August 2017

August 2017

August 2017

    The Office: The Dangers of Chinese Herbs

  • Be careful when determining blocked blood flow through the heart and a weak heart. Many patients will have both, which makes it hard at times to diagnose.
  • When there is restricted blood flow into the heart muscle, it will inevitably lead to a weak heart over time.
  • So how do we determine if we use just blood movers, or just tonifiers or a combination of both?
  • Look at the other pulse! If the left Guan (Liver) is high and pounding, do not give them tonifiers, it may put them into the ER.
  • Do not make the mistake to not check the other pulses, if you find a weak looking patient in front of you with a weak left Cun pulse.
  • If the other pulses are weak, use 60% unblockers and 40% tonifiers.
    • e.g. Tian Wang Bu Xin Dan
    • Shi Quan Da Bu Tang
    • Sheng Mai San
  • If the other pulses are in excess, then there is an excess condition in the heart, blood-stasis is an excess condition. Then simply treat this excess condition.

 
 
 

    The Office: Live Case Study: DNA & Arthritic Finger Pain

  • Px complains about arthritic finger pain at the ulnar side of the distal interphalangeal joint of the RIGHT index finger
  • Bob needles at the fibular side of the distal interphalangeal joint of the LEFT 2nd toe
  • Px says no pain- relief, but is very sensitive to needles, so instead of needling, Bob squeezes the distal interphalangeal joint of the RIGHT 2nd toe (ipsilateral), bc the px seems to be ipsilaterally “wired” which brings pain relief
  • Bob adds two needles into the distal interphalangeal joint of the RIGHT 2nd toe from the tibial and fibular side (one each) which brings instant 70% pain relief
  • Always remember that px might be more sensitive to ipsilateral needles, therefore always needle bilaterally.
  • If pxs are very sensitive to the needles, apply acupressure to the area that you plan to needle first and gauge the px’s response.

 
 
 

    The Office: Treat The Pulse And Forget The Disease

  • Px complains about confirmed left carotid artery blockage 75-90%, right carotid artery blockage 15% 8 months ago
  • Px signed up for 4 month plan
  • Dx
    • Left Cun was blocked, but firmly blocked (strong pulse force, but no clearly shaped vessel/ convex pulse, but instead a muddy/blocked sensation)
  • Rx
    • Blood movers and anti-inflammatories:
    • Zhen Ren Huo Ming Yin 15
    • Mu Dan Pi 15
    • Xue Fu Zhu Yu Tang 20
    • Dan Shen 15
    • Dang Gui 15
    • Yu Jin 15
    • Mao Dong Qing 15
    • or replace later with:
    • San Qi 15
    • Shan Zha 15
    • Shui Zhi 15
  • At end of 4 month plan/ 4 months on herbs, px was retested and showed good improvement: left carotid artery blockage 35-50%, right carotid artery blockage better than 15%
  • I say coronary artery but mean carotid artery. Sorry.
  • Px went on 6 month maintenance plan
  • Now the left Cun was not blocked anymore, but too strong (forceful pulse strength)
  • I make the assumptions that what the left Cun shows in the coronary arteries also applies to the carotid arteries.
  • I ignored my pulse diagnosis and treated intellectually and treated px with blood movers only, no anti-inflammatories.
  • After 3 months px got retested: left carotid artery blockage 53%, right carotid artery blockage at 17% – blockages worsened!
  • I say coronary artery but mean carotid artery. Sorry.
  • The mistake was to ignore the pulse, so now I go back to anti-inflammatories and cooling blood-movers:
  • Rx
    • Zhen Ren Huo Ming Yin 20
    • Mu Dan Pi 20
    • Xuan Shen 20
    • Hu Zhang 15
    • Dan Shen 15
    • Xue Fu Zhu Yu Tang 20
    • Shui Zhi 5
  • I expect in 3 months, the carotids will be better again.
  • In conclusion: Never do the mistake to ignore the pulse! Treat the pulse and forget the actual disease!

 
 
 

    The Office: MPD – Nocturnal Enuresis & Incontinence

  • Nocturnal Enuresis or Incontinence is due to either excess heat or deficiency whether in children or in adults
  • If excess heat:
    • Excess:
    • Dx: Right Chi will be strongly pounding, either deep or higher, hands are warm
    • Rx:
      • Ba Zheng San 80
      • add other herbs for the rest of the pulse:
        • Long Dan Xie Gan Tang for Liver Heat
        • Astrigents (He Zi, Wu Bei Zi)
    • Quick recovery
    • Weakness:
    • Dx:
      • Right Chi is weak
      • Left Chi pulse will be too deep and too weak – Yang deficiency
      • Left Chi pulse will be too high and too weak – Yin deficiency
      • Hands are cold
    • Rx:
      • Sang Piao Xiao San 50
      • add: Bu Zhong Yi Qi Tang or Kidney Tonic (Ba Wei Di Huang Tang or or Zuo Gui Wan) 30
      • Fu Pen Zi 20
    • Strengthen heart and kidney (2 sides of one coin) it will “suck up the urine”

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