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Vulvadynia

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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

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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

>

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