Guest guest Posted February 4, 2005 Report Share Posted February 4, 2005 Ben, Just a thought. I had one case of a person suing a surgeon and they came to see me at about the time of receiving the payout. One thing I did was to ask if it was okay to heal, since feeling guilty could cause a blockage. Just by putting this up on the 'table' it was no longer hidden. He said a few weeks later that he had talked it over with his parents (he was in his 40's) and that he didn't want the MVA - he was rear-ended into another car crash. He had surgery to stop the pain down the arms and was left with 15-25% head rotation and 0% flexion. So he didn't know how much he could heal, he didn't ask for it, and he didn't know what the future held and he no longer could pursue his career. So the thought is to place the controversial feelings on top to be looked at. Best wishes, Benjamin Hawes [ben_laura] Saturday, 5 February 2005 7:23 AM Chinese Medicine Intractable Pain Hello All: I have a patient, Worker's Comp case, who has seen me for 25 visits so far. A tree fell on her back two years ago. She presents with pain between the Left scapular border and the inner UB line between UB13 and UB16. Pain is elicited with the slightest touch to skin of affected area, so she cannot wear a bra or tight clothing. She gets pain on lifting anything with that arm, and so is restricted to lifting less than 10 lbs from the floor and 3lbs over her head. She responds immediately to a few different points, which I switch between. I originally used Ling Gu, the Master Tang point proximal to LI4 at the junction of the 1st and 2nd metatarsals, on the opposite hand while having her move the shoulder. This removed all palpation pain immediately. I have also used two needles at UB25 (Kiiko Matsumoto technique) ipsilaterally to produce the same result. The crux: though I have tried numerous support points (SI3, UB60, local UB points, contralateral UB points, huato t3-t6, plum blossom on area, UB17 and 18, and SP 9/Liv6 on the advice from a Master Tang practitioner), nothing makes the results last longer than 7-10 days. Sometimes slightly longer, sometimes slightly shorter, with no rhyme nor reason. She has a darkened complexion and has S & S of blood stagnation. This last time I threw in SP10 to move blood, hopefully, along with local huato and UB25. We'll see. Any ideas? As an aside, Worker's Comp cases in general have responded the most poorly, with the most idiosyncratic / opposite reactions, of any cases I have encountered. Out of nine or so I have see, I have had long-term success with only one. This patient seems quite motivated, and is frustrated / saddened by the return of symptoms, but is immensely relieved after every treatment. I don't feel that she is malingering, at least not consciously. -Ben Benjamin Hawes, MAOM, Lic. Ac., Director CORTEZ FAMILY ACUPUNCTURE 1430 E. Main Street, Suite #4 Cortez, CO 81321 (970) 565-0230 http://babel.altavista.com/ and adjust accordingly. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2005 Report Share Posted February 5, 2005 Chinese Medicine , " Benjamin Hawes " <ben_laura@n...> wrote: >She has a darkened > complexion and has S & S of blood stagnation. This last time I threw in SP10 > to move blood, hopefully, along with local huato and UB25. We'll see. Any > ideas? > have you tried any bloodletting techniques? direct moxibustion? rh Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2005 Report Share Posted February 5, 2005 SP 10 is an excellent idea but I am not sure that it would be strong enuogh by it's self to completly resolve the whole problem. You might also try some cupping,possibly even some Gua Sha.Then administer a blood invigorating formula,maybe a modified Xue Fu Zhu Yu Tang or something similar.It sounds like the blood needs a little help moving.Be sure to notify the patient that the area might be sore for a day or so after treatment,but the end result should be well worth it. Hope this helps, Cullen Senko LAc and Herbalist > , > > > > > > > > > > > Mail - Find what you need with new enhanced search. http://info.mail./mail_250 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2005 Report Share Posted February 13, 2005 Benjamin: You can try Dr. Tan's master points Chung Tze and Chung Hsien on opposite side. Chung Tze - Location: On the palmar surface of the hand, about 1 cun medial to the midpoint of the web-margin between the thumb and index finger, on a line drawn from this intersection to PC 7, Ah Shi location is appropriate. Needle perpendicularly .3 to .5 cun deep. I use red needles from Serin. Some use green (very thin) Use with Chung Hsien Along the same line for Chung Tze, about 1.0 cun proximal or medial to Chung Tze. Ah Shi location is appropriate. Same needle technique. This is indicated for upper back pain located between spine and medial border of the scapula. He suggests leaving needles in 30 to 40mins. One case took 12 tx's. Obviously, it will depend on the patient. These points and cases are described in " Twelve and Twelve in Acupuncture " Richard Tan, OMD,LAc., Stephen Rush, LAc. Good luck Benjamin Hawes wrote: > Hello All: > > I have a patient, Worker's Comp case, who has seen me for 25 visits so > far. > A tree fell on her back two years ago. She presents with pain between the > Left scapular border and the inner UB line between UB13 and UB16. Pain is > elicited with the slightest touch to skin of affected area, so she cannot > wear a bra or tight clothing. She gets pain on lifting anything with that > arm, and so is restricted to lifting less than 10 lbs from the floor and > 3lbs over her head. > > She responds immediately to a few different points, which I switch > between. > I originally used Ling Gu, the Master Tang point proximal to LI4 at the > junction of the 1st and 2nd metatarsals, on the opposite hand while having > her move the shoulder. This removed all palpation pain immediately. I have > also used two needles at UB25 (Kiiko Matsumoto technique) ipsilaterally to > produce the same result. > > The crux: though I have tried numerous support points (SI3, UB60, local UB > points, contralateral UB points, huato t3-t6, plum blossom on area, > UB17 and > 18, and SP 9/Liv6 on the advice from a Master Tang practitioner), nothing > makes the results last longer than 7-10 days. Sometimes slightly longer, > sometimes slightly shorter, with no rhyme nor reason. She has a darkened > complexion and has S & S of blood stagnation. This last time I threw in SP10 > to move blood, hopefully, along with local huato and UB25. We'll see. Any > ideas? > > As an aside, Worker's Comp cases in general have responded the most > poorly, > with the most idiosyncratic / opposite reactions, of any cases I have > encountered. Out of nine or so I have see, I have had long-term > success with > only one. This patient seems quite motivated, and is frustrated / saddened > by the return of symptoms, but is immensely relieved after every > treatment. > I don't feel that she is malingering, at least not consciously. > > -Ben > > > Benjamin Hawes, MAOM, Lic. Ac., > Director > > CORTEZ FAMILY ACUPUNCTURE > 1430 E. Main Street, Suite #4 > Cortez, CO 81321 > (970) 565-0230 > http://babel.altavista.com/ > > > and > adjust accordingly. > > Messages are the property of the author. Any duplication outside the > group requires prior permission from the author. > > If you are a TCM academic and wish to discuss TCM with other > academics, > > > > Quote Link to comment Share on other sites More sharing options...
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