Tremors/Dystonia?

[Guest guest]

I'm starting a new patient, 69yf presenting with 15-20y onset of a

constant head shaking and an intension tremor in the right arm affecting

writing, seems to be worse with caffeine (0-1 cups of coffee/tea daily).

west dx of dystonia. doctors have recently suggested botox injections, she

doesn't want to go this route, largely due to $1000 Out of Pkt exp. for a tx

that will last about 6mo.

 

pattern is liv/kid yin xu. other s/s include malar flush, mild hotflashes,

hypertension: 147/95 in my office (meds10y: taking a diuretic and teninol,

she thinks it may be a beta blocker), SOB on exertion. low exercise: walk

1/2 mile 2x week. T: purple, scallops/swollen with greasy yel C rear. P:

weak/tardy, K yg short/hidden.

 

she drives cars several days a week for a 9h duration. eye strain due to

driving, neck/shoulder tension.

 

4 preg, 2 live births. one child was " congenital malformed - died " , 18-24h

labor.

2nd child was 5lb 9oz after a 3-4 hr labor.

 

balance diet, toast only for bfast.

 

my dx is tremour due to liv w stiring due to kid yin xu. clearly there are

other presenting patterns, which i will also address with acu/herbal

therapy. planning on scalp acu following CMX guidelines and what

basics i've learned of Dr. Zhu's techniques from other LAc's.

 

my question is about any specific herbs/acu or other tx suggestions you

might have to address the head shaking and essential tremor in the R arm.

 

i'm not finding much literature on TCM tx of tremors, basically 3 patterns:

ph/h, liv/kid yin xu & qi xue xu. this patient is clearly liv/kid yin xu.

i find more on Parkinson's tx and am thinking i could follow those protocols

for patterns.

 

i appreciate your suggestions on tx tremors.

 

kath

 

--

Kath Bartlett, LAc, MS, BA UCLA

Oriental Medicine

Experienced, Dedicated, Effective

 

Asheville Center For

70 Woodfin Place, Suite West Wing Two

Asheville, NC 28801 828.258.2777

kbartlett

www.AcupunctureAsheville.com