Guest guest Posted May 16, 2006 Report Share Posted May 16, 2006 Hi all, Has anyone treated vulvadynia? I am looking for additional help with a current client. Here are some of my thoughts about her case, presented with her permission. This person has had vulvar itching for a long period of time, from age 12 to 26. When she initially came in for treatment, her pulses were razor tight and the left proximal position (water pulses in 5E terms) were extremely deficient. Various treatments helped that situation over time. Among them were clearing blocks used in the 5Element tradition, dispersing stagnant liver qi using liver meridian points and using the four needle technique to tonify the Kidney. I also have used the Temper Fire version of Zhi bai di huag wan to help disperse damp heat in the lower jiao; and we used Gui Pi tang to protect and support blood and qi. Her tongue is pulled in at the sides, which I believe indicates a severe deficiency of qi and blood. It is somewhat red with no significant coat. One day she came in with a sore throat and I gave her some Gan Mao Ling. The change in her pulse the next week was remarkable and I suspected that the warmth of the evodia helped open and disperse the tightness on her pulse, and evodia's effect on the liver helped to move stagnant qi. Her experience of itching that week continued to decrease at the same rate it had been: the whole situation is slowly improving with time and treatment. I am looking for comments on the use of evodia, and I am interested in comments about my treatment as well as other ideas in the treatment of vulvadynia. Thank you in advance for your comments and feedback. Sandy River, LAc Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2006 Report Share Posted May 17, 2006 Hi Sandy Sorry I'm not 5E but my experience of vulvar pain is not to underestimate the Liver channel pathway. Clearing heat from the liver channel often clears pain and itching. I would also need to know the nature of the itch and pain - its relationship to sexual intercourse would also be helpful to know. Has she had a WM diagnosis? Often changing habits of cleaning, clothing have a major impact on genital itching and sometimes pain. As to wuzhuyu (evodia) I'm not sure - all the other herbs in that formula clear heat.ue I've found a herbal wash very effective to reduce itching. S --- In Chinese Medicine , " sandylaurel2003 " <mountainlaurel wrote: > > Hi all, > Has anyone treated vulvadynia? > > I am looking for additional help with a current client. Here are > some of my thoughts about her case, presented with her permission. > > This person has had vulvar itching for a long period of time, from > age 12 to 26. When she initially came in for treatment, her pulses > were razor tight and the left proximal position (water pulses in 5E > terms) were extremely deficient. Various treatments helped that > situation over time. Among them were clearing blocks used in the > 5Element tradition, dispersing stagnant liver qi using liver > meridian points and using the four needle technique to tonify the > Kidney. I also have used the Temper Fire version of Zhi bai di huag > wan to help disperse damp heat in the lower jiao; and we used Gui > Pi tang to protect and support blood and qi. Her tongue is pulled in > at the sides, which I believe indicates a severe deficiency of qi > and blood. It is somewhat red with no significant coat. > > One day she came in with a sore throat and I gave her some Gan Mao > Ling. The change in her pulse the next week was remarkable and I > suspected that the warmth of the evodia helped open and disperse the > tightness on her pulse, and evodia's effect on the liver helped to > move stagnant qi. Her experience of itching that week continued to > decrease at the same rate it had been: the whole situation is slowly > improving with time and treatment. > > I am looking for comments on the use of evodia, and I am interested > in comments about my treatment as well as other ideas in the > treatment of vulvadynia. > > Thank you in advance for your comments and feedback. > Sandy River, LAc > Quote Link to comment Share on other sites More sharing options...
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