Cervical Polyps

[Guest guest]

Does anyone know of a good protocol for treating cervical polyps. I

have treated nasal polyps with success but cannot find anything on

cervical polyps and any main points that are usesd. I know they are

damp/phlegm in nature, but not sure to treat as fibroids to a certain

extent. Many thanks

[Guest guest]

Does anyone know of a good protocol for treating cervical polyps. I

have treated nasal polyps with success but cannot find anything on

cervical polyps and any main points that are usesd. I know they are

damp/phlegm in nature, but not sure to treat as fibroids to a certain

extent. Many thanks

 

Hi Joanna,

 

I don't have much experience with cervical polyps though I did treat

them successfully once. Since the manifesting symptom for polyps is

bleeding, I treat to stop the bleeding using differential diagnosis to

determine the cause of the bleeding. So, this worked the one time I

used it for polyps and the polyps disappeared. Unfortunately, I think

the resources we have in our current text books for how to clearly

diagnose and treat bleeding disorders is sorely limited. My teachers

had such clear ways of working with bleeding both in terms of

diagnosis and treatment of the various phases and degrees of

bleeding. If you wrote up your case I would apply for you what I have

been trained in. In the mean time, here is a case I translated in

which the patient had polyps. It is interesting to note that the

practitioner did nothing for polyps in particular but just treated

according the the diagnosis:

 

Polyps:

 

Ms Yu age 31

Principle complaint: Irregular menses, often dripping without cease.

This past menstruation was still going after 12 days. The blood color

is pale with a peculiar smell. Her low back feels sore and sometimes

painful. She also experiences palpitations, dizziness, weakness, poor

sleep. Often she has vaginal bleeding and post coital bleeding.

Previously she went to a municipal hospital and was diagnosed with

cervical polyps. Surgery was recommended but she decided to use

Traditional Chinese medicine for treatment.

 

Check up: Her tongue moss is thin white and her pulse is slow and wiry.

 

Differential Diagnosis: When there is frequent vaginal bleeding and

post-coital bleeding, we can know that there is local uterine

pathology as opposed to menstrual pathology. Nonetheless, chronic

bleeding does deplete the Qi and Blood and the patient’s condition

will linger. A comprehensive analysis of the pulse and pattern showed

that the Chong and Ren received damage and were unable to store the

blood. The bleeding damaged the Yin. The ancient sage said that

sudden bleeding requires supplementation while chron-c dripping

requires clearing. Because of the peculiar smell I needed to deal

with the retained stasis in the Chong and Ren.

 

Treatment Principle: Dispel stasis generate the new. Nourish Yin and

clear heat.

 

Formula

Guan Zhong Tan 6

Chen E Jiao 6 (dissolve separately

and add 3 gms to each dose)

Gui Ban Jiao 8(dissolve separately

and add 3 gms to each dose)

Lao Zong Tan 10

Hei Sheng Ma 5

Sheng Di Tan 12

Hei Jing Jie 10

Shu Di Tan 12

Hang Bai Shao 10 (stir-fried with 5 gm Chai Hu)

Mao Cang Zhu 6

Chuan Huang Bai 6

Hei Shan Zha 6

Chuan Du Zhong 10

Chuan Xu Duan 10

Shu Nu Zhen 12

 

Second Visit: She took three packages of herbs. The blood had already

decreased though there was still a watery secrection with a peculiar

smell. The wiry pulse had become peaceful. I added 6 gm of Duan Ci

Wei Pi (Hedge Hog pelt calcined) to the orignal formula and gave her

three packages.

 

Third Visit: After two bags of the last formula, she felt unwell in

her lower abdomen. A soft dark red, thumb-sized lump rotated out of

her vagina but without any increased bleeding. There was only a

slightly bloody watery discharge. Her mood was tense and keyed up,

she felt weak and her sleep and eating were not good. The tissue was

sent to the lab to have the pathology analyzed. I advised her to take

the third package of herbs and then check again to see if she was

recovering.

 

Forth Visit: A week later Ms. Yu came for a check up. The lab results

were that the tissue was a polyp with no cancer cells. She had a

careful gynecology exam and her uterus and cervix were normal with no

new polyps. Her body was still weak so I gave her a formula to

regulate her qi and blood combined with herbs to regulate and

consolidate.

 

Formula:

Hang Bai Shao 10 (stir-fried with 5 gm Chai Hu)

Jiu Chao Sheng Shu Di Huang 6 gm each.

Chen E Jiao 10(dissolve separately

and add 3 gms to each dose)

Dang Gui 10

Jiu Chuan Xiong 5

Fen Dan Pi 10

Shu Nu Zhen Zi 12

Zhu Fu Shen 10

Zhu Cun Dong 10

Mei Gui Hua 10

Dai Dai Hua 6

 

Fifth Visit: After taking four packages of the formula her spirit and

body strength improved as did her appetite and sleep. The vaginal

bleeding and peculiar smelling discharge had cleared. Her pulse was

steady. Her Chong and Ren gradually filled. I enjoined her to

continue in order to consolidate the effect.

 

Discussion: This illness belongs to the category of the 5

accumulations, the 6 knottings, the 7 concretions and 8

conglomerations. In terms of Beng Lou, the Zhi Bing Yuan Hou Lun says

that when there are polyps this is vacuity and depletion of the Bao

Luo. Cold and heat are unregulated and wind evil is contained. The

evil Qi multiplies in the Yin. The fighting in the Qi and Blood

becomes polyps which are like a mouse breast.

 

As my teacher saw patients for many years, we saw many cases of this

illness. The causes of the pathology vary though generally one always

wants to dispel stasis and generate the new. Guan Zhong Tan, Lao Zong

Tan, Sheng Ma, Jing Jie and Cang Zhu not only stop bleeding and lift,

they also dispel stasis and generate the new. The two gelatins have

the function of stopping bleeding and regenerating. Huang Bo and Shan

Zhi Zi clear heat and drain dampness. Shu and Sheng Di Huang, Dang

Gui, Chuan Xiong and Nu Zhen Zi regulate the blood. Ci Wei Pi can

treat nocturnal emissions in Men and in women it can treat Bai Dai.

Altogether this had the effect of strengthening and consolidating.

This case can be used for reference.