case suggestions- fatigue, asperger's, gilberts syndrome

[Guest guest]

Hello,

I'm new to this google group and am also a relatively new acupuncturist.

I have a patient who is coming to me who was requesting Chinese herbs, and I

would like to run this by

all of you to see what you might have to say.

 

This patient is 24 years old, a male, and a student. He came in seeking an

herbal formula. He had been given

some herbs by a Tibetan medicine doctor, which he will be running out of in one

week. He had thought he had more, but

apparently they were running out sooner than he thought. He said these herbs

" keep him sane, " so was anxious to

keep up with some form of herbs.

His chief complaint is Chronic fatigue. His fatigue started about two years

ago, after an " ill-advised " candida diet. He was doing a diet of quinoa,

vegetables, and some meat. He felt that he had lost weight, and he tried to eat

more fat which seemed to help. He had to cut down his hours at work from 40

hours to 30 hours because of fatigue. He tried homeopathics which seemed to

make it worse during thetreatment, but would later help. However, sometimes he

felt as if hehad low blood sugar after taking the homeopathics. He also

explained to me, as a background, that he felt he had a mildform of asperger's

syndrome, a mild form of autism. The reason he feltthis was that he had always

felt " like an alien " , very different thanothers. He felt a veil between himself

and other people, and had ahard time coming up with a response, as if there was

a long delay whencommunicating with others. He said the homeopathics helped

with the asperger's

symptoms.

Last October, he said that his mind had started to become affected. His

thinking became dull, confused, and he felt foggy headed. He also felt unable

to make decisions. It was almost impossible to study for school. He could not

concentrate or read anything " more complicated than Harry Potter. " Being around

other people helped, as it took his mind away from things. His usual form's of

helping himself seemed to make things worse; especially meditation.

Two weeks ago he went to see a Naturopath and he diagnosed him with Gilberts

syndrome. This is a syndrome where the liver is unable to break down bilirubin.

He has had tests for lyme's, lupus, and environmental toxicity, all negative.

He tested positive for adrenal fatique, he has low testosterone, as well as a

mild thyroid imbalance. He is having nutrient injections, taking anasthatol (a

b-vitamin), liver support herbs, bovine granulars and some immune support herbs

(mushroom extracts). He is also going to have his Mercury fillings removed

next week.

 

Chinese 10 questions:

temp: tends to be cold

sweats:no

pain:none

thirt: none particular, drinks water because he knows he should. likes warm

drinks

digestion: lots of food allergies, some bloating, belching. Had food poisoning

two days ago, so stomach is still unsettled.

stool: tends towards constipation, but takes pectin, and psyllium husk, as well

as digestive enzymes to keep him regular. stool once a day

energy: now 5/10, which is good for him. Started feeling better with nutrient

injections, herbs

emotions: frustrated by his health

No heart palps, no dizziness, dryness, headache or dizziness.

 

pulse: both sides were thin, rapid, and slippery-wiry. Not an expert pulse

reader yet, pulse felt slightly twangy as if another pulse on top of it, if that

makes any sense.

tongue: pale, thin white coat in front, yellow coat in back, heart crack.

slightly puffy.

 

Chinese diagnosis: Spleen qi xu, with phlegm misting the mind, as well as some

heat.

treatment: Tonify spleen, resolve phlegm, clear heat.

 

I was confused about the claim of being cold, but pulse and tongue definitely

indicate heat, constipation would indicate heat. I thought that the heat might

be there from the food poisoning, some kind of invading pathogenic heat. I told

him I didn't want to give him a constitutional formula yet, as it seemed he may

still have some symptoms relating to his food poisoning. He said he needed to

save money so didn't want a separate formula for the possible symptoms relating

to food poisoning. I gave him acupuncture instead and he is coming back next

week, and would like a formula.

 

Any suggestions or comments? sorry to be so long winded, but I could use some

help with this one! Thank you. Mandy

 

 

 

 

 

 

 

 

 

 

 

 

[Guest guest]

These symtoms are all symptoms of vaccinosis and our TCM Professor has us look

at the use of vaccines in the animals as a " blood defeciency " .Sincerely,Patricia

Jordan DVM,CVA,CTCVM & Herbology

 

 

:

mandypresenthealth: Wed, 9 Apr 2008 18:31:37 -0700TCM -

case suggestions- fatigue, asperger's, gilberts syndrome

 

 

 

 

Hello, I'm new to this google group and am also a relatively new acupuncturist.

I have a patient who is coming to me who was requesting Chinese herbs, and I

would like to run this byall of you to see what you might have to say. This

patient is 24 years old, a male, and a student. He came in seeking an herbal

formula. He had been given some herbs by a Tibetan medicine doctor, which he

will be running out of in one week. He had thought he had more, but apparently

they were running out sooner than he thought. He said these herbs " keep him

sane, " so was anxious to keep up with some form of herbs. His chief complaint is

Chronic fatigue. His fatigue started about two years ago, after an " ill-advised "

candida diet. He was doing a diet of quinoa, vegetables, and some meat. He felt

that he had lost weight, and he tried to eat more fat which seemed to help. He

had to cut down his hours at work from 40 hours to 30 hours because of fatigue.

He tried homeopathics which seemed to make it worse during thetreatment, but

would later help. However, sometimes he felt as if hehad low blood sugar after

taking the homeopathics. He also explained to me, as a background, that he felt

he had a mildform of asperger's syndrome, a mild form of autism. The reason he

feltthis was that he had always felt " like an alien " , very different thanothers.

He felt a veil between himself and other people, and had ahard time coming up

with a response, as if there was a long delay whencommunicating with others. He

said the homeopathics helped with the asperger'ssymptoms. Last October, he said

that his mind had started to become affected. His thinking became dull,

confused, and he felt foggy headed. He also felt unable to make decisions. It

was almost impossible to study for school. He could not concentrate or read

anything " more complicated than Harry Potter. " Being around other people helped,

as it took his mind away from things. His usual form's of helping himself seemed

to make things worse; especially meditation. Two weeks ago he went to see a

Naturopath and he diagnosed him with Gilberts syndrome. This is a syndrome where

the liver is unable to break down bilirubin. He has had tests for lyme's, lupus,

and environmental toxicity, all negative. He tested positive for adrenal

fatique, he has low testosterone, as well as a mild thyroid imbalance. He is

having nutrient injections, taking anasthatol (a b-vitamin), liver support

herbs, bovine granulars and some immune support herbs (mushroom extracts). He is

also going to have his Mercury fillings removed next week.Chinese 10 questions:

temp: tends to be coldsweats:nopain:nonethirt: none particular, drinks water

because he knows he should. likes warm drinksdigestion: lots of food allergies,

some bloating, belching. Had food poisoning two days ago, so stomach is still

unsettled.stool: tends towards constipation, but takes pectin, and psyllium

husk, as well as digestive enzymes to keep him regular. stool once a dayenergy:

now 5/10, which is good for him. Started feeling better with nutrient

injections, herbsemotions: frustrated by his healthNo heart palps, no dizziness,

dryness, headache or dizziness. pulse: both sides were thin, rapid, and

slippery-wiry. Not an expert pulse reader yet, pulse felt slightly twangy as if

another pulse on top of it, if that makes any sense. tongue: pale, thin white

coat in front, yellow coat in back, heart crack. slightly puffy.Chinese

diagnosis: Spleen qi xu, with phlegm misting the mind, as well as some

heat.treatment: Tonify spleen, resolve phlegm, clear heat.I was confused about

the claim of being cold, but pulse and tongue definitely indicate heat,

constipation would indicate heat. I thought that the heat might be there from

the food poisoning, some kind of invading pathogenic heat. I told him I didn't

want to give him a constitutional formula yet, as it seemed he may still have

some symptoms relating to his food poisoning. He said he needed to save money so

didn't want a separate formula for the possible symptoms relating to food

poisoning. I gave him acupuncture instead and he is coming back next week, and

would like a formula.Any suggestions or comments? sorry to be so long winded,

but I could use some help with this one! Thank you.

MandyTired of

spam? Mail has the best spam protection around

 

[Guest guest]

i just wanted to note here that you have to be very careful when slapping on a

diagnosis of

any color on a patient, especially when it is self diagnosed. this does not

mean that many

patients have a really good sense of what's going on with them, because they

do... it only

means that you should double check diagnostic criteria before slapping on a

diagnosis

that could be more harmful than helpful to a patient. here are the dsm criteria

for

asperger's (note that language delays are not specific to aspergers, nor are any

other

specific developmental delays. this person may have some sort concentration

difficulties,

but not necessarily asperger's):

 

http://web.syr.edu/~rjkopp/data/as_diag_list.html

 

ASPERGER's DISORDER (DSM IV Diagnostic Criteria)

 

This document was taken from a post on an Autism related list. This is for

informational

perposes.

 

DIAGNOSTIC FEATURES

 

The essential features of Asperger's Disorder are:

Criterion A. Severe and sustained impairment in social interaction

Criterion B. The development of restricted, repetitive patterns of

behaviour, interests, and activities

Criterion C. The disturbance must cause clinically significant impairment

in social, occupational, or other important areas of

functioning.

Criterion D. In contrast to Autistic Disorder, there are no clinically

significant delays in language (eg: single words are used

by age 2 years, communicative phrases are used by age 3

years).

Criterion E. There are no clinically significant delays in cognitive

development or in the development of age-appropriate

self-help skills, adaptive behaviour (other than in social

interaction), and curiosity about the environment in

childhood.

Criterion F. The diagnosis is not given if the criteria are met

for any other specific Pervasive Developmental Disorder or

for Schizophrenia.

ASSOCIATED FEATURES AND DISORDERS

 

Asperger's Disorder is sometimes observed in association with general medical

conditions.

Various nonspecific neurological symptoms or signs may be noted. Motor

milestones may

be delayed and motor clumsiness is often observed.

 

PREVALENCE

 

Information on the prevalence of Asperger's Disorder is limited, but it appears

to be more

common in males.