Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 a new patient is presenting with a lymphoma of the skin. she did not know the name (will not sign a records release, but said she would get a copy of the pathology report for me). based on the presentation, i'm thnking it might be *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of the immune system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most non-Hodgkin's lymphomas (which are generally B-cell related), CTCL is caused by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the body are pushed to the surface of the skin <http://en.wikipedia.org/wiki/Skin> in a biological process used to rid the body of offending material, causing various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on the skin. These lesions change shape as the disease progresses, typically beginning as what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and eventually forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other parts of the body. it began as an atopic rash. she's had 2 legions biopsied. what she's pointing out as the legions are subtle papules, maybe 5mm, pale coloration. there are a few on various places on her calves. her skin tone is pale with a multitude of pale tan macules, 1-2cm which i interpret as qi/xue stag in the cutaneous regions. T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her discription) and talkative, insomnia assoc c stress. many other s/s, including chronic bi (back, joints, arthritis) rosacea (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, nails, shi life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet allergies: red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. goiter no longer present 12/08 exam. i have several derm books and the mgmt of CA in TCM, but cannot find any references to this condition. i'm giving an indiv. gran herb rx. am primarily looking for formula references. wondering if anyone can provide tx suggestions on this, esp herb, or direct me to tcm reference material? i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is playing a role, as the sx appeared upon onset of an itchy, atopic rash that appeared after dry brushing her skin (uncertain whether the dry brushing is playing a role here). the rash imp with the use of a steroid creme. the rash appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. appreciate whatever you can offer -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com Greenlife Grocery - Asheville, NC and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 I would be hesitant to treat one that will not share with you her health history, mostly from a legal standpoint. Please consider this a red flag. Michael W. Bowser, DC, LAc alumni CC: Chinese Traditional Medicine ; aculynn acukath Wed, 3 Jun 2009 20:08:57 -0400 TCM tx strategies: cutaneoous lymphoma? a new patient is presenting with a lymphoma of the skin. she did not know the name (will not sign a records release, but said she would get a copy of the pathology report for me). based on the presentation, i'm thnking it might be *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of the immune system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most non-Hodgkin's lymphomas (which are generally B-cell related), CTCL is caused by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the body are pushed to the surface of the skin <http://en.wikipedia.org/wiki/Skin> in a biological process used to rid the body of offending material, causing various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on the skin. These lesions change shape as the disease progresses, typically beginning as what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and eventually forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other parts of the body. it began as an atopic rash. she's had 2 legions biopsied. what she's pointing out as the legions are subtle papules, maybe 5mm, pale coloration. there are a few on various places on her calves. her skin tone is pale with a multitude of pale tan macules, 1-2cm which i interpret as qi/xue stag in the cutaneous regions. T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her discription) and talkative, insomnia assoc c stress. many other s/s, including chronic bi (back, joints, arthritis) rosacea (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, nails, shi life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet allergies: red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. goiter no longer present 12/08 exam. i have several derm books and the mgmt of CA in TCM, but cannot find any references to this condition. i'm giving an indiv. gran herb rx. am primarily looking for formula references. wondering if anyone can provide tx suggestions on this, esp herb, or direct me to tcm reference material? i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is playing a role, as the sx appeared upon onset of an itchy, atopic rash that appeared after dry brushing her skin (uncertain whether the dry brushing is playing a role here). the rash imp with the use of a steroid creme. the rash appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. appreciate whatever you can offer -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com Greenlife Grocery - Asheville, NC and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 HI Mike, Kath (I think) and all: --Mike- I would be hesitant to treat one that will not share with you her health history, mostly from a legal standpoint. Please consider this a red flag. --- I second Mike's idea plus a slightly different spin too: Make sure she has a clear, sane, no-hidden-motivations reason behind her decision, because she could be one of these patients with serious trust issues who will blockade you at every crucial step because they " need to know and understand (exactly) what is going on " . This could put you in jeopardy, especially if the patient manages to bind you up and make you paint yourself into a corner (i.e. because of the confusion you didn't refer out when you should have), and then *you* get saddled with the accusation of delaying / obstructing proper care. Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.chinesemedicaltherapies.org ________________________________ mike Bowser <naturaldoc1 Chinese Traditional Medicine ; alumni Wednesday, 3 June, 2009 22:47:40 RE: TCM tx strategies: cutaneoous lymphoma? Michael W. Bowser, DC, LAc alumni CC: Chinese Traditional Medicine ; aculynn acukath Wed, 3 Jun 2009 20:08:57 -0400 TCM tx strategies: cutaneoous lymphoma? a new patient is presenting with a lymphoma of the skin. she did not know the name (will not sign a records release, but said she would get a copy of the pathology report for me). based on the presentation, i'm thnking it might be *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of the immune system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most non-Hodgkin's lymphomas (which are generally B-cell related), CTCL is caused by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the body are pushed to the surface of the skin <http://en.wikipedia.org/wiki/Skin> in a biological process used to rid the body of offending material, causing various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on the skin. These lesions change shape as the disease progresses, typically beginning as what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and eventually forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other parts of the body. it began as an atopic rash. she's had 2 legions biopsied. what she's pointing out as the legions are subtle papules, maybe 5mm, pale coloration. there are a few on various places on her calves. her skin tone is pale with a multitude of pale tan macules, 1-2cm which i interpret as qi/xue stag in the cutaneous regions. T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her discription) and talkative, insomnia assoc c stress. many other s/s, including chronic bi (back, joints, arthritis) rosacea (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, nails, shi life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet allergies: red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. goiter no longer present 12/08 exam. i have several derm books and the mgmt of CA in TCM, but cannot find any references to this condition. i'm giving an indiv. gran herb rx. am primarily looking for formula references. wondering if anyone can provide tx suggestions on this, esp herb, or direct me to tcm reference material? i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is playing a role, as the sx appeared upon onset of an itchy, atopic rash that appeared after dry brushing her skin (uncertain whether the dry brushing is playing a role here). the rash imp with the use of a steroid creme. the rash appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. appreciate whatever you can offer -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com Greenlife Grocery - Asheville, NC and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 And I am sorry to add that cancer has a bit of a legal mess/ ramifications. I would protect yourself in this case. Get a definite diagnosis from a western MD before proceeding and a letter from his office acknowledging that you are seeing his/her patient. Anne Biris On Jun 3, 2009, at 11:02 PM, Hugo Ramiro wrote: > > > HI Mike, Kath (I think) and all: > > --Mike- > I would be hesitant to treat one that will not share with you her > health history, mostly from a legal standpoint. Please consider this a > red flag. > --- > > I second Mike's idea plus a slightly different spin too: Make sure > she has a clear, sane, no-hidden-motivations reason behind her > decision, because she could be one of these patients with serious > trust issues who will blockade you at every crucial step because > they " need to know and understand (exactly) what is going on " . This > could put you in jeopardy, especially if the patient manages to bind > you up and make you paint yourself into a corner (i.e. because of > the confusion you didn't refer out when you should have), and then > *you* get saddled with the accusation of delaying / obstructing > proper care. > > Hugo > > ________________________________ > Hugo Ramiro > http://middlemedicine.wordpress.com > http://www.chinesemedicaltherapies.org > > ________________________________ > mike Bowser <naturaldoc1 > Chinese Traditional Medicine ; alumni > Wednesday, 3 June, 2009 22:47:40 > RE: TCM tx strategies: cutaneoous lymphoma? > > Michael W. Bowser, DC, LAc > > alumni > CC: Chinese Traditional Medicine ; > aculynn > acukath > Wed, 3 Jun 2009 20:08:57 -0400 > TCM tx strategies: cutaneoous lymphoma? > > a new patient is presenting with a lymphoma of the skin. she did not > know > > the name (will not sign a records release, but said she would get a > copy of > > the pathology report for me). based on the presentation, i'm thnking > it > > might be > > *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > > lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > > which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of > the immune > > system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > > non-Hodgkin's lymphomas (which are generally B-cell related), CTCL > is caused > > by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The > > malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the > body are > > pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > Skin> in a > > biological process used to rid the body of offending material, causing > > various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on > the skin. > > These lesions change shape as the disease progresses, typically > beginning as > > what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and > eventually > > forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before > > metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > parts of > > the body. > > it began as an atopic rash. she's had 2 legions biopsied. what she's > > pointing out as the legions are subtle papules, maybe 5mm, pale > > coloration. there are a few on various places on her calves. her skin > > tone is pale with a multitude of pale tan macules, 1-2cm which i > interpret > > as qi/xue stag in the cutaneous regions. > > T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > > 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her > > discription) and talkative, insomnia assoc c stress. > > many other s/s, including chronic bi (back, joints, arthritis) rosacea > > (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > nails, shi > > life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > allergies: > > red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). > > hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > goiter no > > longer present 12/08 exam. > > i have several derm books and the mgmt of CA in TCM, but cannot find > any > > references to this condition. i'm giving an indiv. gran herb rx. am > > primarily looking for formula references. wondering if anyone can > provide > > tx suggestions on this, esp herb, or direct me to tcm reference > material? > > i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is > playing a > > role, as the sx appeared upon onset of an itchy, atopic rash that > appeared > > after dry brushing her skin (uncertain whether the dry brushing is > playing a > > role here). the rash imp with the use of a steroid creme. the rash > > appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. > > appreciate whatever you can offer > > -- > > > > Oriental Medicine > > Experienced, Dedicated, Effective > > Kath's Blog about , Healthy Living & Spirituality: > > http://acukath.blogspot.com/ > > Flying Dragon Liniment: Effective pain relief for muscles & joints > > Formulated by Kath Bartlett, Traditional Chinese Herbalist > > Available at Asheville Center for : > > www.FlyingDragonLiniment.com > > Greenlife Grocery - Asheville, NC > > and from the following supply companies: > > Kamwo Herbal Pharmacy: NY - Chinatown > > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > Asheville Center For > > 70 Woodfin Place, Suite West Wing Two > > Asheville, NC 28801 828.258.2777 > > kbartlett > > www.AcupunctureAsheville.com > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 I agree with Michael. As intriguing and challenging a presentation this is, personal info seems a bit short and slim. Could be a setup, could be anything. If in our profession where all the particulars of the patients' experience are absolutely confidential, esp in my state, well, the personal story seems lacking or vague. And the person must be present;, don't step outside looking for purely diagnostic clues; where are the eyes, and the voice? What is your real story miss?  Sure, there are the stories of coutesans just displaying their wrist for pulse diagnosis, without dialog with a lowly doctor. If you are not an absolute master genius, which I wish I was, a little more personal info would help greatly. If they want us on their side, be on our side, too. Thanks l --- On Wed, 6/3/09, mike Bowser <naturaldoc1 wrote: mike Bowser <naturaldoc1 RE: TCM tx strategies: cutaneoous lymphoma? Chinese Traditional Medicine , alumni Wednesday, June 3, 2009, 10:47 PM I would be hesitant to treat one that will not share with you her health history, mostly from a legal standpoint. Please consider this a red flag. Michael W. Bowser, DC, LAc alumni CC: Chinese Traditional Medicine ; aculynn acukath Wed, 3 Jun 2009 20:08:57 -0400 TCM - TCM tx strategies: cutaneoous lymphoma?                     a new patient is presenting with a lymphoma of the skin. she did not know the name (will not sign a records release, but said she would get a copy of the pathology report for me). based on the presentation, i'm thnking it might be *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of the immune system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most non-Hodgkin's lymphomas (which are generally B-cell related), CTCL is caused by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the body are pushed to the surface of the skin <http://en.wikipedia.org/wiki/Skin> in a biological process used to rid the body of offending material, causing various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on the skin. These lesions change shape as the disease progresses, typically beginning as what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and eventually forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other parts of the body. it began as an atopic rash. she's had 2 legions biopsied. what she's pointing out as the legions are subtle papules, maybe 5mm, pale coloration.   there are a few on various places on her calves. her skin tone is pale with a multitude of pale tan macules, 1-2cm which i interpret as qi/xue stag in the cutaneous regions. T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her discription) and talkative, insomnia assoc c stress. many other s/s, including chronic bi (back, joints, arthritis) rosacea (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, nails, shi life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet allergies: red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. goiter no longer present 12/08 exam. i have several derm books and the mgmt of CA in TCM, but cannot find any references to this condition. i'm giving an indiv. gran herb rx. am primarily looking for formula references. wondering if anyone can provide tx suggestions on this, esp herb, or direct me to tcm reference material? i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is playing a role, as the sx appeared upon onset of an itchy, atopic rash that appeared after dry brushing her skin (uncertain whether the dry brushing is playing a role here). the rash imp with the use of a steroid creme. the rash appeared 8/08 - 10/08.   the lymphoma was dx 2 weeks ago with a biopsy. appreciate whatever you can offer -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com Greenlife Grocery - Asheville, NC and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801    828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 i appreciate your concern and the legal heads up. when i saw her tues. she said she would get the pathology report and tell the doc she wanted it for me (tcm tx). it sounds like the concern is coming from a fear of the doctor's reaction that she was pursuing other care outside his office. i see this, esp. with CA patients: patients honestly fear that requesting records and questioning the doc will ruffle the doc's feathers and compromise their care. as i mentioned, this one has significant anxiety issues, so this fear is magnified in her case. i'm trying to talk her down and get her to realize that the doc is a prof, but i find this neurosis to be a mentality that is difficult to change. k On Wed, Jun 3, 2009 at 11:17 PM, Anne Biris <lotuskarma wrote: > And I am sorry to add that cancer has a bit of a legal mess/ > ramifications. I would protect yourself in this case. Get a definite > diagnosis from a western MD before proceeding and a letter from his > office acknowledging that you are seeing his/her patient. > > Anne Biris > > On Jun 3, 2009, at 11:02 PM, Hugo Ramiro wrote: > > > > > > > HI Mike, Kath (I think) and all: > > > > --Mike- > > I would be hesitant to treat one that will not share with you her > > health history, mostly from a legal standpoint. Please consider this a > > red flag. > > --- > > > > I second Mike's idea plus a slightly different spin too: Make sure > > she has a clear, sane, no-hidden-motivations reason behind her > > decision, because she could be one of these patients with serious > > trust issues who will blockade you at every crucial step because > > they " need to know and understand (exactly) what is going on " . This > > could put you in jeopardy, especially if the patient manages to bind > > you up and make you paint yourself into a corner (i.e. because of > > the confusion you didn't refer out when you should have), and then > > *you* get saddled with the accusation of delaying / obstructing > > proper care. > > > > Hugo > > > > ________________________________ > > Hugo Ramiro > > http://middlemedicine.wordpress.com > > http://www.chinesemedicaltherapies.org > > > > ________________________________ > > mike Bowser <naturaldoc1 > > Chinese Traditional Medicine ; > alumni > > Wednesday, 3 June, 2009 22:47:40 > > RE: TCM tx strategies: cutaneoous lymphoma? > > > > Michael W. Bowser, DC, LAc > > > > alumni > > CC: Chinese Traditional Medicine ; > > aculynn > > acukath > > Wed, 3 Jun 2009 20:08:57 -0400 > > TCM tx strategies: cutaneoous lymphoma? > > > > a new patient is presenting with a lymphoma of the skin. she did not > > know > > > > the name (will not sign a records release, but said she would get a > > copy of > > > > the pathology report for me). based on the presentation, i'm thnking > > it > > > > might be > > > > *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > > > > lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > > > > which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of > > the immune > > > > system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > > > > non-Hodgkin's lymphomas (which are generally B-cell related), CTCL > > is caused > > > > by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The > > > > malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the > > body are > > > > pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > > Skin> in a > > > > biological process used to rid the body of offending material, causing > > > > various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on > > the skin. > > > > These lesions change shape as the disease progresses, typically > > beginning as > > > > what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and > > eventually > > > > forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before > > > > metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > > parts of > > > > the body. > > > > it began as an atopic rash. she's had 2 legions biopsied. what she's > > > > pointing out as the legions are subtle papules, maybe 5mm, pale > > > > coloration. there are a few on various places on her calves. her skin > > > > tone is pale with a multitude of pale tan macules, 1-2cm which i > > interpret > > > > as qi/xue stag in the cutaneous regions. > > > > T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > > > > 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her > > > > discription) and talkative, insomnia assoc c stress. > > > > many other s/s, including chronic bi (back, joints, arthritis) rosacea > > > > (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > > nails, shi > > > > life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > > allergies: > > > > red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). > > > > hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > > goiter no > > > > longer present 12/08 exam. > > > > i have several derm books and the mgmt of CA in TCM, but cannot find > > any > > > > references to this condition. i'm giving an indiv. gran herb rx. am > > > > primarily looking for formula references. wondering if anyone can > > provide > > > > tx suggestions on this, esp herb, or direct me to tcm reference > > material? > > > > i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is > > playing a > > > > role, as the sx appeared upon onset of an itchy, atopic rash that > > appeared > > > > after dry brushing her skin (uncertain whether the dry brushing is > > playing a > > > > role here). the rash imp with the use of a steroid creme. the rash > > > > appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. > > > > appreciate whatever you can offer > > > > -- > > > > > > > > Oriental Medicine > > > > Experienced, Dedicated, Effective > > > > Kath's Blog about , Healthy Living & Spirituality: > > > > http://acukath.blogspot.com/ > > > > Flying Dragon Liniment: Effective pain relief for muscles & joints > > > > Formulated by Kath Bartlett, Traditional Chinese Herbalist > > > > Available at Asheville Center for : > > > > www.FlyingDragonLiniment.com > > > > Greenlife Grocery - Asheville, NC > > > > and from the following supply companies: > > > > Kamwo Herbal Pharmacy: NY - Chinatown > > > > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > > > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > > Asheville Center For > > > > 70 Woodfin Place, Suite West Wing Two > > > > Asheville, NC 28801 828.258.2777 > > > > kbartlett > > > > www.AcupunctureAsheville.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 Kath, Learning to set a boundary (like permission to talk with other professionals) is important and should not be overlooked just because a patient has some emotional issues. The legal ones are the ones that come back to bite us in the you-know-what and not our compassion to help. She should want you to be able to discuss things with her MD, so that you could have as much info as possible to treat her well. This looks more like she is attempting to limit your access to this physician or what is in her file. I say that as she is willing to get a copy of a lab report but refusing to sign the permission form and failure to get you a copy of her complete file. Please think again about these irregularities of behavior. Hind-sight is 20/20. Michael W. Bowser, DC, LAc > Chinese Medicine > acukath > Thu, 4 Jun 2009 12:28:51 -0400 > Re: TCM tx strategies: cutaneoous lymphoma? > > i appreciate your concern and the legal heads up. when i saw her tues. > she said she would get the pathology report and tell the doc she wanted it > for me (tcm tx). it sounds like the concern is coming from a fear of the > doctor's reaction that she was pursuing other care outside his office. i > see this, esp. with CA patients: patients honestly fear that requesting > records and questioning the doc will ruffle the doc's feathers and > compromise their care. as i mentioned, this one has significant anxiety > issues, so this fear is magnified in her case. i'm trying to talk her down > and get her to realize that the doc is a prof, but i find this neurosis to > be a mentality that is difficult to change. > > k > > On Wed, Jun 3, 2009 at 11:17 PM, Anne Biris <lotuskarma wrote: > >> And I am sorry to add that cancer has a bit of a legal mess/ >> ramifications. I would protect yourself in this case. Get a definite >> diagnosis from a western MD before proceeding and a letter from his >> office acknowledging that you are seeing his/her patient. >> >> Anne Biris >> >> On Jun 3, 2009, at 11:02 PM, Hugo Ramiro wrote: >> >>> >>> >>> HI Mike, Kath (I think) and all: >>> >>> --Mike- >>> I would be hesitant to treat one that will not share with you her >>> health history, mostly from a legal standpoint. Please consider this a >>> red flag. >>> --- >>> >>> I second Mike's idea plus a slightly different spin too: Make sure >>> she has a clear, sane, no-hidden-motivations reason behind her >>> decision, because she could be one of these patients with serious >>> trust issues who will blockade you at every crucial step because >>> they " need to know and understand (exactly) what is going on " . This >>> could put you in jeopardy, especially if the patient manages to bind >>> you up and make you paint yourself into a corner (i.e. because of >>> the confusion you didn't refer out when you should have), and then >>> *you* get saddled with the accusation of delaying / obstructing >>> proper care. >>> >>> Hugo >>> >>> ________________________________ >>> Hugo Ramiro >>> http://middlemedicine.wordpress.com >>> http://www.chinesemedicaltherapies.org >>> >>> ________________________________ >>> mike Bowser <naturaldoc1 >>> Chinese Traditional Medicine ; >> alumni >>> Wednesday, 3 June, 2009 22:47:40 >>> RE: TCM tx strategies: cutaneoous lymphoma? >>> >>> Michael W. Bowser, DC, LAc >>> >>> alumni >>> CC: Chinese Traditional Medicine ; >>> aculynn >>> acukath >>> Wed, 3 Jun 2009 20:08:57 -0400 >>> TCM tx strategies: cutaneoous lymphoma? >>> >>> a new patient is presenting with a lymphoma of the skin. she did not >>> know >>> >>> the name (will not sign a records release, but said she would get a >>> copy of >>> >>> the pathology report for me). based on the presentation, i'm thnking >>> it >>> >>> might be >>> >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's >>> >>> lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, >>> >>> which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of >>> the immune >>> >>> system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most >>> >>> non-Hodgkin's lymphomas (which are generally B-cell related), CTCL >>> is caused >>> >>> by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The >>> >>> malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the >>> body are >>> >>> pushed to the surface of the skin <http://en.wikipedia.org/wiki/ >>> Skin> in a >>> >>> biological process used to rid the body of offending material, causing >>> >>> various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on >>> the skin. >>> >>> These lesions change shape as the disease progresses, typically >>> beginning as >>> >>> what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and >>> eventually >>> >>> forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before >>> >>> metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other >>> parts of >>> >>> the body. >>> >>> it began as an atopic rash. she's had 2 legions biopsied. what she's >>> >>> pointing out as the legions are subtle papules, maybe 5mm, pale >>> >>> coloration. there are a few on various places on her calves. her skin >>> >>> tone is pale with a multitude of pale tan macules, 1-2cm which i >>> interpret >>> >>> as qi/xue stag in the cutaneous regions. >>> >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. >>> >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her >>> >>> discription) and talkative, insomnia assoc c stress. >>> >>> many other s/s, including chronic bi (back, joints, arthritis) rosacea >>> >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, >>> nails, shi >>> >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet >>> allergies: >>> >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). >>> >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. >>> goiter no >>> >>> longer present 12/08 exam. >>> >>> i have several derm books and the mgmt of CA in TCM, but cannot find >>> any >>> >>> references to this condition. i'm giving an indiv. gran herb rx. am >>> >>> primarily looking for formula references. wondering if anyone can >>> provide >>> >>> tx suggestions on this, esp herb, or direct me to tcm reference >>> material? >>> >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is >>> playing a >>> >>> role, as the sx appeared upon onset of an itchy, atopic rash that >>> appeared >>> >>> after dry brushing her skin (uncertain whether the dry brushing is >>> playing a >>> >>> role here). the rash imp with the use of a steroid creme. the rash >>> >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. >>> >>> appreciate whatever you can offer >>> >>> -- >>> >>> >>> >>> Oriental Medicine >>> >>> Experienced, Dedicated, Effective >>> >>> Kath's Blog about , Healthy Living & Spirituality: >>> >>> http://acukath.blogspot.com/ >>> >>> Flying Dragon Liniment: Effective pain relief for muscles & joints >>> >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist >>> >>> Available at Asheville Center for : >>> >>> www.FlyingDragonLiniment.com >>> >>> Greenlife Grocery - Asheville, NC >>> >>> and from the following supply companies: >>> >>> Kamwo Herbal Pharmacy: NY - Chinatown >>> >>> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 >>> >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC >>> >>> >> http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= >>> >>> Asheville Center For >>> >>> 70 Woodfin Place, Suite West Wing Two >>> >>> Asheville, NC 28801 828.258.2777 >>> >>> kbartlett >>> >>> www.AcupunctureAsheville.com >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 HI all: I feel it is very important to present oneself in clinic as a health professional allied with all other health professionals and, further, one who *can* function as an advocate, but only within an arena of respectful professionalism. In other words, it's not a problem to share complaints about experiences with MDs and the medical system, but it is not ok to buy into an us and them mentality. Thoughts? Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.chinesemedicaltherapies.org ________________________________ mike Bowser <naturaldoc1 Chinese Traditional Medicine Thursday, 4 June, 2009 15:49:07 RE: TCM tx strategies: cutaneoous lymphoma? Kath, Learning to set a boundary (like permission to talk with other professionals) is important and should not be overlooked just because a patient has some emotional issues. The legal ones are the ones that come back to bite us in the you-know-what and not our compassion to help. She should want you to be able to discuss things with her MD, so that you could have as much info as possible to treat her well. This looks more like she is attempting to limit your access to this physician or what is in her file. I say that as she is willing to get a copy of a lab report but refusing to sign the permission form and failure to get you a copy of her complete file. Please think again about these irregularities of behavior. Hind-sight is 20/20. Michael W. Bowser, DC, LAc > Chinese Medicine > acukath > Thu, 4 Jun 2009 12:28:51 -0400 > Re: TCM tx strategies: cutaneoous lymphoma? > > i appreciate your concern and the legal heads up. when i saw her tues. > she said she would get the pathology report and tell the doc she wanted it > for me (tcm tx). it sounds like the concern is coming from a fear of the > doctor's reaction that she was pursuing other care outside his office. i > see this, esp. with CA patients: patients honestly fear that requesting > records and questioning the doc will ruffle the doc's feathers and > compromise their care. as i mentioned, this one has significant anxiety > issues, so this fear is magnified in her case. i'm trying to talk her down > and get her to realize that the doc is a prof, but i find this neurosis to > be a mentality that is difficult to change. > > k > > On Wed, Jun 3, 2009 at 11:17 PM, Anne Biris <lotuskarma wrote: > >> And I am sorry to add that cancer has a bit of a legal mess/ >> ramifications. I would protect yourself in this case. Get a definite >> diagnosis from a western MD before proceeding and a letter from his >> office acknowledging that you are seeing his/her patient. >> >> Anne Biris >> >> On Jun 3, 2009, at 11:02 PM, Hugo Ramiro wrote: >> >>> >>> >>> HI Mike, Kath (I think) and all: >>> >>> --Mike- >>> I would be hesitant to treat one that will not share with you her >>> health history, mostly from a legal standpoint. Please consider this a >>> red flag. >>> --- >>> >>> I second Mike's idea plus a slightly different spin too: Make sure >>> she has a clear, sane, no-hidden-motivations reason behind her >>> decision, because she could be one of these patients with serious >>> trust issues who will blockade you at every crucial step because >>> they " need to know and understand (exactly) what is going on " . This >>> could put you in jeopardy, especially if the patient manages to bind >>> you up and make you paint yourself into a corner (i.e. because of >>> the confusion you didn't refer out when you should have), and then >>> *you* get saddled with the accusation of delaying / obstructing >>> proper care. >>> >>> Hugo >>> >>> ________________________________ >>> Hugo Ramiro >>> http://middlemedicine.wordpress.com >>> http://www.chinesemedicaltherapies.org >>> >>> ________________________________ >>> mike Bowser <naturaldoc1 >>> Chinese Traditional Medicine ; >> alumni >>> Wednesday, 3 June, 2009 22:47:40 >>> RE: TCM tx strategies: cutaneoous lymphoma? >>> >>> Michael W. Bowser, DC, LAc >>> >>> alumni >>> CC: Chinese Traditional Medicine ; >>> aculynn >>> acukath >>> Wed, 3 Jun 2009 20:08:57 -0400 >>> TCM tx strategies: cutaneoous lymphoma? >>> >>> a new patient is presenting with a lymphoma of the skin. she did not >>> know >>> >>> the name (will not sign a records release, but said she would get a >>> copy of >>> >>> the pathology report for me). based on the presentation, i'm thnking >>> it >>> >>> might be >>> >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's >>> >>> lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, >>> >>> which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of >>> the immune >>> >>> system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most >>> >>> non-Hodgkin's lymphomas (which are generally B-cell related), CTCL >>> is caused >>> >>> by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The >>> >>> malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the >>> body are >>> >>> pushed to the surface of the skin <http://en.wikipedia.org/wiki/ >>> Skin> in a >>> >>> biological process used to rid the body of offending material, causing >>> >>> various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on >>> the skin. >>> >>> These lesions change shape as the disease progresses, typically >>> beginning as >>> >>> what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and >>> eventually >>> >>> forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before >>> >>> metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other >>> parts of >>> >>> the body. >>> >>> it began as an atopic rash. she's had 2 legions biopsied. what she's >>> >>> pointing out as the legions are subtle papules, maybe 5mm, pale >>> >>> coloration. there are a few on various places on her calves. her skin >>> >>> tone is pale with a multitude of pale tan macules, 1-2cm which i >>> interpret >>> >>> as qi/xue stag in the cutaneous regions. >>> >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. >>> >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her >>> >>> discription) and talkative, insomnia assoc c stress. >>> >>> many other s/s, including chronic bi (back, joints, arthritis) rosacea >>> >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, >>> nails, shi >>> >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet >>> allergies: >>> >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). >>> >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. >>> goiter no >>> >>> longer present 12/08 exam. >>> >>> i have several derm books and the mgmt of CA in TCM, but cannot find >>> any >>> >>> references to this condition. i'm giving an indiv. gran herb rx. am >>> >>> primarily looking for formula references. wondering if anyone can >>> provide >>> >>> tx suggestions on this, esp herb, or direct me to tcm reference >>> material? >>> >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is >>> playing a >>> >>> role, as the sx appeared upon onset of an itchy, atopic rash that >>> appeared >>> >>> after dry brushing her skin (uncertain whether the dry brushing is >>> playing a >>> >>> role here). the rash imp with the use of a steroid creme. the rash >>> >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. >>> >>> appreciate whatever you can offer >>> >>> -- >>> >>> >>> >>> Oriental Medicine >>> >>> Experienced, Dedicated, Effective >>> >>> Kath's Blog about , Healthy Living & Spirituality: >>> >>> http://acukath.blogspot.com/ >>> >>> Flying Dragon Liniment: Effective pain relief for muscles & joints >>> >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist >>> >>> Available at Asheville Center for : >>> >>> www.FlyingDragonLiniment.com >>> >>> Greenlife Grocery - Asheville, NC >>> >>> and from the following supply companies: >>> >>> Kamwo Herbal Pharmacy: NY - Chinatown >>> >>> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 >>> >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC >>> >>> >> http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= >>> >>> Asheville Center For >>> >>> 70 Woodfin Place, Suite West Wing Two >>> >>> Asheville, NC 28801 828.258.2777 >>> >>> kbartlett >>> >>> www.AcupunctureAsheville.com >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 I just saw a article in the Asheville, NC newspaper stating that over 60% of cancer patients are now seeking some kind of alternative therapy.......of course they are and they should. Sincerely, Patricia Jordan DVM,CVA,CTCVM & Herbology > Chinese Medicine > acukath > Thu, 4 Jun 2009 12:28:51 -0400 > Re: TCM tx strategies: cutaneoous lymphoma? > > i appreciate your concern and the legal heads up. when i saw her tues. > she said she would get the pathology report and tell the doc she wanted it > for me (tcm tx). it sounds like the concern is coming from a fear of the > doctor's reaction that she was pursuing other care outside his office. i > see this, esp. with CA patients: patients honestly fear that requesting > records and questioning the doc will ruffle the doc's feathers and > compromise their care. as i mentioned, this one has significant anxiety > issues, so this fear is magnified in her case. i'm trying to talk her down > and get her to realize that the doc is a prof, but i find this neurosis to > be a mentality that is difficult to change. > > k > > On Wed, Jun 3, 2009 at 11:17 PM, Anne Biris <lotuskarma wrote: > > > And I am sorry to add that cancer has a bit of a legal mess/ > > ramifications. I would protect yourself in this case. Get a definite > > diagnosis from a western MD before proceeding and a letter from his > > office acknowledging that you are seeing his/her patient. > > > > Anne Biris > > > > On Jun 3, 2009, at 11:02 PM, Hugo Ramiro wrote: > > > > > > > > > > > HI Mike, Kath (I think) and all: > > > > > > --Mike- > > > I would be hesitant to treat one that will not share with you her > > > health history, mostly from a legal standpoint. Please consider this a > > > red flag. > > > --- > > > > > > I second Mike's idea plus a slightly different spin too: Make sure > > > she has a clear, sane, no-hidden-motivations reason behind her > > > decision, because she could be one of these patients with serious > > > trust issues who will blockade you at every crucial step because > > > they " need to know and understand (exactly) what is going on " . This > > > could put you in jeopardy, especially if the patient manages to bind > > > you up and make you paint yourself into a corner (i.e. because of > > > the confusion you didn't refer out when you should have), and then > > > *you* get saddled with the accusation of delaying / obstructing > > > proper care. > > > > > > Hugo > > > > > > ________________________________ > > > Hugo Ramiro > > > http://middlemedicine.wordpress.com > > > http://www.chinesemedicaltherapies.org > > > > > > ________________________________ > > > mike Bowser <naturaldoc1 > > > Chinese Traditional Medicine ; > > alumni > > > Wednesday, 3 June, 2009 22:47:40 > > > RE: TCM tx strategies: cutaneoous lymphoma? > > > > > > Michael W. Bowser, DC, LAc > > > > > > alumni > > > CC: Chinese Traditional Medicine ; > > > aculynn > > > acukath > > > Wed, 3 Jun 2009 20:08:57 -0400 > > > TCM tx strategies: cutaneoous lymphoma? > > > > > > a new patient is presenting with a lymphoma of the skin. she did not > > > know > > > > > > the name (will not sign a records release, but said she would get a > > > copy of > > > > > > the pathology report for me). based on the presentation, i'm thnking > > > it > > > > > > might be > > > > > > *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > > > > > > lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > > > > > > which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of > > > the immune > > > > > > system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > > > > > > non-Hodgkin's lymphomas (which are generally B-cell related), CTCL > > > is caused > > > > > > by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The > > > > > > malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the > > > body are > > > > > > pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > > > Skin> in a > > > > > > biological process used to rid the body of offending material, causing > > > > > > various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on > > > the skin. > > > > > > These lesions change shape as the disease progresses, typically > > > beginning as > > > > > > what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and > > > eventually > > > > > > forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before > > > > > > metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > > > parts of > > > > > > the body. > > > > > > it began as an atopic rash. she's had 2 legions biopsied. what she's > > > > > > pointing out as the legions are subtle papules, maybe 5mm, pale > > > > > > coloration. there are a few on various places on her calves. her skin > > > > > > tone is pale with a multitude of pale tan macules, 1-2cm which i > > > interpret > > > > > > as qi/xue stag in the cutaneous regions. > > > > > > T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > > > > > > 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her > > > > > > discription) and talkative, insomnia assoc c stress. > > > > > > many other s/s, including chronic bi (back, joints, arthritis) rosacea > > > > > > (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > > > nails, shi > > > > > > life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > > > allergies: > > > > > > red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). > > > > > > hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > > > goiter no > > > > > > longer present 12/08 exam. > > > > > > i have several derm books and the mgmt of CA in TCM, but cannot find > > > any > > > > > > references to this condition. i'm giving an indiv. gran herb rx. am > > > > > > primarily looking for formula references. wondering if anyone can > > > provide > > > > > > tx suggestions on this, esp herb, or direct me to tcm reference > > > material? > > > > > > i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is > > > playing a > > > > > > role, as the sx appeared upon onset of an itchy, atopic rash that > > > appeared > > > > > > after dry brushing her skin (uncertain whether the dry brushing is > > > playing a > > > > > > role here). the rash imp with the use of a steroid creme. the rash > > > > > > appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. > > > > > > appreciate whatever you can offer > > > > > > -- > > > > > > > > > > > > Oriental Medicine > > > > > > Experienced, Dedicated, Effective > > > > > > Kath's Blog about , Healthy Living & Spirituality: > > > > > > http://acukath.blogspot.com/ > > > > > > Flying Dragon Liniment: Effective pain relief for muscles & joints > > > > > > Formulated by Kath Bartlett, Traditional Chinese Herbalist > > > > > > Available at Asheville Center for : > > > > > > www.FlyingDragonLiniment.com > > > > > > Greenlife Grocery - Asheville, NC > > > > > > and from the following supply companies: > > > > > > Kamwo Herbal Pharmacy: NY - Chinatown > > > > > > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > > > > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > > > > > > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > > > > Asheville Center For > > > > > > 70 Woodfin Place, Suite West Wing Two > > > > > > Asheville, NC 28801 828.258.2777 > > > > > > kbartlett > > > > > > www.AcupunctureAsheville.com > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 I agree with Michael. As intriguing and challenging a presentation this is, personal info seems a bit short and slim. Could be a setup, could be anything. If in our profession where all the particulars of the patients' experience are absolutely confidential, esp in my state, well, the personal story seems lacking or vague. And the person must be present;, don't step outside looking for purely diagnostic clues; where are the eyes, and the voice? What is your real story miss?  Sure, there are the stories of coutesans just displaying their wrist for pulse diagnosis, without dialog with a lowly doctor. If you are not an absolute master genius, which I wish I was, a little more personal info would help greatly. If they want us on their side, be on our side, too. Thanks l --- On Wed, 6/3/09, mike Bowser <naturaldoc1 wrote: mike Bowser <naturaldoc1 RE: TCM tx strategies: cutaneoous lymphoma? Chinese Traditional Medicine , alumni Wednesday, June 3, 2009, 10:47 PM I would be hesitant to treat one that will not share with you her health history, mostly from a legal standpoint. Please consider this a red flag. Michael W. Bowser, DC, LAc alumni CC: Chinese Traditional Medicine ; aculynn acukath Wed, 3 Jun 2009 20:08:57 -0400 TCM - TCM tx strategies: cutaneoous lymphoma?                     a new patient is presenting with a lymphoma of the skin. she did not know the name (will not sign a records release, but said she would get a copy of the pathology report for me). based on the presentation, i'm thnking it might be *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of the immune system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most non-Hodgkin's lymphomas (which are generally B-cell related), CTCL is caused by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the body are pushed to the surface of the skin <http://en.wikipedia.org/wiki/Skin> in a biological process used to rid the body of offending material, causing various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on the skin. These lesions change shape as the disease progresses, typically beginning as what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and eventually forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other parts of the body. it began as an atopic rash. she's had 2 legions biopsied. what she's pointing out as the legions are subtle papules, maybe 5mm, pale coloration.   there are a few on various places on her calves. her skin tone is pale with a multitude of pale tan macules, 1-2cm which i interpret as qi/xue stag in the cutaneous regions. T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her discription) and talkative, insomnia assoc c stress. many other s/s, including chronic bi (back, joints, arthritis) rosacea (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, nails, shi life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet allergies: red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. goiter no longer present 12/08 exam. i have several derm books and the mgmt of CA in TCM, but cannot find any references to this condition. i'm giving an indiv. gran herb rx. am primarily looking for formula references. wondering if anyone can provide tx suggestions on this, esp herb, or direct me to tcm reference material? i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is playing a role, as the sx appeared upon onset of an itchy, atopic rash that appeared after dry brushing her skin (uncertain whether the dry brushing is playing a role here). the rash imp with the use of a steroid creme. the rash appeared 8/08 - 10/08.   the lymphoma was dx 2 weeks ago with a biopsy. appreciate whatever you can offer -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com Greenlife Grocery - Asheville, NC and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801    828.258.2777 kbartlett www.AcupunctureAsheville.com [Non-text portions of this message have been removed]                             _______________ Windows Live™ SkyDrive™: Get 25 GB of free online storage. http://windowslive.com/online/skydrive?ocid=TXT_TAGLM_WL_SD_25GB_062009 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009  I agree all the way with you Hugo. It's important to listen and empathize, and if something needs an advocate, ok, go the mile. Still, present all the positive energy that ourselves, our ancient and evolving profession, and other medical systems want to achieve for a situation, a patient, ourselves.  'Us and them' is a small dark corner, it can't be allowed to be anything more. There is nothing negatively fixed, we have friends and allies everywhere. Medicine will evolve, and integrate and penetrate past mysteries. People want to care for each other, whatever path they go. Happy and hopefully healthy. Dreams and visions still exist.  If someone comes in my shop with complaints about modern society, healthcare, economic barriers, there really is plenty to comiserate about, but, things tend to go toward very tender and personal sorrows.  Leading them out is the trick. Like telling a joke; e.g  (please forgive this one)' " You know, when I die, I'd like to go peacefully like my grandfather, in his sleep, not like the other screaming passengers in his car. "  (I just know I'm gonna get spanked for that one) --- On Thu, 6/4/09, Hugo Ramiro <subincor wrote: Hugo Ramiro <subincor Re: TCM tx strategies: cutaneoous lymphoma? Chinese Medicine Thursday, June 4, 2009, 4:41 PM HI all: I feel it is very important to present oneself in clinic as a health professional allied with all other health professionals and, further, one who *can* function as an advocate, but only within an arena of respectful professionalism. In other words, it's not a problem to share complaints about experiences with MDs and the medical system, but it is not ok to buy into an us and them mentality. Thoughts? Hugo ____________ _________ _________ __ Hugo Ramiro http://middlemedici ne.wordpress. com http://www.chinesem edicaltherapies. org ____________ _________ _________ __ mike Bowser <naturaldoc1@ hotmail.com> traditional_ chinese_medicine Thursday, 4 June, 2009 15:49:07 RE: TCM tx strategies: cutaneoous lymphoma? Kath, Learning to set a boundary (like permission to talk with other professionals) is important and should not be overlooked just because a patient has some emotional issues. The legal ones are the ones that come back to bite us in the you-know-what and not our compassion to help. She should want you to be able to discuss things with her MD, so that you could have as much info as possible to treat her well. This looks more like she is attempting to limit your access to this physician or what is in her file. I say that as she is willing to get a copy of a lab report but refusing to sign the permission form and failure to get you a copy of her complete file. Please think again about these irregularities of behavior. Hind-sight is 20/20. Michael W. Bowser, DC, LAc > > acukath (AT) gmail (DOT) com > Thu, 4 Jun 2009 12:28:51 -0400 > Re: TCM tx strategies: cutaneoous lymphoma? > > i appreciate your concern and the legal heads up. when i saw her tues. > she said she would get the pathology report and tell the doc she wanted it > for me (tcm tx). it sounds like the concern is coming from a fear of the > doctor's reaction that she was pursuing other care outside his office. i > see this, esp. with CA patients: patients honestly fear that requesting > records and questioning the doc will ruffle the doc's feathers and > compromise their care. as i mentioned, this one has significant anxiety > issues, so this fear is magnified in her case. i'm trying to talk her down > and get her to realize that the doc is a prof, but i find this neurosis to > be a mentality that is difficult to change. > > k > > On Wed, Jun 3, 2009 at 11:17 PM, Anne Biris <lotuskarma (AT) gmail (DOT) com> wrote: > >> And I am sorry to add that cancer has a bit of a legal mess/ >> ramifications. I would protect yourself in this case. Get a definite >> diagnosis from a western MD before proceeding and a letter from his >> office acknowledging that you are seeing his/her patient. >> >> Anne Biris >> >> On Jun 3, 2009, at 11:02 PM, Hugo Ramiro wrote: >> >>> >>> >>> HI Mike, Kath (I think) and all: >>> >>> --Mike- >>> I would be hesitant to treat one that will not share with you her >>> health history, mostly from a legal standpoint. Please consider this a >>> red flag. >>> --- >>> >>> I second Mike's idea plus a slightly different spin too: Make sure >>> she has a clear, sane, no-hidden-motivatio ns reason behind her >>> decision, because she could be one of these patients with serious >>> trust issues who will blockade you at every crucial step because >>> they " need to know and understand (exactly) what is going on " . This >>> could put you in jeopardy, especially if the patient manages to bind >>> you up and make you paint yourself into a corner (i.e. because of >>> the confusion you didn't refer out when you should have), and then >>> *you* get saddled with the accusation of delaying / obstructing >>> proper care. >>> >>> Hugo >>> >>> ____________ _________ _________ __ >>> Hugo Ramiro >>> http://middlemedici ne.wordpress. com >>> http://www.chinesem edicaltherapies. org >>> >>> ____________ _________ _________ __ >>> mike Bowser <naturaldoc1@ hotmail.com> >>> traditional_ chinese_medicine ; >> alumni@pacificcolle ge.edu >>> Wednesday, 3 June, 2009 22:47:40 >>> RE: TCM tx strategies: cutaneoous lymphoma? >>> >>> Michael W. Bowser, DC, LAc >>> >>> alumni@pacificcolle ge.edu >>> CC: traditional_ chinese_medicine ; >>> aculynn (AT) optonline (DOT) net >>> acukath (AT) gmail (DOT) com >>> Wed, 3 Jun 2009 20:08:57 -0400 >>> TCM tx strategies: cutaneoous lymphoma? >>> >>> a new patient is presenting with a lymphoma of the skin. she did not >>> know >>> >>> the name (will not sign a records release, but said she would get a >>> copy of >>> >>> the pathology report for me). based on the presentation, i'm thnking >>> it >>> >>> might be >>> >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin' s >>> >>> lymphoma<http://en.wikipedia .org/wiki/ Non-Hodgkin% 27s_lymphoma>, >>> >>> which is a type of cancer <http://en.wikipedia .org/wiki/ Cancer> of >>> the immune >>> >>> system <http://en.wikipedia .org/wiki/ Immune_system>. Unlike most >>> >>> non-Hodgkin' s lymphomas (which are generally B-cell related), CTCL >>> is caused >>> >>> by a mutation of T cells <http://en.wikipedia .org/wiki/ T_cell>. The >>> >>> malignant <http://en.wikipedia .org/wiki/ Malignant> T cells in the >>> body are >>> >>> pushed to the surface of the skin <http://en.wikipedia .org/wiki/ >>> Skin> in a >>> >>> biological process used to rid the body of offending material, causing >>> >>> various lesions <http://en.wikipedia .org/wiki/ Lesion> to appear on >>> the skin. >>> >>> These lesions change shape as the disease progresses, typically >>> beginning as >>> >>> what appears to be a rash <http://en.wikipedia .org/wiki/ Rash> and >>> eventually >>> >>> forming plaques and tumors <http://en.wikipedia .org/wiki/ Tumor> before >>> >>> metastasizing <http://en.wikipedia .org/wiki/ Metastasis> to other >>> parts of >>> >>> the body. >>> >>> it began as an atopic rash. she's had 2 legions biopsied. what she's >>> >>> pointing out as the legions are subtle papules, maybe 5mm, pale >>> >>> coloration. there are a few on various places on her calves. her skin >>> >>> tone is pale with a multitude of pale tan macules, 1-2cm which i >>> interpret >>> >>> as qi/xue stag in the cutaneous regions. >>> >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. >>> >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her >>> >>> discription) and talkative, insomnia assoc c stress. >>> >>> many other s/s, including chronic bi (back, joints, arthritis) rosacea >>> >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, >>> nails, shi >>> >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet >>> allergies: >>> >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). >>> >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. >>> goiter no >>> >>> longer present 12/08 exam. >>> >>> i have several derm books and the mgmt of CA in TCM, but cannot find >>> any >>> >>> references to this condition. i'm giving an indiv. gran herb rx. am >>> >>> primarily looking for formula references. wondering if anyone can >>> provide >>> >>> tx suggestions on this, esp herb, or direct me to tcm reference >>> material? >>> >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is >>> playing a >>> >>> role, as the sx appeared upon onset of an itchy, atopic rash that >>> appeared >>> >>> after dry brushing her skin (uncertain whether the dry brushing is >>> playing a >>> >>> role here). the rash imp with the use of a steroid creme. the rash >>> >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. >>> >>> appreciate whatever you can offer >>> >>> -- >>> >>> >>> >>> Oriental Medicine >>> >>> Experienced, Dedicated, Effective >>> >>> Kath's Blog about , Healthy Living & Spirituality: >>> >>> http://acukath. blogspot. com/ >>> >>> Flying Dragon Liniment: Effective pain relief for muscles & joints >>> >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist >>> >>> Available at Asheville Center for : >>> >>> www.FlyingDragonLin iment.com >>> >>> Greenlife Grocery - Asheville, NC >>> >>> and from the following supply companies: >>> >>> Kamwo Herbal Pharmacy: NY - Chinatown >>> >>> https://www. kamwo.com/ shop/product. php?productid= 17442 & cat= 0 & page=1 >>> >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC >>> >>> >> http://www.goldenne edleonline. com/index. php?page= categories & category= 14 & vendor= & product= 5554 & pg= >>> >>> Asheville Center For >>> >>> 70 Woodfin Place, Suite West Wing Two >>> >>> Asheville, NC 28801 828.258.2777 >>> >>> kbartlett@Acupunctu reAsheville. com >>> >>> www.AcupunctureAshe ville.com >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2009 Report Share Posted June 5, 2009 i hear everyone's warnings here, and do walk with caution. i sent out this post to discuss the case. does anyone have thoughts to share on the case. esp herbal strategies, or recommendations of source material that i can reference? kath > >>> CC: Chinese Traditional Medicine ; > >>> aculynn > >>> acukath > >>> Wed, 3 Jun 2009 20:08:57 -0400 > >>> TCM tx strategies: cutaneoous lymphoma? > >>> > >>> a new patient is presenting with a lymphoma of the skin. she did not > >>> know > >>> > >>> the name (will not sign a records release, but said she would get a > >>> copy of > >>> > >>> the pathology report for me). based on the presentation, i'm thnking > >>> it > >>> > >>> might be > >>> > >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > >>> > >>> lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > >>> > >>> which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of > >>> the immune > >>> > >>> system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > >>> > >>> non-Hodgkin's lymphomas (which are generally B-cell related), CTCL > >>> is caused > >>> > >>> by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The > >>> > >>> malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the > >>> body are > >>> > >>> pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > >>> Skin> in a > >>> > >>> biological process used to rid the body of offending material, causing > >>> > >>> various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on > >>> the skin. > >>> > >>> These lesions change shape as the disease progresses, typically > >>> beginning as > >>> > >>> what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and > >>> eventually > >>> > >>> forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> before > >>> > >>> metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > >>> parts of > >>> > >>> the body. > >>> > >>> it began as an atopic rash. she's had 2 legions biopsied. what she's > >>> > >>> pointing out as the legions are subtle papules, maybe 5mm, pale > >>> > >>> coloration. there are a few on various places on her calves. her skin > >>> > >>> tone is pale with a multitude of pale tan macules, 1-2cm which i > >>> interpret > >>> > >>> as qi/xue stag in the cutaneous regions. > >>> > >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > >>> > >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her > >>> > >>> discription) and talkative, insomnia assoc c stress. > >>> > >>> many other s/s, including chronic bi (back, joints, arthritis) rosacea > >>> > >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > >>> nails, shi > >>> > >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > >>> allergies: > >>> > >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). > >>> > >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > >>> goiter no > >>> > >>> longer present 12/08 exam. > >>> > >>> i have several derm books and the mgmt of CA in TCM, but cannot find > >>> any > >>> > >>> references to this condition. i'm giving an indiv. gran herb rx. am > >>> > >>> primarily looking for formula references. wondering if anyone can > >>> provide > >>> > >>> tx suggestions on this, esp herb, or direct me to tcm reference > >>> material? > >>> > >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is > >>> playing a > >>> > >>> role, as the sx appeared upon onset of an itchy, atopic rash that > >>> appeared > >>> > >>> after dry brushing her skin (uncertain whether the dry brushing is > >>> playing a > >>> > >>> role here). the rash imp with the use of a steroid creme. the rash > >>> > >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. > >>> > >>> appreciate whatever you can offer > >>> > >>> -- > >>> > >>> > >>> > >>> Oriental Medicine > >>> > >>> Experienced, Dedicated, Effective > >>> > >>> Kath's Blog about , Healthy Living & Spirituality: > >>> > >>> http://acukath.blogspot.com/ > >>> > >>> Flying Dragon Liniment: Effective pain relief for muscles & joints > >>> > >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist > >>> > >>> Available at Asheville Center for : > >>> > >>> www.FlyingDragonLiniment.com > >>> > >>> Greenlife Grocery - Asheville, NC > >>> > >>> and from the following supply companies: > >>> > >>> Kamwo Herbal Pharmacy: NY - Chinatown > >>> > >>> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > >>> > >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > >>> > >>> > >> > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > >>> > >>> Asheville Center For > >>> > >>> 70 Woodfin Place, Suite West Wing Two > >>> > >>> Asheville, NC 28801 828.258.2777 > >>> > >>> kbartlett > >>> > >>> www.AcupunctureAsheville.com > >>> > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2009 Report Share Posted June 5, 2009 Hello, I'm a vet from Brasil and a treat lymphoma mainly in dogs with good results. Skin lymphoma, in dogs and cats, is the most difficult lymphoma to treat, but we ge good life quality in treating it. My treatment depends on the stage of the disease. If it's in the beggining I use a techinic proposed by Dr. Are Torensen where you use the Ke cycle to cntrol the excess - in the case of lymphoma, I control the Triple burner/ Fire - with Water ( maily BL 66 and K 10 acupoints). Sometimes I use needles , sometimes I use injecting blood in the acupoint. Depending on the case I use.ponits to treat toxic heat and for general tonifcation. I also use dietary suplemnents mainly fruits and vegetables( especially apple, banana, watermellom and tangerin) , and anti-oxidants foods especially seeds.( soy bean, nuts ,...) .. Talking about phytotherapy I uully use Ganoderma / reishi. I have these papers talking about herbs in the tratment of leukemia / lymphoma *- Tanshinone IIA, an ingredient of Salvia miltiorrhiza BUNGE, induces apoptosis in human leukemia cell lines through the activation of caspase-3* * - Cytotoxicity and antitumoral activity of dichloromethane extract and its fractions from Pothomorphe umbellata - The use of Punica Granatum in cancer - but this is in Portuguese If you want I can send it to you. Regards Eduardo Lobo DVM - Brasil* 2009/6/4 <acukath > i hear everyone's warnings here, and do walk with caution. > > i sent out this post to discuss the case.r > > does anyone have thoughts to share on the case. esp herbal strategies, or > recommendations of source material that i can reference? > > kath > > > > >>> CC: Chinese Traditional Medicine ; > > >>> aculynn > > >>> acukath > > >>> Wed, 3 Jun 2009 20:08:57 -0400 > > >>> TCM tx strategies: cutaneoous lymphoma? > > >>> > > >>> a new patient is presenting with a lymphoma of the skin. she did not > > >>> know > > >>> > > >>> the name (will not sign a records release, but said she would get a > > >>> copy of > > >>> > > >>> the pathology report for me). based on the presentation, i'm thnking > > >>> it > > >>> > > >>> might be > > >>> > > >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > > >>> > > >>> lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > > >>> > > >>> which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of > > >>> the immune > > >>> > > >>> system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > > >>> > > >>> non-Hodgkin's lymphomas (which are generally B-cell related), CTCL > > >>> is caused > > >>> > > >>> by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The > > >>> > > >>> malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the > > >>> body are > > >>> > > >>> pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > > >>> Skin> in a > > >>> > > >>> biological process used to rid the body of offending material, > causing > > >>> > > >>> various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on > > >>> the skin. > > >>> > > >>> These lesions change shape as the disease progresses, typically > > >>> beginning as > > >>> > > >>> what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and > > >>> eventually > > >>> > > >>> forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> > before > > >>> > > >>> metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > > >>> parts of > > >>> > > >>> the body. > > >>> > > >>> it began as an atopic rash. she's had 2 legions biopsied. what she's > > >>> > > >>> pointing out as the legions are subtle papules, maybe 5mm, pale > > >>> > > >>> coloration. there are a few on various places on her calves. her skin > > >>> > > >>> tone is pale with a multitude of pale tan macules, 1-2cm which i > > >>> interpret > > >>> > > >>> as qi/xue stag in the cutaneous regions. > > >>> > > >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > > >>> > > >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her > > >>> > > >>> discription) and talkative, insomnia assoc c stress. > > >>> > > >>> many other s/s, including chronic bi (back, joints, arthritis) > rosacea > > >>> > > >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > > >>> nails, shi > > >>> > > >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > > >>> allergies: > > >>> > > >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). > > >>> > > >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > > >>> goiter no > > >>> > > >>> longer present 12/08 exam. > > >>> > > >>> i have several derm books and the mgmt of CA in TCM, but cannot find > > >>> any > > >>> > > >>> references to this condition. i'm giving an indiv. gran herb rx. am > > >>> > > >>> primarily looking for formula references. wondering if anyone can > > >>> provide > > >>> > > >>> tx suggestions on this, esp herb, or direct me to tcm reference > > >>> material? > > >>> > > >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is > > >>> playing a > > >>> > > >>> role, as the sx appeared upon onset of an itchy, atopic rash that > > >>> appeared > > >>> > > >>> after dry brushing her skin (uncertain whether the dry brushing is > > >>> playing a > > >>> > > >>> role here). the rash imp with the use of a steroid creme. the rash > > >>> > > >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. > > >>> > > >>> appreciate whatever you can offer > > >>> > > >>> -- > > >>> > > >>> > > >>> > > >>> Oriental Medicine > > >>> > > >>> Experienced, Dedicated, Effective > > >>> > > >>> Kath's Blog about , Healthy Living & Spirituality: > > >>> > > >>> http://acukath.blogspot.com/ > > >>> > > >>> Flying Dragon Liniment: Effective pain relief for muscles & joints > > >>> > > >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist > > >>> > > >>> Available at Asheville Center for : > > >>> > > >>> www.FlyingDragonLiniment.com <http://www.flyingdragonliniment.com/> > > >>> > > >>> Greenlife Grocery - Asheville, NC > > >>> > > >>> and from the following supply companies: > > >>> > > >>> Kamwo Herbal Pharmacy: NY - Chinatown > > >>> > > >>> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > >>> > > >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > >>> > > >>> > > >> > > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > >>> > > >>> Asheville Center For > > >>> > > >>> 70 Woodfin Place, Suite West Wing Two > > >>> > > >>> Asheville, NC 28801 828.258.2777 > > >>> > > >>> kbartlett > > >>> > > >>> www.AcupunctureAsheville.com <http://www.acupunctureasheville.com/> > > >>> > > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2009 Report Share Posted June 7, 2009 Eduardo Lobo: I would be very interested in your protocols to treat lymphoma. I also have studied with Dr. Are Thorensen and I understand the concepts of his use of the Ko Cycle in selecting points. do you ever seen lymphom in dogs that are not administered vaccines? If so, have they been appied with any of the anti parasitics like Frontline? The only cancer cases we have are in vaccinated or chemically appointed animals. Lymphoma is particuallarily linked to the chronic antigenic stimulation. In any regards I would be very interested in any formulas or protocols you have found successful.......we sure don't have that here in the US. Sincerely, Patricia Jordan DVM,CVA,CTCVM & Herbology > Chinese Medicine > eduardolobo.vet > Thu, 4 Jun 2009 21:52:03 -0300 > Re: TCM tx strategies: cutaneoous lymphoma? > > Hello, I'm a vet from Brasil and a treat lymphoma mainly in dogs with good > results. Skin lymphoma, in dogs and cats, is the most difficult lymphoma to > treat, but we ge good life quality in treating it. > My treatment depends on the stage of the disease. If it's in the beggining I > use a techinic proposed by Dr. Are Torensen where you use the Ke cycle to > cntrol the excess - in the case of lymphoma, I control the Triple burner/ > Fire - with Water ( maily BL 66 and K 10 acupoints). Sometimes I use > needles , sometimes I use injecting blood in the acupoint. > Depending on the case I use.ponits to treat toxic heat and for general > tonifcation. > I also use dietary suplemnents mainly fruits and vegetables( especially > apple, banana, watermellom and tangerin) , and anti-oxidants foods > especially seeds.( soy bean, nuts ,...) .. > Talking about phytotherapy I uully use Ganoderma / reishi. > I have these papers talking about herbs in the tratment of leukemia / > lymphoma > *- Tanshinone IIA, an ingredient of Salvia miltiorrhiza BUNGE, induces > apoptosis in human leukemia cell lines through the activation of caspase-3* > * > > - Cytotoxicity and antitumoral activity of dichloromethane extract and its > fractions from Pothomorphe umbellata > > - The use of Punica Granatum in cancer - but this is in Portuguese > > If you want I can send it to you. > > Regards > > Eduardo Lobo > > DVM - Brasil* > > 2009/6/4 <acukath > > > i hear everyone's warnings here, and do walk with caution. > > > > i sent out this post to discuss the case.r > > > > does anyone have thoughts to share on the case. esp herbal strategies, or > > recommendations of source material that i can reference? > > > > kath > > > > > > > >>> CC: Chinese Traditional Medicine ; > > > >>> aculynn > > > >>> acukath > > > >>> Wed, 3 Jun 2009 20:08:57 -0400 > > > >>> TCM tx strategies: cutaneoous lymphoma? > > > >>> > > > >>> a new patient is presenting with a lymphoma of the skin. she did not > > > >>> know > > > >>> > > > >>> the name (will not sign a records release, but said she would get a > > > >>> copy of > > > >>> > > > >>> the pathology report for me). based on the presentation, i'm thnking > > > >>> it > > > >>> > > > >>> might be > > > >>> > > > >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > > > >>> > > > >>> lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > > > >>> > > > >>> which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> of > > > >>> the immune > > > >>> > > > >>> system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > > > >>> > > > >>> non-Hodgkin's lymphomas (which are generally B-cell related), CTCL > > > >>> is caused > > > >>> > > > >>> by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. The > > > >>> > > > >>> malignant <http://en.wikipedia.org/wiki/Malignant> T cells in the > > > >>> body are > > > >>> > > > >>> pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > > > >>> Skin> in a > > > >>> > > > >>> biological process used to rid the body of offending material, > > causing > > > >>> > > > >>> various lesions <http://en.wikipedia.org/wiki/Lesion> to appear on > > > >>> the skin. > > > >>> > > > >>> These lesions change shape as the disease progresses, typically > > > >>> beginning as > > > >>> > > > >>> what appears to be a rash <http://en.wikipedia.org/wiki/Rash> and > > > >>> eventually > > > >>> > > > >>> forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> > > before > > > >>> > > > >>> metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > > > >>> parts of > > > >>> > > > >>> the body. > > > >>> > > > >>> it began as an atopic rash. she's had 2 legions biopsied. what she's > > > >>> > > > >>> pointing out as the legions are subtle papules, maybe 5mm, pale > > > >>> > > > >>> coloration. there are a few on various places on her calves. her skin > > > >>> > > > >>> tone is pale with a multitude of pale tan macules, 1-2cm which i > > > >>> interpret > > > >>> > > > >>> as qi/xue stag in the cutaneous regions. > > > >>> > > > >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > > > >>> > > > >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' (her > > > >>> > > > >>> discription) and talkative, insomnia assoc c stress. > > > >>> > > > >>> many other s/s, including chronic bi (back, joints, arthritis) > > rosacea > > > >>> > > > >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > > > >>> nails, shi > > > >>> > > > >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > > > >>> allergies: > > > >>> > > > >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, bees). > > > >>> > > > >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > > > >>> goiter no > > > >>> > > > >>> longer present 12/08 exam. > > > >>> > > > >>> i have several derm books and the mgmt of CA in TCM, but cannot find > > > >>> any > > > >>> > > > >>> references to this condition. i'm giving an indiv. gran herb rx. am > > > >>> > > > >>> primarily looking for formula references. wondering if anyone can > > > >>> provide > > > >>> > > > >>> tx suggestions on this, esp herb, or direct me to tcm reference > > > >>> material? > > > >>> > > > >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W is > > > >>> playing a > > > >>> > > > >>> role, as the sx appeared upon onset of an itchy, atopic rash that > > > >>> appeared > > > >>> > > > >>> after dry brushing her skin (uncertain whether the dry brushing is > > > >>> playing a > > > >>> > > > >>> role here). the rash imp with the use of a steroid creme. the rash > > > >>> > > > >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a biopsy. > > > >>> > > > >>> appreciate whatever you can offer > > > >>> > > > >>> -- > > > >>> > > > >>> > > > >>> > > > >>> Oriental Medicine > > > >>> > > > >>> Experienced, Dedicated, Effective > > > >>> > > > >>> Kath's Blog about , Healthy Living & Spirituality: > > > >>> > > > >>> http://acukath.blogspot.com/ > > > >>> > > > >>> Flying Dragon Liniment: Effective pain relief for muscles & joints > > > >>> > > > >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist > > > >>> > > > >>> Available at Asheville Center for : > > > >>> > > > >>> www.FlyingDragonLiniment.com <http://www.flyingdragonliniment.com/> > > > >>> > > > >>> Greenlife Grocery - Asheville, NC > > > >>> > > > >>> and from the following supply companies: > > > >>> > > > >>> Kamwo Herbal Pharmacy: NY - Chinatown > > > >>> > > > >>> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > > >>> > > > >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > > >>> > > > >>> > > > >> > > > > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > >>> > > > >>> Asheville Center For > > > >>> > > > >>> 70 Woodfin Place, Suite West Wing Two > > > >>> > > > >>> Asheville, NC 28801 828.258.2777 > > > >>> > > > >>> kbartlett > > > >>> > > > >>> www.AcupunctureAsheville.com <http://www.acupunctureasheville.com/> > > > >>> > > > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2009 Report Share Posted June 11, 2009 Sorry for the late answer, working and studynig a lot. I`ve been seeing cancer patients for the last 25 years in my private practice. When I started working with TCVM I liked a lot Dr. Torensen's technic to treat cancer but I saw that it was very good in the begging of the problem and that, in the really complicated cases, we had other techinics and problems to face and treat . In my oppinion when we have the paraneoplasic syndromes we have to treat the affected organ in a more profund way. For this I start to treat this organ tonifing it with acupunture and dietetics suplements . With the continuous course of the disease we have the metastatic problems. At this time I think we have to tonify the organ and take care of the triple burner in order to stop the metastasis. In the final stage we have the wei syndrome and needs to treat it. In my oppinion, in the case of lymphoma, we have to control the fire phase, especilly the triple burner, we have to dispel the toxic heat and move the blood . I use acupuncture and dietary therapy with fruits, vegetables and kidney tonics ( mainly seeds). I also add some ocidental medicines, like A and E vitamins, fish oil , sometimes COX inhibitors and other antioxidants medicines ( quercitin, CoQ, etc...). I didn't have notice any relations with chemicals and vacines in the cases, but I didn't look for it. I will start to pay atttention. The papres I have about lymphoma are talking about the use of herbs in the treatment of it . Again sorry for my late answer . I hope we can talk more about these instersting matter. Regards Eduardo 2009/6/7 Patricia Jordan <coastalcatclinic > > Eduardo Lobo: I would be very interested in your protocols to treat > lymphoma. I also have studied with Dr. Are Thorensen > > and I understand the concepts of his use of the Ko Cycle in selecting > points. do you ever seen lymphom in dogs that are not administered vaccines? > If so, have they been appied with any of the anti parasitics like Frontline? > The only cancer cases we have are in vaccinated or chemically appointed > animals. Lymphoma is particuallarily linked to the chronic antigenic > stimulation. In any regards I would be very interested in any formulas or > protocols you have found successful.......we sure don't have that here in > the US. > > Sincerely, Patricia Jordan DVM,CVA,CTCVM & Herbology > > > > > Chinese Medicine > > eduardolobo.vet > > Thu, 4 Jun 2009 21:52:03 -0300 > > Re: TCM tx strategies: cutaneoous lymphoma? > > > > Hello, I'm a vet from Brasil and a treat lymphoma mainly in dogs with > good > > results. Skin lymphoma, in dogs and cats, is the most difficult lymphoma > to > > treat, but we ge good life quality in treating it. > > My treatment depends on the stage of the disease. If it's in the > beggining I > > use a techinic proposed by Dr. Are Torensen where you use the Ke cycle to > > cntrol the excess - in the case of lymphoma, I control the Triple burner/ > > Fire - with Water ( maily BL 66 and K 10 acupoints). Sometimes I use > > needles , sometimes I use injecting blood in the acupoint. > > Depending on the case I use.ponits to treat toxic heat and for general > > tonifcation. > > I also use dietary suplemnents mainly fruits and vegetables( especially > > apple, banana, watermellom and tangerin) , and anti-oxidants foods > > especially seeds.( soy bean, nuts ,...) .. > > Talking about phytotherapy I uully use Ganoderma / reishi. > > I have these papers talking about herbs in the tratment of leukemia / > > lymphoma > > *- Tanshinone IIA, an ingredient of Salvia miltiorrhiza BUNGE, induces > > apoptosis in human leukemia cell lines through the activation of > caspase-3* > > * > > > > - Cytotoxicity and antitumoral activity of dichloromethane extract and > its > > fractions from Pothomorphe umbellata > > > > - The use of Punica Granatum in cancer - but this is in Portuguese > > > > If you want I can send it to you. > > > > Regards > > > > Eduardo Lobo > > > > DVM - Brasil* > > > > 2009/6/4 <acukath > > > > > i hear everyone's warnings here, and do walk with caution. > > > > > > i sent out this post to discuss the case.r > > > > > > does anyone have thoughts to share on the case. esp herbal strategies, > or > > > recommendations of source material that i can reference? > > > > > > kath > > > > > > > > > > >>> CC: Chinese Traditional Medicine ; > > > > >>> aculynn > > > > >>> acukath > > > > >>> Wed, 3 Jun 2009 20:08:57 -0400 > > > > >>> TCM tx strategies: cutaneoous lymphoma? > > > > >>> > > > > >>> a new patient is presenting with a lymphoma of the skin. she did > not > > > > >>> know > > > > >>> > > > > >>> the name (will not sign a records release, but said she would get > a > > > > >>> copy of > > > > >>> > > > > >>> the pathology report for me). based on the presentation, i'm > thnking > > > > >>> it > > > > >>> > > > > >>> might be > > > > >>> > > > > >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > > > > >>> > > > > >>> lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > > > > >>> > > > > >>> which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> > of > > > > >>> the immune > > > > >>> > > > > >>> system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > > > > >>> > > > > >>> non-Hodgkin's lymphomas (which are generally B-cell related), > CTCL > > > > >>> is caused > > > > >>> > > > > >>> by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. > The > > > > >>> > > > > >>> malignant <http://en.wikipedia.org/wiki/Malignant> T cells in > the > > > > >>> body are > > > > >>> > > > > >>> pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > > > > >>> Skin> in a > > > > >>> > > > > >>> biological process used to rid the body of offending material, > > > causing > > > > >>> > > > > >>> various lesions <http://en.wikipedia.org/wiki/Lesion> to appear > on > > > > >>> the skin. > > > > >>> > > > > >>> These lesions change shape as the disease progresses, typically > > > > >>> beginning as > > > > >>> > > > > >>> what appears to be a rash <http://en.wikipedia.org/wiki/Rash> > and > > > > >>> eventually > > > > >>> > > > > >>> forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> > > > before > > > > >>> > > > > >>> metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > > > > >>> parts of > > > > >>> > > > > >>> the body. > > > > >>> > > > > >>> it began as an atopic rash. she's had 2 legions biopsied. what > she's > > > > >>> > > > > >>> pointing out as the legions are subtle papules, maybe 5mm, pale > > > > >>> > > > > >>> coloration. there are a few on various places on her calves. her > skin > > > > >>> > > > > >>> tone is pale with a multitude of pale tan macules, 1-2cm which i > > > > >>> interpret > > > > >>> > > > > >>> as qi/xue stag in the cutaneous regions. > > > > >>> > > > > >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > > > > >>> > > > > >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' > (her > > > > >>> > > > > >>> discription) and talkative, insomnia assoc c stress. > > > > >>> > > > > >>> many other s/s, including chronic bi (back, joints, arthritis) > > > rosacea > > > > >>> > > > > >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > > > > >>> nails, shi > > > > >>> > > > > >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > > > > >>> allergies: > > > > >>> > > > > >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, > bees). > > > > >>> > > > > >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > > > > >>> goiter no > > > > >>> > > > > >>> longer present 12/08 exam. > > > > >>> > > > > >>> i have several derm books and the mgmt of CA in TCM, but cannot > find > > > > >>> any > > > > >>> > > > > >>> references to this condition. i'm giving an indiv. gran herb rx. > am > > > > >>> > > > > >>> primarily looking for formula references. wondering if anyone can > > > > >>> provide > > > > >>> > > > > >>> tx suggestions on this, esp herb, or direct me to tcm reference > > > > >>> material? > > > > >>> > > > > >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W > is > > > > >>> playing a > > > > >>> > > > > >>> role, as the sx appeared upon onset of an itchy, atopic rash that > > > > >>> appeared > > > > >>> > > > > >>> after dry brushing her skin (uncertain whether the dry brushing > is > > > > >>> playing a > > > > >>> > > > > >>> role here). the rash imp with the use of a steroid creme. the > rash > > > > >>> > > > > >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a > biopsy. > > > > >>> > > > > >>> appreciate whatever you can offer > > > > >>> > > > > >>> -- > > > > >>> > > > > >>> > > > > >>> > > > > >>> Oriental Medicine > > > > >>> > > > > >>> Experienced, Dedicated, Effective > > > > >>> > > > > >>> Kath's Blog about , Healthy Living & > Spirituality: > > > > >>> > > > > >>> http://acukath.blogspot.com/ > > > > >>> > > > > >>> Flying Dragon Liniment: Effective pain relief for muscles & > joints > > > > >>> > > > > >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist > > > > >>> > > > > >>> Available at Asheville Center for : > > > > >>> > > > > >>> www.FlyingDragonLiniment.com<http://www.flyingdragonliniment.com/>< > http://www.flyingdragonliniment.com/> > > > > >>> > > > > >>> Greenlife Grocery - Asheville, NC > > > > >>> > > > > >>> and from the following supply companies: > > > > >>> > > > > >>> Kamwo Herbal Pharmacy: NY - Chinatown > > > > >>> > > > > >>> > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > > > >>> > > > > >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > > > >>> > > > > >>> > > > > >> > > > > > > > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > > >>> > > > > >>> Asheville Center For > > > > >>> > > > > >>> 70 Woodfin Place, Suite West Wing Two > > > > >>> > > > > >>> Asheville, NC 28801 828.258.2777 > > > > >>> > > > > >>> kbartlett > > > > >>> > > > > >>> www.AcupunctureAsheville.com<http://www.acupunctureasheville.com/>< > http://www.acupunctureasheville.com/> > > > > >>> > > > > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2009 Report Share Posted June 14, 2009 Thank you for your answer, this is utterly a maze of tracing the inflamation from the root. I have a very good scientific paper which traces the route of chronic antigenic stimulation of the B cells to the onset of lymphoma....and what better inflamation maker than the year after year after year overadministration of illogical vaccinations that they administer to animals. In Brazil, I am sure they are rabies crazy thinking they have to administer multiple vaccines when the proof was established as early as 1949 that only one vaccine against rabies was necessary to convey immunity for life of the dog against the rabies virus.....so long as the immune system was mature when vaccine was administered.The problem is that the vaccines are not safe they are quite dangerous and the effect to the immune system one of health deconstruction not preventative health care maintenance. If you would like i will send the chronic antigenic stimulus of b cells to lymphoma paper to you.........begs the question why isn't this recognized in human medicine. Begs the question also of your results. I found that in these situations I could help my patients but literraly i would have to administer care daily.....since the underlying cause of all of this inflamation had been via the injections of poison (vaccines) done in the first place. the most unhealthy individuals are those of the western countries that enjoy a rabid vaccinologists state of practice. Sincerely, Patricia Jordan DVM,CVA,CTCVM & Herbology > Chinese Medicine > eduardolobo.vet > Thu, 11 Jun 2009 07:35:49 -0300 > Re: TCM tx strategies: cutaneoous lymphoma? > > Sorry for the late answer, working and studynig a lot. > I`ve been seeing cancer patients for the last 25 years in my private > practice. When I started working with TCVM I liked a lot Dr. Torensen's > technic to treat cancer but I saw that it was very good in the begging of > the problem and that, in the really complicated cases, we had other > techinics and problems to face and treat . In my oppinion when we have the > paraneoplasic syndromes we have to treat the affected organ in a more > profund way. For this I start to treat this organ tonifing it with > acupunture and dietetics suplements . With the continuous course of the > disease we have the metastatic problems. At this time I think we have to > tonify the organ and take care of the triple burner in order to stop the > metastasis. In the final stage we have the wei syndrome and needs to treat > it. > In my oppinion, in the case of lymphoma, we have to control the fire phase, > especilly the triple burner, we have to dispel the toxic heat and move the > blood . I use acupuncture and dietary therapy with fruits, vegetables and > kidney tonics ( mainly seeds). I also add some ocidental medicines, like A > and E vitamins, fish oil , sometimes COX inhibitors and other antioxidants > medicines ( quercitin, CoQ, etc...). > I didn't have notice any relations with chemicals and vacines in the cases, > but I didn't look for it. I will start to pay atttention. > The papres I have about lymphoma are talking about the use of herbs in the > treatment of it . > Again sorry for my late answer . I hope we can talk more about these > instersting matter. > Regards > Eduardo > > 2009/6/7 Patricia Jordan <coastalcatclinic > > > > > Eduardo Lobo: I would be very interested in your protocols to treat > > lymphoma. I also have studied with Dr. Are Thorensen > > > > and I understand the concepts of his use of the Ko Cycle in selecting > > points. do you ever seen lymphom in dogs that are not administered vaccines? > > If so, have they been appied with any of the anti parasitics like Frontline? > > The only cancer cases we have are in vaccinated or chemically appointed > > animals. Lymphoma is particuallarily linked to the chronic antigenic > > stimulation. In any regards I would be very interested in any formulas or > > protocols you have found successful.......we sure don't have that here in > > the US. > > > > Sincerely, Patricia Jordan DVM,CVA,CTCVM & Herbology > > > > > > > > > Chinese Medicine > > > eduardolobo.vet > > > Thu, 4 Jun 2009 21:52:03 -0300 > > > Re: TCM tx strategies: cutaneoous lymphoma? > > > > > > Hello, I'm a vet from Brasil and a treat lymphoma mainly in dogs with > > good > > > results. Skin lymphoma, in dogs and cats, is the most difficult lymphoma > > to > > > treat, but we ge good life quality in treating it. > > > My treatment depends on the stage of the disease. If it's in the > > beggining I > > > use a techinic proposed by Dr. Are Torensen where you use the Ke cycle to > > > cntrol the excess - in the case of lymphoma, I control the Triple burner/ > > > Fire - with Water ( maily BL 66 and K 10 acupoints). Sometimes I use > > > needles , sometimes I use injecting blood in the acupoint. > > > Depending on the case I use.ponits to treat toxic heat and for general > > > tonifcation. > > > I also use dietary suplemnents mainly fruits and vegetables( especially > > > apple, banana, watermellom and tangerin) , and anti-oxidants foods > > > especially seeds.( soy bean, nuts ,...) .. > > > Talking about phytotherapy I uully use Ganoderma / reishi. > > > I have these papers talking about herbs in the tratment of leukemia / > > > lymphoma > > > *- Tanshinone IIA, an ingredient of Salvia miltiorrhiza BUNGE, induces > > > apoptosis in human leukemia cell lines through the activation of > > caspase-3* > > > * > > > > > > - Cytotoxicity and antitumoral activity of dichloromethane extract and > > its > > > fractions from Pothomorphe umbellata > > > > > > - The use of Punica Granatum in cancer - but this is in Portuguese > > > > > > If you want I can send it to you. > > > > > > Regards > > > > > > Eduardo Lobo > > > > > > DVM - Brasil* > > > > > > 2009/6/4 <acukath > > > > > > > i hear everyone's warnings here, and do walk with caution. > > > > > > > > i sent out this post to discuss the case.r > > > > > > > > does anyone have thoughts to share on the case. esp herbal strategies, > > or > > > > recommendations of source material that i can reference? > > > > > > > > kath > > > > > > > > > > > > > >>> CC: Chinese Traditional Medicine ; > > > > > >>> aculynn > > > > > >>> acukath > > > > > >>> Wed, 3 Jun 2009 20:08:57 -0400 > > > > > >>> TCM tx strategies: cutaneoous lymphoma? > > > > > >>> > > > > > >>> a new patient is presenting with a lymphoma of the skin. she did > > not > > > > > >>> know > > > > > >>> > > > > > >>> the name (will not sign a records release, but said she would get > > a > > > > > >>> copy of > > > > > >>> > > > > > >>> the pathology report for me). based on the presentation, i'm > > thnking > > > > > >>> it > > > > > >>> > > > > > >>> might be > > > > > >>> > > > > > >>> *Cutaneous T cell lymphoma (CTCL)* is a class of non-Hodgkin's > > > > > >>> > > > > > >>> lymphoma<http://en.wikipedia.org/wiki/Non-Hodgkin%27s_lymphoma>, > > > > > >>> > > > > > >>> which is a type of cancer <http://en.wikipedia.org/wiki/Cancer> > > of > > > > > >>> the immune > > > > > >>> > > > > > >>> system <http://en.wikipedia.org/wiki/Immune_system>. Unlike most > > > > > >>> > > > > > >>> non-Hodgkin's lymphomas (which are generally B-cell related), > > CTCL > > > > > >>> is caused > > > > > >>> > > > > > >>> by a mutation of T cells <http://en.wikipedia.org/wiki/T_cell>. > > The > > > > > >>> > > > > > >>> malignant <http://en.wikipedia.org/wiki/Malignant> T cells in > > the > > > > > >>> body are > > > > > >>> > > > > > >>> pushed to the surface of the skin <http://en.wikipedia.org/wiki/ > > > > > >>> Skin> in a > > > > > >>> > > > > > >>> biological process used to rid the body of offending material, > > > > causing > > > > > >>> > > > > > >>> various lesions <http://en.wikipedia.org/wiki/Lesion> to appear > > on > > > > > >>> the skin. > > > > > >>> > > > > > >>> These lesions change shape as the disease progresses, typically > > > > > >>> beginning as > > > > > >>> > > > > > >>> what appears to be a rash <http://en.wikipedia.org/wiki/Rash> > > and > > > > > >>> eventually > > > > > >>> > > > > > >>> forming plaques and tumors <http://en.wikipedia.org/wiki/Tumor> > > > > before > > > > > >>> > > > > > >>> metastasizing <http://en.wikipedia.org/wiki/Metastasis> to other > > > > > >>> parts of > > > > > >>> > > > > > >>> the body. > > > > > >>> > > > > > >>> it began as an atopic rash. she's had 2 legions biopsied. what > > she's > > > > > >>> > > > > > >>> pointing out as the legions are subtle papules, maybe 5mm, pale > > > > > >>> > > > > > >>> coloration. there are a few on various places on her calves. her > > skin > > > > > >>> > > > > > >>> tone is pale with a multitude of pale tan macules, 1-2cm which i > > > > > >>> interpret > > > > > >>> > > > > > >>> as qi/xue stag in the cutaneous regions. > > > > > >>> > > > > > >>> T: dusky, puffy, red tip, wh C. P xu, slow, smooth with sl edge. > > > > > >>> > > > > > >>> 58yf, has a great deal of yin xu anxiety presenting as 'shi nrg' > > (her > > > > > >>> > > > > > >>> discription) and talkative, insomnia assoc c stress. > > > > > >>> > > > > > >>> many other s/s, including chronic bi (back, joints, arthritis) > > > > rosacea > > > > > >>> > > > > > >>> (onset 1995), liver qi stag/xue xu (irrit, PPQi, dry skin, hair, > > > > > >>> nails, shi > > > > > >>> > > > > > >>> life stress), hairloss, fatigue, atopic LU sx, esp 5yr onset pet > > > > > >>> allergies: > > > > > >>> > > > > > >>> red, itchy, watery eyes, sneezing (also dust, molds, wasps, > > bees). > > > > > >>> > > > > > >>> hist thyroid goiter 6 yr ago. tx with levoxil. titrated off med. > > > > > >>> goiter no > > > > > >>> > > > > > >>> longer present 12/08 exam. > > > > > >>> > > > > > >>> i have several derm books and the mgmt of CA in TCM, but cannot > > find > > > > > >>> any > > > > > >>> > > > > > >>> references to this condition. i'm giving an indiv. gran herb rx. > > am > > > > > >>> > > > > > >>> primarily looking for formula references. wondering if anyone can > > > > > >>> provide > > > > > >>> > > > > > >>> tx suggestions on this, esp herb, or direct me to tcm reference > > > > > >>> material? > > > > > >>> > > > > > >>> i'm thinking in addtion to liver qi stag, qi/xue/yin xu, that W > > is > > > > > >>> playing a > > > > > >>> > > > > > >>> role, as the sx appeared upon onset of an itchy, atopic rash that > > > > > >>> appeared > > > > > >>> > > > > > >>> after dry brushing her skin (uncertain whether the dry brushing > > is > > > > > >>> playing a > > > > > >>> > > > > > >>> role here). the rash imp with the use of a steroid creme. the > > rash > > > > > >>> > > > > > >>> appeared 8/08 - 10/08. the lymphoma was dx 2 weeks ago with a > > biopsy. > > > > > >>> > > > > > >>> appreciate whatever you can offer > > > > > >>> > > > > > >>> -- > > > > > >>> > > > > > >>> > > > > > >>> > > > > > >>> Oriental Medicine > > > > > >>> > > > > > >>> Experienced, Dedicated, Effective > > > > > >>> > > > > > >>> Kath's Blog about , Healthy Living & > > Spirituality: > > > > > >>> > > > > > >>> http://acukath.blogspot.com/ > > > > > >>> > > > > > >>> Flying Dragon Liniment: Effective pain relief for muscles & > > joints > > > > > >>> > > > > > >>> Formulated by Kath Bartlett, Traditional Chinese Herbalist > > > > > >>> > > > > > >>> Available at Asheville Center for : > > > > > >>> > > > > > >>> www.FlyingDragonLiniment.com<http://www.flyingdragonliniment.com/>< > > http://www.flyingdragonliniment.com/> > > > > > >>> > > > > > >>> Greenlife Grocery - Asheville, NC > > > > > >>> > > > > > >>> and from the following supply companies: > > > > > >>> > > > > > >>> Kamwo Herbal Pharmacy: NY - Chinatown > > > > > >>> > > > > > >>> > > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > > > > >>> > > > > > >>> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > > > > >>> > > > > > >>> > > > > > >> > > > > > > > > > > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > > > >>> > > > > > >>> Asheville Center For > > > > > >>> > > > > > >>> 70 Woodfin Place, Suite West Wing Two > > > > > >>> > > > > > >>> Asheville, NC 28801 828.258.2777 > > > > > >>> > > > > > >>> kbartlett > > > > > >>> > > > > > >>> www.AcupunctureAsheville.com<http://www.acupunctureasheville.com/>< > > http://www.acupunctureasheville.com/> > > > > > >>> > > > > > >>> Quote Link to comment Share on other sites More sharing options...
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