Guest guest Posted May 11, 2006 Report Share Posted May 11, 2006 With a mid-fortyish female who is late for menses, and presents a deficiency picture, it might take more than ten days to correct, right? The patient cancelled her second appointment;I think she was disappointed that her menses didn't come as she expected. I gave her 9 grams amended Wen Jing Tang a day-she was several days late for her period when she came for her first appointment and then she just spotted. Previously, she had gone up to three months without a period. In the future, what might be a realistic picture to give to such a patient? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2006 Report Share Posted May 15, 2006 Hi Gabrielle, I don't remember where, but I've heard that it takes 3 menstrual cycles to adequately regulate the cycle. 10 days is rather short. --- gabriellemathieu <gabriellemathieu wrote: > With a mid-fortyish female who is late for menses, and > presents a deficiency picture, it might take more than ten > days to correct, right? The patient cancelled her second > appointment;I think she was disappointed that her menses > didn't come as she expected. I gave her 9 grams amended Wen > Jing Tang a day-she was several days late for her period > when she came for her first appointment and then she just > spotted. Previously, she had gone up to three months > without a period. > In the future, what might be a realistic picture to give to > such a patient? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2006 Report Share Posted May 15, 2006 Dear Gabrielle, From my experience in the last 20yrs, I second Andrea's sense of it taking three months of treatment to balance a cycle. (and sometimes even longer...depending on other issues pertaining to the woman's qi, blood and degree of stagnation, excess or deficiency) best wishes with your patient (given her age, she might also be in her perimenopausal stage contributing to irregularity). Verena - " " < <Chinese Medicine > Monday, May 15, 2006 3:42 PM Re: Setting patient expectations > Hi Gabrielle, > > I don't remember where, but I've heard that it takes 3 menstrual cycles to > adequately regulate the cycle. 10 days is rather short. > > > > --- gabriellemathieu <gabriellemathieu wrote: > >> With a mid-fortyish female who is late for menses, and >> presents a deficiency picture, it might take more than ten >> days to correct, right? The patient cancelled her second >> appointment;I think she was disappointed that her menses >> didn't come as she expected. I gave her 9 grams amended Wen >> Jing Tang a day-she was several days late for her period >> when she came for her first appointment and then she just >> spotted. Previously, she had gone up to three months >> without a period. >> In the future, what might be a realistic picture to give to >> such a patient? >> >> >> >> > > > > > > > > > > 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. > > Messages are the property of the author. Any duplication outside the group > requires prior permission from the author. > > 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 May 15, 2006 Report Share Posted May 15, 2006 I concur 100%. My experience is also that it takes a minimum of three months to balance the menstrual cycle. On May 15, 2006, at 2:14 PM, Verena Smith wrote: > Dear Gabrielle, > From my experience in the last 20yrs, I second Andrea's sense of it > taking > three months of treatment to balance a cycle. > (and sometimes even longer...depending on other issues pertaining > to the > woman's qi, blood and degree of stagnation, excess or deficiency) > best wishes with your patient (given her age, she might also be in her > perimenopausal stage contributing to irregularity). > Verena Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2006 Report Share Posted May 16, 2006 Re: changing menstrual cycle patterns: I have heard 6 to 9 months, if not a year. How long has this pattern most likely been going on, anyway? If the woman comes to you in her 30's then the pattern has been in place for at least 15 years. I believe it is possible to create change overnight: nature indeed ha such things as tornadoes and earthquakes that create major changes in the landscape overnight. Acupuncture doesn't work like an earthquake, however. It is more like a gentle rain. In fact, slow change is more trust-ablein terms of stability and lack of recidivism. (I choose that word deliberately) I think that acupuncturists can tend to undertreat, thus not getting the most out of our modality. Just some thoughts, Sandy River, LAc Maine Sandy Laurel River, LAc 193 Front Street, Suite 2 Farmington, ME 04938 207-778-9700 mountainlaurel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2006 Report Share Posted May 17, 2006 Sandy, Two important considerations in Chinese medical diagnosis and treatment are 1) timing and 2) dosage. As you've pointed out, a long-term disease pattern will require several months. Depending on the pathology, one can determine 1) frequency of treatment with acupuncture/moxa 2) amount and dosage of herbal medicines 3) amount of exercise 4) dietary considerations 5) strength of treatment (needle stimulus, number of needles, repetitions of moxa cones). While acupuncture is more gentle, there are variations in stimulus according to what the patient can handle. As was pointing out in his recent post, Chinese medical treatment is algorithmic, and one can intentionally measure one's treatment accordingly. On May 16, 2006, at 10:30 AM, Sandy L River wrote: > Re: changing menstrual cycle patterns: > I have heard 6 to 9 months, if not a year. > How long has this pattern most likely been going on, anyway? If the > woman comes to you in her 30's then the pattern has been in place > for at least 15 years. I believe it is possible to create change > overnight: nature indeed ha such things as tornadoes and > earthquakes that create major changes in the landscape overnight. > Acupuncture doesn't work like an earthquake, however. It is more > like a gentle rain. In fact, slow change is more trust-ablein terms > of stability and lack of recidivism. (I choose that word deliberately) > I think that acupuncturists can tend to undertreat, thus not > getting the most out of our modality. > Just some thoughts, > Sandy River, LAc > Maine > > Sandy Laurel River, LAc > 193 Front Street, Suite 2 > Farmington, ME 04938 > 207-778-9700 > mountainlaurel > > > Quote Link to comment Share on other sites More sharing options...
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