Shingles: West vs East - We win again!

[Guest guest]

I have seen a modified Long Dan Shie Gan Tang used in similar cases, but perhaps

with more DH signs.

 

Eugene Kokorin

LAc

 

" All things are ready if your minds be so. " King Henry V

 

 

 

 

________________________________

" William Morse, D.C., FIACA " <drbill1325

Chinese Medicine

Tuesday, June 2, 2009 2:24:19 PM

Shingles: West vs East - We win again!

 

 

 

 

 

Here's an interesting case: 47 y.o female with sudden onset (5 days prior)of

severe rash along the course of nerves T5 & 6 on the right, beginning

posteriorly and progressing to the sternum. Has a recent history of emotional

and physical trauma (work/finance and moving rocks and digging holes!).

 

She sought massage for what she thought was " a rib out " after the gardening

workout, which precipitated the first lesion along the back. Went to her local

medic after rash had fully developed, was given antivural meds and opiate

derivatives to no effect for her " shingles " .

 

On presentation she was in observable distress, with extensive hot red bumps

(red, non-weeping papules) from the spine to the sternum along the course of T5

and 6 on the right and extension from the armpit to the proximal 1/3 of the

brachium. Tongue moss was thin, white with redness beneath and a significant

central fissure. Pulse was rapid, mid level and evidenced spleen. Her demeanor

was mildly agitated, breathing was good with no obvious breath smells.

 

Working diagnosis: Heat Bi Synd, with blood heat, stagnation.

 

Having seen similar cases before (usually liver stagnated though), I immediately

began to remove heat from the blood with LI 4,11 and SP 10, adding ST 36, P 6

and GV 20 to complete her personal foumula. I also treated ashi regions of the

site of onset (the " Mother Ship " , she called it), especially the jiaji

paraspinally near the outbreak.

 

Response was immediate in relaxation and pain relief during treatment. She had

her first good night's sleep in 5 days. Lesions have not decreases to her

knowing by this morning, but she is very happy today.

 

I have heard Fu Zi Li Zhong Wan formula to be beneficial here. It is an inernal

warming formula and I was thinking of not going that way.

 

Any suggestions?

 

 

 

 

 

 

 

 

[Guest guest]

I have found that the acupuncture to include 7 star is very effective for

shingles....I usually work the nerve pathway from the spine. Also the

application of St. Johns Wort oil topically (or a politice of fresh herb) is

very effective in calming down the nerve pain. Internally I would look for

anything from an antiviral type of formula (chuan xin Lian pian) from a more

western approach or damp heat bi such as si miao wan...personally, though I hate

taking the western approach I usually go with the Chuan xin Lian....

 

Be well,

Bob

Robert Linde, AP, RH

Professional Herbalists Training Program

Acupuncture & Herbal Therapies

901 Central Ave

St. Petersburg, FL 33705

www.acuherbals.com

727-551-0857

 

--- On Tue, 6/2/09, William Morse, D.C., FIACA <drbill1325 wrote:

 

 

William Morse, D.C., FIACA <drbill1325

Shingles: West vs East - We win again!

Chinese Medicine

Tuesday, June 2, 2009, 5:24 PM

 

 

 

 

 

 

 

 

Here's an interesting case: 47 y.o female with sudden onset (5 days prior)of

severe rash along the course of nerves T5 & 6 on the right, beginning

posteriorly and progressing to the sternum. Has a recent history of emotional

and physical trauma (work/finance and moving rocks and digging holes!).

 

She sought massage for what she thought was " a rib out " after the gardening

workout, which precipitated the first lesion along the back. Went to her local

medic after rash had fully developed, was given antivural meds and opiate

derivatives to no effect for her " shingles " .

 

On presentation she was in observable distress, with extensive hot red bumps

(red, non-weeping papules) from the spine to the sternum along the course of T5

and 6 on the right and extension from the armpit to the proximal 1/3 of the

brachium. Tongue moss was thin, white with redness beneath and a significant

central fissure. Pulse was rapid, mid level and evidenced spleen. Her demeanor

was mildly agitated, breathing was good with no obvious breath smells.

 

Working diagnosis: Heat Bi Synd, with blood heat, stagnation.

 

Having seen similar cases before (usually liver stagnated though), I immediately

began to remove heat from the blood with LI 4,11 and SP 10, adding ST 36, P 6

and GV 20 to complete her personal foumula. I also treated ashi regions of the

site of onset (the " Mother Ship " , she called it), especially the jiaji

paraspinally near the outbreak.

 

Response was immediate in relaxation and pain relief during treatment. She had

her first good night's sleep in 5 days. Lesions have not decreases to her

knowing by this morning, but she is very happy today.

 

I have heard Fu Zi Li Zhong Wan formula to be beneficial here. It is an inernal

warming formula and I was thinking of not going that way.

 

Any suggestions?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[Guest guest]

I've heard suan zao ren is very effective for shingles generally. I'm just

a student though.

 

 

 

 

-

" William Morse, D.C., FIACA " <drbill1325

<Chinese Medicine >

Tuesday, June 02, 2009 2:24 PM

Shingles: West vs East - We win again!

 

 

> Here's an interesting case: 47 y.o female with sudden onset (5 days

> prior)of severe rash along the course of nerves T5 & 6 on the right,

> beginning posteriorly and progressing to the sternum. Has a recent

> history of emotional and physical trauma (work/finance and moving rocks

> and digging holes!).

>

> She sought massage for what she thought was " a rib out " after the

> gardening workout, which precipitated the first lesion along the back.

> Went to her local medic after rash had fully developed, was given

> antivural meds and opiate derivatives to no effect for her " shingles " .

>

> On presentation she was in observable distress, with extensive hot red

> bumps (red, non-weeping papules) from the spine to the sternum along the

> course of T5 and 6 on the right and extension from the armpit to the

> proximal 1/3 of the brachium. Tongue moss was thin, white with redness

> beneath and a significant central fissure. Pulse was rapid, mid level and

> evidenced spleen. Her demeanor was mildly agitated, breathing was good

> with no obvious breath smells.

>

> Working diagnosis: Heat Bi Synd, with blood heat, stagnation.

>

> Having seen similar cases before (usually liver stagnated though), I

> immediately began to remove heat from the blood with LI 4,11 and SP 10,

> adding ST 36, P 6 and GV 20 to complete her personal foumula. I also

> treated ashi regions of the site of onset (the " Mother Ship " , she called

> it), especially the jiaji paraspinally near the outbreak.

>

> Response was immediate in relaxation and pain relief during treatment.

> She had her first good night's sleep in 5 days. Lesions have not

> decreases to her knowing by this morning, but she is very happy today.

>

> I have heard Fu Zi Li Zhong Wan formula to be beneficial here. It is an

> inernal warming formula and I was thinking of not going that way.

>

> Any suggestions?

>

>

>

> ---

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