Guest guest Posted February 1, 2008 Report Share Posted February 1, 2008 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2008 Report Share Posted February 2, 2008 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2008 Report Share Posted February 5, 2008 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2008 Report Share Posted February 5, 2008 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2008 Report Share Posted February 6, 2008 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 Quote Link to comment Share on other sites More sharing options...
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