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Dear Greg , Hello

 

Your excellent history & physical examination directs us to

 

Correct diagnosis.

 

First we should know we have 2 types of tonsils or lymphatic

 

Tissues in throat ; 2 pharyngeal tonsils we see them in back of

 

Tongue & adenoid tissue which is in back of nose , not seen

 

Without special mirror. Pharyngeal tonsils sometimes became

 

Large & cause obstruction to breath & swallow. When they

 

Infect became large & red with white coating(pus) , most dangerous

 

Cause is streptococcal infection which especially in age 3-30 years

 

Causes rheumatic heart disease. So with respect to TCM , I should

 

Say pharyngeal infection should be treated with antibiotics if it is

 

Streptococcal. .TCM measures can act as pain relieving & comforting

 

Agent NOT main therapy.there is no indication for surgery except

 

Pharyngeal abscess or tumor.

 

But your patient has signs & symptoms of recurrent sinusitis.Sinuses

 

Are parapharyngeal chambers filled with air & mucus , their orifice

 

Are in mid of their inner wall so drainage of their secretion are related

 

To constant motion of mucosal cilia .these fine cilia paralysed with

 

Smoking even passive, air pollution , pollens etc.

 

An allergic basis will aggravate secretions in nose , sinuses & throat

 

& impaired drainage ends to a vicious cycle of infection , now

 

Patient have fever sticky yellow to green secretions , sweating &

 

Cough especially at night when secretions go to lung directly .

 

Ear infection is a complication as anorexia & mouth malodour.

 

In this patient you should first pursuit underlying condition.

 

It may be due to stress , HSV recurrence , malnutrition , low sun

 

Exposure , air pollution or smoking . Also consider 2 severe condition:

 

HIV infection & Neoplasm of nasopharynx which should be considered

 

in every ear infection in adults , not children.

 

I suggest to you to have a consult with an ENT to have a blood exam

 

( complete blood count , ESR ,HIV exam ) & a throughout exam of

 

Nasopharynx with special mirror.Then he should prescribe antibiotics

 

For 2-3 weeks not less ,even symptoms cured in first days.Early antibiotic

 

Cessation is the main cause of recurrency.

 

Don`t be worry I am not an enemy of TCM , but I think it should complete

 

Classic medicine.What is the rule of TCM ?

 

You can prescribe herbal drugs for mucolysis , increase immunity , lessen

 

Cough & soften respiratory secretions .they acts very nice.

 

In other hand you should repair the underlying condition , if it isn`t HIV

 

Or tumor ( they chance is less than 5 %), it is allergy & depression.

 

In TCM diagnosis we can say he had a week wei qi , deficient lung qi

 

& cold invading to him .So you should repair them . I had many patient

 

Like him even in children treated with acupuncture better than drugs.

 

Anti allergic drugs cause somnolence , drying secretions & transient

 

Effects.

 

I suggest you needle these points :

 

For general increase in wei qi: Li 4, 11 , Du 20 , K 3 ,Sp 6

 

For increasing lung qi : Lu 1 , 6,7 , 9 ,UB 11 , 12 , 13 ,Sj 5 ,St 40

 

For increasing qi in face & sinuses: St. 3 , 8 ,10 , 11 , 12 ,Li 19, 20

 

Yuyao,yintang , SI 16 , 17 ,UB 2 , 3 , 4 , GB

14

 

For depression : Du 20 , Li 4 , 11 ,LIV 2,3 ,H 7, P6

 

Moxibustion also may be useful.

 

Also give him some face Yuga exercises.

 

And also refer him to an infectious disease expert for acyclovir

 

Suppression therapy for reduction of herpes relapses.

 

If any other idea or need suggestion ?

 

With best wishes.

 

B. Goharfar MD

 

 

" Greg A. Livingston " <drlivingston wrote:Here is one more piece of

info I forgot to include in the patient's history. He was never

breat fed, only given formula. Not sure if that matters, but given the

immune-system

nature of this case, I thought it should be mentioned.

 

Greg

 

 

 

 

 

 

 

http://babel.altavista.com/

 

 

and adjust

accordingly.

 

 

 

If you are a TCM academic and wish to discuss TCM with other academics, click on

this link

 

 

 

 

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I have found that chronic issues which affect the tonsils and adenoids to

make good progress with Kiiko's protocol for acupuncture and also having

patient use a salt water irrigation through nose. The bathing of the

irritated tissues is helped by the warm salt water and this also acts to

heal tissue. Micro-organisms seem to have issue with the salt. Patient

must be willing to do their part daily for several months. Take care and

best of luck.

 

 

Mike W. Bowser, L Ac

 

 

 

>behzad goharfar <behzad_goharfar

>Chinese Medicine

>Chinese Medicine

>Re: Re: Huge ton

>Fri, 12 Aug 2005 16:25:48 -0700 (PDT)

>

>

>Dear Greg , Hello

>

>Your excellent history & physical examination directs us to

>

>Correct diagnosis.

>

>First we should know we have 2 types of tonsils or lymphatic

>

>Tissues in throat ; 2 pharyngeal tonsils we see them in back of

>

>Tongue & adenoid tissue which is in back of nose , not seen

>

>Without special mirror. Pharyngeal tonsils sometimes became

>

>Large & cause obstruction to breath & swallow. When they

>

>Infect became large & red with white coating(pus) , most dangerous

>

>Cause is streptococcal infection which especially in age 3-30 years

>

>Causes rheumatic heart disease. So with respect to TCM , I should

>

>Say pharyngeal infection should be treated with antibiotics if it is

>

>Streptococcal. .TCM measures can act as pain relieving & comforting

>

>Agent NOT main therapy.there is no indication for surgery except

>

>Pharyngeal abscess or tumor.

>

>But your patient has signs & symptoms of recurrent sinusitis.Sinuses

>

>Are parapharyngeal chambers filled with air & mucus , their orifice

>

>Are in mid of their inner wall so drainage of their secretion are related

>

>To constant motion of mucosal cilia .these fine cilia paralysed with

>

>Smoking even passive, air pollution , pollens etc.

>

>An allergic basis will aggravate secretions in nose , sinuses & throat

>

> & impaired drainage ends to a vicious cycle of infection , now

>

>Patient have fever sticky yellow to green secretions , sweating &

>

>Cough especially at night when secretions go to lung directly .

>

>Ear infection is a complication as anorexia & mouth malodour.

>

>In this patient you should first pursuit underlying condition.

>

>It may be due to stress , HSV recurrence , malnutrition , low sun

>

>Exposure , air pollution or smoking . Also consider 2 severe condition:

>

>HIV infection & Neoplasm of nasopharynx which should be considered

>

> in every ear infection in adults , not children.

>

>I suggest to you to have a consult with an ENT to have a blood exam

>

>( complete blood count , ESR ,HIV exam ) & a throughout exam of

>

>Nasopharynx with special mirror.Then he should prescribe antibiotics

>

>For 2-3 weeks not less ,even symptoms cured in first days.Early

>antibiotic

>

>Cessation is the main cause of recurrency.

>

>Don`t be worry I am not an enemy of TCM , but I think it should complete

>

>Classic medicine.What is the rule of TCM ?

>

>You can prescribe herbal drugs for mucolysis , increase immunity , lessen

>

>Cough & soften respiratory secretions .they acts very nice.

>

>In other hand you should repair the underlying condition , if it isn`t

>HIV

>

>Or tumor ( they chance is less than 5 %), it is allergy & depression.

>

>In TCM diagnosis we can say he had a week wei qi , deficient lung qi

>

> & cold invading to him .So you should repair them . I had many patient

>

>Like him even in children treated with acupuncture better than drugs.

>

>Anti allergic drugs cause somnolence , drying secretions & transient

>

>Effects.

>

>I suggest you needle these points :

>

>For general increase in wei qi: Li 4, 11 , Du 20 , K 3 ,Sp 6

>

>For increasing lung qi : Lu 1 , 6,7 , 9 ,UB 11 , 12 , 13 ,Sj 5 ,St 40

>

>For increasing qi in face & sinuses: St. 3 , 8 ,10 , 11 , 12 ,Li 19, 20

>

> Yuyao,yintang , SI 16 , 17 ,UB 2 , 3 , 4

>, GB 14

>

>For depression : Du 20 , Li 4 , 11 ,LIV 2,3 ,H 7, P6

>

>Moxibustion also may be useful.

>

>Also give him some face Yuga exercises.

>

>And also refer him to an infectious disease expert for acyclovir

>

>Suppression therapy for reduction of herpes relapses.

>

>If any other idea or need suggestion ?

>

>With best wishes.

>

>B. Goharfar MD

>

>

> " Greg A. Livingston " <drlivingston wrote:Here is one more piece

>of info I forgot to include in the patient's history. He was never

>breat fed, only given formula. Not sure if that matters, but given the

>immune-system

>nature of this case, I thought it should be mentioned.

>

>Greg

>

>

>

>

>

>

>

>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,

>

>

>

>

>

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