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In a message dated 2/14/2006 5:18:05 P.M. Eastern Standard Time,

attiliodalberto writes:

 

I've got a patient that had an operation 20 years ago around the diaphragm.

The resulting deep scar is painful and the patient has to relax on it to

stop the skin stretching and aggravating the pain. Has anyone treated a

painful scar using acupuncture, gua sha, herbs, etc?

 

 

 

 

I have, but the best treatment is neural therapy.

 

 

 

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Greetings,

 

I have treated scars on patients with very good results. I usu thread thin

needles into the scar, with or without e-stim. Initially, the needles do not

penentrate the scar tissue easily as the adhesions are too fibrous. I needle

into the area as comfortably as possible. . .each time the needles are able to

penetrate along the scar more easily. THe scar will look different after each

treatment and the patient usu. has more mobility in the area and feels more

comfortable. IMO, scars are major sources of stagnation and the threading

needles

tend to break it up quite nicely, allowing the qi another way to flow.

I often will also use cross friciton massage with a salve or oil on the scar,

following acupuncture, as well.

 

I hope that this helps.

 

Best regards,

 

Susan Froehlich, LAc

Hood River, OR USA

 

 

 

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Hi all,

 

I've got a patient that had an operation 20 years ago around the diaphragm.

The resulting deep scar is painful and the patient has to relax on it to

stop the skin stretching and aggravating the pain. Has anyone treated a

painful scar using acupuncture, gua sha, herbs, etc?

 

Warm regards,

 

Attilio D'Alberto

Doctor of (Beijing, China)

B.Sc. (Hons) T.C.M. M.A.T.C.M.

Editor

Times

07786 198900

enquiries

<http://www.chinesemedicinetimes.com/> www.chinesemedicinetimes.com

 

 

 

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I find that Gua Sha really works with this, although some patients find it too

painful. I've been dealing with some scar tissue on my shin, and I even find it

a bit too much at times. I had one teacher who's solution to dealing with scar

tissue was to keep poking it with your finger or knuckles as frequently and as

long as the patient can stand, and to also get them to do it. His rationale is

that this will cause te body to repair the area with straight tissue, rather

than the tangled pattern (like MDF board) that scar tissue forms in. Then, when

the tissue has been re-profiled, the Qi can flow properly through the area.

 

Quoting SusFro:

 

> Greetings,

>

> I have treated scars on patients with very good results. I usu thread thin

> needles into the scar, with or without e-stim. Initially, the needles do not

>

> penentrate the scar tissue easily as the adhesions are too fibrous. I needle

>

> into the area as comfortably as possible. . .each time the needles are able

> to

> penetrate along the scar more easily. THe scar will look different after

> each

> treatment and the patient usu. has more mobility in the area and feels more

> comfortable. IMO, scars are major sources of stagnation and the threading

> needles

> tend to break it up quite nicely, allowing the qi another way to flow.

> I often will also use cross friciton massage with a salve or oil on the scar,

>

> following acupuncture, as well.

>

> I hope that this helps.

>

> Best regards,

>

> Susan Froehlich, LAc

> Hood River, OR USA

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dr holmes - it seems as if gall bladder surgeries, esp in older people,

are done on the Ren Mai. Today I saw a patient who had had GB surgery

on Ren AND open heart surgery. She has an 18 " scar running from Ren 8

to Ren 20. (It's kind of amazing she's still pretty healthy, physically

- good Zhi!) In this case, what would you suggest? Believe she has a

Metal CF, Fire within, if that's useful. She's 69. Left hand pulses

are very wiry, right hand pulses are disorganized and low.

Karen

 

holmes wrote:

 

>a fine approach is matsumoto's intervention

>by this approach scars are taken as a pathogenic factor and released

>

>factors by which scars can be classified:

>scar height

>presence of keloid

>scar color

>infection at the time of post surgical healing

>

>by this thought a scar can cause problems even when it happened decades ago

>

>pathogenicity is tithed by scar location and the meridian it is obstructing

>

>i have seen scars create an Emptiness distal to it and a Fullness

>proximal to it which extends to topographical sectors and intertwined

>zang fu

>

>acu treatment yields fine results

>

>procedure in short:

>

>work on points *distal* to scar to 'release' palpation pain

>next work on Metal & Water points on the meridian scar is astride

>

>more in matsumoto's clinical strategies vol 1

>isbn 0-97196695=0-1

>chapter on Scars p 160

>

>best

>

>dr holmes

>

>Attilio D'Alberto wrote:

>

>

>>Hi all,

>>

>>I've got a patient that had an operation 20 years ago around the diaphragm.

>>The resulting deep scar is painful and the patient has to relax on it to

>>stop the skin stretching and aggravating the pain. Has anyone treated a

>>painful scar using acupuncture, gua sha, herbs, etc?

>>

>>Warm regards,

>>

>>Attilio D'Alberto

>>Doctor of (Beijing, China)

>>B.Sc. (Hons) T.C.M. M.A.T.C.M.

>>Editor

>> Times

>>07786 198900

>>enquiries

>><http://www.chinesemedicinetimes.com/> www.chinesemedicinetimes.com

>>

>>

>

>

>

>Subscribe to the new FREE online journal for TCM at Times

http://www.chinesemedicinetimes.com

>

>Download the all new TCM Forum Toolbar, click,

http://toolbar.thebizplace.com/LandingPage.aspx/CT145145

>

>

and adjust

accordingly.

>

>

>

>Please consider the environment and only print this message if absolutely

necessary.

>

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Hi all...

We have been treating scars by neural therapy, which is an injection of

xilocaine with diabetes neddle (0,13x0,5), around and into the conjuntive tissue

of the scar; the treatment consist of two aplication in an week break.

Greetings,

Jean Joaquim, DVM, MS

Brazil

 

 

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Wu Gong (Scolopendra Subspinipes)60g

Teng Huang (Resina Garciniae)30g

Hong Hua (Flos Carthami) 30g

Shui Zhi (Hirudo seu Whitmania) 15g

Meng Chong (Tabanus) 15g

Wu Bei Zi (Rhois Chinensis, Galla) 800g

Vinegar 2,500ml

Feng Mi (Mel, Honey) 180g

 

Grind first 6 herbs into powder (keeping Wu bei Zi separate).

Heat the vinegar until boiling add honey and recook until boiling.

Pour Wu Bei Zi and stir until all 800g have formed an even

consistancy. Put on low flame and continue stirring until it sticks

to the sides of pot then let it cool. Add other powdered herbs when

cooled.

 

Put paste on cloth and cover scar, change three times per day. Keep

paste in airtight non-metal container.

 

Kelvin

 

 

 

 

 

 

 

 

Chinese Medicine , " Attilio

D'Alberto " <attiliodalberto wrote:

>

> Hi all,

>

> I've got a patient that had an operation 20 years ago around the

diaphragm.

> The resulting deep scar is painful and the patient has to relax on it to

> stop the skin stretching and aggravating the pain. Has anyone treated a

> painful scar using acupuncture, gua sha, herbs, etc?

>

> Warm regards,

>

> Attilio D'Alberto

> Doctor of (Beijing, China)

> B.Sc. (Hons) T.C.M. M.A.T.C.M.

> Editor

> Times

> 07786 198900

> enquiries

> <http://www.chinesemedicinetimes.com/> www.chinesemedicinetimes.com

>

>

>

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would work it like this ~

 

::

 

dealing with scar at location:

 

if scar painful - Excess somewhere

if scar inert - Deficiency somewhere

 

if scar higher than surrounding tissue - stagnation

if scar same as surrounding tissue - stagnation less likely

 

if keloid present - immune status compromised

matsumoto - autonomic sys compromised

 

if scar color same as surrounding tissue - problem less marked

if scar color whiter than surrounding tissue - problem significant

 

if scar inflamed at healing - retention of toxins somewhere

if scar not inflamed at healing - things less dramatic

 

::

 

dealing with channel dynamics:

 

if scar begins at ren 8, look for an Excess in segment proximal to this

if scar ends at ren 20, look for a Deficiency in segment distal to this

 

::

 

dealing with what precipitated the surgery:

 

problems in heart - indicates inherent Fire from prenatal qi deficiency

problems in GB - indicates Fire Marauding Metal which graduated to a

tertiary Wood involvement

 

this subtends L wiry pulses

 

::

 

>

Believe she has a

Metal CF, Fire within, if that's useful.

>

 

very

 

pattern now clear ~

a. primary Fire yin deficiency [Fire within]

b. Metal CF [secondary KO victim]

c. Wood Stagnated [tertiary]

 

::

 

>

Left hand pulses

are very wiry, right hand pulses are disorganized and low.

>

 

R pulses as such because by now Warmers are in disharmony

 

R cun - Metal afflicted

R guan - beats me

R chi - Warmers in disarray

 

::

 

if all this bears out:

 

suggest a tone Heart yin & deplete Metal yang approach

 

if you could do it bi phasally pulses will probably settle in first session

 

first few minutes will settle pulses and do away with wiry

 

::

 

for scar ~

 

stand to L of patient

 

1. locate an indurated tender point on ren segment proximal to scar

which is before ren 8. this is the trigger

 

2. locate an indurated area between ren 20 & 22, this is the release

 

3. place L hand on trigger, massage release point with R

 

4. if trigger is released, let go and place needle on release point,

with needle pointed upwards along vessel.

 

5. keep for 20 m, stimulate twice with a mildly depleting action

 

6. remove without plugging

 

7. check trigger, should be significantly better

 

8. if some tenderness remains, apply 7 tiny moxae

 

result: if all tenderness on trigger released, you have released the

scar to a significant extent in 1st session

 

follow up: maybe 2 more sessions will clear scar & toxins

 

hope this helps

 

dr holmes

 

 

 

Believe she has a

> Metal CF, Fire within, if that's useful.

 

karen wrote:

> dr holmes - it seems as if gall bladder surgeries, esp in older people,

> are done on the Ren Mai. Today I saw a patient who had had GB surgery

> on Ren AND open heart surgery. She has an 18 " scar running from Ren 8

> to Ren 20. (It's kind of amazing she's still pretty healthy, physically

> - good Zhi!) In this case, what would you suggest? Believe she has a

> Metal CF, Fire within, if that's useful. She's 69. Left hand pulses

> are very wiry, right hand pulses are disorganized and low.

> Karen

>

> holmes wrote:

>

> >a fine approach is matsumoto's intervention

> >by this approach scars are taken as a pathogenic factor and released

> >

> >factors by which scars can be classified:

> >scar height

> >presence of keloid

> >scar color

> >infection at the time of post surgical healing

> >

> >by this thought a scar can cause problems even when it happened decades ago

> >

> >pathogenicity is tithed by scar location and the meridian it is obstructing

> >

> >i have seen scars create an Emptiness distal to it and a Fullness

> >proximal to it which extends to topographical sectors and intertwined

> >zang fu

> >

> >acu treatment yields fine results

> >

> >procedure in short:

> >

> >work on points *distal* to scar to 'release' palpation pain

> >next work on Metal & Water points on the meridian scar is astride

> >

> >more in matsumoto's clinical strategies vol 1

> >isbn 0-97196695=0-1

> >chapter on Scars p 160

> >

> >best

> >

> >dr holmes

> >

> >Attilio D'Alberto wrote:

> >

> >

> >>Hi all,

> >>

> >>I've got a patient that had an operation 20 years ago around the diaphragm.

> >>The resulting deep scar is painful and the patient has to relax on it to

> >>stop the skin stretching and aggravating the pain. Has anyone treated a

> >>painful scar using acupuncture, gua sha, herbs, etc?

> >>

> >>Warm regards,

> >>

> >>Attilio D'Alberto

> >>Doctor of (Beijing, China)

> >>B.Sc. (Hons) T.C.M. M.A.T.C.M.

> >>Editor

> >> Times

> >>07786 198900

> >>enquiries

> >><http://www.chinesemedicinetimes.com/> www.chinesemedicinetimes.com

> >>

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