should first be moved by bloodletting

before acupuncture and moxibustion "

 

" new blood cannot be engendered until old blood is moved "

 

Keep well

 

Feroz

 

 

 

 

 

 

 

 

 

 

 

 

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