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Hi to all. Dear Emily, if I'm not too late, may I suggest to add at the

receipt Xiao Yao San: Mu Dan Pi (Paeonia suffr.), gr. 6-9 and Zhi Zi

(Gardenia jasminoides), gr.6 for a while (3 weeks, and the repeat 3 weeks)?

Then treat with a classic like Liu Wei Di Huang Wan, only adding a small

amount of Huang Qi/Astragalus up to prevent further SP Qì deficiency and

sweating (tonifying LU). Astragalus is a light warmer, depending on the

doses. Sometimes could be more useful a thin and gentle warming up to

prevent hot flushes, rather than cold drugs.

Gabriele

 

-----Messaggio originale-----

Da: Chinese Medicine

Chinese Medicine Per conto di Emily

Konstan

Inviato: lunedì 7 gennaio 2008 20.56

A: Chinese Traditional Medicine

Oggetto: herbal formula suggestions

 

What would be the appropriate classical herbal formula for a patient with

the patterns LV Qi stagnation, SP Qi deficiency, and KD (and/or LV) yin

deficiency? I find that most yin tonifying formulas are too cloying for the

Spleen, but something like Xiao Yao Wan doesn't address the yin deficiency.

 

This is not for any particular patient, but it is a pattern I see a lot in

perimenopausal and menopausal women, usually with symptoms like hot flashes

and insomnia. I usually end up having to do a lot of modifications of a

formula, but I would rather stick as close to the original classic formula

as possible. I would appreciate any suggestions.

 

Emily

 

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If the patient is presenting with heat signs like the

hot flashes but with the underlying basis of LIV/KI

Yin Xu, two good traditional formulas come into mind:

- Da Bu Yin wan

- Zhi Bai Di Huang Wan

You could use these in its entirety, or modify

according to your needs. One or the other is

sufficient, and not both together. The second formula,

by the way, is a variation of Liu Wei Di Huang (which

is primarilly neutral from a temperature

persepective), but adding Zhi Mu and Huang Bai to

address the deficiency heat symptoms that are

presenting.

 

--- " "

<saudelligabriele wrote:

 

> Hi to all. Dear Emily, if I'm not too late, may I

> suggest to add at the

> receipt Xiao Yao San: Mu Dan Pi (Paeonia suffr.),

> gr. 6-9 and Zhi Zi

> (Gardenia jasminoides), gr.6 for a while (3 weeks,

> and the repeat 3 weeks)?

> Then treat with a classic like Liu Wei Di Huang Wan,

> only adding a small

> amount of Huang Qi/Astragalus up to prevent further

> SP Qì deficiency and

> sweating (tonifying LU). Astragalus is a light

> warmer, depending on the

> doses. Sometimes could be more useful a thin and

> gentle warming up to

> prevent hot flushes, rather than cold drugs.

> Gabriele

>

> -----Messaggio originale-----

> Da: Chinese Medicine

>

Chinese Medicine

> Per conto di Emily

> Konstan

> Inviato: lunedì 7 gennaio 2008 20.56

> A: Chinese Traditional Medicine

> Oggetto: herbal formula suggestions

>

> What would be the appropriate classical herbal

> formula for a patient with

> the patterns LV Qi stagnation, SP Qi deficiency, and

> KD (and/or LV) yin

> deficiency? I find that most yin tonifying formulas

> are too cloying for the

> Spleen, but something like Xiao Yao Wan doesn't

> address the yin deficiency.

>

> This is not for any particular patient, but it is a

> pattern I see a lot in

> perimenopausal and menopausal women, usually with

> symptoms like hot flashes

> and insomnia. I usually end up having to do a lot

> of modifications of a

> formula, but I would rather stick as close to the

> original classic formula

> as possible. I would appreciate any suggestions.

>

> Emily

>

>

_______________

> Put your friends on the big screen with Windows

> Vista® + Windows Live™.

>

http://www.microsoft.com/windows/shop/specialoffers.mspx?ocid=TXT_TAGLM_CPC_

> MediaCtr_bigscreen_012008

>

> [Non-text portions of this message have been

> removed]

>

>

>

> Subscribe to the free online journal for TCM at

> Times

> http://www.chinesemedicinetimes.com

>

> Help build the world's largest online encyclopedia

> for Chinese medicine and

> acupuncture, click,

> http://www.chinesemedicinetimes.com/wiki/CMTpedia

>

>

>

 

> and adjust

> accordingly.

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