Complicated case

[Guest guest]

This is actually for me.  As I know my limits as a chiro-puncturist I find

working with my own health problems to be confusing.  I have worked with some

very knowledgable TCM practitioners for many years and they all same the same

thing:  " your case is complicated, mostly by the obvious fact of there being

deficiency and excess at the same time. "   Which do you treat first and which is

primary and which is a medication side effect.

Very brief history:  lifelong struggle with an autoimmune like disease.  massive

inflammation destroys blood vessels and fat under the skin leading to deep non

healing ulcers.  25 years of allopathic medicine leads to much immunosuppression

with Prednisone being the only substance that stops these lesions.  10 years of

TCM, chiro., diets, nutrition, energy medicine with no help.

Currently:  the many cycles of inflammation and damage and the years of steroid

use have left my body very degenerated and 'wasting'.  I clearly have signs of

excess heat, deficiency heat, damp/heat, deficiency/stagnation/heat in the

blood, jinye deficiency, yin deficiency, Lung qi def., Spleen Qi def.,  and all

with a Jing deficiency underlying it. 

Question:  Where do I start?   If I do any draining of excess I feel worse.  If

I do any tonifying I feel worse.  I try both at the same time and nothing seems

to happen.  I am thinking I need to gently tonify and gentle drain for a long

time but before starting a 6-12 month program I want to be more sure of getting

it right.  Do I do much with the excess heat, blood heat, damp/heat?  Should I

concentrate on the more yin aspects and their deficiencies?  Should I get that

Spleen going first (since it will help transformation and gaining qi from

food)?  Do I do any Jing enhancing things or maybe just having a daily

qigong/taiji practice and watch overwork and oversex?  Do it all at once?  I've

got Dr. Guo's (Life Rising) formulas at my fingertips and know how to use them

well - and they each have a clear function.

 

 

[Guest guest]

Brian,

 

Leave your body alone! It sounds like it's completely traumatized.  First of

all, determine what you are doing to exascerbate your already inflamed systems. 

Consider bioset to determine food sensitivities and avoid and desensitize

against them. (see my website below for the  page on food sensitivities and

desensitization)  What about sleep?  What about not just what, but HOW you eat. 

Do you eat slowly, chew your food well, not multitask when you eat, focus

lovingly on appreciating the food you eat?  What about your perspective on

life--are you happy? do you appreciate all the blessings you have?

 

Your goal should be to get your body, mind, emotions and spirit to collectively

say,  " AAAHHH!! "  and shift out of the paradigm of fight-or-flight and the

resulting inflammation.   Without seeing your tongue, meeting you, or feeling

your pulse, I can't diagnose, but often with patients such as you, a simple

elegant formula such as Xiao Yao Wan, (or if there is accompanying fire, Jia Wei

Xiao Yao Wan), is all you should consider taking initially. If you look up the

class of formulas they are in, it is " Formulas that harmonize. "  Of course, don't

overdo it, but don't be afraid to have fun!  Set boundaries and avoid excesses. 

As you allude to, excess creates more imbalance and more inflammation.

 

Please, don't discount this as being phychological rubbish.  I speak from

experience.  Unless all aspects of lifestyle and health are put in balance, all

the herbs and acupuncture in the world will be ineffectual. 

 

Respectfully,

 

 

 

 

 

 

--- On Sun, 7/20/08, Brian J. Harasha, D.C. <bharasha wrote:

 

Brian J. Harasha, D.C. <bharasha

Complicated case

Chinese Medicine

Sunday, July 20, 2008, 3:00 PM

 

 

 

 

 

 

This is actually for me.  As I know my limits as a chiro-puncturist I find

working with my own health problems to be confusing.  I have worked with some

very knowledgable TCM practitioners for many years and they all same the same

thing:  " your case is complicated, mostly by the obvious fact of there being

deficiency and excess at the same time. "   Which do you treat first and which is

primary and which is a medication side effect.

Very brief history:  lifelong struggle with an autoimmune like disease.  massive

inflammation destroys blood vessels and fat under the skin leading to deep non

healing ulcers.  25 years of allopathic medicine leads to much immunosuppression

with Prednisone being the only substance that stops these lesions.  10 years of

TCM, chiro., diets, nutrition, energy medicine with no help.

Currently:  the many cycles of inflammation and damage and the years of steroid

use have left my body very degenerated and 'wasting'.  I clearly have signs of

excess heat, deficiency heat, damp/heat, deficiency/stagnati on/heat in the

blood, jinye deficiency, yin deficiency, Lung qi def., Spleen Qi def.,  and all

with a Jing deficiency underlying it. 

Question:  Where do I start?   If I do any draining of excess I feel worse.  If

I do any tonifying I feel worse.  I try both at the same time and nothing seems

to happen.  I am thinking I need to gently tonify and gentle drain for a long

time but before starting a 6-12 month program I want to be more sure of getting

it right.  Do I do much with the excess heat, blood heat, damp/heat?  Should I

concentrate on the more yin aspects and their deficiencies?  Should I get that

Spleen going first (since it will help transformation and gaining qi from

food)?  Do I do any Jing enhancing things or maybe just having a daily

qigong/taiji practice and watch overwork and oversex?  Do it all at once?  I've

got Dr. Guo's (Life Rising) formulas at my fingertips and know how to use them

well - and they each have a clear function.

 

 

[Guest guest]

Yehunda,

 

Thank you for your reply to my cry for help. Yes, this is why I call this

complicated. I have had it since birth so it is hard to find a lifestyle

problem underlying it all. I have spent the last 10 years learning about

health. I have a very pleasant life now that I am no longer working. I

keep a routine of getting up around 7am. Light joint freeing exercises,

qigong/taiji, yoga, meditation. I eat a light breakfast with care about

what I eat and how. I eat a heavier lunch with all food groups and tastes.

I eat a medium sized dinner around 6-7pm. I wind down after that and get to

bed by 11pm (in the summer and 10pm in winter). I balance work, rest, and

play. I don't eat artificial food, caffeine, alcohol, etc. I knew this is

where I had to start. Now I am investigating more specific treatments.

Thank you for the formula recommendation. I will look it up.

 

 

 

I know no one can diagnose without seeing me. But my tongue is red, thick

coat (varies from white, greasy to yellow,greasy - especially in the middle

and near the back. It has horizontal fissures all along the sides and a

crack in the middle in the front. Sometimes has denuded patches. Nails are

red/purple with slight vertical ridges, no white marks, cuticle moons only

on first 2-3 digits. Pulse is bounding, slippery, somewhat empty in middle

and lower burner (pulse seems very much a result of prednisone use).

 

 

 

I have the classic 5 palms heat. Sometimes red face and even slight fevers

in late afternoon early evening. I can not fall asleep and get up early

with difficulty falling back asleep. I am tired when I awake. My appetite

is strong but I can not eat much at one sitting. I crave sweets. I do not

feel good at all during the day and try to escape it by doing things. My

whole body feels sensitive and the slightest bumps, etc. hurt more than they

seem they should. My hair is thinning. My skin is thinning. I tend

towards depression and have bouts of anger. I bruise easily. I have wounds

that do not heal. My muscles and fat are wasting (I look like a starving

child). I tend towards slight hypertension and have a very fast pulse

(90-110bpm).

 

 

 

 

[Guest guest]

Ooops, I wanted to add one more thing. I sweat excessively. Not while just

sitting in a normal temperature room but if in the hot outdoors I just start

sweating and if I do the slightest amount of work outdoors I sweat buckets.

This is a new symptom in the last year or so. Should I be looking into Lung

qi deficiency as in it is not regulating the wei qi as it should or is it

more of a general yin or yang deficiency?

 

 

 

 

 

 

[Guest guest]

Shoot, I meant to answer the other person's question too.

 

 

 

My chief complaint:

 

 

 

Right now it is the symptoms that have built up over the last 20 years that

involved my 'disease' and probably more now, the side effects of

medications, primarily immunosuppressants and prednisone.

 

 

 

My original 'disease' that unfortunately only got the attention of western

doctors is peculiar. I have lesions in the superficial areas of my skin and

the layer of fat right under it. This present as red/purple nodules that

are extremely painful to touch that eventually break open (no pus or fluid)

and then do not heal for 6-12 months because of low blood supply. They call

is vasculitis and panniculitis. I have had this problem since being a small

child. They think it is a genetic defect in my inflammatory cascade and

have been trying to block it ever since. I looked into all kinds of

infectious agents, allergies, etc. They always appear in fatty areas and

seem to come with trauma or repeated micro-trauma (even meditating an hour a

day leaves me one where my legs cross over each other). No one has seen

anything like it so far in the Midwest that I have seen. I have extensive

scarring where these lesions were (the fat does not come back and the tissue

under my skin is hardened).

 

 

 

So the complication is what was the problem in early childhood and could we

have used TCM to treat it and not start the deadly cascade of western

medicine? Seems to me there may have been an underlying constitution

problem/jing deficiency. Add the poor American diet and some childhood

stress and you can start all kinds of weird 'diseases'. So I want to work

my way backwards and undo as much as I can and find my true underlying

problem. This is the journey I am lost in. Several TCM docs in the area

have given it a try for several years now, so that is why I am asking for

help over the internet.

 

 

 

Thank you,

 

Brian

 

 

 

 

 

 

 

 

 

 

[Guest guest]

Hi Brian,

 

I have specific comments below, but first, three important question:  What do

you know about your birth, and your mother's health before you were born?  Do

you know of any early childhood traumas?   Was your mother able to breast feed

you?

 

Now for comments:

1. I'm pleased that you eat the right way, but as I implied, food sensitivities

are the great pretenders, and if you are eating healthy foods, but for you they

are reactive, you might as well be eating poison.  An inflammatory state that

doesn't do well or improve with any diet indicates that you are doing something

or eating something that your body doesn't like.

2. I think that your comments about the presence of Yin vacuity,  damp heat and

craving is informative.  I find that there are clearly two components to all

craving and addictions:  Yin vacuity and Gu Pathogens.   There is a great

article on Gu Pathogens by Heiner Fruehauf.  Here is the link to it:

 http://www.classica lchinesemedicine .org/downloads/ cs/gufinal. pdf

In it he speaks about " Gu worms " conceptually being manifestations of blockage,

heaviness, and though indeed, classically they are to be taken literally, from a

modern perspective they need to be taken figuratively as well. Thus Candida

Albicans, the prevalant fungus resulting from damp accumulation would be clearly

a Gu pathogen. And indeed, the Gu pathogen also drains the body of more Yin,

further exascerbating the already Yin Xu patient. Furthermore, look closely at

one the main manifestations of Gu pathogens: Mental symptoms. Should we not

consider food cravings that seem to often exist coincidentally with Spleen Xu

and damp accumulation a classic example of a mental imbalance resulting from the

Gu pathogen? Fruehauf describes, " A sensation of being posessed " as one of the

mental symptoms. Is that not exactly what craving are: The patient HAS to have

his/her fix and is posessed by that overwhelming need or craving?  The way to

resolve gu

pathogens is to invigorate the spleen and stomach, move the spleen Qi,

transform  phlegm, drain heat and purge the pathogenic damp accumulation, while

not forgetting to supplement Yin which is so empty. 

3.  Difficulty sleeping means that you body is not having the opportunity to

heal or regenerate.  Again CranioSacral therapy, or some kind of body work,

particularly in the late part of the day would be very helpful.  Also consider

taking herbs to calm the shen and heart fire at night.  A wonderful herbal

combination to consider taking is Nigella Sativa, (black cumin seed) and

Roibbos.  Take a teaspoon of each, bring to a boil, and decoct for 10 minutes.

 

All the best,

 

 

 

 

 

--- On Mon, 7/21/08, Brian Harasha <bharasha wrote:

 

Brian Harasha <bharasha

Re: Complicated case

Chinese Medicine

Monday, July 21, 2008, 4:17 PM

 

 

 

 

 

 

Yehunda,

 

Thank you for your reply to my cry for help. Yes, this is why I call this

complicated. I have had it since birth so it is hard to find a lifestyle

problem underlying it all. I have spent the last 10 years learning about

health. I have a very pleasant life now that I am no longer working. I

keep a routine of getting up around 7am. Light joint freeing exercises,

qigong/taiji, yoga, meditation. I eat a light breakfast with care about

what I eat and how. I eat a heavier lunch with all food groups and tastes.

I eat a medium sized dinner around 6-7pm. I wind down after that and get to

bed by 11pm (in the summer and 10pm in winter). I balance work, rest, and

play. I don't eat artificial food, caffeine, alcohol, etc. I knew this is

where I had to start. Now I am investigating more specific treatments.

Thank you for the formula recommendation. I will look it up.

 

I know no one can diagnose without seeing me. But my tongue is red, thick

coat (varies from white, greasy to yellow,greasy - especially in the middle

and near the back. It has horizontal fissures all along the sides and a

crack in the middle in the front. Sometimes has denuded patches. Nails are

red/purple with slight vertical ridges, no white marks, cuticle moons only

on first 2-3 digits. Pulse is bounding, slippery, somewhat empty in middle

and lower burner (pulse seems very much a result of prednisone use).

 

I have the classic 5 palms heat. Sometimes red face and even slight fevers

in late afternoon early evening. I can not fall asleep and get up early

with difficulty falling back asleep. I am tired when I awake. My appetite

is strong but I can not eat much at one sitting. I crave sweets. I do not

feel good at all during the day and try to escape it by doing things. My

whole body feels sensitive and the slightest bumps, etc. hurt more than they

seem they should. My hair is thinning. My skin is thinning. I tend

towards depression and have bouts of anger. I bruise easily. I have wounds

that do not heal. My muscles and fat are wasting (I look like a starving

child). I tend towards slight hypertension and have a very fast pulse

(90-110bpm).

 

 

[Guest guest]

Hi Yehuda, can you send the link again. I couldn't get it to work. thanks,

Clarissa

 

--- On Mon, 7/21/08, wrote:

 

 

Re: Re: Complicated case

Chinese Medicine

Monday, July 21, 2008, 8:34 PM

 

 

 

 

 

 

Hi Brian,

 

I have specific comments below, but first, three important question:  What do

you know about your birth, and your mother's health before you were born?  Do

you know of any early childhood traumas?   Was your mother able to breast feed

you?

 

Now for comments:

1. I'm pleased that you eat the right way, but as I implied, food sensitivities

are the great pretenders, and if you are eating healthy foods, but for you they

are reactive, you might as well be eating poison.  An inflammatory state that

doesn't do well or improve with any diet indicates that you are doing something

or eating something that your body doesn't like.

2. I think that your comments about the presence of Yin vacuity,  damp heat and

craving is informative.  I find that there are clearly two components to all

craving and addictions:  Yin vacuity and Gu Pathogens.   There is a great

article on Gu Pathogens by Heiner Fruehauf.  Here is the link to it:

 http://www.classica lchinesemedicine .org/downloads/ cs/gufinal. pdf

In it he speaks about " Gu worms " conceptually being manifestations of blockage,

heaviness, and though indeed, classically they are to be taken literally, from a

modern perspective they need to be taken figuratively as well. Thus Candida

Albicans, the prevalant fungus resulting from damp accumulation would be clearly

a Gu pathogen. And indeed, the Gu pathogen also drains the body of more Yin,

further exascerbating the already Yin Xu patient. Furthermore, look closely at

one the main manifestations of Gu pathogens: Mental symptoms. Should we not

consider food cravings that seem to often exist coincidentally with Spleen Xu

and damp accumulation a classic example of a mental imbalance resulting from the

Gu pathogen? Fruehauf describes, " A sensation of being posessed " as one of the

mental symptoms. Is that not exactly what craving are: The patient HAS to have

his/her fix and is posessed by that overwhelming need or craving?  The way to

resolve gu

pathogens is to invigorate the spleen and stomach, move the spleen Qi,

transform  phlegm, drain heat and purge the pathogenic damp accumulation, while

not forgetting to supplement Yin which is so empty. 

3.  Difficulty sleeping means that you body is not having the opportunity to

heal or regenerate.  Again CranioSacral therapy, or some kind of body work,

particularly in the late part of the day would be very helpful.  Also consider

taking herbs to calm the shen and heart fire at night.  A wonderful  herbal

combination to consider taking is Nigella Sativa, (black cumin seed) and

Roibbos.  Take a teaspoon of each, bring to a boil, and decoct for 10 minutes.

 

All the best,

 

 

www.traditionaljewi shmedicine. net

 

 

--- On Mon, 7/21/08, Brian Harasha <bharasha (AT) sbcglobal (DOT) net> wrote:

 

Brian Harasha <bharasha (AT) sbcglobal (DOT) net>

Re: Complicated case

 

Monday, July 21, 2008, 4:17 PM

 

Yehunda,

 

Thank you for your reply to my cry for help. Yes, this is why I call this

complicated. I have had it since birth so it is hard to find a lifestyle

problem underlying it all. I have spent the last 10 years learning about

health. I have a very pleasant life now that I am no longer working. I

keep a routine of getting up around 7am. Light joint freeing exercises,

qigong/taiji, yoga, meditation. I eat a light breakfast with care about

what I eat and how. I eat a heavier lunch with all food groups and tastes.

I eat a medium sized dinner around 6-7pm. I wind down after that and get to

bed by 11pm (in the summer and 10pm in winter). I balance work, rest, and

play. I don't eat artificial food, caffeine, alcohol, etc. I knew this is

where I had to start. Now I am investigating more specific treatments.

Thank you for the formula recommendation. I will look it up.

 

I know no one can diagnose without seeing me. But my tongue is red, thick

coat (varies from white, greasy to yellow,greasy - especially in the middle

and near the back. It has horizontal fissures all along the sides and a

crack in the middle in the front. Sometimes has denuded patches. Nails are

red/purple with slight vertical ridges, no white marks, cuticle moons only

on first 2-3 digits. Pulse is bounding, slippery, somewhat empty in middle

and lower burner (pulse seems very much a result of prednisone use).

 

I have the classic 5 palms heat. Sometimes red face and even slight fevers

in late afternoon early evening. I can not fall asleep and get up early

with difficulty falling back asleep. I am tired when I awake. My appetite

is strong but I can not eat much at one sitting. I crave sweets. I do not

feel good at all during the day and try to escape it by doing things. My

whole body feels sensitive and the slightest bumps, etc. hurt more than they

seem they should. My hair is thinning. My skin is thinning. I tend

towards depression and have bouts of anger. I bruise easily. I have wounds

that do not heal. My muscles and fat are wasting (I look like a starving

child). I tend towards slight hypertension and have a very fast pulse

(90-110bpm).

 

 

[Guest guest]

Brian,

 

Min Shan makes an elegantly simple formula in pill form that you might find

helpful: " Shen Qi Wu Wei Zi Wan. "   It speaks to much of what you describe . 

 

Here is some information about it:

 

Functions:

Tonifies Qi, Strengthens Wei Qi, Stabilizes the Exterior, Stops Sweating,

Nourishes the Heart, Calms the Shen

 

Indications:

Lung, Spleen, Heart and Wei Qi deficiency presenting with spontaneous sweating,

frequent colds, low immunity, poor appetite or complete loss of appetite,

fatigue, digestive weakness, diarrhea, shortness of breath on mild exertion,

poor muscle tone and weakness of the limbs, a pale complexion. Also for Heart

and Lung Qi deficiency presenting with night sweats, palpitations, insomnia,

anxiety, restlessness, chronic cough, low and soft voice. T: pale, swollen,

teeth marks, thin white coat P: thin, weak, floating, rapid

 

Biomedical Applications:

excessive sweating, decreased immunological resistance, debility following

severe illness, chronic illness, blood loss or childbirth, or during radiation

therapy, chronic fatigue syndrome, sleep disorders, chronic colitis, chronic

hepatitis, galactorrhea

 

Standard Dosage:

6-8 pills, 3 x day.

 

Clinical Dosage:

Administer half an hour before or one hour after eating. In severe cases or in

the initial phases of treatment, dosage may be increased to 8-12 pills 3 times

per day, then reduced to a maintenance dose as the treatment takes effect. May

be used long-term for several weeks to several months. May be used over the

course of several years. This formula is designed to be taken in between

recurrent colds and flu to strengthen the Wei Qi.

 

Ingredients:

Schisandra chinensis fruit, Astragalus membranaceus root, Codonopsis pilosula

root, Ziziphus spinosa seed. - Wu wei zi, Huang qi, Dang shen, Suan zao ren.

 

 

 

 

 

 

 

 

--- On Mon, 7/21/08, Brian Harasha <bharasha wrote:

 

Brian Harasha <bharasha

Re:Complicated case

Chinese Medicine

Monday, July 21, 2008, 4:22 PM

 

 

 

 

 

 

Ooops, I wanted to add one more thing. I sweat excessively. Not while just

sitting in a normal temperature room but if in the hot outdoors I just start

sweating and if I do the slightest amount of work outdoors I sweat buckets.

This is a new symptom in the last year or so. Should I be looking into Lung

qi deficiency as in it is not regulating the wei qi as it should or is it

more of a general yin or yang deficiency?

 

 

[Guest guest]

I feel sorry for your sufferings and applaud for you sharing your

situation with the listed members here. Very often we can heal others

but cannot heal ourselves. In fact, most of the cases we TCM

practitioners treat are complicated cases as WM doctors get all the

easy picks. Fortunately, TCM can improve many symptoms if the

diagnosis is correct.

 

As the root of TCM is from the classics, I use visceral and bowel

pattern identification in Jin Gui to make a analysis based upon the

symptoms you listed here. Correct me if I am wrong. You did not

mention about the defecation and urination; nor the WM diagnosis of

the name of the disease.

 

DIAGNOSIS

Dual deficiency of heart and spleen:

Heart yin deficiency, spleen qi deficiency, accompanied by liver

blood deficiency

 

ANALYSIS

Heart yin deficiency: fissure in tongue

Spleen governs transportation and transformation; spleen deficiency

causes dampness obstructing in the center, leading to inability to

eat and the greasy tongue and thick fur;

Spleen governs the blood; spleen deficiency failing to govern the

blood causes bruises;

Spleen is the source of engendering transformation; spleen deficiency

causes insufficiency of liver blood; depressed liver qi transformed

into heat causing a bout of anger, red face, five palms heat, and

tidal heat; yin deficiency failing to astringe yang causes

spontaneous sweating;

Liver blood deficiency easily causes static heat leading to

disquieted sleep;

 

PULSE DIAGNOSIS

-a bounding pulse signifies heart blood insufficiency causes static

obstruction in vessels;

-a rapid pulse signifies heat;

-a scallion-stalk pulse (emptiness in the center of the vessels)

signifies blood deficiency

 

TONGUE DIAGNOSIS

-tongue cracks signify yin deficiency;

-thick greasy fur signifies dampness;

-denuded patch tongue fur signifies dual deficiency of qi and yin

 

TREATNENT METHOD

Yin-nourishing, heat-clearing, spleen-strengthening, dampness-

dispelling

 

FORMULA

bai shao yao (white peony)

bai zhu (Ovate atractylodes)

chuan lian zi (toosendan)

dan shen (saliva)

fu ling (poria)

huang lian (coptis)*

mai men dong (ophiopogon)

mo han lian (eclipta)

nu zhen zi (ligustrum)

wu wei zi (schisandra)

sha shen (glehnia)

*use light dosage; 3 to 5g each decoction;others use regular dosage

10 to 15 g.

Take 3 decoctions first; no side effect, take 3 more before next

diagnosis.

 

Feel free to email me for any inquiries.

 

My two cents,

 

SUNG, Yuk-ming

Phd (Chengdu U TCM), BA (Houston), L Ac. & CMP (Hong Kong)

 

 

 

 

>

[Guest guest]

Allow me to add Epimidium formula for his Jing

 

and Liv is Hot SI is fire so try balancing by HT 3,7;SI 3,8

GB41-34 AND LV 3,8 in a Yin Yang dynamic balancing.

 

 

 

Chinese Medicine , " sxm2649 "

<sxm2649 wrote:

>

> I feel sorry for your sufferings and applaud for you sharing your

> situation with the listed members here. Very often we can heal

others

> but cannot heal ourselves. In fact, most of the cases we TCM

> practitioners treat are complicated cases as WM doctors get all the

> easy picks. Fortunately, TCM can improve many symptoms if the

> diagnosis is correct.

>

> As the root of TCM is from the classics, I use visceral and bowel

> pattern identification in Jin Gui to make a analysis based upon the

> symptoms you listed here. Correct me if I am wrong. You did not

> mention about the defecation and urination; nor the WM diagnosis of

> the name of the disease.

>

> DIAGNOSIS

> Dual deficiency of heart and spleen:

> Heart yin deficiency, spleen qi deficiency, accompanied by liver

> blood deficiency

>

> ANALYSIS

> Heart yin deficiency: fissure in tongue

> Spleen governs transportation and transformation; spleen deficiency

> causes dampness obstructing in the center, leading to inability to

> eat and the greasy tongue and thick fur;

> Spleen governs the blood; spleen deficiency failing to govern the

> blood causes bruises;

> Spleen is the source of engendering transformation; spleen

deficiency

> causes insufficiency of liver blood; depressed liver qi transformed

> into heat causing a bout of anger, red face, five palms heat, and

> tidal heat; yin deficiency failing to astringe yang causes

> spontaneous sweating;

> Liver blood deficiency easily causes static heat leading to

> disquieted sleep;

>

> PULSE DIAGNOSIS

> -a bounding pulse signifies heart blood insufficiency causes static

> obstruction in vessels;

> -a rapid pulse signifies heat;

> -a scallion-stalk pulse (emptiness in the center of the vessels)

> signifies blood deficiency

>

> TONGUE DIAGNOSIS

> -tongue cracks signify yin deficiency;

> -thick greasy fur signifies dampness;

> -denuded patch tongue fur signifies dual deficiency of qi and yin

>

> TREATNENT METHOD

> Yin-nourishing, heat-clearing, spleen-strengthening, dampness-

> dispelling

>

> FORMULA

> bai shao yao (white peony)

> bai zhu (Ovate atractylodes)

> chuan lian zi (toosendan)

> dan shen (saliva)

> fu ling (poria)

> huang lian (coptis)*

> mai men dong (ophiopogon)

> mo han lian (eclipta)

> nu zhen zi (ligustrum)

> wu wei zi (schisandra)

> sha shen (glehnia)

> *use light dosage; 3 to 5g each decoction;others use regular dosage

> 10 to 15 g.

> Take 3 decoctions first; no side effect, take 3 more before next

> diagnosis.

>

> Feel free to email me for any inquiries.

>

> My two cents,

>

> SUNG, Yuk-ming

> Phd (Chengdu U TCM), BA (Houston), L Ac. & CMP (Hong Kong)

>

>

>

>

> >

>

[Guest guest]

I second your thoughts. All complicated cases need integrated

treatment modality to enhance the treatment result. As I am not

familiar with Epimidium formula, may be you can tell us

more about how effective it is.

Let me take this opportunity to share a medical case I classify as

complicated case here to let our listed members here what tcm can do.

I was doing my clinical observation with the professor in his private

clinic in Chengdu. A boy of 10 yr old had suffered from Meningitis

for 15 days. He was hospitalized in ER in the best provinical

hosptial in Chengdu for a week and was involuntarily discharged as

they (WM doctors) told them there are no cure as nothing they can do.

He could not identify ppl, had deviated eyes and mouth, rigidity in

limbs (could not walk),restless day and night, and bites everything

reaching his mouth) when we first met him. His desperated parents

found the clinic (they from another city) and rented a residence

nearby and took decoction daily. They later returned to their

hometown after 2 months and came to clinic in 2 weeks internal. The

boy can study again after 8 to 9 months(cured 95%). I eyewitness the

whole process, was biten by the boy a couple of times,wrote an

journal paper that was published in a core journal of TCM. The point

I want to make here is tcm can treat complicated cases.

 

> > SUNG, Yuk-ming

> > Phd (Chengdu U TCM), BA (Houston), L Ac. & CMP (Hong Kong)

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[Guest guest]

EPIMIDIUM IS YinYangHuo, plus TuSiZi, ShuDiHuan y DanGui among other

herbs to tonify Kid Yin, Yang, Jing and Blood. Any congenital problem

could be treated by them.

 

 

Chinese Medicine , " sxm2649 "

<sxm2649 wrote:

>

> I second your thoughts. All complicated cases need integrated

> treatment modality to enhance the treatment result. As I am not

> familiar with Epimidium formula, may be you can tell us

> more about how effective it is.

> Let me take this opportunity to share a medical case I classify as

> complicated case here to let our listed members here what tcm can do.

> I was doing my clinical observation with the professor in his private

> clinic in Chengdu. A boy of 10 yr old had suffered from Meningitis

> for 15 days. He was hospitalized in ER in the best provinical

> hosptial in Chengdu for a week and was involuntarily discharged as

> they (WM doctors) told them there are no cure as nothing they can do.

> He could not identify ppl, had deviated eyes and mouth, rigidity in

> limbs (could not walk),restless day and night, and bites everything

> reaching his mouth) when we first met him. His desperated parents

> found the clinic (they from another city) and rented a residence

> nearby and took decoction daily. They later returned to their

> hometown after 2 months and came to clinic in 2 weeks internal. The

> boy can study again after 8 to 9 months(cured 95%). I eyewitness the

> whole process, was biten by the boy a couple of times,wrote an

> journal paper that was published in a core journal of TCM. The point

> I want to make here is tcm can treat complicated cases.

>

> > > SUNG, Yuk-ming

> > > Phd (Chengdu U TCM), BA (Houston), L Ac. & CMP (Hong Kong)

> > >

> > >

> > >

> > >

> > > >

> > >

> >

>

[Guest guest]

muchos gracias, antonio, I think it is important to integrate

acupuncture within herbal treatment when it comes to really complicated

cases. I personally really hate taking any medications at all but have

to take them on regular basis to treat my own problems with spine

issue, cholestol issue, among others. I insert needles upon myself a

lot so I have first hand info about what patients feel, i learn it the

hard way.

 

SUNG Yuk-ming

[Guest guest]

I am glad I can help. I do needle myself also so it is good to grasp

the way acupuncture really works because this way you know for sure on

your own body and undertand the way your system reacts.

Best regards.

Antonio.

 

 

Chinese Medicine , " sxm2649 "

<sxm2649 wrote:

>

> muchos gracias, antonio, I think it is important to integrate

> acupuncture within herbal treatment when it comes to really complicated

> cases. I personally really hate taking any medications at all but have

> to take them on regular basis to treat my own problems with spine

> issue, cholestol issue, among others. I insert needles upon myself a

> lot so I have first hand info about what patients feel, i learn it the

> hard way.

>

> SUNG Yuk-ming

>