yin deficiency with concurrent dampness

[Guest guest]

Hi All,

 

I am currently treating a 56 year old female with severe dampness and

blood stagnation with concurrent yin deficiency. Her yin pulses are

very deep and weak, while her yang pulses are deep and slippery. Her

tongue is small, very dusky red with little coat and no coat on the

sides. Her lips are purple. She is very overweight, experiences

swelling in her hands and ankles, and has IBS. She is also having

typical menopausal sx such as hot flashes, night sweats and emotional

instability.

 

She is primarily concerned about the menopausal sx (though I think the

blood stagnation is most concerning).

 

Any suggestions on herbs that 1) can clear the damp without injuring the

yin, and 2) nourish the yin without adding to the damp stagnation?

 

 

Thanks!

Ariel

[Guest guest]

Ariel,

Ask if your patient has had painful menses in the past. . . it

would indicate blood stasis in the lesser abdomen.

 

One prescription that comes to mind (not that well known) from Jin Gui

Yao Lue is Dang gui shao yao san. . I've used it with success in

situations like this. .

 

 

On May 5, 2009, at 3:02 PM, Ariel Solomon, L.Ac. wrote:

 

>

>

> Hi All,

>

> I am currently treating a 56 year old female with severe dampness and

> blood stagnation with concurrent yin deficiency. Her yin pulses are

> very deep and weak, while her yang pulses are deep and slippery. Her

> tongue is small, very dusky red with little coat and no coat on the

> sides. Her lips are purple. She is very overweight, experiences

> swelling in her hands and ankles, and has IBS. She is also having

> typical menopausal sx such as hot flashes, night sweats and emotional

> instability.

>

> She is primarily concerned about the menopausal sx (though I think the

> blood stagnation is most concerning).

>

> Any suggestions on herbs that 1) can clear the damp without injuring

> the

> yin, and 2) nourish the yin without adding to the damp stagnation?

>

> Thanks!

> Ariel

>

>

 

 

Chair, Department of Herbal Medicine

Pacific College of Oriental Medicine

San Diego, Ca. 92122

 

 

 

 

 

 

 

[Guest guest]

Ariel,

 

Two formulas from Zhang Zhong Jing:

 

How about *Gui zhi fu ling tang*?

 

Gui zhi, Fu ling,Tao ren, Mu dan pi, Chi shao/ Bai shao

 

1. move blood

2. transform dampness (regulate water )

3. support yin

 

 

or

 

*Zhu ling tang* modified?

 

Zhu ling, Fu ling, Ze xie, Hua shi, E jiao +

 

1. transform dampness (regulate water)

2. Nourish yin / clear def. heat

3. add Tao ren, Mu dan pi and/or Chi shao to move blood

 

 

 

 

On Tue, May 5, 2009 at 3:02 PM, Ariel Solomon, L.Ac. <

ariel wrote:

 

>

>

> Hi All,

>

> I am currently treating a 56 year old female with severe dampness and

> blood stagnation with concurrent yin deficiency. Her yin pulses are

> very deep and weak, while her yang pulses are deep and slippery. Her

> tongue is small, very dusky red with little coat and no coat on the

> sides. Her lips are purple. She is very overweight, experiences

> swelling in her hands and ankles, and has IBS. She is also having

> typical menopausal sx such as hot flashes, night sweats and emotional

> instability.

>

> She is primarily concerned about the menopausal sx (though I think the

> blood stagnation is most concerning).

>

> Any suggestions on herbs that 1) can clear the damp without injuring the

> yin, and 2) nourish the yin without adding to the damp stagnation?

>

> Thanks!

> Ariel

>

>

>

 

 

 

--

 

Turtle Island Integrative Health

 

 

TCM Review director

CA State Board Prep Courses

www.tcmreview.com

 

 

 

[Guest guest]

Sharon Weizenbaum talks about this a lot. She says to use chalky herbs like fu

ling, yi yi ren, shan yao, ze xie etc. to increase the absorptive capacity of

the KD. Excess damp needs to be absorbed in order to make yin fluids. Hope this

helps... Candace

 

 

 

Chinese Medicine , " Ariel Solomon, L.Ac. "

<ariel wrote:

>

> Hi All,

>

> I am currently treating a 56 year old female with severe dampness and

> blood stagnation with concurrent yin deficiency. Her yin pulses are

> very deep and weak, while her yang pulses are deep and slippery. Her

> tongue is small, very dusky red with little coat and no coat on the

> sides. Her lips are purple. She is very overweight, experiences

> swelling in her hands and ankles, and has IBS. She is also having

> typical menopausal sx such as hot flashes, night sweats and emotional

> instability.

>

> She is primarily concerned about the menopausal sx (though I think the

> blood stagnation is most concerning).

>

> Any suggestions on herbs that 1) can clear the damp without injuring the

> yin, and 2) nourish the yin without adding to the damp stagnation?

>

>

> Thanks!

> Ariel

>

[Guest guest]

Ariel wrote

 

I am currently treating a 56 year old female with severe dampness and

blood stagnation with concurrent yin deficiency. Her yin pulses are

very deep and weak, while her yang pulses are deep and slippery. Her

tongue is small, very dusky red with little coat and no coat on the

sides. Her lips are purple. She is very overweight, experiences

swelling in her hands and ankles, and has IBS. She is also having

typical menopausal sx such as hot flashes, night sweats and emotional

instability.

 

She is primarily concerned about the menopausal sx (though I think the

blood stagnation is most concerning).

 

Any suggestions on herbs that 1) can clear the damp without injuring the

yin, and 2) nourish the yin without adding to the damp stagnation?

 

Thanks!

Ariel

 

Hi Ariel,

 

It would be important to to me to know if the edema was pitting or not

AND it would be important to know if she was peeing a lot, normally or

not enough.

 

This question is a really good one because in a sense, there are

paradoxical manifestations and they are very common. I once

translated a case that is very similar to this one by Qin Bo Wei.

This is in the form of an article that was published in the Lantern a

couple of years ago. I posted it in the files section of this forum

for you. (Spleen and Stomach Yin Xu.pdf) I think it explains the

principles you can use for treating this. It will also show you how

important it is to ask about urination.

 

 

 

In my own way of thinking about this (influenced by Qin Bo Wei here)is

that when the Yin is deficient, this can mean that the body looses

it's capacity to absorb fluids into a physiological relationship.

Instead, the fluids gather. In treatment it is very important to help

increase the Yin in a way that increases the absorptive capacity of

the Kidneys. This way, pathological dampness can be reabsorbed and

become physiological Yin.

 

One thing the article does not address is the blood stasis aspect of

your patient's presentation. This is very important to address within

the formula.

 

When the blood is static and thick - as it often is with real Yin

deficiency, this also can lead to the accumulation of dampness and a

lack of absorbing ability. Improving the quality of the blood is

really important.

 

I see varieties of this pattern (especially with the blood stasis you

are talking about) a lot in the clinic, especially with type 2

diabetes, syndrome x and hypertension type patients. When you have

some principles for understanding and treating this, it can make a

huge difference in the clinic for these complex and difficult patients.

 

If this seems unclear to you, feel free to ask me questions,

 

Best

 

Sharon

 

 

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

www.whitepinehealingarts.com

sweiz

 

 

 

 

 

 

 

[Guest guest]

I posted it in the files section of this forum

> for you. (Spleen and Stomach Yin Xu.pdf) I think it explains the

> principles you can use for treating this.

 

THis is very important, but I was not able to find the article. I looked in the

files section. Would anybody guide me how to find it.

Thanks,

Edita