Uterine Polyps

[Guest guest]

Does anyone know the etiology for this condition? Does it stem from

Blood Stasis? Is it a Phlegm congelation? Any feedback would be

appreciated.

[Guest guest]

Hi all,

 

My experience with uterine polyps is that the main symptom is

bleeding. I pretty much ignore the diagnosis of polyps and treat the

bleeding based on differential diagnosis. (The four causes of

bleeding) In some cases the polyps disappear. In another the woman

had them removed just before we started to work and they have not, as

of yet, returned.

 

Here is a little case I translated recently on polyps that might be

of interest.

 

Polyps:

 

Ms Yu age 31

Principle complaint: Irregular menses, often dripping without

cease. This past menstruation was still going after 12 days. The

blood color is pale with a peculiar smell. Her low back feels sore

and sometimes painful. She also experiences palpitations, dizziness,

weakness, poor sleep. Often she has vaginal bleeding and post coital

bleeding. Previously she went to a municipal hospital and was

diagnosed with cervical polyps. Surgery was recommended but she

decided to use Traditional Chinese medicine for treatment.

 

Check up: Her tongue moss is thin white and her pulse is slow and wiry.

 

Differential Diagnosis: When there is frequent vaginal bleeding and

post-coital bleeding, we can know that there is local uterine

pathology as opposed to menstrual pathology. Nonetheless, chronic

bleeding does deplete the Qi and Blood and the patient’s condition

will linger. A comprehensive analysis of the pulse and pattern

showed that the Chong and Ren received damage and were unable to

store the blood. The bleeding damaged the Yin. The ancient sage

said that sudden bleeding requires supplementation while chron-c

dripping requires clearing. Because of the peculiar smell I needed

to deal with the retained stasis in the Chong and Ren.

 

Treatment Principle: Dispel stasis generate the new. Nourish Yin

and clear heat.

 

Formula

Guan Zhong Tan 6

Chen E Jiao 6 (dissolve separately

and add 3 gms to each dose)

Gui Ban Jiao 8(dissolve separately

and add 3 gms to each dose)

Lao Zong Tan 10

Hei Sheng Ma 5

Sheng Di Tan 12

Hei Jing Jie 10

Shu Di Tan 12

Hang Bai Shao 10 (stir-fried with 5 gm Chai Hu)

Mao Cang Zhu 6

Chuan Huang Bai 6

Hei Shan Zha 6

Chuan Du Zhong 10

Chuan Xu Duan 10

Shu Nu Zhen 12

 

Second Visit: She took three packages of herbs. The blood had

already decreased though there was still a watery secrection with a

peculiar smell. The wiry pulse had become peaceful. I added 6 gm

of Duan Ci Wei Pi (Hedge Hog pelt calcined) to the orignal formula

and gave her three packages.

 

Third Visit: After two bags of the last formula, she felt unwell in

her lower abdomen. A soft dark red, thumb-sized lump rotated out of

her vagina but without any increased bleeding. There was only a

slightly bloody watery discharge. Her mood was tense and keyed up,

she felt weak and her sleep and eating were not good. The tissue was

sent to the lab to have the pathology analyzed. I advised her to

take the third package of herbs and then check again to see if she

was recovering.

 

Forth Visit: A week later Ms. Yu came for a check up. The lab

results were that the tissue was a polyp with no cancer cells. She

had a careful gynecology exam and her uterus and cervix were normal

with no new polyps. Her body was still weak so I gave her a formula

to regulate her qi and blood combined with herbs to regulate and

consolidate.

 

Formula:

Hang Bai Shao 10 (stir-fried with 5 gm Chai Hu)

Jiu Chao Sheng Shu Di Huang 6 gm each.

Chen E Jiao 10(dissolve separately

and add 3 gms to each dose)

Dang Gui 10

Jiu Chuan Xiong 5

Fen Dan Pi 10

Shu Nu Zhen Zi 12

Zhu Fu Shen 10

Zhu Cun Dong 10

Mei Gui Hua 10

Dai Dai Hua 6

 

Fifth Visit: After taking four packages of the formula her spirit and

body strength improved as did her appetite and sleep. The vaginal

bleeding and peculiar smelling discharge had cleared. Her pulse was

steady. Her Chong and Ren gradually filled. I enjoined her to

continue in order to consolidate the effect.

 

Discussion: This illness belongs to the category of the 5

accumulations, the 6 knottings, the 7 concretions and 8

conglomerations. In terms of Beng Lou, the Zhi Bing Yuan Hou Lun

says that when there are lumps this is vacuity and depletion of the

Bao Luo. Cold and heat are unregulated and wind evil is contained.

The evil Qi multiplies in the Yin. The fighting between hot and cold

within the Qi and Blood becomes polyps which are like a mouse’s breast.

 

As my teacher saw patients for many years, we saw many cases of this

illness. The causes of the pathology vary though generally one

always wants to dispel stasis and generate the new. Guan Zhong Tan,

Lao Zong Tan, Sheng Ma, Jing Jie and Cang Zhu not only stop bleeding

and lift, they also dispel stasis and generate the new. The two

gelatins have the function of stopping bleeding and regenerating.

Huang Bo and Shan Zhi Zi clear heat and drain dampness. Shu and

Sheng Di Huang, Dang Gui, Chuan Xiong and Nu Zhen Zi regulate the

blood. Ci Wei Pi can treat nocturnal emissions in Men and in women

it can treat Bai Dai. Altogether this had the effect of

strengthening and consolidating. This case can be used for reference.

 

 

 

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com

 

 

 

 

 

[Guest guest]

On 5/13/07, sharon weizenbaum <sweiz wrote:

>

>

> Here is a little case I translated recently on polyps that might be

> of interest.

>

> Polyps:

>

> The ancient sage

> said that sudden bleeding requires supplementation while chron-c

> dripping requires clearing.

 

 

Is that a misprint or is my head on backwards? Seems like the acute bleeding

would be excess and treated by clearing while the chronic bleeding would be

due to deficiency and require supplementation, no?

 

--

 

Pain is inevitable, suffering is optional.