Guest guest Posted April 12, 2006 Report Share Posted April 12, 2006 I am wondering what your thoughts might be re. a pt. who comes for TX of night - time teeth grinding and clenching. She wakes w/ very sore jaw and face muscles. Obviously stress plays a role and exasorbates the condition. I can't find much on this in any of my text books. Pt. has very stressful job, some LV Qi stasis issues, not extreme, works out, good support network, no damp, no LV Yang rising, no HA. Stools are 1 - 2 X / day, well formed. No SP issues. Good diet, drinks lots of water. No extreme lifestyle habbits. Pulse is sl. wiry, 60 bpm. Tongue, pink, not puffy, some stasis spots, thin white coat, dk. sub linguals but not distended. She's had this all her life and although she hasn't had a dentist look at her bite, she does not feel her teeth are abnormally alligned. This is hard to tell if your not a DDS. I know there is a liver element, tendons and bones, stress. But beyond that I'm kinda at a loss. Thanks for any input. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2006 Report Share Posted April 12, 2006 Hi, Philippe Sionneau's series The Treatment of Disease in TCM deals with bruxism in volume 3, and lists 5 different patterns that could account for it:Exuberant heart and stomach fire, food stagnation, parasites (specifically roundworms), qi and Blood vacuity, and liver wind. Night is yin time, so if he's just grinding at night time, I would suspect liver wind from liver/kidney yin vacuity. Besides the pulse being a little wiry is it at all thready or weak? Also specifically how is the 3rd position particularly on the left side? In any event, if indeed the s/s are consistant with this pattern, the principle would be to nourish liver and kd yin, subdue yang (even though you didn't find signs of liver yang rising, nonetheless, the excess yang could be causing this wind to stir in the face, due to yin xu) and extinguish wind. The points he suggests are lv3, gb20, kd3 and sp 6, and the formula would be zhen gan xi feng tang. One other thing that is extremely effective in stopping bruxing is CranioSacral Therapy. If you need a referral in your area, feel free to contact me privately. Hope I've been helpful, Yehuda stressinstudent <annesloft wrote: I am wondering what your thoughts might be re. a pt. who comes for TX of night - time teeth grinding and clenching. She wakes w/ very sore jaw and face muscles. Obviously stress plays a role and exasorbates the condition. I can't find much on this in any of my text books. Pt. has very stressful job, some LV Qi stasis issues, not extreme, works out, good support network, no damp, no LV Yang rising, no HA. Stools are 1 - 2 X / day, well formed. No SP issues. Good diet, drinks lots of water. No extreme lifestyle habbits. Pulse is sl. wiry, 60 bpm. Tongue, pink, not puffy, some stasis spots, thin white coat, dk. sub linguals but not distended. She's had this all her life and although she hasn't had a dentist look at her bite, she does not feel her teeth are abnormally alligned. This is hard to tell if your not a DDS. I know there is a liver element, tendons and bones, stress. But beyond that I'm kinda at a loss. Thanks for any input. 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2006 Report Share Posted April 12, 2006 Dear Yehuda, Many thanks, you have been very helpful. I'll be getting the book you mentioned, perhaps it is in my schools library. Ann E. - yehuda frischman< To: Chinese Medicine <Chinese Medicine\ @> Wednesday, April 12, 2006 12:40 AM Re: Teeth Grinding / Bruxism Hi, Philippe Sionneau's series The Treatment of Disease in TCM deals with bruxism in volume 3, and lists 5 different patterns that could account for it:Exuberant heart and stomach fire, food stagnation, parasites (specifically roundworms), qi and Blood vacuity, and liver wind. Night is yin time, so if he's just grinding at night time, I would suspect liver wind from liver/kidney yin vacuity. Besides the pulse being a little wiry is it at all thready or weak? Also specifically how is the 3rd position particularly on the left side? In any event, if indeed the s/s are consistant with this pattern, the principle would be to nourish liver and kd yin, subdue yang (even though you didn't find signs of liver yang rising, nonetheless, the excess yang could be causing this wind to stir in the face, due to yin xu) and extinguish wind. The points he suggests are lv3, gb20, kd3 and sp 6, and the formula would be zhen gan xi feng tang. One other thing that is extremely effective in stopping bruxing is CranioSacral Therapy. If you need a referral in your area, feel free to contact me privately. Hope I've been helpful, Yehuda stressinstudent <annesloft wrote: I am wondering what your thoughts might be re. a pt. who comes for TX of night - time teeth grinding and clenching. She wakes w/ very sore jaw and face muscles. Obviously stress plays a role and exasorbates the condition. I can't find much on this in any of my text books. Pt. has very stressful job, some LV Qi stasis issues, not extreme, works out, good support network, no damp, no LV Yang rising, no HA. Stools are 1 - 2 X / day, well formed. No SP issues. Good diet, drinks lots of water. No extreme lifestyle habbits. Pulse is sl. wiry, 60 bpm. Tongue, pink, not puffy, some stasis spots, thin white coat, dk. sub linguals but not distended. She's had this all her life and although she hasn't had a dentist look at her bite, she does not feel her teeth are abnormally alligned. This is hard to tell if your not a DDS. I know there is a liver element, tendons and bones, stress. But beyond that I'm kinda at a loss. Thanks for any input. Subscribe to the new FREE online journal for TCM at Times http://www.chinesemedicinetimes.com<http://www.chinesemedicinetimes.com/> Download the all new TCM Forum Toolbar, click, http://toolbar.thebizplace.com/LandingPage.aspx/CT145145<http://toolbar.thebizpl\ ace.com/LandingPage.aspx/CT145145> <http://groups.ya\ hoo.com> and adjust accordingly. Please consider the environment and only print this message if absolutely necessary. Quote Link to comment Share on other sites More sharing options...
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