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15 y.o. girl with migraines and lowered immune function

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I am treating a 15 y.o. female with main c/o lowered immune

function...had spinal meningitis one year ago, just recently

recovered from pneumonia and just a few days ago had another sore

throat with mild fever. She also has temporal and occipital headache

brought on by stress. History of migraines. She has suffered from

eczema and psoriasis since she was a toddler.

 

Currently she has problems with reflux, nausea, poor appetite. She

has history of IBS. She has PMS - breast distention and cramps that

arrive after her period starts and it is relieved by warmth. Her BM

are normal, urine dark. She has a lot of difficulty falling asleep

and wakes up most nights at 3 am but goes right back to sleep. She

has many bad dreams. She gets dizzy whenever she stands up or gets

up from lying down. The dizziness is accompanied with an empty

feeling in her head but in the past she has had a more damp style

dizziness (felt like something wrapped around her head).

 

Her hands sweat easily. Her complexion is pale with slight flush in

cheeks. Her tongue is pink/purple with red tip and sides and purple

line down center. Also thick, white coating in kidney area. She is

easily irritated, especially when H/A is present.

 

I would love it if anyone could recommend a formula(s) that might

help her. I was thinking of starting her on Xiao Chai Hu Tang plus

Jia Wei Xiao Yao San or maybe Long Dan Xie Gan Tang? Any comments or

better recommendations? Feel free to tell me if I am off base on

these formulas. I am also open to more modern formulations and not

just the classics. Thanks in advance. Oh yes, I am treating this

girl long distance. So I am only able to give her herbs,

homeopathy, and supplements.

 

Kimberly Marin AP, RD

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i think you are on the right track. i agree, liv yin xu, liv qi stag, yang

rising, liv >> st/sp/ wood/earth, +xue stag. i compound my own formulas,

i'm not sure if you're doing individualized rx or prepared/patents.

 

i would also consider chai hu long gu mu li tang, chai hu shu gan tang, and

linking decoction, and throw in some xue movers. depending on the chief

complaint that you want to focus on, you might look at giov: prac of cm:

headaches: liv yg rising. he has an rx for liv yg rising headache with

emphasis on liv yin xu. he lists 3 rx under liv y rising, and i believe the

one i'm thinking of is the 2nd one listed (i email from my home office, and

the book is at my clinic). this should give you a place to begin, and then

modify, depending upon responce, of course.

 

hope this helps,

 

kath

 

On Feb 1, 2008 8:39 AM, kimmymarin <kimmymarin wrote:

 

> I am treating a 15 y.o. female with main c/o lowered immune

> function...had spinal meningitis one year ago, just recently

> recovered from pneumonia and just a few days ago had another sore

> throat with mild fever. She also has temporal and occipital headache

> brought on by stress. History of migraines. She has suffered from

> eczema and psoriasis since she was a toddler.

>

> Currently she has problems with reflux, nausea, poor appetite. She

> has history of IBS. She has PMS - breast distention and cramps that

> arrive after her period starts and it is relieved by warmth. Her BM

> are normal, urine dark. She has a lot of difficulty falling asleep

> and wakes up most nights at 3 am but goes right back to sleep. She

> has many bad dreams. She gets dizzy whenever she stands up or gets

> up from lying down. The dizziness is accompanied with an empty

> feeling in her head but in the past she has had a more damp style

> dizziness (felt like something wrapped around her head).

>

> Her hands sweat easily. Her complexion is pale with slight flush in

> cheeks. Her tongue is pink/purple with red tip and sides and purple

> line down center. Also thick, white coating in kidney area. She is

> easily irritated, especially when H/A is present.

>

> I would love it if anyone could recommend a formula(s) that might

> help her. I was thinking of starting her on Xiao Chai Hu Tang plus

> Jia Wei Xiao Yao San or maybe Long Dan Xie Gan Tang? Any comments or

> better recommendations? Feel free to tell me if I am off base on

> these formulas. I am also open to more modern formulations and not

> just the classics. Thanks in advance. Oh yes, I am treating this

> girl long distance. So I am only able to give her herbs,

> homeopathy, and supplements.

>

> Kimberly Marin AP, RD

>

>

>

 

 

 

--

Kath Bartlett, LAc, MS, BA UCLA

Oriental Medicine

Experienced, Dedicated, Effective

 

Flying Dragon Liniment:

Effective pain relief for muscles & joints

Formulated by Kath Bartlett, Traditional Chinese Herbalist

Available at Asheville Center for , or web order at:

https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

 

 

Asheville Center For

70 Woodfin Place, Suite West Wing Two

Asheville, NC 28801 828.258.2777

kbartlett

www.AcupunctureAsheville.com

 

 

 

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I agree with Kath that no single formulas can tackle a complex case

like this. Jia Wei Xiao Yao San without Jia Wei is good but

modification is necessary. Long Dan Xie Gan Tang is way too cold for

the patient I am afraid. Here is my suggestion and u can use regular

volume for a week. If u need the exact volume, pm me.

 

Formula: Bai shao, suan zao ren, huang lian, ye jiao teng, chuan

lian zhi,wu zhu yu, dang gui, dan shen, fu ling, bai zhu, chai hu,

and gan cao.

 

VISCERAL PATTERN IDENTIFICATION

Morbid position: heart, spleen, liver,even kidney

Pathomechanism:

Heart blood def. (bad dreams, sleeplessness)

Spleen Qi def. (poor appetite, nausea, reflux, dizziness, hand sweat)

Liver Yin def. (easily irrated, cramps during mense)

 

Diagnosis; Dual deficiency of heart and spleen

Methods of treatment: Supplement the spleen and heart

 

This is a critical case and your priority is to restore her appetite

She cannot recover soon if she can eat promptly. You can definitely

help here with TCM.

 

sorry i don't know what IBS and PMS stand for.

 

SUNG, Yuk-ming

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IBS: irritable bowel syn

PMS: pre-menstrual syn

 

On Feb 4, 2008 11:18 PM, sxm2649 <sxm2649 wrote:

 

> I agree with Kath that no single formulas can tackle a complex case

> like this. Jia Wei Xiao Yao San without Jia Wei is good but

> modification is necessary. Long Dan Xie Gan Tang is way too cold for

> the patient I am afraid. Here is my suggestion and u can use regular

> volume for a week. If u need the exact volume, pm me.

>

> Formula: Bai shao, suan zao ren, huang lian, ye jiao teng, chuan

> lian zhi,wu zhu yu, dang gui, dan shen, fu ling, bai zhu, chai hu,

> and gan cao.

>

> VISCERAL PATTERN IDENTIFICATION

> Morbid position: heart, spleen, liver,even kidney

> Pathomechanism:

> Heart blood def. (bad dreams, sleeplessness)

> Spleen Qi def. (poor appetite, nausea, reflux, dizziness, hand sweat)

> Liver Yin def. (easily irrated, cramps during mense)

>

> Diagnosis; Dual deficiency of heart and spleen

> Methods of treatment: Supplement the spleen and heart

>

> This is a critical case and your priority is to restore her appetite

> She cannot recover soon if she can eat promptly. You can definitely

> help here with TCM.

>

> sorry i don't know what IBS and PMS stand for.

>

> SUNG, Yuk-ming

>

>

>

 

 

 

--

Kath Bartlett, LAc, MS, BA UCLA

Oriental Medicine

Experienced, Dedicated, Effective

 

Flying Dragon Liniment:

Effective pain relief for muscles & joints

Formulated by Kath Bartlett, Traditional Chinese Herbalist

Available at Asheville Center for , or web order at:

https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

 

 

Asheville Center For

70 Woodfin Place, Suite West Wing Two

Asheville, NC 28801 828.258.2777

kbartlett

www.AcupunctureAsheville.com

 

 

 

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Hi Kath & All,

 

Thanks for teaching me what IBS and PMS stand for.

The symptoms of IBS is similar to an unique tcm terminology concept-

internal urgency and heaviness in the rectum (spleen and kidney Yang

deficiency involved).Too bad Kim cannot treat the patient in person,

moxi treatment can definitely give her a boost for her constitution

(immun. system)besides the herbal grandule she needs.

Regards,

 

SUNG Yuk-ming

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