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varicose veins and leg ulcers-clarification

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Dear all,

 

Just for clarification: the patient is six feet 1 and 1/2 inches, (not 6'

11 " )

 

wrote:

Dear friends, colleagues and teachers,

 

Your assistance is needed in success modalities to treat a patient with varicose

veins and leg ulcers. Sixty two year old very tall female (6' 11/2 " ), whose

primary complaint was varicose veins. They are itchy as well. I bled and cupped

the most superficial of them, and was able to extract thick sticky clots, but

unfortunately, rather than helping, it actually exacerbated the swelling and

itching. She also has a few spots where ulcerations have developed. Some flaking

of the skin on her legs. There is no issue of blood sugar nor peripheral

neuropathy. Other symptoms: dry skin, cold fingers and toes, frequent clear

urination, small volume, nocturia, swollen ankles, no thirst, abdominal bloating

after meals, leg cramps, fatigue, but only at the end of the day. BM soft and

formed. Clear thinking. good appetite. Tongue: pale, slightly purple body,

moist, thin white coat in the back, no coat in the front with a slightly red

tip. On the right hand, proximal pulse is

generally, thready slippery and slightly choppy. Middle pulse is slippery

thready and a little wiry, and distal pulse is a little thready and slippery. on

the left, proximal and middle pulses are thready slippery and a little weak, and

distal pulse is slippery weak and a little choppy.

my differential diagnosis is blood stasis caused by underlying blood vacuity.

concurrent spleen qi vacuity, and kidney yin and yang vacuity. I treated her for

about 3 months using herbs, acupuncture and moxa with little benefit. I realize

after the fact, now, that, at least in my opinion, it is contraindicated to

bleed varicose veins when there is an underlying blood and qi vacuity.

Miraculously, she still would like me to help. Any and all ideas would be very

appreciated.

 

SIncerely,

 

 

 

 

 

 

 

 

Pinpoint customers who are looking for what you sell.

 

 

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Dear all,

 

Just for clarification: the patient is six feet 1 and 1/2 inches, (not 6'

11 " )

 

wrote:

Dear friends, colleagues and teachers,

 

Your assistance is needed in success modalities to treat a patient with varicose

veins and leg ulcers. Sixty two year old very tall female (6' 11/2 " ), whose

primary complaint was varicose veins. They are itchy as well. I bled and cupped

the most superficial of them, and was able to extract thick sticky clots, but

unfortunately, rather than helping, it actually exacerbated the swelling and

itching. She also has a few spots where ulcerations have developed. Some flaking

of the skin on her legs. There is no issue of blood sugar nor peripheral

neuropathy. Other symptoms: dry skin, cold fingers and toes, frequent clear

urination, small volume, nocturia, swollen ankles, no thirst, abdominal bloating

after meals, leg cramps, fatigue, but only at the end of the day. BM soft and

formed. Clear thinking. good appetite. Tongue: pale, slightly purple body,

moist, thin white coat in the back, no coat in the front with a slightly red

tip. On the right hand, proximal pulse is

generally, thready slippery and slightly choppy. Middle pulse is slippery

thready and a little wiry, and distal pulse is a little thready and slippery. on

the left, proximal and middle pulses are thready slippery and a little weak, and

distal pulse is slippery weak and a little choppy.

my differential diagnosis is blood stasis caused by underlying blood vacuity.

concurrent spleen qi vacuity, and kidney yin and yang vacuity. I treated her for

about 3 months using herbs, acupuncture and moxa with little benefit. I realize

after the fact, now, that, at least in my opinion, it is contraindicated to

bleed varicose veins when there is an underlying blood and qi vacuity.

Miraculously, she still would like me to help. Any and all ideas would be very

appreciated.

 

SIncerely,

 

 

 

 

 

 

 

 

Pinpoint customers who are looking for what you sell.

 

 

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