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Jason -

 

I don't have any articles on this subject, and I know that it's

generally not kosher to suggest a formula for a western disease/

condition, but my teacher Dr. Shen was a fan of a standard formula

called Yi Gan San for the treatment of sleep bruxism/teeth grinding/

TMJ. Yi Gan San is traditionally used to course and soothe the Liver,

settle spasms, and quiet the spirit, and there is a good discussion of

it in Andy Ellis' book, " Notes from South Mountain " .

 

I found this formula to also be clinically superior for patients that

have problems winding down and falling asleep at night (what I call

" monkey mind " ) - and of course many of these " types " coincidentally

also grind their teeth at night, and complain of TMJ-related neck and

shoulder tension and headaches.

 

Another terrific thing about this Rx. is that it can be prescribed in

one dose just before bed, i.e. 2-4 caps 30 minutes before bed, and the

patient will have a good night's sleep, and over the course of several

days to weeks, the teeth grinding and TMJ symptoms typically subside.

 

I know that most TCM Practitioners will cringe at this comparison, but

the way this formula works reminds me of Xanax, without the habit-

forming/addictive side effects. For example, I also have given this Rx

(same dose as above) to patients who are afraid of flying, and it

helps to alleviate their anxiety, and help them sleep on the plane

without sedatives.

 

Hope this helps somewhat,

 

Ray Rubio, DAOM (FABORM)

 

 

On Dec 11, 2008, at 9:09 AM, wrote:

 

> Currently I have a few stubborn cases of sleep bruxism / teeth

> grinding. I

> was wondering if anyone has any good articles / discussions on this

> topic in

> either Chinese or English. Thanks,

>

> -Jason

>

>

>

>

> <http://maps./py/maps.py?Pyt=Tmap & addr=2600+30th+Street%2C+Suite+20

> 0 & csz=Boulder%2C+Co & country=us> 2600 30th Street, Suite 200

> Boulder, Co

> 80301

>

>

>

> <http://www.plaxo.com/signature?src=client_sig_212_1_simple_sig & lang=en

> >

> Want a signature like this?

>

>

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Just curious, is this the Rx you are referring to?

 

 

 

Angelica sinensis 366 mg, Glycyrrhiza glabra 60 mg, Ligusticum wallichii 366

mg, Bupleurum chinensis 610 mg, Poria cocos 366 mg, Uncaria rhynchophyllaL

366 mg, Atractylodes macrocephala 366 mg

 

 

 

-Jason

 

 

 

 

On Behalf Of Ray Rubio

Thursday, December 11, 2008 10:30 AM

 

Re: sleep bruxism

 

 

 

Jason -

 

I don't have any articles on this subject, and I know that it's

generally not kosher to suggest a formula for a western disease/

condition, but my teacher Dr. Shen was a fan of a standard formula

called Yi Gan San for the treatment of sleep bruxism/teeth grinding/

TMJ. Yi Gan San is traditionally used to course and soothe the Liver,

settle spasms, and quiet the spirit, and there is a good discussion of

it in Andy Ellis' book, " Notes from South Mountain " .

 

I found this formula to also be clinically superior for patients that

have problems winding down and falling asleep at night (what I call

" monkey mind " ) - and of course many of these " types " coincidentally

also grind their teeth at night, and complain of TMJ-related neck and

shoulder tension and headaches.

 

Another terrific thing about this Rx. is that it can be prescribed in

one dose just before bed, i.e. 2-4 caps 30 minutes before bed, and the

patient will have a good night's sleep, and over the course of several

days to weeks, the teeth grinding and TMJ symptoms typically subside.

 

I know that most TCM Practitioners will cringe at this comparison, but

the way this formula works reminds me of Xanax, without the habit-

forming/addictive side effects. For example, I also have given this Rx

(same dose as above) to patients who are afraid of flying, and it

helps to alleviate their anxiety, and help them sleep on the plane

without sedatives.

 

Hope this helps somewhat,

 

Ray Rubio, DAOM (FABORM)

 

On Dec 11, 2008, at 9:09 AM, wrote:

 

> Currently I have a few stubborn cases of sleep bruxism / teeth

> grinding. I

> was wondering if anyone has any good articles / discussions on this

> topic in

> either Chinese or English. Thanks,

>

> -Jason

>

>

>

>

> <http://maps./py/maps.py?Pyt=Tmap

<http://maps./py/maps.py?Pyt=Tmap & addr=2600+30th+Street%2C+Suite+20

> & addr=2600+30th+Street%2C+Suite+20

> 0 & csz=Boulder%2C+Co & country=us> 2600 30th Street, Suite 200

> Boulder, Co

> 80301

>

>

>

> <http://www.plaxo.com/signature?src=client_sig_212_1_simple_sig

<http://www.plaxo.com/signature?src=client_sig_212_1_simple_sig & lang=en>

& lang=en

> >

> Want a signature like this?

>

>

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Share on other sites

Yup.

 

Ray.

On Dec 11, 2008, at 10:11 AM, wrote:

 

> Just curious, is this the Rx you are referring to?

>

> Angelica sinensis 366 mg, Glycyrrhiza glabra 60 mg, Ligusticum

> wallichii 366

> mg, Bupleurum chinensis 610 mg, Poria cocos 366 mg, Uncaria

> rhynchophyllaL

> 366 mg, Atractylodes macrocephala 366 mg

>

> -Jason

>

>

> On Behalf Of Ray Rubio

> Thursday, December 11, 2008 10:30 AM

>

> Re: sleep bruxism

>

> Jason -

>

> I don't have any articles on this subject, and I know that it's

> generally not kosher to suggest a formula for a western disease/

> condition, but my teacher Dr. Shen was a fan of a standard formula

> called Yi Gan San for the treatment of sleep bruxism/teeth grinding/

> TMJ. Yi Gan San is traditionally used to course and soothe the Liver,

> settle spasms, and quiet the spirit, and there is a good discussion of

> it in Andy Ellis' book, " Notes from South Mountain " .

>

> I found this formula to also be clinically superior for patients that

> have problems winding down and falling asleep at night (what I call

> " monkey mind " ) - and of course many of these " types " coincidentally

> also grind their teeth at night, and complain of TMJ-related neck and

> shoulder tension and headaches.

>

> Another terrific thing about this Rx. is that it can be prescribed in

> one dose just before bed, i.e. 2-4 caps 30 minutes before bed, and the

> patient will have a good night's sleep, and over the course of several

> days to weeks, the teeth grinding and TMJ symptoms typically subside.

>

> I know that most TCM Practitioners will cringe at this comparison, but

> the way this formula works reminds me of Xanax, without the habit-

> forming/addictive side effects. For example, I also have given this Rx

> (same dose as above) to patients who are afraid of flying, and it

> helps to alleviate their anxiety, and help them sleep on the plane

> without sedatives.

>

> Hope this helps somewhat,

>

> Ray Rubio, DAOM (FABORM)

>

> On Dec 11, 2008, at 9:09 AM, wrote:

>

> > Currently I have a few stubborn cases of sleep bruxism / teeth

> > grinding. I

> > was wondering if anyone has any good articles / discussions on this

> > topic in

> > either Chinese or English. Thanks,

> >

> > -Jason

> >

> >

> >

> >

> > <http://maps./py/maps.py?Pyt=Tmap

> <http://maps./py/maps.py?Pyt=Tmap & addr=2600+30th+Street%2C+Suite+20

> > & addr=2600+30th+Street%2C+Suite+20

> > 0 & csz=Boulder%2C+Co & country=us> 2600 30th Street, Suite 200

> > Boulder, Co

> > 80301

> >

> >

> >

> > <http://www.plaxo.com/signature?src=client_sig_212_1_simple_sig

> <http://www.plaxo.com/signature?src=client_sig_212_1_simple_sig & lang=en

> >

> & lang=en

> > >

> > Want a signature like this?

> >

> >

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You probably have tried this but I'm a big fan of Stomach 6 and then

additionally GB 8 in later treatments. It's clearly Liver Qi

stagnation at the root, of course.

What makes your cases stubborn do you think? (Besides the fact they

aren't getting better)

Doug

 

 

, " "

wrote:

>

> Currently I have a few stubborn cases of sleep bruxism / teeth

grinding. I

> was wondering if anyone has any good articles / discussions on this

topic in

> either Chinese or English. Thanks,

>

>

>

> -Jason

>

>

>

>

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Jason, just curious if the palpations results showed the same signs that Jason

Robertson was suggesting??

Jack

 

 

 

Jack Schaefer

Mountain West Wellness

Louisville, CO

 

Please note: message attached

 

 

 

__________

Save $15 on Flowers and Gifts from FTD!

Shop now at http://offers.juno.com/TGL1141/?u=http://www.ftd.com/17007

 

 

 

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Currently I have a few stubborn cases of sleep bruxism / teeth grinding. I

was wondering if anyone has any good articles / discussions on this topic in

either Chinese or English. Thanks,

 

 

 

-Jason

 

 

 

 

 

 

 

 

 

 

 

 

<http://maps./py/maps.py?Pyt=Tmap & addr=2600+30th+Street%2C+Suite+20

0 & csz=Boulder%2C+Co & country=us> 2600 30th Street, Suite 200

Boulder, Co

80301

 

 

 

 

 

<http://www.plaxo.com/signature?src=client_sig_212_1_simple_sig & lang=en>

Want a signature like this?

 

 

 

 

 

 

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Re sleep bruxism,

 

I am a fan of powdered magnesium ( " Natural Calm " ) taken before bed. It

really helps sleep and reduces or eliminates teeth grinding and

clenching. My dentist turned me on to it. Lots of patients love it.

 

Molly Greacen, Boulder

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, " " wrote:

>

> Currently I have a few stubborn cases of sleep bruxism / teeth grinding. I

> was wondering if anyone has any good articles / discussions on this topic in

> either Chinese or English. Thanks,

>

>

>

> -Jason

>

>

> Hi there,

 

Here is a case from a Dr. Yue Mei Zhong that is interesting. I can send you the

Chinese

version if you like.

 

Sharon

 

www.whitepinehealingarts.com

 

 

>

Mr. Song was 25 and his father came to see me on February 22, 1974. He told me

that his

son's main complaint was that every night when he went to sleep his upper and

lower

teeth would come into contact with each other and grind loudly. It could be

heard outside

even. His room mates often wake up with a start. It is especially hard for the

people

around him. He asked me if Chinese herbs might be able to help. I told him

that this kind

of thing is not mentioned in the classical text nor had I ever had any

experience with it.

All we could do was to rely on the 4 examinations and try!

 

Check up: Touching the pulse was slippery. Looking his body was stout and

robust and

his complexion was bright and shiney.

 

Differential diagnosis: This was a case of phlegm fluids being stored in the

middle jiao.

The foot Yang Ming vessel enters into the teeth. Phlegm obstructed the channels

and

collaterals. Stasis was hindering the Qi mechanism and brought about the tooth

grinding.

 

Treatment method: Er Chen Tang with Jaio He Ye to dry damp and tranform phlegm.

 

Formula:

Fa Ban Xia 10

Yun Fu Ling 10

Hua Ju Hong 10

Zhi Gan Cao 6

Jiao He Ye 10

 

10 packages

 

After 5 packages of these herbs the tooth grinding had decreased. After

completing the

10 packages, his room mates no longer heard the sound. I gave him several more

packages to consolidate the result.

 

Discussion: The problem of tooth grinding is often seen in children with

parasites. This

case of an adult with tooth grinding is very rare to see. Chinese medicine

stresses the role

of phlegm in disease and says that " 100 diseases are caused by phlegm " and

" strange

diseases are caused by phlegm " . In this case the tooth grinding was influenced

by phlegm

infiltrating the middle jiao so I gave him Er Chen Tang and it rapidly had the

intended

effect. The Ju Fang states the the Ban Xia and Chen Pi of Er Chen Tang are

" Chen " or old

and therefore do not have the drawback of being excessively drying. The

function of Ban

Xia is to dry damp and transform phlegm as well as to harmonize the Stomach and

stop

vomiting. It also disperses glomus and scatters knotting. When the Qi

mechanism is not

flowing smoothly, phlegm gathers. Phlegm gathering in turn obstructs the Qi

mechanism.

So, I used Ju Hong to rectify the Qi and transform phlegm. It enables the Qi to

flow along

properly so the phlegm can descend. Phlegm is generated from dampness and

without

dampness there is no phlegm. Therefore Fu Ling is used to fortify the Spleen

and leach

dampness. Gan Cao harmonizes the Spleen and supplements the middle. It helps

the

movement in the middle area so that it is easy to transform dampness and phlegm

by

itself is easy to clear. I added jiao He Ye which has the function of

fortifying the Spleen

and dispelling damp. It is able to decrease weight. This is the herbal method

of the Song

dynasty doctor Zhu Dan-Xi. Altogether this formula has the effect of drying

dampness,

transforming phlegm, rectifying the Qi and harmonizing the middle.

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