Guest guest Posted August 12, 2008 Report Share Posted August 12, 2008 Hi everyone, My patient who is 60 years old, male has had dupuytrens contracture on his right palm between the ring and middle finger for the last 20 years. It appears as a nodule with the tendon raised and hard. It is not painful but movement is slightly compounded. His worry is that as he gets older the symptoms will worsen. Has anyone ever treated this condition wherby the nodule(s) has done an about turn and healed or heard of such a case? Thanks, Simon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2008 Report Share Posted August 13, 2008 I saw one case of bilateral contracture in a 47 y.o male, which was not yet quite as severe as the case you present, but there were obvious hard, pea-sized nodules around HT 8, and restricted extension of the 4th finger. After weekly acu treatments, which included surrounding the dragon on the palm, and finding painful nodules further up on both the HT & PC channel, treating the root of the disorder, which in this man was blood dryness/def/stagnation with herbs, plus external soaks, which he did for about 1-2 months at the beginning, we were able to soften and markedly shrink the palm contracture, which increased ROM. Also, lifestyle & dietary considerations are needed. Often DC is a 'hereditary' disorder, yet can be influenced and exacerbated by regular etoh consumption. Melanie Katin, L.Ac. Multiple Sclerosis Certified Specialist By Appointment: (212) 229-1220 Mobile: (917)-449-5038 http://www.melaniekatin.com ___________________________ 19 West 21st Street Suite 904 New York, NY 10010 ___________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2008 Report Share Posted August 14, 2008 Thanks for your reply. It is encouraging that you had some success with this obscure disease.It has been difficult to find out much information on this topic in the realm of alternative treatments. Surgery is the usual method of treatment but my patient will go that route as a last resort. I guessed/deduced the root of the problem in this case is a lack of Jin Ye or weakness of Ki-yin. The location on the palm of the hand being the pericardium or Ki-yang. Seems like an imbalance between the Ki-yin(weak) and Ki-yang(stagnation). His pulse kind of backs this up. So I can attempt to remedy this. BTW what kind of external soaks did you use? Simon : mmkatin: Wed, 13 Aug 2008 03:48:53 -0700Re:Dupuytrens contracture I saw one case of bilateral contracture in a 47 y.o male, which was not yet quite as severe as the case you present, but there were obvious hard, pea-sized nodules around HT 8, and restricted extension of the 4th finger.After weekly acu treatments, which included surrounding the dragon on the palm, and finding painful nodules further up on both the HT & PC channel, treating the root of the disorder, which in this man was blood dryness/def/stagnation with herbs, plus external soaks, which he did for about 1-2 months at the beginning, we were able to soften and markedly shrink the palm contracture, which increased ROM.Also, lifestyle & dietary considerations are needed. Often DC is a 'hereditary' disorder, yet can be influenced and exacerbated by regular etoh consumption.Melanie Katin, L.Ac.Multiple Sclerosis Certified SpecialistBy Appointment: (212) 229-1220Mobile: (917)-449-5038http://www.melaniekatin.com___________________________19 West 21st StreetSuite 904New York, NY 10010___________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2008 Report Share Posted August 19, 2008 Thanks Melanie, I have been without email service hence my late response. I take heart from your success. It appears the root in this case is a disharmony/stagnation between Ki yin(body fluids and Ki yang or pc where the stagnation shows up. This is similar to your diagnosis of blood dryness/def/stagnation. What kind of external soaks did you use and what does the " etoh " abbreviation mean. I will check to see if there are further nodules along the channel. Simon --- Original Message ----- Melanie Katin<mmkatin To: Chinese Medicine <Chinese Medicine\ @> Wednesday, August 13, 2008 6:48 AM Re:Dupuytrens contracture I saw one case of bilateral contracture in a 47 y.o male, which was not yet quite as severe as the case you present, but there were obvious hard, pea-sized nodules around HT 8, and restricted extension of the 4th finger. After weekly acu treatments, which included surrounding the dragon on the palm, and finding painful nodules further up on both the HT & PC channel, treating the root of the disorder, which in this man was blood dryness/def/stagnation with herbs, plus external soaks, which he did for about 1-2 months at the beginning, we were able to soften and markedly shrink the palm contracture, which increased ROM. Also, lifestyle & dietary considerations are needed. Often DC is a 'hereditary' disorder, yet can be influenced and exacerbated by regular etoh consumption. Melanie Katin, L.Ac. Multiple Sclerosis Certified Specialist By Appointment: (212) 229-1220 Mobile: (917)-449-5038 http://www.melaniekatin.com<http://www.melaniekatin.com/> ___________________________ 19 West 21st Street Suite 904 New York, NY 10010 ___________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2008 Report Share Posted August 20, 2008 Morning Simon: I have Duputyrens and have found several approaches to helping it. As Melanie says, diet is very important. However, discovering and treating the primary cause is far more important. In my case it was a Bi syndrome with weak KI, SP and LU. I did find HT and PC points, especially the He-Sea points, to be very effective. However, I made the greatest strides with herbal therapy and proper TCM systemic treatment. Duputryens has a genetic component, effecting northern european/nordic types, but so what? This points to a common weakness and perhaps a similar response to the wrong diet. I have found dietary oils, like flaxseed, etc. to be helpful when tolerated. Seems like heavy grain diets exacerbate the heat within these individuals. Indirect moxa has also been helpful (with garlic or ginger), especially when acupoints LI 4, 11, DU - 14 and around the Jianji (paraspinal around DU-14) are active and properly responsive to heat. Yes this is recurrent, but I believe this is because of patient return to old habits! I use my hands a lot and traumatize them, but when it starts up, I kick myself and get back on track. Keep up the good work, Bill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2008 Report Share Posted August 21, 2008 Good afternoon Bill, You are both the patient and the doctor and I appreciate your insights. A diet that diminishes the heat would suggest fruits, vegetables, cooling herbs and teas perhaps. Anything else specifically besides the oils like flax? Did you use hand dips of one kind or another or hand massage? I don't follow the meaning of 'when acupoints are properly responsive to heat " I like the idea of using the he-sea points and I will let you know how it goes. All the best, Simon - William Morse, D.C., FIACA<dokkabill To: Chinese Medicine <Chinese Medicine\ @> Wednesday, August 20, 2008 10:18 AM Re: Dupuytrens contracture Morning Simon: I have Duputyrens and have found several approaches to helping it. As Melanie says, diet is very important. However, discovering and treating the primary cause is far more important. In my case it was a Bi syndrome with weak KI, SP and LU. I did find HT and PC points, especially the He-Sea points, to be very effective. However, I made the greatest strides with herbal therapy and proper TCM systemic treatment. Duputryens has a genetic component, effecting northern european/nordic types, but so what? This points to a common weakness and perhaps a similar response to the wrong diet. I have found dietary oils, like flaxseed, etc. to be helpful when tolerated. Seems like heavy grain diets exacerbate the heat within these individuals. Indirect moxa has also been helpful (with garlic or ginger), especially when acupoints LI 4, 11, DU - 14 and around the Jianji (paraspinal around DU-14) are active and properly responsive to heat. Yes this is recurrent, but I believe this is because of patient return to old habits! I use my hands a lot and traumatize them, but when it starts up, I kick myself and get back on track. Keep up the good work, Bill Quote Link to comment Share on other sites More sharing options...
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