Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 The theory is clean up the terrain that supports the pathogen and the pathogen cannot survive. Pastuer said on his deadbed something about he was mistaken, the terrain is everything. So if the right herb is given, in theory, it will make the environment unable to support the life of pathogen. That being said, emotions play a big part in sinusitis, and contribute to the terrain. --- On Thu, 12/18/08, Nancy Corsaro <eastwestacup wrote: Nancy Corsaro <eastwestacup Chronic sinus fungal infection treatment Chinese Medicine Thursday, December 18, 2008, 10:29 AM Would I treat chronic sinus infections/congesti on due to fungus (per her ENT)any differently than treating the symptoms plus the underlying pattern? This is 30 year old female, overweight, poor eating habits, obviously lots of dampness and phlegm, Liver qi stagnation. She's had Western treatment (surgery, antibiotics) . Acu and patent herbal have helped sinus symptoms a lot. My question is if the underlying dampness and phlemg are treated, would that take care of the fungus? Or is there something else herbal/nutritional that I could do? As always, thanks for the help, and happy holidays to all. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 Hi. I had someone with chronic, severe sinus infections, that eventually were related to fungal infection, but nothing resolved it, not even experimental drugs. This patient was very overweight also. Indications were for big phlemg, damp accumulation, but patient was absolutely intolerable to chinese herbs (teas, patents etc.). Any herbs, in any amount would cause diarrhea, even a weak honeysuckle tea would trigger it. Patient did try to continue for a couple days, but was too uncomfortable. I feel some weight loss would help, and so did he, but not able to test that. What did help was acupressure more than acupuncture. LI4+20, and strong pressure even with elbow around the GB21, SJ15, SI13+14+15 area. Using drainage from side of face to under ear and down neck. and also some disperse, warm qikung over sinus area, which he could feel. During this the sinus pressure lessened and after patient would eliminate a copious amount of phlegm through nose, sometimes a few times a day. He would be better for a few days, and things would start to block up again. His wife learned how to do some of the massage, and after 8 or 10 visits or so, he stopped coming. He got a lot of relief from what we did, but imo it was just symptomatic. What experience does anyone else have with this kind of response to herbs? Thanks. --- On Thu, 12/18/08, Rissa Guest <rissaguest wrote: Rissa Guest <rissaguest Re: Chronic sinus fungal infection treatment Chinese Medicine Thursday, December 18, 2008, 1:43 PM The theory is clean up the terrain that supports the pathogen and the pathogen cannot survive. Pastuer said on his deadbed something about he was mistaken, the terrain is everything. So if the right herb is given, in theory, it will make the environment unable to support the life of pathogen. That being said, emotions play a big part in sinusitis, and contribute to the terrain. --- On Thu, 12/18/08, Nancy Corsaro <eastwestacup@ sbcglobal. net> wrote: Nancy Corsaro <eastwestacup@ sbcglobal. net> Chronic sinus fungal infection treatment Thursday, December 18, 2008, 10:29 AM Would I treat chronic sinus infections/congesti on due to fungus (per her ENT)any differently than treating the symptoms plus the underlying pattern? This is 30 year old female, overweight, poor eating habits, obviously lots of dampness and phlegm, Liver qi stagnation. She's had Western treatment (surgery, antibiotics) . Acu and patent herbal have helped sinus symptoms a lot. My question is if the underlying dampness and phlemg are treated, would that take care of the fungus? Or is there something else herbal/nutritional that I could do? As always, thanks for the help, and happy holidays to all. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 Hi. I had someone with chronic, severe sinus infections, that eventually were related to fungal infection, but nothing resolved it, not even experimental drugs. This patient was very overweight also. Indications were for big phlemg, damp accumulation, but patient was absolutely intolerable to chinese herbs (teas, patents etc.). Any herbs, in any amount would cause diarrhea, even a weak honeysuckle tea would trigger it. Patient did try to continue for a couple days, but was too uncomfortable. I feel some weight loss would help, and so did he, but not able to test that. What did help was acupressure more than acupuncture. LI4+20, and strong pressure even with elbow around the GB21, SJ15, SI13+14+15 area. Using drainage from side of face to under ear and down neck. and also some disperse, warm qikung over sinus area, which he could feel. During this the sinus pressure lessened and after patient would eliminate a copious amount of phlegm through nose, sometimes a few times a day. He would be better for a few days, and things would start to block up again. His wife learned how to do some of the massage, and after 8 or 10 visits or so, he stopped coming. He got a lot of relief from what we did, but imo it was just symptomatic. What experience does anyone else have with this kind of response to herbs? Thanks. --- On Thu, 12/18/08, Rissa Guest <rissaguest wrote: Rissa Guest <rissaguest Re: Chronic sinus fungal infection treatment Chinese Medicine Thursday, December 18, 2008, 1:43 PM The theory is clean up the terrain that supports the pathogen and the pathogen cannot survive. Pastuer said on his deadbed something about he was mistaken, the terrain is everything. So if the right herb is given, in theory, it will make the environment unable to support the life of pathogen. That being said, emotions play a big part in sinusitis, and contribute to the terrain. --- On Thu, 12/18/08, Nancy Corsaro <eastwestacup@ sbcglobal. net> wrote: Nancy Corsaro <eastwestacup@ sbcglobal. net> Chronic sinus fungal infection treatment Thursday, December 18, 2008, 10:29 AM Would I treat chronic sinus infections/congesti on due to fungus (per her ENT)any differently than treating the symptoms plus the underlying pattern? This is 30 year old female, overweight, poor eating habits, obviously lots of dampness and phlegm, Liver qi stagnation. She's had Western treatment (surgery, antibiotics) . Acu and patent herbal have helped sinus symptoms a lot. My question is if the underlying dampness and phlemg are treated, would that take care of the fungus? Or is there something else herbal/nutritional that I could do? As always, thanks for the help, and happy holidays to all. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 In my experience, this type of presentation (as well as most chronic sinus infections) responds exceptionally well to herbs. If your patient was getting easy diarrhea, my guess is the formula was incorrect. Many times one must base the prescription on something like shenlingbaizhusan (warming the Spleen) instead of trying to clear heat / toxin etc (e.g. jin yin hua). - Chinese Medicine Chinese Medicine On Behalf Of mystir Thursday, December 18, 2008 12:36 PM Chinese Medicine Re: Chronic sinus fungal infection treatment Hi. I had someone with chronic, severe sinus infections, that eventually were related to fungal infection, but nothing resolved it, not even experimental drugs. This patient was very overweight also. Indications were for big phlemg, damp accumulation, but patient was absolutely intolerable to chinese herbs (teas, patents etc.). Any herbs, in any amount would cause diarrhea, even a weak honeysuckle tea would trigger it. Patient did try to continue for a couple days, but was too uncomfortable. I feel some weight loss would help, and so did he, but not able to test that. What did help was acupressure more than acupuncture. LI4+20, and strong pressure even with elbow around the GB21, SJ15, SI13+14+15 area. Using drainage from side of face to under ear and down neck. and also some disperse, warm qikung over sinus area, which he could feel. During this the sinus pressure lessened and after patient would eliminate a copious amount of phlegm through nose, sometimes a few times a day. He would be better for a few days, and things would start to block up again. His wife learned how to do some of the massage, and after 8 or 10 visits or so, he stopped coming. He got a lot of relief from what we did, but imo it was just symptomatic. What experience does anyone else have with this kind of response to herbs? Thanks. --- On Thu, 12/18/08, Rissa Guest <rissaguest <rissaguest%40> > wrote: Rissa Guest <rissaguest <rissaguest%40> > Re: Chronic sinus fungal infection treatment Chinese Medicine <Chinese Medicine%40> Thursday, December 18, 2008, 1:43 PM The theory is clean up the terrain that supports the pathogen and the pathogen cannot survive. Pastuer said on his deadbed something about he was mistaken, the terrain is everything. So if the right herb is given, in theory, it will make the environment unable to support the life of pathogen. That being said, emotions play a big part in sinusitis, and contribute to the terrain. --- On Thu, 12/18/08, Nancy Corsaro <eastwestacup@ sbcglobal. net> wrote: Nancy Corsaro <eastwestacup@ sbcglobal. net> Chronic sinus fungal infection treatment Thursday, December 18, 2008, 10:29 AM Would I treat chronic sinus infections/congesti on due to fungus (per her ENT)any differently than treating the symptoms plus the underlying pattern? This is 30 year old female, overweight, poor eating habits, obviously lots of dampness and phlegm, Liver qi stagnation. She's had Western treatment (surgery, antibiotics) . Acu and patent herbal have helped sinus symptoms a lot. My question is if the underlying dampness and phlemg are treated, would that take care of the fungus? Or is there something else herbal/nutritional that I could do? As always, thanks for the help, and happy holidays to all. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 Hi Fran: " Any herbs, in any amount would cause diarrhea, even a weak honeysuckle tea would trigger it. " I was wondering, what do you mean by " any " ? honeysuckle is cold so I'm not surprised that a phlegm/deficient presentation would experience diarrhea as a reaction. On the other hand, he may have a lot of liver overacting on spleen, making him over sensitive to any strong flavour or action. The type of diarrhea may give an indication as to this. Otherwise, the herbal formula should be based on regulating therapy or warming the middle. Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.chinesemedicaltherapies.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 Hi Jason and Hugo. I was thinking I wasn't giving him the right formula, too. Diarrhea wasn't present before the herbs. The enormous amount of nasal mucous, white and sometimes greenish, that was impacted was the target. The man had to use one of those 'water-pic' devices every day to irrigate his sinuses. I tried Er Chen Tang, modified with Tian Nan Xin, Jie Geng, Zhi Shi, Hou Po, and Bai Zhu. But the diarrhea started, so we discontinued after trying variations of dosages, and eliminating ingredients. The honeysuckle I tried when the mucous/phlegm was greenish, I was thinking that would be gentle. Do you use Shen Ling Bai Zhu San when diarrhea isn't present? Any advice or criticism is humbly welcomed. Thanks. --- On Thu, 12/18/08, Hugo Ramiro <subincor wrote: Hugo Ramiro <subincor Re: Chronic sinus fungal infection treatment Chinese Medicine Thursday, December 18, 2008, 4:21 PM Hi Fran: " Any herbs, in any amount would cause diarrhea, even a weak honeysuckle tea would trigger it. " I was wondering, what do you mean by " any " ? honeysuckle is cold so I'm not surprised that a phlegm/deficient presentation would experience diarrhea as a reaction. On the other hand, he may have a lot of liver overacting on spleen, making him over sensitive to any strong flavour or action. The type of diarrhea may give an indication as to this. Otherwise, the herbal formula should be based on regulating therapy or warming the middle. Hugo ____________ _________ _________ __ Hugo Ramiro http://middlemedici ne.wordpress. com http://www.chinesem edicaltherapies. org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2008 Report Share Posted December 18, 2008 Jason et al: I am very interested in this thread, as it is coinciding with my reading of the article in the October JCM on the Attack and Drain School of Zhang Cong-zheng. In the technique of draining downward, which he used in cases of phlegm & damp, among others, the author Charles Buck reveals Zhang's use of Da Cheng Qi Tang, for example, in order to " allow tonification to take place...according to the maxim that 'removing the old allows for the new to flourish.' " Granted, in this case, the jin yin hua given to the patient was not intended to drain the xie qi downward, but could it be postulated that in fact this is what was occurring physiologically through the stool? If the patient had so much phlegm to transform and expel, what do we expect clinically to happen? I do agree that the treatment principle was perhaps not on the right track, as it did cause diarrhea, but I am curious what you or others may think. As an aside to the original poster, I have had patients who use a nasal irrigator use Huang Lian Jie Du Tang topically, by using the decocted tea instead of saline water. I've had success in shrinking sinus polyps in a patient scheduled for surgery, while others have reduced sinus pain. I used the same principle of using herbal enemas to soothe inflamed tissue on contact. Melanie Chinese Medicine , " " wrote: > > In my experience, this type of presentation (as well as most chronic sinus > infections) responds exceptionally well to herbs. If your patient was > getting easy diarrhea, my guess is the formula was incorrect. Many times one > must base the prescription on something like shenlingbaizhusan (warming the > Spleen) instead of trying to clear heat / toxin etc (e.g. jin yin hua). > > > > - > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2008 Report Share Posted December 19, 2008 Yes I have used SLBZS (modified) without diarrhea. It is actually a standard base formula for chronic sinusitis due to Spleen qi xu (as is BZYQT). Your formula easily could be too harsh and cause diarrhea. -Jason Chinese Medicine Chinese Medicine Do you use Shen Ling Bai Zhu San when diarrhea isn't present? Any advice or criticism is humbly welcomed. Thanks. --- On Thu, 12/18/08, Hugo Ramiro <subincor <subincor%40> > wrote: Hugo Ramiro <subincor <subincor%40> > Re: Chronic sinus fungal infection treatment Chinese Medicine <Chinese Medicine%40> Thursday, December 18, 2008, 4:21 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2008 Report Share Posted December 19, 2008 Chinese Medicine , " Nancy Corsaro " <eastwestacup wrote: > > Would I treat chronic sinus infections/congestion due to fungus (per > her ENT)any differently than treating the symptoms plus the underlying > pattern? Hi Nancy, everyone as well as nasal / sinus irrigations mentioned by a respondent here, there is also benefit in good ol' fashioned steam inhalations with certain essential oils... as well as the herbs, diet, acupressure/puncture and lymphatic drainage also described by others here. I agree there is often an emotional component - a potent mix of unexpressed anger and grief seems to predominate in many stubborn sinus conditions. Ingested herbs, diet etc will care for the terrain in general, but following the analogy, in this patient's sinuses there are a whole lot of weeds which need to be discouraged right at the site where they're growing. Essential oils are often an unexpectedly powerful and rapidly effective adjunct to treatment, containing a number of functionally active compounds which tincturing or processing plants into digestable form cannot provide. Several essential oils have marked broad-spectrum activity against a variety of 'bugs', including fungi... Tea Tree - Melaleuca alternifolia - is a star performer, and with the exception of some people with asthma, is very safe. Just make sure it's fresh, because older stock - with air in the bottle - will have oxidised, and become a potential irritant to skin and mucous membranes. Interestingly, many of the eoils from plants and trees native to Australia, have a natural therapeutic affinity for disorders of the tissues and organs of the Metal element. I'm assuming everybody knows how to do a steam inhalation safely, so I won't describe it.. 4 drops Tea Tree into the receptacle, with 4 inhalations a day, is a good place to begin. Be sure to keep the eyes closed, and not get so close to the steam that scalding occurs!! The heat of the steam may temporarily dilate capillaries in the nose, and temporarily increase the sense of congestion, after each session. If yellow or green mucous don't resolve after a week of this, then certain hard-core, not very pleasant e.oils will be needed. Contact your local clinical aromatherapist or email me off list, if you'd like to know more. The regime of regular inhalations will need to continue for some weeks, until the fungi have been eliminated. Hope this helps Blessings for the season Margi www.luminahealth.com.au Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2008 Report Share Posted December 19, 2008 Thanks Jason for your recommendations, I'll remember them. If you have time, could you break down in a little more detail, why the formula I gave was too harsh, and why it could have caused the diarrhea? I don't doubt you are right, I'm just not sure why. --- On Thu, 12/18/08, wrote: Yes I have used SLBZS (modified) without diarrhea. It is actually a standard base formula for chronic sinusitis due to Spleen qi xu (as is BZYQT). Your formula easily could be too harsh and cause diarrhea. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2008 Report Share Posted December 19, 2008 Margi, thanks. --- On Thu, 12/18/08, margi.macdonald <margi.macdonald wrote: (...as well as nasal / sinus irrigations mentioned by a respondent here, there is also benefit in good ol' fashioned steam inhalations with certain essential oils..) Good advice, the person was also using steam inhalator, but not essential oils. (...there is often an emotional component - a potent mix of unexpressed anger and grief seems to predominate in many stubborn sinus conditions.) Could be very true. The patient's previous wife committed suicide years before. But he had seemed to move on so well, I was not sure opening all that up was a good idea. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2008 Report Share Posted December 20, 2008 Chinese Medicine , mystir <ykcul_ritsym wrote: > > The patient's previous wife committed suicide years > before.� But he had seemed to move on so well, I was not sure opening > all that up was a good idea. > I still find this kind of thing is often the most difficult in our work... approaching the big pandora's box of past events in a patient's life... and knowing that it's a counsellor or psych who might be of most use... and in this case - in the context of a fungal infection in the sinuses - perhaps a tricky bridge to traverse initially! Maybe - one day - a couple of luo points on some yin channels, to gently release some old emotions... I think I remember this is explained by Peter Deadman in his big work on the acupoints. Margi Quote Link to comment Share on other sites More sharing options...
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