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I treat the obesity and PCO mostly gets treated by itself.( I use acup,only)

 

regards,

Dr,Fadaie

 

--- On Mon, 9/21/09, acugeorge <acugeorge wrote:

 

 

acugeorge <acugeorge

PCOS - weight loss

Chinese Medicine

Monday, September 21, 2009, 9:04 AM

 

 

 

 

 

 

Does anyone have information for Chinese herbs/strategies to help with weight

loss and PCOS?

Any help would be much appreciated.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Hello,

 

I've treated PCOS and have found that there is a lot of misinformation

regarding it out there. Probably the major misunderstanding results

from the name including the word " cysts " in it. Actually these are

not cysts at all - they are incomplete, unruptured follicles

(follicles that never fully developed or ovulated) Cysts are fluid

filled and these are not. There are many western practitioners who

would like to change the name of PCOS to something that does not

include the word " cyst " and takes into account that the lack of

ovulation is part of a much more serious systemic metabolic disorder

in most cases. I think one idea was to call it " hyperandrongenic

syndrome " .

 

The idea that these are cysts combined with the tendency for people

who are diagnosed with PCOS to gain weight has caused many

practitioners to implicate phlegm as a major disease factor. In

addition the lack of consistent ovulation has caused many

practitioners to implicate kidney yang deficiency or kidney deficiency

as a root issue. Many texts such as Giovanni's gyn text and Jane

Lyttleton's fertility text focus their discussion of PCOS around these

two factors.

 

Many western doctors are as confused about this as we are and

incorrectly diagnose their patients. Women with many real cysts are

diagnosed with PCOS but this is not the " syndrome " in which there are

unruptured follicles. They may come in and tell you that they have

PCOS but they don't. So, first off, with patients you need to

determine if they are having lots of cysts (polycysts) or unruptured

follicles (PCOS).

 

Secondly, the entire metabolic state must be taken into account and

this should not be viewed merely as a gynecological problem. These

patients are often at high risk for type 2 diabetes, hypertension,

heart disease and metabolic syndrome. If they do become pregnant

without the underlying condition being looked after, the baby has many

risks as well. Many clinics simply try to get the woman to ovulate

and get her pregnant as the main goal. Just as clomid can very much

worsen the metabolic disorder in these women, intensively boosting the

Kidney Yang with herbs such as Yin Yang Huo, Ba Ji Tian, Tu Si Zi etc.

can cause problems too.

 

Thirdly, in my experience, most often the diagnosis is related to

stasis and more excess presentations. I've not seen phlegm be the

main issue ever when I really look into it. With weight gain in

general, it is actually rare that phlegm damp is the main issue in

terms of treatments that really work but this is particularly true

with PCOS.

 

It is very important that these patients are not told that their

condition will get better if they would just loose weight. Not only is

it virtually impossible to loose weight simply through diet and

exercise for those with this disorder, the weight gain is a symptom of

the disorder and not a cause. With appropriate treatment their entire

condition will improve.

 

I have more information about my own approach to this disorder. If

anyone is interested you can contact me off line and I can direct you

to this.

 

hope this helps,

 

Sharon

 

 

 

 

 

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

www.whitepinehealingarts.com

sweiz

 

 

 

 

 

 

 

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Thanks for writing about this conundrum so clearly. I have had a significant

number of clients recently with normal BMI and PCOS, I have to agree that the

typical SP qi xu with damp and phlegm may not apply.

 

There is some interesting information about the role of Sex Hormone Binding

Globulin (liver produced-protein) and its role in hormone regulation for both

women who have a loss of libido following oral contraceptive use and for women

with PCOS. In PCOS, the SHBG is reduced. It will bind with both estradiol and

testosterone and acts to regulate the amount of " free " hormone available to

cells. When it is reduced, it contributes to the higher level of free

testosterone. The root is a liver problem, not just a problem with hormone

production. I have been focusing on liver health in both a TCM and western

paradigm. Simple sugars " compete " negatively with the sites in the liver that

should produce SHBG, so dietary changes involving limiting simple sugars

(including fructose) are important for liver health. I do not know if there is a

correlation between TCM based liver regulating treatments and a more normal

level of SHBG, but this has become my working hypothesis for women when liver

depression is part of their TCM dx.

 

Stener-Victorin's recent study on PCOS & the sympathetic nervous system

treatment has also been instructive. Her choices of acupuncture points are about

spinal nerve levels and what points innervate spinal segments L1-S3. What I note

about her points are that the TCM energetics would be to nourish kidney,

regulate liver, fortify spleen, regulate qi in the abdomen, and move blood.

 

Valerie Hobbs, L.Ac.

 

 

Chinese Medicine , sharon weizenbaum

<sweiz wrote:

>

> Hello,

>

> I've treated PCOS and have found that there is a lot of misinformation

> regarding it out there. Probably the major misunderstanding results

> from the name including the word " cysts " in it. Actually these are

> not cysts at all - they are incomplete, unruptured follicles

> (follicles that never fully developed or ovulated) Cysts are fluid

> filled and these are not. There are many western practitioners who

> would like to change the name of PCOS to something that does not

> include the word " cyst " and takes into account that the lack of

> ovulation is part of a much more serious systemic metabolic disorder

> in most cases. I think one idea was to call it " hyperandrongenic

> syndrome " .

>

> The idea that these are cysts combined with the tendency for people

> who are diagnosed with PCOS to gain weight has caused many

> practitioners to implicate phlegm as a major disease factor. In

> addition the lack of consistent ovulation has caused many

> practitioners to implicate kidney yang deficiency or kidney deficiency

> as a root issue. Many texts such as Giovanni's gyn text and Jane

> Lyttleton's fertility text focus their discussion of PCOS around these

> two factors.

>

> Many western doctors are as confused about this as we are and

> incorrectly diagnose their patients. Women with many real cysts are

> diagnosed with PCOS but this is not the " syndrome " in which there are

> unruptured follicles. They may come in and tell you that they have

> PCOS but they don't. So, first off, with patients you need to

> determine if they are having lots of cysts (polycysts) or unruptured

> follicles (PCOS).

>

> Secondly, the entire metabolic state must be taken into account and

> this should not be viewed merely as a gynecological problem. These

> patients are often at high risk for type 2 diabetes, hypertension,

> heart disease and metabolic syndrome. If they do become pregnant

> without the underlying condition being looked after, the baby has many

> risks as well. Many clinics simply try to get the woman to ovulate

> and get her pregnant as the main goal. Just as clomid can very much

> worsen the metabolic disorder in these women, intensively boosting the

> Kidney Yang with herbs such as Yin Yang Huo, Ba Ji Tian, Tu Si Zi etc.

> can cause problems too.

>

> Thirdly, in my experience, most often the diagnosis is related to

> stasis and more excess presentations. I've not seen phlegm be the

> main issue ever when I really look into it. With weight gain in

> general, it is actually rare that phlegm damp is the main issue in

> terms of treatments that really work but this is particularly true

> with PCOS.

>

> It is very important that these patients are not told that their

> condition will get better if they would just loose weight. Not only is

> it virtually impossible to loose weight simply through diet and

> exercise for those with this disorder, the weight gain is a symptom of

> the disorder and not a cause. With appropriate treatment their entire

> condition will improve.

>

> I have more information about my own approach to this disorder. If

> anyone is interested you can contact me off line and I can direct you

> to this.

>

> hope this helps,

>

> Sharon

>

>

>

>

>

> Sharon Weizenbaum

> 86 Henry Street

> Amherst, MA 01002

> www.whitepinehealingarts.com

> sweiz

 

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Chinese Medicine , sharon weizenbaum

<sweiz wrote:

 

 

" I've treated PCOS and have found that there is a lot of misinformation

regarding it out there. Probably the major misunderstanding resultsfrom the

name including the word " cysts " in it... "

 

 

 

Hi Sharon

 

thank-you for such a well-considered, well-articulated contribution. PCOS isn't

something I know anywhere near enough about... your post was a great place for

me to start understanding this distressing and bewildering condition.

 

Margi Macdonald

http://margihealing.wordpress.com/

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