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Hi Petra & All,

 

> I have a patient on birth control who is lactating. No children. She

> has also been asthmatic her whole life. That is what I initially

> started treating her for. I was researching vitex and found that it has

> been proven to reduce prolactin and was planning on giving it to her.

> With further research I found that vitex is contraindicated with bc

> pills as well as Danggui, st Johnswort etc... I give many of my

> patients on birth control pills Danggui and am wondering if this is

> going create the possibility of them becoming pregnant. Also any

> suggestions for the lactation. It is improving. At first I added mai ya

> to her asthma formula for a few months with no effect. Then I learned

> that liver qi stag can cause higher levels of prolactin. So I added a

> few herbs to smooth her liver. This does seem to be helping somewhat.

 

My TCM notes list following Hbs as Antilactagogue; AVOID in

lactation, except at weaning / w milk excess:

 

Bohe

Dandouchi

Danshen

Haizao

Huajiao; Chuanjiao

Maiya / Maiya (Chao)

Mangxiao

 

Also, compresses of ivy / cabbage leaves, worn between breast & bra,

may help to dry up milk.

 

http://www.kellymom.com/herbal/milksupply/herbs-oversupply.html says:

 

Too much milk: Sage & other Hbs to decrease milk supply:

 

SAGE (Salvia officinalis) is best used only at weaning, though it may

also be used in extreme cases of oversupply when other measures are

not effective; Be careful w this if you are not in weaning process!

Don't overdo it once you're seeing some results; To use dried sage to

reduce milk supply, take 1/4 teaspoon of sage 3x / day for 1-3d; You

can mix sage in vegetable juice (for example, V-8), but it won't mix

well into other juices; You can also mix it into other foods; If you

don't like taste of sage, try putting it into a tiny piece of

sandwich & swallowing it whole - peanut butter / something else a bit

sticky seems to work best for holding sage in place; Tear off corner

of sandwich containing sage (it should be a very small section) &

swallow it wo chewing (that's why you need a very small section); To

use sage tea for decreasing milk supply, infuse 1 tablespoon of dried

sage in 1 cup of boiling Water (or 20g dried sage in 50 ml boiling

Water); Steep for 5-15 minutes; Drink 1 cup, 2-6 times / day; You can

use a tincture of sage instead: 30-60 drops of tincture, 3-6 times a

day; See Sage for additional safety information for nursing moms;

 

GREEN CABBAGE LEAVES can be used topically on breast to reduce milk

supply; Caution if you are not in weaning process;

 

JASMINE FLOWERS (Jasminum sambac): apply fresh Fl, crushed to

breasts, to decrease milk flow;

 

OTHER HERBS that can decrease milk supply (can be incorporated into a

pressed oil (cold pressed / hot) to make massage oils for milk

suppression): Black Walnut, Cabbage leaves, Chickweed, Hb Robert

(Geranium robertianum), Lemon Balm, Oregano, Parsley (Petroselinum

crispum), Peppermint (Mentha piperita), Periwinkle Hb (Vinca minor),

Sage, Sorrel (Rumex acetosa), Spearmint, Stinging Nettles (not nettle

- that increases milk supply), Yarrow

 

PEPPERMINT essential oil has been used traditionally to decrease milk

supply; Peppermint tea is a very weak form of peppermint & only large

amounts (quarts) would be expected to decrease milk supply; Some

women have successfully used strong peppermint candies (for example,

Altoids® Curiously Strong Peppermints) to decrease milk supply (a few

/ day aren't likely to affect supply, though);

 

Best regards,

 

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Thank you, thank you, thank you!

--- < wrote:

 

> Hi Petra & All,

>

> > I have a patient on birth control who is

> lactating. No children. She

> > has also been asthmatic her whole life. That is

> what I initially

> > started treating her for. I was researching vitex

> and found that it has

> > been proven to reduce prolactin and was planning

> on giving it to her.

> > With further research I found that vitex is

> contraindicated with bc

> > pills as well as Danggui, st Johnswort etc... I

> give many of my

> > patients on birth control pills Danggui and am

> wondering if this is

> > going create the possibility of them becoming

> pregnant. Also any

> > suggestions for the lactation. It is improving. At

> first I added mai ya

> > to her asthma formula for a few months with no

> effect. Then I learned

> > that liver qi stag can cause higher levels of

> prolactin. So I added a

> > few herbs to smooth her liver. This does seem to

> be helping somewhat.

>

> My TCM notes list following Hbs as Antilactagogue;

> AVOID in

> lactation, except at weaning / w milk excess:

>

> Bohe

> Dandouchi

> Danshen

> Haizao

> Huajiao; Chuanjiao

> Maiya / Maiya (Chao)

> Mangxiao

>

> Also, compresses of ivy / cabbage leaves, worn

> between breast & bra,

> may help to dry up milk.

>

>

http://www.kellymom.com/herbal/milksupply/herbs-oversupply.html

> says:

>

> Too much milk: Sage & other Hbs to decrease milk

> supply:

>

> SAGE (Salvia officinalis) is best used only at

> weaning, though it may

> also be used in extreme cases of oversupply when

> other measures are

> not effective; Be careful w this if you are not in

> weaning process!

> Don't overdo it once you're seeing some results; To

> use dried sage to

> reduce milk supply, take 1/4 teaspoon of sage 3x /

> day for 1-3d; You

> can mix sage in vegetable juice (for example, V-8),

> but it won't mix

> well into other juices; You can also mix it into

> other foods; If you

> don't like taste of sage, try putting it into a tiny

> piece of

> sandwich & swallowing it whole - peanut butter /

> something else a bit

> sticky seems to work best for holding sage in place;

> Tear off corner

> of sandwich containing sage (it should be a very

> small section) &

> swallow it wo chewing (that's why you need a very

> small section); To

> use sage tea for decreasing milk supply, infuse 1

> tablespoon of dried

> sage in 1 cup of boiling Water (or 20g dried sage in

> 50 ml boiling

> Water); Steep for 5-15 minutes; Drink 1 cup, 2-6

> times / day; You can

> use a tincture of sage instead: 30-60 drops of

> tincture, 3-6 times a

> day; See Sage for additional safety information for

> nursing moms;

>

> GREEN CABBAGE LEAVES can be used topically on breast

> to reduce milk

> supply; Caution if you are not in weaning process;

>

> JASMINE FLOWERS (Jasminum sambac): apply fresh Fl,

> crushed to

> breasts, to decrease milk flow;

>

> OTHER HERBS that can decrease milk supply (can be

> incorporated into a

> pressed oil (cold pressed / hot) to make massage

> oils for milk

> suppression): Black Walnut, Cabbage leaves,

> Chickweed, Hb Robert

> (Geranium robertianum), Lemon Balm, Oregano, Parsley

> (Petroselinum

> crispum), Peppermint (Mentha piperita), Periwinkle

> Hb (Vinca minor),

> Sage, Sorrel (Rumex acetosa), Spearmint, Stinging

> Nettles (not nettle

> - that increases milk supply), Yarrow

>

> PEPPERMINT essential oil has been used traditionally

> to decrease milk

> supply; Peppermint tea is a very weak form of

> peppermint & only large

> amounts (quarts) would be expected to decrease milk

> supply; Some

> women have successfully used strong peppermint

> candies (for example,

> Altoids� Curiously Strong Peppermints) to decrease

> milk supply (a few

> / day aren't likely to affect supply, though);

>

> Best regards,

>

>

 

 

 

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Guest guest

Hi Petra & All,

 

> I have a patient on birth control who is lactating. No children. She

> has also been asthmatic her whole life. That is what I initially

> started treating her for. I was researching vitex and found that it

has

> been proven to reduce prolactin and was planning on giving it to her.

> With further research I found that vitex is contraindicated with bc

> pills as well as Danggui, st Johnswort etc... I give many of my

> patients on birth control pills Danggui and am wondering if this is

> going create the possibility of them becoming pregnant. Also any

> suggestions for the lactation. It is improving. At first I added

mai ya

> to her asthma formula for a few months with no effect. Then I learned

> that liver qi stag can cause higher levels of prolactin. So I added a

> few herbs to smooth her liver. This does seem to be helping somewhat.

 

Hi Phil,

 

I don't see a diagnosis here. That would be where I would start.

 

I have treated women who are giving milk without having children. It

usually goes along with scanty or absent menstruation. This is due to

Liver depression blocking the downward movement of the Chong vessel.

The nourishment goes up rather than down. I don't know how your

patient manifests her asthma but it commonly also a failure for Qi to

descend so is probably related. I would personally ignore trying to

balance her prolactin and treat according to a Chinese medical

diagnosis. I have seen prolactin levels balance out this way and it's

more accurate to the individual. I would also see the lactation as a

sign that the birth control pill is particularly not good for her and

encourage her to get off of it. If she can't see her way to do that

then, modified according to her individuality, I would give her Dr.

Qiu Xiao-mei's experiential formula called Ji Mai San which is

particularly for this. This would help her body cope with the birth

control pill. Here is some information from Dr. Qiu's book about this

formula followed by a couple of cases where she uses a modified

version of it. This is one of my favorite formulas in the clinic.

I've used it a lot. I find it so interesting to see how she combines

the idea of a formula with other formulas to address the complete

diagnosis:

 

Ji Mai San

 

Herbal Constituents:

Bai Ji Li 9

Ba Yue Zha 9

Da Mai Ya 12

Qing Pi 3

Ju He 3

Ju Luo 3

Pu Gong Ying 9

 

Function: Course the Liver, Rectify the Qi, Disperse Knots

 

Principle Use: Liver Constraint breast lump, amenorrhea, painful

menses and infertility.

 

Formula breakdown: Bai Ji Li, Qing Pi, Ba Yue Zhi, Ju He and Ju Luo

all course the Liver and Rectify the Qi, resolve constraint and

disperse knotting. Pu Gong Ying softens and disperses knots.

 

Experience in Application: The liver belongs to Wood and it like

orderly reaching. The liver values happiness and ease and fears

contraint and knotting. Women easily develop constraint which gives

rise to Liver constraint and Qi stasis. This causes many pathologies

relating to menstruation, pregnancy, birth and development. This is

why the ancients said “For women, the Liver is the Pre-Heaven”. This

clearly means that there is a close relationship between the Liver and

women’s physiology and pathology. Ji Mai San is my experiential

formula for Liver constraint leading to breast lumps, painful

menstruation, amenorrhea and infertility. As long as the

differentiation of patterns is precise the effect is outstanding.

 

I treated a woman named Guo who was 35 years old. She had been

married 7 years with no pregnancy. Her menstruation came regularly

but premenstrually she had breast pain and distention for two weeks.

When her breast was palpated, there were many scattered small seed-

like lumps. The pain extended to below her armpit and when she bent

and stretched her arm it was uncomfortable. She had suffered with

this for 10 years. The surgery department diagnosed her with breast

lobular hyperplasia. Her Traditional Chinese diagnosis was breast

lump. Her pulse was deep and thin and her tongue had a thin moss. I

gaver her Ji Mai San for two months after which the breast distention,

pain and knotting was gone. She was without discomfort. I advised

her to continue and follow-up in three months. When I saw her she had

not menstruated for 5 days and the urine test came back positive for

pregnancy.

 

Ms. Chang was twenty-five when she came for her first visit on

December 13, 1976. She had been married for three years without

becoming pregnant. Premenstrually she suffered from breast distention

and pain each month and her menstruation was early or late without

regularity. The amount was profuse and continued for six to seven

days. During menstruation her bowels were sticky and each day moved

repeatedly. Her pulse was sinking and thin and her tongue moss was

sticky. Her pulse and pattern corresponded.

 

My differential diagnosis of Ms. Chang's condition was

Liver depression and Qi stasis and Spleen vacuity causing the Spleen

to lose its ability to transport. The treatment needed to course the

Liver and fortify the Spleen. I gave her seven packages of the

following prescription:

 

Chai Hu

 

Radix Bupleurum

 

9gm.

 

Bai Ji Li

 

Fructus Tribuli

 

9gm.

 

Ba Yue Zha

 

Fructus Akebiae

 

9gm.

 

Bo He

 

Herba Mmthe

 

4gm.

 

Qing Pi

 

Pericarpium Citri Immaturus

 

4.5 gm.

 

Wang Bu Liu Xing

 

Semen Vacarri

 

9gm.

 

Ju He

 

Semen Citri

 

4.5 gm.

 

Ju Luo

 

Vascularis Citri

 

4.5 gm.

 

Chao Bian Dou

 

Stirfried Semen Dolichoris Lablab

 

12gm.

 

Da Mai Ya

 

Fructus Hordei Germinatis

 

15gm.

 

Shen Qu

 

Massa Fermentata

 

9gm.

 

 

 

Second Visit: December 22, 1976. Ms. Chang's case

presented as before. I continued with the previous method with some

additions and subtractions and gave her seven packages of the

following perscription:

 

Chai Hu

 

Radix Bupleurum

 

9 gm.

 

Da Mai Ya

 

Fructus Hordei Germinatis

 

15 gm.

 

Jiao Dong Zhu

 

Scorched Rhizoma Atractylodis

 

4.5 gm.

 

Chao Chuan Xiong

 

Stir-fried Rhizoma Ligusticum

 

4.5 gm.

 

Wang Bu Liu Xing

 

Semen Vacarri

 

9gm.

 

Zhi Ji Nei Jin

 

Honey fried Endothelium Galli Gigerii

 

9gm.

 

}u He

 

Semen Citri

 

4.5 gm.

 

}u Luo

 

Vascularis Citri

 

4.5gm.

 

Hong Hua

 

Flos Carthamis

 

9gm.

 

Bai Ji Li

 

Fructus Tribuli

 

9gm.

 

Ba Yue Zha

 

Fructus Akebiae

 

9gm.

 

Chao Shan Zha

 

Stirfried Fructus Cratagai

 

9gm.

 

Shen Qu

 

Massa Fermentata

 

9gm.

 

Dang Gui

 

Radix Angelica Sinensis

 

9gm.

 

I gave Ms. Chang the above perscription with additions and

subtractions according to her pattern for an interval of over two

months. Her menstruation became regular and this year she became

pregnant.

 

Discussion: In terms of infertility and unsynchronized menstruation

due to Liver depression and knotting, I use my proven perscription, Ii

Mai San Tribulus Germinated Barley Powder. It has great unsurpassed

effectiveness for this category of pathology.

 

 

 

Ms. Qian was twenty-eight years old when she came for her first visit

on December 8, 1976. After four years of marriage she had not become

pregnant. Her menstruation was on schedule but pre-menstrually she

experienced breast distention on botIh sides, low back soreness and

weak legs. She underwent an iodized oil roentgenograpy and the results

of this were " the liquid flowed smoothly through both fallopian tubes

and the uterus was in a crooked position to an extreme degree " . Her

pulses arrived deep and thin. Her tongue was red and moist. Her

diagnosis was Kidney Qi insufficiency, Liver depression and Qi stasis.

My treatment principle was to supplement the Kidneys and course the

Liver. I used a combination of Wu Zi Yan Zong Wan Five Seed Develop

Ancestor Pill and Ji Mai San Tribulus and Germinated Barley Powder

with additions and subtractions. I gave her fourteen packages of the

following prescription:

 

 

 

Tu Si Zi

 

Semen Cuscutae

 

9gm.

 

Wu Wei Zi

 

Semen Schizandra

 

4.5 gm.

 

Bai Ji Li

 

Fructus Trubulus

 

9gm.

 

Ju He

 

Semen Citri

 

4.5gm.

 

Ju Luo

 

Vascularis Citri

 

4.5 gm.

 

Chai Hu

 

Radix Bupleurum

 

9gm.

 

Da Mai Ya

 

Fructus Hordei Germinatus

 

15gm.

 

Che Qian Zi

 

Semen Plantaginis

 

9gm.

 

Shu Di Huang

 

Radix Rehmannia Preparatae

 

30gm.

 

Bo He

 

Herba Menthe

 

4.5 gm.

 

Fu Pen Zi

 

Fructus R ubi

 

9gm.

 

Gou Qi Zi

 

Fructus Lycii

 

9gm.

 

Zhi Shou Wu

 

Prepared Radix Polygoni Multiflorum

 

9 gm.

 

 

 

Second Visit: December 24,1976. Ms. Qian's menses had come the day

before this visit. The amount was normal. Her breast distention had

decreased. Her pulse was thin and moderate and her tongue was red and

moist. I continued with the original method with some additions and

subtractions. I gave her seven packages of the following prescription:

 

 

 

Chao Dang Gui

 

Stir fried Radix Angelica Sinensis

 

9 gm.

 

Lu Lu Tong

 

Fructus Liquidamberis .

 

9 gm.

 

Shu Di

 

Prepared Ra dix Rehmannia

 

30 gm.

 

Tu Si Zi

 

Semen Cuscutae

 

9gm.

 

Chao Chuan Xiong

 

Stirfried Rhizoma Ligusticum

 

4.5gm.

 

Jing Jie Sui

 

Herba Schizonopetae

 

4.5 gm.

 

Zhi Shou Wu

 

Prepared Radix Polygoni Multiflorum

 

9 gm.

 

Che QianZi

 

Semen Plantaginis

 

9gm.

 

Zhi Xiang Fu

 

Prepared Rizizoma Cyperi

 

9gm.

 

Chao Chi Shao

 

Stirfried Radix Peony Rubra

 

9gm.

 

Gou Qi Zi

 

Fructus LyCii

 

9gm.

 

 

 

Third Visit: January 10 1977. I gave Ms. Qian the previous

perscription, using the same method.

 

 

 

Fourth Visit: February 11, 1977. Ms. Qian had not had her menstruation

for forty days and sometimes experienced nausea. A pregnancy test came

back positive. The gynecology exam was normal, her uterus showing her

to be pregnant fifty days. Her diagnosis now was " early pregnancy "

 

Discussion: This example of infertility pattern was caused by Kidney

vacuity and so at the first visit I gave her Wu Zi Yan Zong Wan Five

Seed Develop Ancestor Pill in order to replenish her Jing and boost

her Kidneys. I also gave her Ji Mai San Tribulus and Germinated Barley

Powder to course the Liver and resolve depression. After the herbs her

premenstrual breast distention decreased. At the second visit her

menstruation had just come so I couldn't us Fu Pen Zi or Wu Wei Zi

because of their sour flavor and astringing quality. I did this in

order to avoid influencing the smooth flow of her menstruation. On the

third visit I went back to the original method to enable the

exuberance of the Kidneys to moisten the fetal palace, the abundance

Of Blood to nourish the Chong and Ren Mai and for these additions to

aid her in absorbing Jing and becoming pregnant.

 

 

 

 

 

 

 

 

 

 

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Guest guest

Thank you Sharon, she actually stopped the pill for

two years with no change in lactation so she went back

on the pill. I will look into this formula and see

what works.

--- Sharon Weizenbaum <sweiz wrote:

 

> Hi Petra & All,

>

> > I have a patient on birth control who is

> lactating. No children. She

> > has also been asthmatic her whole life. That is

> what I initially

> > started treating her for. I was researching vitex

> and found that it

> has

> > been proven to reduce prolactin and was planning

> on giving it to her.

> > With further research I found that vitex is

> contraindicated with bc

> > pills as well as Danggui, st Johnswort etc... I

> give many of my

> > patients on birth control pills Danggui and am

> wondering if this is

> > going create the possibility of them becoming

> pregnant. Also any

> > suggestions for the lactation. It is improving.

> At first I added

> mai ya

> > to her asthma formula for a few months with no

> effect. Then I learned

> > that liver qi stag can cause higher levels of

> prolactin. So I added a

> > few herbs to smooth her liver. This does seem to

> be helping somewhat.

>

> Hi Phil,

>

> I don't see a diagnosis here. That would be where I

> would start.

>

> I have treated women who are giving milk without

> having children. It

> usually goes along with scanty or absent

> menstruation. This is due to

> Liver depression blocking the downward movement of

> the Chong vessel.

> The nourishment goes up rather than down. I don't

> know how your

> patient manifests her asthma but it commonly also a

> failure for Qi to

> descend so is probably related. I would personally

> ignore trying to

> balance her prolactin and treat according to a

> Chinese medical

> diagnosis. I have seen prolactin levels balance out

> this way and it's

> more accurate to the individual. I would also see

> the lactation as a

> sign that the birth control pill is particularly not

> good for her and

> encourage her to get off of it. If she can't see

> her way to do that

> then, modified according to her individuality, I

> would give her Dr.

> Qiu Xiao-mei's experiential formula called Ji Mai

> San which is

> particularly for this. This would help her body

> cope with the birth

> control pill. Here is some information from Dr.

> Qiu's book about this

> formula followed by a couple of cases where she uses

> a modified

> version of it. This is one of my favorite formulas

> in the clinic.

> I've used it a lot. I find it so interesting to see

> how she combines

> the idea of a formula with other formulas to address

> the complete

> diagnosis:

>

> Ji Mai San

>

> Herbal Constituents:

> Bai Ji Li 9

> Ba Yue Zha 9

> Da Mai Ya 12

> Qing Pi 3

> Ju He 3

> Ju Luo 3

> Pu Gong Ying 9

>

> Function: Course the Liver, Rectify the Qi,

> Disperse Knots

>

> Principle Use: Liver Constraint breast lump,

> amenorrhea, painful

> menses and infertility.

>

> Formula breakdown: Bai Ji Li, Qing Pi, Ba Yue Zhi,

> Ju He and Ju Luo

> all course the Liver and Rectify the Qi, resolve

> constraint and

> disperse knotting. Pu Gong Ying softens and

> disperses knots.

>

> Experience in Application: The liver belongs to

> Wood and it like

> orderly reaching. The liver values happiness and

> ease and fears

> contraint and knotting. Women easily develop

> constraint which gives

> rise to Liver constraint and Qi stasis. This causes

> many pathologies

> relating to menstruation, pregnancy, birth and

> development. This is

> why the ancients said “For women, the Liver is the

> Pre-Heaven”. This

> clearly means that there is a close relationship

> between the Liver and

> women’s physiology and pathology. Ji Mai San is my

> experiential

> formula for Liver constraint leading to breast

> lumps, painful

> menstruation, amenorrhea and infertility. As long

> as the

> differentiation of patterns is precise the effect is

> outstanding.

>

> I treated a woman named Guo who was 35 years old.

> She had been

> married 7 years with no pregnancy. Her menstruation

> came regularly

> but premenstrually she had breast pain and

> distention for two weeks.

> When her breast was palpated, there were many

> scattered small seed-

> like lumps. The pain extended to below her armpit

> and when she bent

> and stretched her arm it was uncomfortable. She had

> suffered with

> this for 10 years. The surgery department diagnosed

> her with breast

> lobular hyperplasia. Her Traditional Chinese

> diagnosis was breast

> lump. Her pulse was deep and thin and her tongue

> had a thin moss. I

> gaver her Ji Mai San for two months after which the

> breast distention,

> pain and knotting was gone. She was without

> discomfort. I advised

> her to continue and follow-up in three months. When

> I saw her she had

> not menstruated for 5 days and the urine test came

> back positive for

> pregnancy.

>

> Ms. Chang was twenty-five when she came for her

> first visit on

> December 13, 1976. She had been married for three

> years without

> becoming pregnant. Premenstrually she suffered from

> breast distention

> and pain each month and her menstruation was early

> or late without

> regularity. The amount was profuse and continued for

> six to seven

> days. During menstruation her bowels were sticky and

> each day moved

> repeatedly. Her pulse was sinking and thin and her

> tongue moss was

> sticky. Her pulse and pattern corresponded.

>

> My differential diagnosis of Ms.

> Chang's condition was

> Liver depression and Qi stasis and Spleen vacuity

> causing the Spleen

> to lose its ability to transport. The treatment

> needed to course the

> Liver and fortify the Spleen. I gave her seven

> packages of the

> following prescription:

>

> Chai Hu

>

> Radix Bupleurum

>

> 9gm.

>

> Bai Ji Li

>

> Fructus Tribuli

>

> 9gm.

>

> Ba Yue Zha

>

> Fructus Akebiae

>

> 9gm.

>

> Bo He

>

> Herba Mmthe

>

> 4gm.

>

> Qing Pi

>

=== message truncated ===

 

 

 

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Guest guest

Hello Sharon. So initially I diagnosed her as yin and

qi xu as everything I found on lactating focused on

tonifying qi, in addition to other sx and she had been

having night sweats. So with that dx she went from

blowing 375 to 450 so I felt like I was on track in

addition to her having more energy. But her lactation

was not changing. So what I am doing at this point is

keeping her base formula and treatment the same and

adding more liver coursing herbs and points including

some of the ones from Dr. Qius prescriptions. My

patient is leaving for three weeks so I do not want to

change her prescription too much until she comes back

at which time I will revisit Dr. Qius prescriptions.

So far just from last week my patient reports a much

more relaxed feeling and a slight lessoning of the

lactation. Thank you. I will let you know how things

go.

--- Sharon Weizenbaum <sweiz wrote:

 

> Hi Petra & All,

>

> > I have a patient on birth control who is

> lactating. No children. She

> > has also been asthmatic her whole life. That is

> what I initially

> > started treating her for. I was researching vitex

> and found that it

> has

> > been proven to reduce prolactin and was planning

> on giving it to her.

> > With further research I found that vitex is

> contraindicated with bc

> > pills as well as Danggui, st Johnswort etc... I

> give many of my

> > patients on birth control pills Danggui and am

> wondering if this is

> > going create the possibility of them becoming

> pregnant. Also any

> > suggestions for the lactation. It is improving.

> At first I added

> mai ya

> > to her asthma formula for a few months with no

> effect. Then I learned

> > that liver qi stag can cause higher levels of

> prolactin. So I added a

> > few herbs to smooth her liver. This does seem to

> be helping somewhat.

>

> Hi Phil,

>

> I don't see a diagnosis here. That would be where I

> would start.

>

> I have treated women who are giving milk without

> having children. It

> usually goes along with scanty or absent

> menstruation. This is due to

> Liver depression blocking the downward movement of

> the Chong vessel.

> The nourishment goes up rather than down. I don't

> know how your

> patient manifests her asthma but it commonly also a

> failure for Qi to

> descend so is probably related. I would personally

> ignore trying to

> balance her prolactin and treat according to a

> Chinese medical

> diagnosis. I have seen prolactin levels balance out

> this way and it's

> more accurate to the individual. I would also see

> the lactation as a

> sign that the birth control pill is particularly not

> good for her and

> encourage her to get off of it. If she can't see

> her way to do that

> then, modified according to her individuality, I

> would give her Dr.

> Qiu Xiao-mei's experiential formula called Ji Mai

> San which is

> particularly for this. This would help her body

> cope with the birth

> control pill. Here is some information from Dr.

> Qiu's book about this

> formula followed by a couple of cases where she uses

> a modified

> version of it. This is one of my favorite formulas

> in the clinic.

> I've used it a lot. I find it so interesting to see

> how she combines

> the idea of a formula with other formulas to address

> the complete

> diagnosis:

>

> Ji Mai San

>

> Herbal Constituents:

> Bai Ji Li 9

> Ba Yue Zha 9

> Da Mai Ya 12

> Qing Pi 3

> Ju He 3

> Ju Luo 3

> Pu Gong Ying 9

>

> Function: Course the Liver, Rectify the Qi,

> Disperse Knots

>

> Principle Use: Liver Constraint breast lump,

> amenorrhea, painful

> menses and infertility.

>

> Formula breakdown: Bai Ji Li, Qing Pi, Ba Yue Zhi,

> Ju He and Ju Luo

> all course the Liver and Rectify the Qi, resolve

> constraint and

> disperse knotting. Pu Gong Ying softens and

> disperses knots.

>

> Experience in Application: The liver belongs to

> Wood and it like

> orderly reaching. The liver values happiness and

> ease and fears

> contraint and knotting. Women easily develop

> constraint which gives

> rise to Liver constraint and Qi stasis. This causes

> many pathologies

> relating to menstruation, pregnancy, birth and

> development. This is

> why the ancients said “For women, the Liver is the

> Pre-Heaven”. This

> clearly means that there is a close relationship

> between the Liver and

> women’s physiology and pathology. Ji Mai San is my

> experiential

> formula for Liver constraint leading to breast

> lumps, painful

> menstruation, amenorrhea and infertility. As long

> as the

> differentiation of patterns is precise the effect is

> outstanding.

>

> I treated a woman named Guo who was 35 years old.

> She had been

> married 7 years with no pregnancy. Her menstruation

> came regularly

> but premenstrually she had breast pain and

> distention for two weeks.

> When her breast was palpated, there were many

> scattered small seed-

> like lumps. The pain extended to below her armpit

> and when she bent

> and stretched her arm it was uncomfortable. She had

> suffered with

> this for 10 years. The surgery department diagnosed

> her with breast

> lobular hyperplasia. Her Traditional Chinese

> diagnosis was breast

> lump. Her pulse was deep and thin and her tongue

> had a thin moss. I

> gaver her Ji Mai San for two months after which the

> breast distention,

> pain and knotting was gone. She was without

> discomfort. I advised

> her to continue and follow-up in three months. When

> I saw her she had

> not menstruated for 5 days and the urine test came

> back positive for

> pregnancy.

>

> Ms. Chang was twenty-five when she came for her

> first visit on

> December 13, 1976. She had been married for three

> years without

> becoming pregnant. Premenstrually she suffered from

> breast distention

> and pain each month and her menstruation was early

> or late without

> regularity. The amount was profuse and continued for

> six to seven

> days. During menstruation her bowels were sticky and

> each day moved

> repeatedly. Her pulse was sinking and thin and her

> tongue moss was

> sticky. Her pulse and pattern corresponded.

>

> My differential diagnosis of Ms.

> Chang's condition was

> Liver depression and Qi stasis and Spleen vacuity

> causing the Spleen

> to lose its ability to transport. The treatment

> needed to course the

> Liver and fortify the Spleen. I gave her seven

> packages of the

> following prescription:

>

> Chai Hu

>

> Radix Bupleurum

>

> 9gm.

>

> Bai Ji Li

>

> Fructus Tribuli

>

> 9gm.

>

> Ba Yue Zha

>

> Fructus Akebiae

>

> 9gm.

>

> Bo He

>

> Herba Mmthe

>

> 4gm.

>

> Qing Pi

>

=== message truncated ===

 

 

 

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